TROCHANTERIC BURSITIS

Course overview

TROCHANTERIC BURSITIS IS A COMMON CAUSE OF LATERAL HIP PAIN THAT OCCURS WHEN THE BURSA OF THE HIP BECOMES INFLAMED. THIS CAN BE DUE TO REPETITIVE MICROTRAUMAS SUCH AS MAY OCCUR WITH RUNNING OR EXERCISE, TENDINOPATHY OF SURROUNDING MUSCULATURE, GROSS TRAUMA INCLUDING FALLS FROM A HEIGHT WITH DIRECT COMPRESSION TO THE BURSA, OR IT CAN OCCUR IDIOPATHICALLY. DIAGNOSIS IS CLINICAL AND BASED PRIMARILY ON HISTORY AND PHYSICAL EXAMINATION ALTHOUGH IMAGING, INCLUDING PLAIN FILM RADIOGRAPHS, IS IMPORTANT TO RULE OUT OTHER CAUSES OF HIP PAIN. TREATMENT MODALITIES ARE NEARLY EXCLUSIVELY NONOPERATIVE IN NATURE AND INCLUDE NON-STEROIDAL ANTI-INFLAMMATORIES (NSAIDS), PHYSICAL THERAPY AND STRETCHING, AND IN SOME CASES CORTICAL STEROID INJECTIONS ARE PROVIDED FOR PAIN RELIEF. SURGICAL EXCISION OF THE TROCHANTERIC BURSA IS RESERVED FOR REFRACTORY CASES THAT DO NOT RESPOND TO NONOPERATIVE TREATMENT. THIS ACTIVITY REVIEWS THE EVALUATION AND MANAGEMENT OF TROCHANTERIC BURSITIS AND HIGHLIGHTS THE ROLE OF INTERPROFESSIONAL TEAM MEMBERS IN COLLABORATING TO PROVIDE WELL-COORDINATED CARE AND ENHANCE OUTCOMES FOR AFFECTED PATIENTS.