Trochanteric bursitis

Question 1

what are causes of bursitis

Answer 1

Friction from repetitive movement
Trauma
Inflammatory conditions e.g. RA
Infection

Question 2

What is the presentation

Answer 2

Middle aged
Gradual onset lateral hip pain that can radiate down thigh
Aching/burnng
Worse with activity
Can be difficult to find comfortable lying position

Question 3

What are signs on examination

Answer 3

Trendelenburg test
Resisted abduction of the hip causing pain
Resisted internal and external rotation of the hip

Question 4

What is the Trendelenburg test?

Answer 4

involves asking the patient to stand one-legged on the affected leg. Normally, the other side of the pelvis should remain level or tilt upwards slightly. A positive Trendelenburg test is when the other side of the pelvis drops down, suggesting weakness in the affected hip.

Question 5

What are management options

Answer 5

rest
ice
analgesia
physio
steroid injections

Question 6

How long does it take to recover

Answer 6

6-9 months

Question 7

What isa potential complication

Answer 7

infection