Greater trochanteric pain syndrome: a review of diagnosis and management in general practice

Speers, Christopher; Bhogal, Gurjit

doi:10.3399/bjgp17x693041

Cited by 51 publications

(49 citation statements)

References 9 publications

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“…Greater trochanteric pain syndrome (GTPS), also known as trochanteric bursitis or gluteal tendinopathy, is a condition characterized by tenderness and pain over the greater trochanter (GT) radiating along the lateral border of the thigh [1]. It is more common in women aged 40 to 60 years, who are more frequently affected than men in the 4:1 ratio [2]. GTPS is the cause of pain in 10-20% of patients presenting to primary care with hip pain, with an incidence between 1.8 and 5.6 per 1000 per year [1][2].…”

Section: Introductionmentioning

confidence: 99%

“…It is more common in women aged 40 to 60 years, who are more frequently affected than men in the 4:1 ratio [2]. GTPS is the cause of pain in 10-20% of patients presenting to primary care with hip pain, with an incidence between 1.8 and 5.6 per 1000 per year [1][2].…”

Section: Introductionmentioning

confidence: 99%

“…Radiological examination of the hip with x-rays is usually normal. Sometimes, it reveals calcification adjacent the GT and can also exclude common differentials including hip osteoarthritis, femoroacetabular impingement, and fractures [2]. Magnetic resonance imaging (MRI) and ultrasound (US) examination can detect peritrochanteric edema and gluteal tendinopathy.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound-guided Platelet-rich Plasma Application Versus Corticosteroid Injections for the Treatment of Greater Trochanteric Pain Syndrome: A Prospective Controlled Randomized Comparative Clinical Study

Begkas¹,

Chatzopoulos²,

Touzopoulos³

et al. 2020

Cureus

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The purpose of this clinical study was to evaluate and compare the effectiveness of ultrasound (US)-guided platelet-rich plasma (PRP) injections versus US-guided corticosteroid injections (CSI) in the treatment of greater trochanteric pain syndrome (GTPS). Methods Between January 2015 and December 2016, 24 patients with GTPS were enrolled and randomized in two groups (A and B). Group A (study group) patients received US-guided PRP injection treatment, while group B (control group) patients received US-guided CSI treatment. Clinical outcomes in both groups were evaluated and compared using the Visual Analogue Scale (VAS) of pain, the Harris Hip Score (HHS) and the presence or absence of complications at 4, 12, and 24 weeks post-injection. The level of significance was set at p<0.05. Results Both groups showed improved scores (VAS and HHS) compared to the pre-injection period, but patients in group A had a statistically significant (p <0.05) decrease in VAS score and a significantly increased HHS at the last follow-up (24 weeks post-injection). No complications were reported.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ultrasound-guided Platelet-rich Plasma Application Versus Corticosteroid Injections for the Treatment of Greater Trochanteric Pain Syndrome: A Prospective Controlled Randomized Comparative Clinical Study

Begkas¹,

Chatzopoulos²,

Touzopoulos³

et al. 2020

Cureus

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“…Conservative treatment consists of medication, rest, physical therapy or corticosteroid injections. Surgical treatment with the lengthening of iliotibial band and fascia is considered only in refractory cases 80 . Seo et al investigate with the use of MRI the outcome of ESWT in GTPS patients and obtain succesuful rates of pain reduction over long term follow up 81 .…”

Section: Introductionmentioning

confidence: 99%

Review Over the Therapeutic Benefit of Extracorporeal Shockwave Therapy in Orthopaedic Patients

Gheorghievici¹,

Nica²,

Mitoiu³

et al. 2019

Rev. Med. Mod.

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Shockwaves can be defi ned as transient pressure oscillations which propagate in three dimensions and offer an increased pressure in a very short period of time. Biological effects of shockwave therapy have been proven to stimulate the release of angiogenic growth factors, and contribute to the improvement of blood supply which leads to the repair of bone and soft tissue. The role of ESWT in the treatment of chronic calcifying tendinitis of the rotator cuff has been evaluated in many studies. ESWT has been gaining attention as an alternative option to surgical excision of calcifi cation or when other conservative options have not proven effi cient. The main purpose for using ESWT in heel spur is to increase the local blood supply by inducing neovascularisation. This action influences the inflammatory process and furthermore stimulates the local metabolism. Also, shockwaves have been proposed as a possible treatment in early phases of femoral head necrosis in adults. In case of patellar tendinopathy in vitro studies have shown biological effects, while clinical effects remain unclear. Data suggests that ESWT associated with other physical modalities achieve realiable clinical importance of pain reduction in lateral epycondylitis. However there is still a lack of standardisation and a consensus is needed regarding frequency and intensity.

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“…Here we are, talking about GTPS, which covers such a broad spectrum of pathology ranging from external snapping to trochanteric bursitis, gluteal tendinopathy, and partial and complete gluteal tears. Specific diagnostic criteria are lacking, 15 although authors from the same center as this systematic review's authors have recently described an endoscopic classification system. 16 At the same time, there is no consistency in the way PRP is prepared and studied, and different types of PRP are not differentiated.…”

mentioning

confidence: 99%

Editorial Commentary: Platelet-Rich Plasma Versus Surgery for Hip Greater Trochanteric Pain Syndrome—Systematic Reviews Made Difficult by the Use of Vague Terms

Konyves¹

2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Greater trochanteric pain syndrome: a review of diagnosis and management in general practice

Cited by 51 publications

References 9 publications

Ultrasound-guided Platelet-rich Plasma Application Versus Corticosteroid Injections for the Treatment of Greater Trochanteric Pain Syndrome: A Prospective Controlled Randomized Comparative Clinical Study

Ultrasound-guided Platelet-rich Plasma Application Versus Corticosteroid Injections for the Treatment of Greater Trochanteric Pain Syndrome: A Prospective Controlled Randomized Comparative Clinical Study

Review Over the Therapeutic Benefit of Extracorporeal Shockwave Therapy in Orthopaedic Patients

Editorial Commentary: Platelet-Rich Plasma Versus Surgery for Hip Greater Trochanteric Pain Syndrome—Systematic Reviews Made Difficult by the Use of Vague Terms

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