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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...
Prevention Avoid activities that include repetitive movements of any body parts whenever possible. References Regan WD, Grondin PP, Morrey BF. Elbow and forearm. In: DeLee JC, Drez D Jr, Miller MD, eds. DeLee and Drezs Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 19. Shah A, Busconi B. Hip, pelvis, and thigh. In: DeLee JC, Drez D Jr, Miller MD, eds. DeLee and Drezs Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 21. Wapner KL, Parekh SG. Foot and ankle. In: DeLee JC, Drez D Jr, Miller MD, eds. DeLee and Drezs Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 25. Schmidt MJ, Adams SL. Tendinopathy and bursitis. In: Marx JA, ed. Rosens Emergency Medicine: Concepts and Clinical Practice . 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 115.
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...
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