Correlation of MRI findings with clinical findings of trochanteric pain syndrome

Blankenbaker, Donna G.; Ullrick, Steven R.; Davis, Kirkland W.; Smet, Arthur A. De; Haaland, Ben; Fine, Jason P.

doi:10.1007/s00256-008-0514-8

Cited by 190 publications

(141 citation statements)

References 10 publications

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“…[3]) and (2) the comparison of sensitivity and specificity of two diagnostic methods that are both compared to the gold standard on the basis of the same experimental units, e.g. images or patients (see e.g.…”

Section: Introductionmentioning

confidence: 99%

Assessment of paired binary data

Rufibach

2010

Skeletal Radiol

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Section: Introductionmentioning

confidence: 99%

Assessment of paired binary data

Rufibach

2010

Skeletal Radiol

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“…MRI typically shows peritrochanteric abnormalities, including bursal thickening and edema, and gluteal insertional tendinopathy or tearing. Blankenbaker et al 12 showed that findings on MRI do not correlate well with symptoms. In an evaluation of 256 hips, 88% of patients with trochanteric pain had MRI abnormalities at the gluteal insertion and 50% of asymptomatic patients had similar MRI findings, thereby underscoring the importance of clinical examination in these patients.…”

Section: Clinical Presentationmentioning

confidence: 99%

Endoscopic Repair of Full-Thickness Gluteus Medius Tears

Domb

Carreira

2013

Arthroscopy Techniques

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Tears in the gluteus medius and minimus tendons recently have emerged as an important cause of chronic greater trochanteric pain syndrome. Increasing recognition of the gluteal insertion as a cause of chronic pain and weakness, as well as technologic advances in endoscopic hip surgery, has made gluteal insertional repair a rapidly emerging technique in minimally invasive surgery of the hip. We present an endoscopic double-row technique for gluteal insertional repair that allows for visualization, debridement, and repair, re-creating the normal footprint.

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“…For this study, GT was defined clinically (Fearon et al, 2013;Segal et al, 2007;Woodley et al, 2008) with subsequent magnetic resonance imaging (MRI) confirmation of tendon pathology (Blankenbaker et al, 2008). Initial inclusion criteria were the presence of unilateral lateral hip pain (Fearon et al, 2013;Segal et al, 2007;Woodley et al, 2008) ≥ 4/10 on the A C C E P T E D M A N U S C R I P T…”

Section: Participantsmentioning

confidence: 99%

“…Physical screening was performed by a physiotherapist to confirm a primary clinical diagnosis of GT, defined as reproduction of trochanteric pain ≥ 4/10 with palpation of the greater trochanter (Fearon et al, 2013; and during ≥ 1/6 diagnostic clinical tests for GT (Fearon et al, 2013;Grimaldi et al, 2014;Lequesne et al, 2008b) (Supplementary material). MRI diagnosis of GT was defined by published classification criteria (Blankenbaker et al, 2008). Exclusion criteria were: (1) clinical or radiological diagnosis of intra-articular hip pathology, the former defined as reproduction of groin pain during passive hip quadrant Troelsen et al, 2009) and the latter by evidence of avascular necrosis, bony lesions or evidence of osteoarthritis (Kellegren and Lawrence Grade 2 or above) on plain X-ray and (2) BMI>36kg/m 2 (due to difficulties with skin marker placement for 3D gait analysis).…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Kinematics and kinetics during stair ascent in individuals with Gluteal Tendinopathy

Allison

Vicenzino

Bennell

et al. 2016

Clinical Biomechanics

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Background: Individuals with gluteal tendinopathy commonly report lateral hip pain and disability during stair ascent. This study aimed to compare kinematics and kinetics between individuals with and without gluteal tendinopathy during a step up task.Methods: 35 individuals with unilateral gluteal tendinopathy and 35 pain-free controls underwent three-dimensional motion analysis of stance phase during stair ascent. An analysis of covariance was performed to compare hip, pelvis and trunk kinematic and kinetic variables between groups. A K-means cluster analysis was performed to identify subgroups from the entire group (n=70) based on the characteristics of the external hip adduction moment.Finally, a Newcombe-Wilson test was performed to evaluate the relationship between group and cluster codes and a 3x2 ANOVA to investigate the differences in kinematics between groups and cluster codes.Findings: Individuals with gluteal tendinopathy exhibited a greater hip adduction moment impulse during stair ascent (ES=0.83), greater internal rotation impulse during the first 50% stance phase (ES=0.63) and greater contralateral trunk lean throughout stance than controls (ranging from ES=0.67-0.93). Three subgroups based on hip adduction moment characteristics were identified. Individuals with GT were 4.5 times more likely to have a hip adduction moment characteristic of a large impulse and greater lateral pelvic translation at heel strike than the subgroup most likely to contain controls.Interpretation: Individuals with GT exhibit greater hip adduction moment impulse and alterations in trunk and pelvic kinematics during stair ascent. Findings provide a basis to consider frontal plane trunk and pelvic control in the management of gluteal tendinopathy.

show abstract

Correlation of MRI findings with clinical findings of trochanteric pain syndrome

Cited by 190 publications

References 10 publications

Assessment of paired binary data

Assessment of paired binary data

Endoscopic Repair of Full-Thickness Gluteus Medius Tears

Kinematics and kinetics during stair ascent in individuals with Gluteal Tendinopathy

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