Low prevalence of trochanteric bursitis in patients with refractory lateral hip pain

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Low prevalence of trochanteric bursitis in patients with refractory lateral hip pain. / Lange, Jeppe; Tvedesøe, Claus; Lund, Bent et al.

I: Danish Medical Journal, Bind 69, Nr. 7, A09210714, 06.2022.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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Lange, J, Tvedesøe, C, Lund, B & Bohn, MB 2022, 'Low prevalence of trochanteric bursitis in patients with refractory lateral hip pain', Danish Medical Journal, bind 69, nr. 7, A09210714.

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Lange, Jeppe ; Tvedesøe, Claus ; Lund, Bent et al. / Low prevalence of trochanteric bursitis in patients with refractory lateral hip pain. I: Danish Medical Journal. 2022 ; Bind 69, Nr. 7.

Bibtex

@article{a44533d48d544cc1b428e0b241ab61da,
title = "Low prevalence of trochanteric bursitis in patients with refractory lateral hip pain",
abstract = "INTRODUCTION: Bursitis at the greater trochanter has historically been identified as a major pain generator in patients with lateral hip pain (LHP). We believe that hip abductor tendon pathology (HATP) plays an important and overlooked role in LHP. The purpose of this study was to evaluate the presence of isolated trochanteric bursitis on MRI in patients with refractory LHP.METHODS: The MRIs of 120 patients with LHP (94% women, median age 54 years) performed at our orthopaedic outpatient clinic between 2017 and 2020 were evaluated by two raters for trochanter-related pathologies, including HATP and bursitis.RESULTS: Two (2%) patients were registered with greater trochanteric bursitis with no relevant HATP, 30 (25%) patients had elements of inflammation (high-intensity signals) in the greater trochanteric bursa with relevant HATP. Five (4%) patients had relevant HATP with bursitis in the sub-gluteus minimus bursa with no bursitis in the greater trochanteric bursa. The remaining 83 (69%) patients had no sign of trochanter-related bursitis.CONCLUSION: Isolated trochanteric bursitis as the cause of refractory LHP appears to be rare. We believe that the presence of HATP in LHP has been severely underestimated and a shift in focus towards treatment of these structures is necessary.FUNDING: none.TRIAL REGISTRATION: According to current national legislation, no formal ethical approval was required for this study. The National Data Protection Agency approved the study (1-16-02-124-19).",
keywords = "Arthralgia/epidemiology, Bursitis/complications, Female, Hip Joint/diagnostic imaging, Humans, Iron, Male, Middle Aged, Pain/complications, Prevalence",
author = "Jeppe Lange and Claus Tvedes{\o}e and Bent Lund and Bohn, {Marie Bagger}",
note = "Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.",
year = "2022",
month = jun,
language = "English",
volume = "69",
journal = "Danish Medical Journal",
issn = "2245-1919",
publisher = "Den Almindelige Danske L{\ae}geforening",
number = "7",

}

RIS

TY - JOUR

T1 - Low prevalence of trochanteric bursitis in patients with refractory lateral hip pain

AU - Lange, Jeppe

AU - Tvedesøe, Claus

AU - Lund, Bent

AU - Bohn, Marie Bagger

N1 - Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

PY - 2022/6

Y1 - 2022/6

N2 - INTRODUCTION: Bursitis at the greater trochanter has historically been identified as a major pain generator in patients with lateral hip pain (LHP). We believe that hip abductor tendon pathology (HATP) plays an important and overlooked role in LHP. The purpose of this study was to evaluate the presence of isolated trochanteric bursitis on MRI in patients with refractory LHP.METHODS: The MRIs of 120 patients with LHP (94% women, median age 54 years) performed at our orthopaedic outpatient clinic between 2017 and 2020 were evaluated by two raters for trochanter-related pathologies, including HATP and bursitis.RESULTS: Two (2%) patients were registered with greater trochanteric bursitis with no relevant HATP, 30 (25%) patients had elements of inflammation (high-intensity signals) in the greater trochanteric bursa with relevant HATP. Five (4%) patients had relevant HATP with bursitis in the sub-gluteus minimus bursa with no bursitis in the greater trochanteric bursa. The remaining 83 (69%) patients had no sign of trochanter-related bursitis.CONCLUSION: Isolated trochanteric bursitis as the cause of refractory LHP appears to be rare. We believe that the presence of HATP in LHP has been severely underestimated and a shift in focus towards treatment of these structures is necessary.FUNDING: none.TRIAL REGISTRATION: According to current national legislation, no formal ethical approval was required for this study. The National Data Protection Agency approved the study (1-16-02-124-19).

AB - INTRODUCTION: Bursitis at the greater trochanter has historically been identified as a major pain generator in patients with lateral hip pain (LHP). We believe that hip abductor tendon pathology (HATP) plays an important and overlooked role in LHP. The purpose of this study was to evaluate the presence of isolated trochanteric bursitis on MRI in patients with refractory LHP.METHODS: The MRIs of 120 patients with LHP (94% women, median age 54 years) performed at our orthopaedic outpatient clinic between 2017 and 2020 were evaluated by two raters for trochanter-related pathologies, including HATP and bursitis.RESULTS: Two (2%) patients were registered with greater trochanteric bursitis with no relevant HATP, 30 (25%) patients had elements of inflammation (high-intensity signals) in the greater trochanteric bursa with relevant HATP. Five (4%) patients had relevant HATP with bursitis in the sub-gluteus minimus bursa with no bursitis in the greater trochanteric bursa. The remaining 83 (69%) patients had no sign of trochanter-related bursitis.CONCLUSION: Isolated trochanteric bursitis as the cause of refractory LHP appears to be rare. We believe that the presence of HATP in LHP has been severely underestimated and a shift in focus towards treatment of these structures is necessary.FUNDING: none.TRIAL REGISTRATION: According to current national legislation, no formal ethical approval was required for this study. The National Data Protection Agency approved the study (1-16-02-124-19).

KW - Arthralgia/epidemiology

KW - Bursitis/complications

KW - Female

KW - Hip Joint/diagnostic imaging

KW - Humans

KW - Iron

KW - Male

KW - Middle Aged

KW - Pain/complications

KW - Prevalence

M3 - Journal article

C2 - 35781127

VL - 69

JO - Danish Medical Journal

JF - Danish Medical Journal

SN - 2245-1919

IS - 7

M1 - A09210714

ER -