Trochanteric bursitis

Infobox_Disease
Name = PAGENAME


Caption =
DiseasesDB =
ICD10 = ICD10|M|70|6|m|70
ICD9 = ICD9|726.5
ICDO =
OMIM =
MedlinePlus =
eMedicineSubj =
eMedicineTopic =
MeshID =

Trochanteric bursitis is inflammation of the trochanteric bursa.

This bursa is situated adjacent to the femur, between the insertion of the gluteus medius and gluteus minimus muscles into the greater trochanter of the femur and the femoral shaft. It has the function, in common with other bursae, of working as a shock absorber and as a lubricant for the movement of the muscles adjacent to it.

Occasionally, this bursa can become inflamed and clinically painful and tender. This condition can be a manifestation of rheumatoid arthritis or of an injury, but sometimes arises for no obviously definable cause. The symptoms are pain in the hip region on walking, and tenderness over the upper part of the femur, which may result in the sufferer being unable to lie in comfort on the affected side.

More often the lateral hip pain is caused by disease of the gluteal tendons which secondarily inflames the bursa. This is most common in middle age women and is associated with a chronic and debilitating pain which does not respond to conservative treatment.

Treatment

The primary treatment is rest. This does not mean bed rest or immobilizing the area but avoiding actions which result in aggravation of the pain. Taking anti-inflammatory medications may relieve pain and reduce the inflammation, however, if these are ineffective, the definitive treatment is steroid injection into the inflamed area. Other treatment options may include applying an ice pack over the tender area or visiting a physiotherapist for other conservative treatments.

In extreme cases, where the pain does not improve after physical therapy, cortisone shots, and anti-inflammatory medication, the inflamed bursa can be removed surgically. The procedure is known as a bursectomy. The bursa is not required, so the main potential complication is potential reaction to anaesthetic. The surgery can be performed arthroscopically and, consequently, on an outpatient basis. Patients often have to use crutches for a few days following surgery. At the time of bursal surgery, a very close examination of the gluteal tendons will reveal sometime subtle and sometimes very obvious degeneration and detachment of the gluteal tendons. If this detachment is not repaired, removal of the bursa alone will make little or no difference to the symptoms.

References

Hip Bursitis at about.com [http://orthopedics.about.com/cs/hipsurgery/a/hipbursitis.htm]

Bursitis surgery at orthogate.com [http://www.orthogate.org/patient-education/hip/trochanteric-bursitis-surgery.html]


Wikimedia Foundation. 2010.

Look at other dictionaries:

  • trochanteric bursitis — inflammation of a trochanteric bursa with pain on the lateral part of the hip and thigh …   Medical dictionary

  • Bursitis — Classification and external resources Example of Elbow Bursitis ICD 10 M70 M …   Wikipedia

  • Olecranon bursitis — Classification and external resources ICD 10 M70.2 …   Wikipedia

  • joint disease — Introduction       any of the diseases or injuries that affect human joints (joint). arthritis is no doubt the best known joint disease, but there are also many others. Diseases of the joints may be variously short lived or exceedingly chronic,… …   Universalium

  • Myotherapy — is a form of manual medicine focusing on the diagnosis, treatment and management of musculoskeletal pain. Contents 1 Definition 2 History 3 Modalities 4 What can a Myotherapist treat? …   Wikipedia

  • Osteitis pubis — Classification and external resources #5 is Pubic symphysis DiseasesDB 33068 …   Wikipedia

  • Neurogenic claudication — (NC) is a common symptom of lumbar spinal stenosis,[1][2] or inflammation of the nerves emanating from the spinal cord. Neurogenic means that the problem originates with a problem at a nerve, and claudication, from the Latin for limp, because the …   Wikipedia

  • Bursa — A bursa is a closed fluid filled sac that functions to provide a gliding surface to reduce friction between tissues of the body. When the bursa becomes inflamed, the condition is known as "bursitis." Most commonly this is not an… …   Medical dictionary

  • Snapping hip syndrome — Classification and external resources Anterior hip muscles. ICD 10 M …   Wikipedia

  • Hypermobility — Classification and external resources [[File: |frameless|upright=1.06|alt=]] Hypermobile fingers and thumb ICD 10 M35.7 …   Wikipedia


Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”

We are using cookies for the best presentation of our site. Continuing to use this site, you agree with this.