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Bursitis, Hip and Pelvis
Donna G. Blankenbaker, MD; Adam C. Zoga, MD
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KEY FACTS

  • Imaging

    • Pathology

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Synonyms

            • Hip bursitis, groin bursitis, trochanter bursitis, iliopsoas bursitis, subgluteus minimus bursitis, subgluteus medius bursitis, ischiogluteal bursitis, obturator externus bursitis, greater trochanteric pain syndrome
          • Definitions

            • Abnormal distension ± inflammation of anatomic synovium-lined sac in musculoskeletal soft tissues
              • Anatomic bursae located where friction occurs between muscle/tendon and bone

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        • Reporting Tips

                                          Selected References

                                          1. Klontzas ME et al: Greater trochanter pain syndrome: a descriptive MR imaging study. Eur J Radiol. 83(10):1850-5, 2014
                                          2. Mulligan EP et al: Evaluation and management of greater trochanter pain syndrome. Phys Ther Sport. 16(3):205-14, 2014
                                          3. Long SS et al: Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis. AJR Am J Roentgenol. 201(5):1083-6, 2013
                                          4. McEvoy JR et al: Ultrasound-guided corticosteroid injections for treatment of greater trochanteric pain syndrome: greater trochanter bursa versus subgluteus medius bursa. AJR Am J Roentgenol. 201(2):W313-7, 2013
                                          5. Lustenberger DP et al: Efficacy of treatment of trochanteric bursitis: a systematic review. Clin J Sport Med. 21(5):447-53, 2011
                                          6. Farmer KW et al: Trochanteric bursitis after total hip arthroplasty: incidence and evaluation of response to treatment. J Arthroplasty. 25(2):208-12, 2010
                                          7. Murphy CL et al: Giant iliopsoas bursitis: a complication of chronic arthritis. J Clin Rheumatol. 16(2):83-5, 2010
                                          8. Nunley RM et al: Iliopsoas bursa injections can be beneficial for pain after total hip arthroplasty. Clin Orthop Relat Res. 468(2):519-26, 2010
                                          9. Hodnett PA et al: MR imaging of overuse injuries of the hip. Magn Reson Imaging Clin N Am. 17(4):667-79, vi, 2009
                                          10. Parziale JR et al: Iliopsoas bursitis. Am J Phys Med Rehabil. 88(8):690-1, 2009
                                          11. Rowand M et al: Clinical inquiries. How should you treat trochanteric bursitis? J Fam Pract. 58(9):494-500, 2009
                                          12. Williams BS et al: Greater trochanteric pain syndrome: a review of anatomy, diagnosis and treatment. Anesth Analg. 108(5):1662-70, 2009
                                          13. Blankenbaker DG et al: Correlation of MRI findings with clinical findings of trochanteric pain syndrome. Skeletal Radiol. 37(10):903-9, 2008
                                          14. Murphey MD et al: Pigmented villonodular synovitis: radiologic-pathologic correlation. Radiographics. 28(5):1493-518, 2008
                                          15. Polster JM et al: MRI and gross anatomy of the iliopsoas tendon complex. Skeletal Radiol. 37(1):55-8, 2008
                                          16. Tibor LM et al: Differential diagnosis of pain around the hip joint. Arthroscopy. 24(12):1407-21, 2008
                                          17. Dwek J et al: MR imaging of the hip abductors: normal anatomy and commonly encountered pathology at the greater trochanter. Magn Reson Imaging Clin N Am. 13(4):691-704, vii, 2005
                                          18. Cho KH et al: Non-infectious ischiogluteal bursitis: MRI findings. Korean J Radiol. 5(4):280-6, 2004
                                          19. Kim SM et al: Imaging features of ischial bursitis with an emphasis on ultrasonography. Skeletal Radiol. 31(11):631-6, 2002
                                          20. Pfirrmann CW et al: Greater trochanter of the hip: attachment of the abductor mechanism and a complex of three bursae--MR imaging and MR bursography in cadavers and MR imaging in asymptomatic volunteers. Radiology. 221(2):469-77, 2001
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Imaging

                                            • Pathology

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Synonyms

                                                    • Hip bursitis, groin bursitis, trochanter bursitis, iliopsoas bursitis, subgluteus minimus bursitis, subgluteus medius bursitis, ischiogluteal bursitis, obturator externus bursitis, greater trochanteric pain syndrome
                                                  • Definitions

                                                    • Abnormal distension ± inflammation of anatomic synovium-lined sac in musculoskeletal soft tissues
                                                      • Anatomic bursae located where friction occurs between muscle/tendon and bone

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Ultrasonographic Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Staging, Grading, & Classification

                                                                    • Gross Pathologic & Surgical Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Consider

                                                                              • Image Interpretation Pearls

                                                                                • Reporting Tips

                                                                                  Selected References

                                                                                  1. Klontzas ME et al: Greater trochanter pain syndrome: a descriptive MR imaging study. Eur J Radiol. 83(10):1850-5, 2014
                                                                                  2. Mulligan EP et al: Evaluation and management of greater trochanter pain syndrome. Phys Ther Sport. 16(3):205-14, 2014
                                                                                  3. Long SS et al: Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis. AJR Am J Roentgenol. 201(5):1083-6, 2013
                                                                                  4. McEvoy JR et al: Ultrasound-guided corticosteroid injections for treatment of greater trochanteric pain syndrome: greater trochanter bursa versus subgluteus medius bursa. AJR Am J Roentgenol. 201(2):W313-7, 2013
                                                                                  5. Lustenberger DP et al: Efficacy of treatment of trochanteric bursitis: a systematic review. Clin J Sport Med. 21(5):447-53, 2011
                                                                                  6. Farmer KW et al: Trochanteric bursitis after total hip arthroplasty: incidence and evaluation of response to treatment. J Arthroplasty. 25(2):208-12, 2010
                                                                                  7. Murphy CL et al: Giant iliopsoas bursitis: a complication of chronic arthritis. J Clin Rheumatol. 16(2):83-5, 2010
                                                                                  8. Nunley RM et al: Iliopsoas bursa injections can be beneficial for pain after total hip arthroplasty. Clin Orthop Relat Res. 468(2):519-26, 2010
                                                                                  9. Hodnett PA et al: MR imaging of overuse injuries of the hip. Magn Reson Imaging Clin N Am. 17(4):667-79, vi, 2009
                                                                                  10. Parziale JR et al: Iliopsoas bursitis. Am J Phys Med Rehabil. 88(8):690-1, 2009
                                                                                  11. Rowand M et al: Clinical inquiries. How should you treat trochanteric bursitis? J Fam Pract. 58(9):494-500, 2009
                                                                                  12. Williams BS et al: Greater trochanteric pain syndrome: a review of anatomy, diagnosis and treatment. Anesth Analg. 108(5):1662-70, 2009
                                                                                  13. Blankenbaker DG et al: Correlation of MRI findings with clinical findings of trochanteric pain syndrome. Skeletal Radiol. 37(10):903-9, 2008
                                                                                  14. Murphey MD et al: Pigmented villonodular synovitis: radiologic-pathologic correlation. Radiographics. 28(5):1493-518, 2008
                                                                                  15. Polster JM et al: MRI and gross anatomy of the iliopsoas tendon complex. Skeletal Radiol. 37(1):55-8, 2008
                                                                                  16. Tibor LM et al: Differential diagnosis of pain around the hip joint. Arthroscopy. 24(12):1407-21, 2008
                                                                                  17. Dwek J et al: MR imaging of the hip abductors: normal anatomy and commonly encountered pathology at the greater trochanter. Magn Reson Imaging Clin N Am. 13(4):691-704, vii, 2005
                                                                                  18. Cho KH et al: Non-infectious ischiogluteal bursitis: MRI findings. Korean J Radiol. 5(4):280-6, 2004
                                                                                  19. Kim SM et al: Imaging features of ischial bursitis with an emphasis on ultrasonography. Skeletal Radiol. 31(11):631-6, 2002
                                                                                  20. Pfirrmann CW et al: Greater trochanter of the hip: attachment of the abductor mechanism and a complex of three bursae--MR imaging and MR bursography in cadavers and MR imaging in asymptomatic volunteers. Radiology. 221(2):469-77, 2001