Greater Trochanteric Pain Syndrome
Authors: Redmond JM, Chen AW, Domb BG
Purpose:
To review the anatomy, clinical presentation, imaging, and management of greater trochanteric pain syndrome (GTPS).
Methods:
Narrative review summarizing current understanding and treatment strategies.
Key Findings:
- GTPS includes a spectrum of pathologies: trochanteric bursitis, snapping hip, and abductor tendinopathy.
- Initial management is conservative: NSAIDs, corticosteroid injections, physical therapy.
- Refractory cases may require surgical intervention (open or endoscopic).
- Advances in understanding peritrochanteric anatomy enhance diagnosis and treatment.
What Does This Mean for Providers?
- GTPS should be considered in patients with lateral hip pain unresponsive to conservative management.
- Tailor treatment plans based on underlying pathology and severity; escalate to surgical options when appropriate.
- Detailed clinical examination and imaging facilitate targeted therapies and optimize patient outcomes.