Editorial Commentary: Treatment of Concomitant Intra-Articular Pathology in Patients With Greater Trochanteric Pain Syndrome Is Indicated by Provocative Impingement or Instability Physical Examination and Ultrasound-Guided Analgesic Injection Testing.
Arthroscopy
; 39(3): 865-867, 2023 03.
Article
en En
| MEDLINE
| ID: mdl-36740302
ABSTRACT
Endoscopic surgery can be used to address peritrochanteric pathology in patients with greater trochanteric pain syndrome. During management of these patients, surgeons must decide whether adjunctive hip arthroscopy to treat concomitant intra-articular pathology (such as labral tears or chondral lesions) is required, because the prevalence of intra-articular findings may be greater than the clinical significance. A thorough history and physical examination can help distinguish whether the symptoms are arising from a peritrochanteric issue (e.g., gluteal tendinopathy, trochanteric bursitis, external coxa saltans) versus an intra-articular pain generator. Increased symptoms with provocative impingement or instability testing indicate adjunctive hip arthroscopy to address intra-articular abnormalities. In addition, an ultrasound-guided analgesic injection into the hip joint or peritrochanteric region may aid in diagnosis. A patient with partial symptomatic relief from separate injections into both areas is a classic presentation and consistent with a mixed-picture of peritrochanteric and intra-articular pathology, which may be addressed with a combined endoscopic and arthroscopic approach.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Bursitis
/
Pinzamiento Femoroacetabular
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Arthroscopy
Asunto de la revista:
ORTOPEDIA
Año:
2023
Tipo del documento:
Article