Hip bursitis: Difference between revisions
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==Trochanteric Bursitis== | |||
===Background=== | |||
*Trochanteric bursa lies between gluteus maximus and posterolateral greater trochanter | *Trochanteric bursa lies between gluteus maximus and posterolateral greater trochanter | ||
*Most common in female runners and elderly women (rheumatoid arthritis) | *Most common in female runners and elderly women (rheumatoid arthritis) | ||
===Clinical Features=== | |||
*Pain when lying on affected side | *Pain when lying on affected side | ||
*Pain worsened by walking and climbing stairs | *Pain worsened by walking and climbing stairs | ||
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*Pain to resisted abduction or adduction of hip | *Pain to resisted abduction or adduction of hip | ||
==Iliopsoas Bursitis== | |||
===Clinical Features=== | |||
*Pain with extension of hip | *Pain with extension of hip | ||
*Tenderness over middle third of inguinal ligament in area of femoral pulse | *Tenderness over middle third of inguinal ligament in area of femoral pulse | ||
==Ischial Bursitis== | |||
===Background=== | |||
*Occurs most often in sedentary pts who sit on a hard surface for long periods of time | *Occurs most often in sedentary pts who sit on a hard surface for long periods of time | ||
====Clinical Features==== | ====Clinical Features==== | ||
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*Pain is increased in the sitting position | *Pain is increased in the sitting position | ||
==Iliopectineal Bursitis== | |||
===Background=== | |||
*Bursa is interposed between the hip joint and iliopsoas muscle | *Bursa is interposed between the hip joint and iliopsoas muscle | ||
===Clinical Features=== | |||
*Pain sensed over the anterior pelvis and groin on the affected side | *Pain sensed over the anterior pelvis and groin on the affected side | ||
*Increased pain with hip extension | *Increased pain with hip extension | ||
Revision as of 20:58, 27 February 2012
Trochanteric Bursitis
Background
- Trochanteric bursa lies between gluteus maximus and posterolateral greater trochanter
- Most common in female runners and elderly women (rheumatoid arthritis)
Clinical Features
- Pain when lying on affected side
- Pain worsened by walking and climbing stairs
- Pain over greater trochanter (posterolateral hip pain)
- Pain to resisted abduction or adduction of hip
Iliopsoas Bursitis
Clinical Features
- Pain with extension of hip
- Tenderness over middle third of inguinal ligament in area of femoral pulse
Ischial Bursitis
Background
- Occurs most often in sedentary pts who sit on a hard surface for long periods of time
Clinical Features
- Pain is present over the ischial prominence
- Pain is increased in the sitting position
Iliopectineal Bursitis
Background
- Bursa is interposed between the hip joint and iliopsoas muscle
Clinical Features
- Pain sensed over the anterior pelvis and groin on the affected side
- Increased pain with hip extension
Management
- NSAIDs, rest, heat
- Admit for IV abx if infected bursa is suspected
Source
- Tintinalli