II. Definition

  1. Inflammation of bursa overlying hip greater trochanter

III. Predisposing factors

  1. Chronic pressure or Trauma to bursa
    1. Friction from overlying IT Band common in runners
  2. Leg Length Discrepancy
  3. Obesity
  4. Rheumatoid Arthritis
  5. Hip Osteoarthritis
  6. Hip ORIF with hardware causing irritation of bursa
  7. Lumbar Disc Disease

IV. Symptoms

  1. Pain overlying greater trochanter
  2. May radiate into knee or ankle or into buttock
  3. Night pain occurs if lying on affected side
  4. Palliative and provocative factors
    1. Worse when standing from seated or lying position
    2. Improves initially on walking
    3. Worse again after walking for >30 minutes

V. Signs

  1. Point tenderness over lateral greater trochanter of hip
  2. Symptoms reproduced on hip adduction
  3. Adduction and internal rotation may also provoke

VI. Radiology

  1. XRay lateral hip
  2. AP Pelvis

VII. Differential Diagnosis

  1. Hip Osteoarthritis
  2. Septic hip
  3. Snapping Hip
  4. Trochanteric Fracture
  5. Gluteus medius Tendonitis
    1. Tenderness above greater trochanter
  6. Lumbar Disc Disease or Sciatica
    1. Affects foot, whereas Bursitis does not
  7. Bony lesion (e.g. metastasis)

VIII. Management

IX. References

  1. Greene (2001) Musculoskeletal Care, AAOS, p. 335-6
  2. Cardone (2003) Am Fam Physician 67(10):2147-52 [PubMed]

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Ontology: Trochanteric bursitis (C0151451)

Concepts Disease or Syndrome (T047)
ICD10 M70.6 , M70.60
SnomedCT 7674000
Dutch trochanter bursitis, bursitis; trochanterica, trochanterica; bursitis, Bursitis trochanterica
French Bursite trochantérienne
German Trochanterbursitis, Bursitis trochanterica
Italian Borsite trocanterica
Portuguese Bursite trocantérica
Spanish Bursitis trocantérica, bursitis trocantérea (trastorno), bursitis trocantérea
Japanese 大腿骨転子部滑液包炎, ダイタイコツテンシブカツエキホウエン
English bursitis trochanteric, trochanteric bursitis (diagnosis), trochanteric bursitis, Trochanteric bursitis, unspecified hip, bottom weavers, Trochanteric bursitis, Whirlbone lameness, Trochanteric bursitis (disorder), bursitis; trochanteric, trochanteric; bursitis, Bursitis;trochanteric
Czech Trochanterická burzitida
Korean 넓적다리돌기 윤활낭염
Hungarian Trochanter bursitis