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Semin Musculoskelet Radiol 2013; 17(01): 043-048
DOI: 10.1055/s-0033-1333913
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Greater Trochanteric Pain Syndrome

Andrea S. Klauser
1   Department of Diagnostic Radiology, Innsbruck Medical University, Innsbruck, Austria
,
Carlo Martinoli
2   Cattedra “R” di Radiologia-DICMI, University of Genoa, Genoa, Italy
,
Alberto Tagliafico
3   Department of Experimental Medicine-DIMES, Institute of Anatomy, University of Genoa, Genoa, Italy
,
Rosa Bellmann-Weiler
4   Department of Internal Medicine I, Clinical Immunology and Infectious Diseases, Innsbruck Medical University, Innsbruck, Austria
,
Gudrun M. Feuchtner
1   Department of Diagnostic Radiology, Innsbruck Medical University, Innsbruck, Austria
,
Marius Wick
1   Department of Diagnostic Radiology, Innsbruck Medical University, Innsbruck, Austria
,
Werner R. Jaschke
1   Department of Diagnostic Radiology, Innsbruck Medical University, Innsbruck, Austria
› Author Affiliations
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Publication History

Publication Date:
13 March 2013 (online)

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Abstract

Pain around the greater trochanter is still a common clinical problem that may be secondary to a variety of either intra-articular or periarticular pathologies. Gluteal tendon pathologies are one of the primary causes of greater trochanteric pain, with attrition of the fasciae latae against the gluteus medius and minimus tendons, and the trochanteric bursa being possible causes. Key sonographic findings of gluteal tendinopathy, bursitis, and differential diagnosis are described in this overview. Clinical diagnosis and treatment of greater trochanteric pain syndrome is still challenging; therefore ultrasound is helpful to localize the origin of pain, determine underlying pathology, and, based on these findings, to guide local aspiration and/or injection in cases of tendinopathy and/or bursitis.

Keywords

gluteus - greater trochanter - ultrasound - bursa
 

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