Hip Pathology - Trochanteric Bursitis

Question 1

Common condition, can be quite ?.
Complicates many ? hip ?.
It is more common in ? and ? patients, and ? in 50%.

Answer 1

debilitating
total hip replacements
women
active
bilateral

Question 2

Pathologically it is ? of the bursa between the greater ? and the fascia ?, caused by acute or ? trauma.

Answer 2

inflam
trochanter
lata
repetitive

Question 3

Symptoms;

’?’ pain, that may radiate ? the ? aspect of the thigh to the ?.
Pain worse on ? and when?, especially when they ? on the affected site.
On examination there is ?tenderness when palpating the ? ?

Answer 3

hip
down
lateral
knee
movement
night
lie
point
greater trochanter

Question 4

Symptoms;

Further confirmation can be achieved by active ? of a slightly ? hip past the ? (with ? slightly flexed also), and this will exacerbate
the pain as it tightens the fascia ? over the ?.

Answer 4

adduction
flexed
midline
knee
lata
bursa

Question 5

Management;
Injection: ? injections are helpful.
- 0 If the patient is presenting after total hip replacement, the injection
should be performed in a ? ? theatre.
Physiotherapy: after ?presentation and ?, the patient should be referred on to physiotherapy.
- 0 This will involve ? the fascia ?, thus relieving the excessive ? on the bursa, e.g. cross body ?.

Answer 5

steroid
laminar flow
first
injection
stretching
lata
pressure
adduction

Question 6

Management
Over ?/3rd of patients will have resolution of symptoms with the above regimen.
Very rarely, ? trochanteric bursitis can be treated with surgical ? of the fascia ? and ? of the bursa.

Answer 6

2
refractory
release
lata
excision