Trochanteric Bursitis

Question 1

What physiologic processes occur in trochanteric bursitis?

Answer 1

inflammation in the lubricating sac located between the midpoint of the trochanteric processes of the femur and the gluteus medius tendon/ iliotibial tract (deep= deeper sac)

Question 2

What is the typical MOI?

Answer 2

exaggerated movement of the gluteus medius tendon and the tensor fascia over the outer femur. (repetitive flexing and direct posture aggravate)
- Gait disturbance causes MOST

Question 3

What are some common gait problems that can cause trochanteric bursitis?

Answer 3

• lumbosacral spine disease
• leg length discrepancy
• sacroiliac joint disease
• knee arthritis
• ankle sprain

Question 4

What are the symptoms?

Answer 4

• lateral hip pain over outer thigh
• difficulty walking
• pressure sensitivity

Question 5

Where is the point of maximal tenderness?

Answer 5

1.5 inches below the superior portion of the trochanter (directly over the maximum lateral prominence)

Question 6

When are radiographs recommended?

Answer 6

in all patients with suspected trochanteric bursitis