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The hip trochanteric bursa, tendinous insertions of the gluteal muscles, and the origin vastus lateralis make up the main structures of the peritrochanteric space. Greater trochanteric pain syndrome (GTPS) refers to pain generated by one or multiple disorders of the peritrochanteric space, such as trochanteric bursitis, gluteus medius and minimus tendinopathy or tear, and disorders of the proximal iliotibial band. Patients with GTPS might present with associated intra-articular hip pathology, which requires further investigation and appropriate management. Successful midterm outcomes have been reported in patients undergoing surgical treatment of GTPS using an open or endoscopic approach.
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http://dx.doi.org/10.1016/j.csm.2021.01.001 | DOI Listing |
JBJS Essent Surg Tech
July 2025
Department of Orthopaedic Surgery, Clínica RedSalud Providencia, Santiago, Chile.
Background: Fibrovascular bands are currently considered the most relevant cause of deep gluteal pain syndrome, according to various reports. This condition often exists concurrently with hypertrophic bursae in the peritrochanteric space due to the same inflammatory process because of the anatomical continuity between both spaces. In such cases, we perform bursectomy of the lateral space and resection of fibrovascular bands in the posterior space.
View Article and Find Full Text PDFArthrosc Tech
April 2025
Department of Orthopaedic Surgery, University of California at Irvine, Orange, California, U.S.A.
External coxa saltans, or "snapping hip," is present in about 5% of the population and typically stems from a tight iliotibial band (ITB) passing over the greater trochanter. For patients who have been unresponsive to nonoperative treatments, endoscopic ITB release can be effective in relieving symptoms. Various techniques have been described, including those involving lateral decubitus positioning, alternative portal placement, and outside-in release of the ITB.
View Article and Find Full Text PDFOrthop J Sports Med
May 2024
Regenerative Therapies, Biobizkaia Health Research Institute, Cruces University Hospital, Barakaldo, Bizkaia, Spain.
Background: Greater trochanteric pain syndrome (GTPS) is characterized by gluteal enthesopathy involving the peritrochanteric space and associated with chronic pain and functional impairment. A corticosteroid injection in the trochanteric bursa is the usual palliative treatment for pain. However, it is important to investigate treatment options that will relieve pain in the peritrochanteric space.
View Article and Find Full Text PDFJ Ultrasound
September 2024
Regenerative Therapies, Cruces University Hospital, Biobizkaia Health Research Institute, Plaza Cruces 12, 48903, Barakaldo, Bizkaia, Spain.
Aims: To identify and highlight pertinent US features that could serve as imaging biomarkers to describe different patient phenotypes, within Great Trochanteric Pain Syndrome (GTPS) clinical diagnosis.
Materials And Methods: Using ultrasound we evaluated eighty-eight clinically diagnosed patients with GTPS, for tendon matrix changes and calcium deposits in the gluteus medius (superoposterior and lateral aspects) and in the gluteus minimus. Peritrochanteric examination included fascia lata, trochanteric bursa, cortical irregularities and the presence of enthesophytes.