MRI and US of gluteal tendinopathy in greater trochanteric pain syndrome

Kong, Andrew; Vliet, Andrew Van der; Zadow, Steven

doi:10.1007/s00330-006-0485-x

Cited by 181 publications

(138 citation statements)

References 14 publications

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“…Bone scans may show increased uptake in the area of the greater trochanter, and magnetic resonance imaging (MRI) scans or sonography may show a high-intensity signal in the greater trochanter area, but all of these findings may not always have actual clinical significance and vice versa. The MRI appearance of tendinosis and tear of the abductor tendons of the hip is the same as in other locations and includes alterations in tendon signal and caliber [33]. Partial thickness and complete tears of the gluteus minimus or medius tendons are visible with MRI ( Figure 4).…”

Section: Diagnostic Studiesmentioning

confidence: 93%

“…If a larger field of view is utilized to incorporate both hips, tendon visualization is often limited and secondary signs become critical in detecting abductor tendon tears. The most frequently encountered secondary sign is a greater than 1 cm in diameter localized area of high signal superior to the greater trochanter ( Figure 4) [33,34].…”

Section: Diagnostic Studiesmentioning

confidence: 99%

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Greater Trochanteric Pain Syndrome: What is this Meaning?

Sanfilippo¹,

D’Arienzo²,

Geraci

et al. 2012

Orthopedic Muscul Sys

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Greater trochanteric pain syndrome (GTPS) is a common cause of lower extremity pain. This is frequently attributed to trochanteric bursitis and distension of the subgluteal bursae. Patients are suffering from pain radiating to the posterolateral aspect of the thigh, paraesthesiae in the legs, and tenderness over the iliotibial tract. Often the symptoms are mild, with the patient treating himself successfully through activity modification and other conservative measures. including relative rest, ice, compression, elevation, anti-inflammatory medication and treatment modalities such as ultrasound and electrical stimulation, combined with a structured rehabilitation program. Patients whose symptoms persist despite conservative therapy are likely to benefit from an injection of corticosteroid and anaesthetic into the inflamed bursa. More invasive surgical interventions have anecdotally been reported to provide pain relief when previous treatment modalities fail.In this article, we review the pathogenesis, common initial symptoms, diagnostic approach, and treatment options for trochanteric bursitis.

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Section: Diagnostic Studiesmentioning

confidence: 93%

Section: Diagnostic Studiesmentioning

confidence: 99%

Greater Trochanteric Pain Syndrome: What is this Meaning?

Sanfilippo¹,

D’Arienzo²,

Geraci

et al. 2012

Orthopedic Muscul Sys

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show abstract

“…Apart from a trochanteric bursitis, the abductor tendons (gluteus minimus and gluteus medius tendon) can be affected. Peritendinitis is the earliest manifestation of tendon damage and manifests as fluidlike signal intensity superficial to the tendon (142). Athletes, especially runners, dancers, soccer players, and weight lifters, may encounter an external snapping hip syndrome, with popping movements of the iliotibial band or the gluteus maximus muscle over the greater trochanter during full extension of the hip (143).…”

Section: Abductor Tendonsmentioning

confidence: 99%

Hip Imaging in Athletes: Sports Imaging Series

et al. 2016

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Hip or groin pain in athletes is common and clinical presentation is often nonspecific. Imaging is a very important diagnostic step in the work-up of athletes with hip pain. This review article provides an overview on hip biomechanics and discusses strategies for hip imaging modalities such as radiography, ultrasonography, computed tomography, and magnetic resonance (MR) imaging (MR arthrography and traction MR arthrography). The authors explain current concepts of femoroacetabular impingement and the problem of high prevalence of cam-and pincer-type morphology in asymptomatic persons. With the main focus on MR imaging, the authors present abnormalities of the hip joint and the surrounding soft tissues that can occur in athletes: intraarticular and extraarticular hip impingement syndromes, labral and cartilage disease, microinstability of the hip, myotendinous injuries, and athletic pubalgia. Hip or groin pain in athletes is common and clinical presentation is often nonspecific. Imaging is a very important diagnostic step in the work-up of athletes with hip pain. This review article provides an overview on hip biomechanics and discusses strategies for hip imaging modalities such as radiography, ultrasonography, computed tomography, and magnetic resonance (MR) imaging (MR arthrography and traction MR arthrography). The authors explain current concepts of femoroacetabular impingement and the problem of high prevalence of cam-and pincer-type morphology in asymptomatic persons. With the main focus on MR imaging, the authors present abnormalities of the hip joint and the surrounding soft tissues that can occur in athletes: intraarticular and extraarticular hip impingement syndromes, labral and cartilage disease, microinstability of the hip, myotendinous injuries, and athletic pubalgia. After reading the article and taking the test, the reader will be able to:n Describe biomechanical implications of torsional malalignment and other atypical forms of hip impingement n Describe the most common MR imaging findings in femoroacetabular impingement and identify anatomic variants n Describe imaging characteristics of a Morel-Lavallée lesion and identify the anatomic compartment where this lesion typically occurs n Identify common stress fractures around the hip joint in athletes and discuss potential complications n Describe features of myotendinous injuries around the hip n Describe the anatomic relationship of the sacrotuberous ligament and the origin of the hamstring tendons n Describe the anatomic structures involved in an athletic pubalgia Accreditation and Designation Statement The RSNA is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The RSNA designates this journal-based SA-CME activity for a maximum of 1.0 AMA PRA Category 1 Credit ™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity. Disclosure StatementThe ACCME requires that the RSNA, as an accredited prov...

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“…It is essential to evaluate for fatty degeneration of the gluteal muscle and the extent of the gluteal tendon rupture, as well as the irritation of the bursa to make the diagnosis of GTPS [25][26][27][28]. The first line of management should be conservative with anti-inflammatories and avoidance of activities.…”

Section: Soft Tissue Damage/irritationmentioning

confidence: 99%

Assessment and management of chronic pain in patients with stable total hip arthroplasty

Claßen

Zaps

Landgraeber

et al. 2012

International Orthopaedics (SICOT)

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Total hip arthroplasty (THA) is one of the most successful operations that can restore function and relieve pain. Although a majority of the patients achieve significant pain relief after THA, there are a number of patients that develop chronic pain for unknown reasons. A literature search was performed looking for chronic pain after total hip arthroplasty and stable THA. Major causes of chronic pain include aseptic loosening or infection. However, there is a subset of patients with a stable THA that present with chronic pain which can have several aetiologies. These include soft tissue, bony, neurological, vascular and psychological causes. Essential for successful treatment is the ability to make the correct diagnosis. Thus therapy may be either non-operative or operative. In addition, diagnosis and management often may require multidisciplinary approaches to successfully alleviate chronic pain in these patients with a stable prosthesis.

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MRI and US of gluteal tendinopathy in greater trochanteric pain syndrome

Cited by 181 publications

References 14 publications

Greater Trochanteric Pain Syndrome: What is this Meaning?

Greater Trochanteric Pain Syndrome: What is this Meaning?

Hip Imaging in Athletes: Sports Imaging Series

Assessment and management of chronic pain in patients with stable total hip arthroplasty

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