Trochanteric Bursitis (Silver) + ITB Friction Syndrome

Question 1

What is Trochanteric Bursitis?

Answer 1

Condition resulting from acute or cumulative trauma to the lateral hip, leading to irritation of the trochanteric bursae.

Question 2

What is injured and what is typical mechanism of injury? (Trochanteric Bursitis)

Answer 2

Trochanteric Bursa

• Direct impact trauma; falls or impact sports
• Cumulative trauma; running or repetitive friction with IT band

Question 3

Who are more affected men or women? (Trochanteric Bursitis)

Answer 3

Women

Question 4

Who are more likely to develop the condition? Sedentary vs Active patients? (Trochanteric Bursitis)

Answer 4

Active

Question 5

Clinical presentation? (Trochanteric Bursitis)

Answer 5

Lateral hip pain, may radiate to the lateral aspect of the thigh.

Point tenderness on palpation and direct pressure.

Symptoms exacerbated with weight bearing activities

Question 6

What resisted and passive motions may exacerbate symptoms? (Trochanteric Bursitis)

Answer 6

Resisted hip flexion and abduction

Passive ER and abduction

Question 7

What pharmacological management is used? (Trochanteric Bursitis)

Answer 7

Local injection into the trochanteric bursa, anti-inflammatory or anti-anesthetic

Question 8

What is ITB friction syndrome?

Answer 8

Tightness of the ITB, leading to inflammation of the trochanteric bursa.

Question 9

What special tests are most likely to be positive in ITB friction syndrome?

Answer 9

(+) Ober’s Test - demonstrating tightness of ITB
(+) Noble Compression Test; pressure of thumb over the lateral femoral condyle during knee extension.