Trokanterit bild
Trochanteric bursitis, also known as greater trochanteric bursitis, occurs when a fluid-filled pad called a bursa on the outer point of your hip becomes inflamed. It can cause pain in the side of your hip that may radiate down your legs. Common causes include falls, overuse injuries, incorrect posture, and spinal diseases. Greater trochanteric pain syndrome GTPS is one of the most common causes of lateral hip pain in adults.
In most instances, GTPS is due to a gluteus medius or gluteus minimus tendinopathy, with variable involvement of the regional bursae. Historically, the term "trochanteric bursitis" was used to describe any pain around the lateral hip. However, advanced imaging and histopathologic studies have shown that involvement of the trochanteric bursae in patients with lateral hip pain is uncommon and, when present, exists as a secondary or associated finding.
Thus, trochanteric bursitis is a misnomer when it used to describe all causes of lateral hip pain. In fact, primary trochanteric bursitis is very rare and is typically of microbial etiology. The clinical presentation, diagnosis, differential diagnosis, and management of GTPS are reviewed here. Overviews of bursitis and the musculoskeletal examination of the hip and groin are presented separately. See "Bursitis: Clinical manifestations, diagnosis, and management" and "Musculoskeletal examination of the hip and groin".
The best estimates of prevalence are from a large, community-based study with over adults aged 50 to 70 years, in which unilateral GTPS was present in 15 percent of females and 6. Bilateral GTPS was reported in 8.
The usual age at presentation is over 50 years, and the female-to-male ratio is approximately Risk factors — Risk factors for GTPS include female sex, obesity, knee pain, and low back pain [ 2 ]. Other conditions associated with GTPS include scoliosis; other spinal disorders, especially lumbar spinal stenosis; a leg length discrepancy; arthritis of any etiology of the hip, knee, and foot; and painful foot disorders such as plantar fasciitis, Achilles tendinopathy, bunion, Morton neuroma, or callus.
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Trokanterit: Överbelastning & inflammation i höften
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TROKANTERIT
Gluteal muscles and bursae Iliotibial tract anatomy Tendons and bursae in the trochanteric region Trendelenburg test Facets of the greater trochanter Resisted abduction from side-lying adduction Normal anatomy of the subgluteal space Pelvic rock exercise. Gluteal muscles and bursae. Iliotibial tract anatomy. Tendons and bursae in the trochanteric region. Trendelenburg test. Facets of the greater trochanter.
Resisted abduction from side-lying adduction. Normal anatomy of the subgluteal space. Pelvic rock exercise.