This article is more than 5 years old. Information may no longer be current.
Ultrasound can distinguish gluteus tendinitis in some patients with greater trochanter pain syndrome
Click Here to Manage Email Alerts
Ultrasound was successful in identifying gluteus tendinitis in more than half of patients with greater trochanter pain syndrome, according to researchers.
Ninety-six patients with greater trochanter pain syndrome (GTPS) who presented to the Hospital Italiano de Buenos Aires and underwent ultrasound between January 2011 and February 2013 were studied retrospectively. Most patients were female (90.6%) with mean age of 64.8 years. Patients were excluded in the presence of hip replacement, history of trauma and injection of corticosteroids within the previous 6 months.
A total of 124 ultrasound assessments were performed on all lateral areas of the hip, including the greater trochanter region, by the same rheumatologist using a MyLab 70 XV (Esaote Biomedica) and a broadband, 4-MHz to 13-MHz linear probe. Scans were completed in both longitudinal and transverse directions. Twenty-five of the patients also had hip evaluations by MRI.
Tendinopathy in the gluteus medium and/or the gluteus minor was the only abnormal finding on ultrasound in 64 (51.6%) examinations, whereas in eight examinations (6.4%), bursitis was the only abnormal finding. Sixteen examinations (12.9%) showed a combination of both, producing a frequency of 64.51% for the group, according to the researchers.
On MRI, agreement was seen with the ultrasound results in 22 of 25 evaluations (88%) for both gluteus medium and minor tendinopathy, as well as trochanteric bursitis. – by Shirley Pulawski
Disclosure: The researchers report no relevant financial disclosures.
Click Here to Manage Email Alerts