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AdultsHips

Bursitis

By 13 November 2013February 20th, 2024No Comments

There are multiple bursae around the hip and, while inflammation of all of them has been described, the more commonly involved ones are the trochanteric bursa, the ischiogluteal bursa and the iliopsoas bursa.

Trochanteric bursitis present as lateral thigh pain and patients often complain of being unable to sleep on the affected side. Rising from a chair is usually painful as well as prolonged walking, where the iliotibial band repeatedly moves across the area of the trochanteric bursa. Adduction with-or without associated rotation usually reproduces the pain.

Iliopsoas bursitis causes groin pain at the level of the lesser trochanter. Resisted flexion of the hip usually reproduces the pain.

Ischiogluteal bursitis causes pain in the buttock area with prolonged sitting and is usually secondary to a traumatic aetiology.

Initial management is with non-steroidal anti-inflammatory medications, physiotherapy, activity amelioration as well as local anaesthetic and steroid injection, possibly under radiological guidance. Refractory cases may only rarely require arthroscopic bursal debridement or excision.

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