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Trochanteric Bursa Injection

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1. Outcomes and cost-effectiveness of ultrasound-guided injection of the trochanteric bursa. (Abstract)

Outcomes and cost-effectiveness of ultrasound-guided injection of the trochanteric bursa. We hypothesized that ultrasound (US) guidance improves outcomes of corticosteroid injection of trochanteric bursitis. 40 patients with greater trochanteric pain syndrome defined by pain to palpation over the trochanteric bursa were randomized to injection with 5 ml of 1% lidocaine and 80 mg of methylprednisolone using (1) conventional anatomic landmark palpation guidance or (2) US guidance. Procedural pain (...) : 5.5 ± 2.6 cm, 95% CI of difference: 0.8 < 1.6 < 2.4, p = 0.036. However, therapeutic duration (US 4.7 ± 1.4 months; landmark 4.1 ± 2.9 months, 95% CI of difference - 2.2 < - 0.6 < 1.0, p = 0.48), and time-to-next intervention (US 8.7 ± 2.9 months; landmark 8.3 ± 3.8 months, 95% CI of difference - 2.8 < - 0.4 < 2.0, p = 0.62) were similar. Costs/patient/year was 43% greater with US (US $297 ± 99, landmark $207 ± 95; p = 0.017). US-guided and anatomic landmark injection of the trochanteric bursa

2018 Rheumatology international Controlled trial quality: uncertain

2. Trochanteric Bursa Injection

Trochanteric Bursa Injection Trochanteric Bursa Injection Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Trochanteric Bursa Injection (...) Trochanteric Bursa Injection Aka: Trochanteric Bursa Injection II. Indication III. Efficacy Single injection associated with 2.7 fold increase in those pain-free at 5 years IV. Preparation Needle Gauge: 22-25 Length: 1.5 inch (3.0 inch spinal needle if obese) Intraarticular : 1 ml of 40 mg/ml or (Celestone Soluspan): 1 ml 1%: 5 ml V. Technique Patient in lateral recumbent position Hip flexed to 30-50 degrees flexed to 60-90 degrees Palpate greater trochanter area for maximal tenderness Mark areas

2018 FP Notebook

3. Dry Needling Versus Cortisone Injection in the Treatment of Greater Trochanteric Pain Syndrome: A Noninferiority Randomized Clinical Trial. (Abstract)

Dry Needling Versus Cortisone Injection in the Treatment of Greater Trochanteric Pain Syndrome: A Noninferiority Randomized Clinical Trial. Study Design Prospective, randomized, partially blinded. Background Greater trochanteric pain syndrome (GTPS) is the current terminology for what was once called greater trochanteric or subgluteal bursitis. Cortisone (corticosteroid) injection into the lateral hip has traditionally been the accepted treatment for this condition; however, the effectiveness (...) of injecting the bursa with steroids is increasingly being questioned. An equally effective treatment with fewer adverse side effects would be beneficial. Objective To investigate whether administration of dry needling (DN) is noninferior to cortisone injection in reducing lateral hip pain and improving function in patients with GTPS. Methods Forty-three participants (50 hips observed), all with GTPS, were randomly assigned to a group receiving cortisone injection or DN. Treatments were administered over 6

2017 The Journal of orthopaedic and sports physical therapy Controlled trial quality: predicted high

4. Comparison of Steroid Dosages on the Efficacy of Trochanteric Bursa Injection

Comparison of Steroid Dosages on the Efficacy of Trochanteric Bursa Injection Comparison of Steroid Dosages on the Efficacy of Trochanteric Bursa Injection - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Comparison of Steroid Dosages on the Efficacy of Trochanteric Bursa Injection The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02126878 Recruitment Status : Completed First Posted : April 30, 2014 Last Update Posted : June 3, 2015 Sponsor: West Virginia University Information provided by (Responsible Party

2014 Clinical Trials

5. Trochanteric Bursa Injection

Trochanteric Bursa Injection Trochanteric Bursa Injection Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Trochanteric Bursa Injection (...) Trochanteric Bursa Injection Aka: Trochanteric Bursa Injection II. Indication III. Efficacy Single injection associated with 2.7 fold increase in those pain-free at 5 years IV. Preparation Needle Gauge: 22-25 Length: 1.5 inch (3.0 inch spinal needle if obese) Intraarticular : 1 ml of 40 mg/ml or (Celestone Soluspan): 1 ml 1%: 5 ml V. Technique Patient in lateral recumbent position Hip flexed to 30-50 degrees flexed to 60-90 degrees Palpate greater trochanter area for maximal tenderness Mark areas

2015 FP Notebook

6. Greater trochanteric pain syndrome (trochanteric bursitis)

if: The diagnosis is in doubt. Expertise in peri-trochanteric injection is not available in primary care. Refer to an orthopaedic surgeon: If the symptoms could be related to previous hip surgery or fractured femur. If there is no response to a peri-trochanteric corticosteroid injection and/or physiotherapy. Further assessment may include radiological imaging with ultrasound, magnetic resonance imaging, or computerized tomography scans. Further treatment may include excision of inflamed bursae, trochanteric (...) Greater trochanteric pain syndrome (trochanteric bursitis) Greater trochanteric pain syndrome (trochanteric bursitis) - NICE CKS Share Greater trochanteric pain syndrome (trochanteric bursitis): Summary Greater trochanteric pain syndrome is a regional pain syndrome in which chronic intermittent pain is felt around the greater trochanter (the bony prominence on the lateral aspect of the hip). The term 'trochanteric bursitis' (inflammation of a bursa adjacent to the greater trochanter

2016 NICE Clinical Knowledge Summaries

7. A double blind randomised control trial investigating the efficacy of platelet rich plasma versus placebo for the treatment of greater trochanteric pain syndrome (the HIPPO trial): a protocol for a randomised clinical trial Full Text available with Trip Pro

confirmed diagnosis of gluteus medius or minimus tendinopathy with swelling within the tendon insertion with or without bursitis. We aim to randomise 102 patients with GTPS to either the PRP or placebo (normal saline injection) treatment arm. Participants will receive one ultrasound (US) guided PRP/placebo injection into the trochanteric bursa and surrounding gluteus medius/minimus tendons. The primary outcome measure is the International Hip Outcome Tool-12. Secondary outcome measures will include (...) A double blind randomised control trial investigating the efficacy of platelet rich plasma versus placebo for the treatment of greater trochanteric pain syndrome (the HIPPO trial): a protocol for a randomised clinical trial Greater trochanteric pain syndrome (GTPS) is a painful condition characterised by pain around the greater trochanter usually affecting middle-aged women. The majority of patients will improve with conservative management such as physiotherapy and non-steroidal anti

2018 Trials Controlled trial quality: predicted high

8. Comparison of Ultrasound Guided Versus Blind Corticosteroid Injection for Trochanteric Bursitis

Intervention/treatment Phase Bursitis Procedure: Trochanter bursa injections Device: Ultrasound Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 80 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single (Participant) Primary Purpose: Treatment Official Title: Prospective, Randomized Trial of Ultrasound Guided and Blind Corticosteroid Injection for Trochanteric Bursitis Study Start Date (...) Comparison of Ultrasound Guided Versus Blind Corticosteroid Injection for Trochanteric Bursitis Comparison of Ultrasound Guided Versus Blind Corticosteroid Injection for Trochanteric Bursitis - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one

2014 Clinical Trials

9. A Randomized Controlled Trial of Ultrasound-guided Platelet-Rich-Plasma (PRP) Injection Versus Extracorporeal Shock Wave Therapy (ESWT) for Great Trochanter Pain Syndrome (GTPS) With Gluteus Medius or Minimus Tendinopathy

provided by (Responsible Party): Michael Fredericson, Stanford University Study Details Study Description Go to Brief Summary: The purpose of this study is to compare the efficacy of ultrasound-guided platelet-rich plasma (PRP) injection versus extracorporeal shock wave therapy for management of refractory Greater Trochanteric Pain Syndrome (GTPS). Condition or disease Intervention/treatment Phase Greater Trochanter Pain Syndrome, Gluteus Medius Tendinopathy, Gluteus Minimus Tendinopathy Biological (...) : Platelet-Rich Plasma Injection Device: Extracorporeal Shock Wave Therapy Early Phase 1 Detailed Description: The purpose of this study is to compare the efficacy of ultrasound-guided platelet-rich plasma (PRP) injection versus extracorporeal shock wave therapy for management of refractory Greater Trochanteric Pain Syndrome (GTPS). GTPS is a common cause of extra-articular lateral hip pain which occurs in up to 10- 25% of the population, and is a common presenting complaint to primary care and Sports

2018 Clinical Trials

10. Endoscopic Trochanteric Bursectomy and Iliotibial Band Release for Persistent Trochanteric Bursitis Full Text available with Trip Pro

, or corticosteroid injections. However, there is a subset of patients in which symptoms persist despite exhaustive conservative modalities. For these patients, trochanteric bursectomy is a surgical option to address persistent pathology. Previous literature indicates that both open and arthroscopic surgical techniques can be used to address the inflamed bursa and results in good patient outcomes. However, recent advances in hip arthroscopy have allowed for improvements in minimally invasive techniques to address (...) Endoscopic Trochanteric Bursectomy and Iliotibial Band Release for Persistent Trochanteric Bursitis Lateral hip pain associated with trochanteric bursitis is a common orthopedic condition, and can be debilitating in chronic or recalcitrant situations. Conservative management is the most common initial treatment and often results in resolution of symptoms and improved patient outcomes. These modalities include rest, activity modification, physical therapy, anti-inflammatory medication

2016 Arthroscopy techniques

11. Hip Pain: Dry Needling Versus Cortisone Injections. Full Text available with Trip Pro

Hip Pain: Dry Needling Versus Cortisone Injections. Greater trochanteric pain syndrome (GTPS) is chronic, intermittent pain and tenderness on the outside of the hip. The medical community once thought that a swollen hip bursa was the source of such pain, which led to the use of corticosteroid injections to the bursa to help decrease swelling and pain. However, researchers now believe that injuries to the muscles and tendons around the hip are the actual cause of this pain, and that inflammation (...) is often not involved. A study published in the April 2017 issue of JOSPT explores dry needling as an alternative to cortisone injections to reduce pain and improve function in patients with GTPS. J Orthop Sports Phys Ther 2017;47(4):240. doi:10.2519/jospt.2017.0504.

2017 The Journal of orthopaedic and sports physical therapy Controlled trial quality: uncertain

12. Hip Injection

-articular injection II. Sites: Hip Joint Usually performed under fluoroscopy Needle: 20 gauge (2.5 - 3.0 inch spinal needle) : 40-80 mg 1%: 5 ml III. Site: Trochanteric bursa See Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Hip Injection." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Procedure About FPnotebook.com is a rapid access (...) Hip Injection Hip Injection Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hip Injection Hip Injection Aka: Hip Injection , Hip Intra

2018 FP Notebook

13. Trochanteric Bursitis (Overview)

in the region of the greater trochanteric bursa (which may be associated with chronic trochanteric bursitis). Bone scanning, computed tomography (CT) scanning, and magnetic resonance imaging (MRI) can be used to exclude underlying diseases. Management Treatment of trochanteric bursitis may include relative rest, application of ice, injection of corticosteroids and local anesthetics, administration of nonsteroidal anti-inflammatory drugs (NSAIDs), and application of topical, sustained-release local (...) . Necrotizing fasciitis as complication of injection into greater trochanteric bursa. Am J Orthop . 2001 May. 30(5):426-7. . Bertoli AM, Saurit V, Alvarellos A, et al. Soft tissue metastases presenting as greater trochanteric pain syndrome. J Clin Rheumatol . 2003 Dec. 9(6):370-2. . Fearon AM, Scarvell JM, Cook JL, Smith PN. Does ultrasound correlate with surgical or histologic findings in greater trochanteric pain syndrome? A pilot study. Clin Orthop Relat Res . 2010 Jul. 468(7):1838-44. . . Kong A, Van

2014 eMedicine.com

14. Trochanteric Bursitis (Overview)

in the region of the greater trochanteric bursa (which may be associated with chronic trochanteric bursitis). Bone scanning, computed tomography (CT) scanning, and magnetic resonance imaging (MRI) can be used to exclude underlying diseases. Management Treatment of trochanteric bursitis may include relative rest, application of ice, injection of corticosteroids and local anesthetics, administration of nonsteroidal anti-inflammatory drugs (NSAIDs), and application of topical, sustained-release local (...) . Necrotizing fasciitis as complication of injection into greater trochanteric bursa. Am J Orthop . 2001 May. 30(5):426-7. . Bertoli AM, Saurit V, Alvarellos A, et al. Soft tissue metastases presenting as greater trochanteric pain syndrome. J Clin Rheumatol . 2003 Dec. 9(6):370-2. . Fearon AM, Scarvell JM, Cook JL, Smith PN. Does ultrasound correlate with surgical or histologic findings in greater trochanteric pain syndrome? A pilot study. Clin Orthop Relat Res . 2010 Jul. 468(7):1838-44. . . Kong A, Van

2014 eMedicine.com

15. Trochanteric Bursitis (Diagnosis)

in the region of the greater trochanteric bursa (which may be associated with chronic trochanteric bursitis). Bone scanning, computed tomography (CT) scanning, and magnetic resonance imaging (MRI) can be used to exclude underlying diseases. Management Treatment of trochanteric bursitis may include relative rest, application of ice, injection of corticosteroids and local anesthetics, administration of nonsteroidal anti-inflammatory drugs (NSAIDs), and application of topical, sustained-release local (...) . Necrotizing fasciitis as complication of injection into greater trochanteric bursa. Am J Orthop . 2001 May. 30(5):426-7. . Bertoli AM, Saurit V, Alvarellos A, et al. Soft tissue metastases presenting as greater trochanteric pain syndrome. J Clin Rheumatol . 2003 Dec. 9(6):370-2. . Fearon AM, Scarvell JM, Cook JL, Smith PN. Does ultrasound correlate with surgical or histologic findings in greater trochanteric pain syndrome? A pilot study. Clin Orthop Relat Res . 2010 Jul. 468(7):1838-44. . . Kong A, Van

2014 eMedicine.com

16. Trochanteric Bursitis (Diagnosis)

in the region of the greater trochanteric bursa (which may be associated with chronic trochanteric bursitis). Bone scanning, computed tomography (CT) scanning, and magnetic resonance imaging (MRI) can be used to exclude underlying diseases. Management Treatment of trochanteric bursitis may include relative rest, application of ice, injection of corticosteroids and local anesthetics, administration of nonsteroidal anti-inflammatory drugs (NSAIDs), and application of topical, sustained-release local (...) . Necrotizing fasciitis as complication of injection into greater trochanteric bursa. Am J Orthop . 2001 May. 30(5):426-7. . Bertoli AM, Saurit V, Alvarellos A, et al. Soft tissue metastases presenting as greater trochanteric pain syndrome. J Clin Rheumatol . 2003 Dec. 9(6):370-2. . Fearon AM, Scarvell JM, Cook JL, Smith PN. Does ultrasound correlate with surgical or histologic findings in greater trochanteric pain syndrome? A pilot study. Clin Orthop Relat Res . 2010 Jul. 468(7):1838-44. . . Kong A, Van

2014 eMedicine.com

17. Trochanteric Bursitis (Follow-up)

treatment plan for GTPS. [ , , , , ] A randomized, controlled clinical trial found corticosteroid and lidocaine injection for trochanteric bursitis to be an effective therapy that provided a prolonged benefit. [ ] (Note, however, that corticosteroids should never be injected into a site that appears to be infected.) Although trochanteric bursa injections are commonly performed without any radiographic guidance, there are some preliminary data to suggest that radiologic confirmation (eg, with fluoroscopy (...) epinephrine (eg, 5 mL of 1-2% lidocaine). This is injected into the affected trochanteric bursa via a 22-gauge needle. In a slimmer patient, a 1.5-in. (3.8-cm) needle may be adequate, but in a heavier patient, a 3.5-in. (8.9-cm) needle may be required to reach the bursa. The needle is advanced to the greater trochanter, and contact with the bone is made in order to confirm correct insertion depth and appropriate placement. Once contact is made, the needle is withdrawn slightly so that the tip is located

2014 eMedicine.com

18. Trochanteric Bursitis (Follow-up)

treatment plan for GTPS. [ , , , , ] A randomized, controlled clinical trial found corticosteroid and lidocaine injection for trochanteric bursitis to be an effective therapy that provided a prolonged benefit. [ ] (Note, however, that corticosteroids should never be injected into a site that appears to be infected.) Although trochanteric bursa injections are commonly performed without any radiographic guidance, there are some preliminary data to suggest that radiologic confirmation (eg, with fluoroscopy (...) epinephrine (eg, 5 mL of 1-2% lidocaine). This is injected into the affected trochanteric bursa via a 22-gauge needle. In a slimmer patient, a 1.5-in. (3.8-cm) needle may be adequate, but in a heavier patient, a 3.5-in. (8.9-cm) needle may be required to reach the bursa. The needle is advanced to the greater trochanter, and contact with the bone is made in order to confirm correct insertion depth and appropriate placement. Once contact is made, the needle is withdrawn slightly so that the tip is located

2014 eMedicine.com

19. Trochanteric Bursitis (Treatment)

treatment plan for GTPS. [ , , , , ] A randomized, controlled clinical trial found corticosteroid and lidocaine injection for trochanteric bursitis to be an effective therapy that provided a prolonged benefit. [ ] (Note, however, that corticosteroids should never be injected into a site that appears to be infected.) Although trochanteric bursa injections are commonly performed without any radiographic guidance, there are some preliminary data to suggest that radiologic confirmation (eg, with fluoroscopy (...) epinephrine (eg, 5 mL of 1-2% lidocaine). This is injected into the affected trochanteric bursa via a 22-gauge needle. In a slimmer patient, a 1.5-in. (3.8-cm) needle may be adequate, but in a heavier patient, a 3.5-in. (8.9-cm) needle may be required to reach the bursa. The needle is advanced to the greater trochanter, and contact with the bone is made in order to confirm correct insertion depth and appropriate placement. Once contact is made, the needle is withdrawn slightly so that the tip is located

2014 eMedicine.com

20. Trochanteric Bursitis (Treatment)

treatment plan for GTPS. [ , , , , ] A randomized, controlled clinical trial found corticosteroid and lidocaine injection for trochanteric bursitis to be an effective therapy that provided a prolonged benefit. [ ] (Note, however, that corticosteroids should never be injected into a site that appears to be infected.) Although trochanteric bursa injections are commonly performed without any radiographic guidance, there are some preliminary data to suggest that radiologic confirmation (eg, with fluoroscopy (...) epinephrine (eg, 5 mL of 1-2% lidocaine). This is injected into the affected trochanteric bursa via a 22-gauge needle. In a slimmer patient, a 1.5-in. (3.8-cm) needle may be adequate, but in a heavier patient, a 3.5-in. (8.9-cm) needle may be required to reach the bursa. The needle is advanced to the greater trochanter, and contact with the bone is made in order to confirm correct insertion depth and appropriate placement. Once contact is made, the needle is withdrawn slightly so that the tip is located

2014 eMedicine.com

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