Repetitive trauma caused by iliotibial band tracking over trochanteric bursa which causes inflammation of the bursa
Aetiology
Female patients
Young runners and older patients
May be linked to gluteal cuff syndrome
The broad tendinous insertion of the abductor muscles (predominantly the gluteus medius) is under considerable strain and is subject to tendonitis and degeneration leading to tendon tears
Clinical features
Symptoms
Pain on the lateral aspect of the hip
Signs
Pain on palpation of the greater trochanter
Pain on restricted abduction
Investigations
Clinical diagnosis
Imaging:
X-rays usually unremarkable
Visible on MRI but not usually needed
Management
Analgesia - NSAIDs
Physiotherapy (to strengthen other muscles and avoid abductor weakness)