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A Patient's Guide to Trochanteric Bursitis of the Hip Introduction A common spot for bursitis is on the side of the hip. Here a large tendon passes over the bony bump on the side of the hip. The bony bump is called the greater trochanter . Inflammation in the bursa between the tendon and the greater trochanter is called trochanteric bursitis . This problem is common in older individuals. It may also occur in younger patients who are extremely active in exercises such as walking, running, or biking.
how trochanteric bursitis develops
how doctors diagnose the condition
what treatments are available
Anatomy Where is the trochanteric bursa, and what does it do? The hip joint is one of the true ball-and-socket joints of the body. The hip socket is called the acetabulum and forms a deep cup that surrounds the ball of the upper thigh bone ( femur ), or femoral head . Thick muscles of the buttock at the back and the thick muscles of the thigh in the front surround the hip. The greater trochanter is the...
If you've sustained an injury or trauma to your hip, and have persistent pain, you need to have diagnostic testing to check for the presence of a hip fracture. Because hip fractures are hard to diagnose with X-rays alone, further testing is necessary if patients continue to have pain.
Recently emergency rooms have seen this type of situation where a patient arrives for treatment, after an injury or fall, but the X-rays are normal even though they have a fracture.
With the prevalence of hip fractures in the elderly, we need to have additional testing available, if these X-rays don't locate a fracture, and the pain persists. If you have normal hip X-rays but can't bear weight or the pain doesn't go away, ask for additional testing, like a CT scan or MRI.
Emergency rooms see this type of hidden hip fracture, where the patient has persistent pain from trauma, but the X-rays don't show a fracture. If they don't find a fracture, the patient is se...
A recent publication in the New England Journal of Medicine, written by Nancy Lane, University of California at Davis, underscores many of the principles of osteoarthritis management we have discussed in this forum. Dr. Lane reviews the clinical problem of osteoarthritis in the United States, and discusses in detail the diagnostic modalities, treatment strategies and areas of controversy which surround its management. Let me take a moment to review the most important topics discussed by Dr. Lane. Epidemiology Osteoarthritis is the most common form of arthritis in American adults, but there is frequently little relationship between the appearance of osteoarthritic joints on X-ray and symptoms of pain in patients. Plain films demonstrate osteoarthritis in 5 percent of Americans over the age of 65. Approximately 200,000 hip replacement surgeries are performed in this country every year for both primary and secondary osteoarthritis (the latter is arthritis caused by anothe...
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