is greater trochanteric pain syndrome: a disability

We wish to acknowledge Professors Paul Smith, Jennie Scarvell and Jill Cook who were involved in the initial data collection. Greater trochanteric pain syndrome negatively affects work, physical activity and quality of life: a case control study. Fairbank JC, Pynsent PB. Greater trochanteric pain syndrome (GTPS) is a debilitating condition characterized by lateral hip pain located at or around the greater trochanter. It has been hypothesised that the increased hip adductor moment seen in people with GTPS puts greater load on the gluteal tendons resulting in the persistence of GTPS [29] and similarly, increases the load within the joint [30], possibly contributing to the development of hip OA. Mr Knotts salary was funded by Canberra Health Services. Cates HE, Schmidt MA, Person RM. We note that our two groups had no difference in strength so other factors such as motor control or somatosensory impairments may also be contributing factors. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Greater trochanteric pain syndrome: epidemiology and associated factors. AF interpreted the data and was a major contributor to the writing of the manuscript. Treating Greater Trochanteric Pain Syndrome Remedies and exercises Medications In-office procedures GTPS surgery FAQs Summary Greater trochanteric pain syndrome (GTPS) is a common. Careers. AF undertook the design and conception of the study. 1 - 3 Level of evidence: Greater trochanteric pain syndrome (GTPS) is a general term used to describe disorders of the peritrochanteric space, including trochanteric bursitis, abductor tendon pathology, and external coxa saltans. Christmas C, Crespo CJ, Franckowiak SC, Bathon JM, Bartlett SJ, Andersen RE. We recruited 44 (GTPS = 24, ASC = 20) of the 54 eligible past participants. Al-Hayani A. Ferrer-Pena R, Calvo-Lobo C, La Touche R, Fernandez-Carnero J. Hip-Joint Posture and Movement Alterations Are Associated With High Interference of Pain in the Life of Patients With Greater Trochanteric Pain Syndrome. GTPS is a chronic condition: people with GTPS at baseline had twice the odds of being clinically diagnosed with GTPS or hip OA than the control group at 11-years. Exclusion criteria for the 11-year follow-up study were participants from the original cohort who underwent surgery in the 12 months following baseline assessment, (gluteal tendon reconstructive surgery (n=11) or THA (n=20)). What are the comparative (disability, quality of life and clinical function) outcomes of people with GTPS and an asymptomatic control cohort at one and 11-years following initial assessment for GTPS? J Fam Pract. government site. However, limited evidence is available on the long-term outcomes of people with GTPS. BMC Musculoskelet Disord. 2022 Jun 29;26(2):83-88. doi: 10.7812/TPP/21.110. Further, a significantly higher proportion of people with GTPS went on to develop hip OA, than the ASC group. Incidence and prevalence of lower extremity tendinopathy in a Dutch general practice population: a cross sectional study. Greater trochanteric pain syndrome negatively affects work - PubMed It is expected that this will be functional within the next six months. Trochanteric bursitis (greater trochanter pain syndrome). Firth D. Bias reduction of maximum likelihood estimates. 2021 Dec 20;22 (1):1048. doi: 10.1186/s12891-021-04935-w. (Fig.11). A clearer understanding of the relationship between GTPS and hip OA is important for further research into the treatment of GTPS and consequently patient management. 24 It can be caused by a cam deformity, which is bony overgrowth of the femoral head and neck, a pincer. To enable a longitudinal comparison, we chose to repeat those measures at the 11-year follow-up. Our GTPS participants demonstrated a much higher rate than this. Systematic review of the prevalence of radiographic primary hip osteoarthritis. Our findings support and extend the findings of Lievense . Pain and function results varied depending on the assessment tools used. Incidental rotator cuff tear of the hip at primary total hip arthroplasty. Normalizing hip muscle strength: establishing body-size-independent measurements. Relationship of Dynamic Balance Impairment with Pain-Related and Psychosocial Measures in Primary Care Patients with Chronic Greater Trochanteric Pain Syndrome. Clinical diagnosis of hip OA based on Altmans criteria [11] at 11-years of the GTPS group (on the left) and ASC group (on the right). Between baseline and 12-month follow-up participants received intermittent (approximately second monthly) correspondence with the aim of reducing attrition. Hawthorne G, Richardson J, Osborne R. The Assessment of Quality of Life (AQoL) instrument: a psychometric measure of health-related quality of life. Alternatively, a history of total hip arthroplasty for hip OA on the affected side was considered a diagnosis of hip OA [12]. 2017;36(14):230217. Kinematics and kinetics during walking in individuals with gluteal tendinopathy. 2016 Jan 22;13(1):15-28. doi: 10.1016/j.jor.2015.12.006. GTPS refers to a group of conditions that. van Herk IEH, Arendzen JH, Rispens P. Ten-metre walk, with or without a turn? 2007;17(7):177283. The changes after 12-months in the GTPS participants may be due to the Hawthorne effect [35]. Groll DL, To T, Bombardier C, Wright JG. Clin Orthop Relat Res. doi: 10.2214/AJR.12.10038. The results are reported as estimated marginal means (EMM), standard error of the mean (SEM), differences between group means and 95% confidence intervals. Results: Where a person presented at 11-year follow-up with groin or lateral hip pain but did not fit the Altman criteria, they were categorised as having other source of hip pain. Please enable it to take advantage of the complete set of features! Individuals with Persistent Greater Trochanteric Pain Syndrome Exhibit Impaired Pain Modulation, as well as Poorer Physical and Psychological Health, Compared with Pain-Free Individuals: A Cross-Sectional Study | Pain Medicine | Oxford Academic Journal Article At 11-year follow-up 20/24 GTPS and 19/20 ASC participants were clinically assessed for GTPS and hip OA, completed the 10 metre-walk-test, timed up and go, and hip abduction and external rotation strength testing. Pain and function results varied depending on the assessment tools used. FADDIR/FABER/internal rotation) and on imaging (x-ray or MRI)), systemic inflammatory disease, a history of hip or spinal surgery, for the GTPS group a cortisone injection into the lateral hip within the last 3 months and for the ASC group any history of hip pain [1, 10]. Disantis A, Andrade AJ, Baillou A, Bonin N, Byrd T, Campbell A, Domb B, Doyle H, Enseki K, Getz B, Gosling L, Grant L, M Ilizaliturri V Jr, Kohlrieser D, Laskovski J, Lifshitz L, P McGovern R, Monnington K, O'Donnell J, Takla A, Tyler T, Voight M, Wuerz T, Martin RL. GUID:AE85AEBE-4660-432A-ABF3-2CBD275D0FE2, GUID:51B1552A-0AB5-49D7-97D4-AD68B2FB5BE4. The site is secure. Google Scholar. We did not undertake that analysis. This study was approved by the University of Canberra human research ethics committees (HREC: 20181528), all participants provided signed informed consent. van Herk IEH, Arendzen JH, Rispens P. Ten-metre walk, with or without a turn? Google Scholar. JC contributed to design, collected, analysis and interpreted the participant data regarding clinical diagnosis. For many years, this condition was believed to be caused by trochanteric bursitis, with treatments targeting the bursitis. A total of 85 participants were originally recruited from the local community via professional networks and word-of-mouth between March 2008 and November 2009. The University of Canberra is currently setting up a data repository platform within Mendeley. BMC Musculoskeletal Disorders At 11-year follow-up 45.0% of GTPS participants had GTPS compared to 5.3% of ASC participants (p=0.008), OR [95% CI]: 10.19 [1.95, 104.3], and 35.0% of GTPS participants were clinically diagnosed with hip OA compared to none of the ASC participants (p=0.002), OR [95% CI]: 21.6, [2.3, 2898.0]. No identifiable data is presented in this publication. LB contributed to the design, collected, analysis and interpreted the participant data regarding clinical diagnosis and function. In addition, we only evaluated the original symptomatic leg, thus clinical tests that relied on both legs may have been compromised. We did not undertake that analysis. Long SS, Surrey DE, Nazarian LN. A clearer understanding of the relationship between GTPS and hip OA is important for further research into the treatment of GTPS and consequently patient management. We acknowledge that the use of ultra-sound and/or magnetic resonance imaging would have enhanced the diagnosis of GTPS. Greater Trochanteric Pain Syndrome | 4 Causes & How to Get Relief and transmitted securely. Luke Bicket, Email: moc.liamg@79tekcibekul. We recruited 44 (GTPS = 24, ASC = 20) of the 54 eligible past participants. 2005;55(512):199204. Conclusions: Both groups had similar levels of quality of life and measures of function. 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. At 11-year follow-up 20/24 GTPS and 19/20 ASC participants were clinically assessed for GTPS and hip OA, completed the 10 metre-walk-test, timed up and go, and hip abduction and external rotation strength testing. All authors read and approved the final manuscript. Greater trochanteric pain syndrome | NHS inform We would also like to acknowledge Assoc. For categorical data (sex, obesity, number of cortisone injections and full-time work status), Chi-square (X2) analysis was undertaken, except where cell frequency was less than five, when a Fisher Exact test was implemented. Overview of Greater Trochanteric Pain Syndrome - Healthline To our knowledge there is no long-term study that reports on dysfunction, quality of life or function in people with GTPS. Released 2017.Version 25.0. Normalizing hip muscle strength: establishing body-size-independent measurements. Greater trochanteric pain syndrome (GTPS), previously known as trochanteric bursitis, affects 1.8 per 1000 patients annually [1]. Armonk, NY) was used for all statistical analyses, except for the odds ratio, which was calculated using R (RStudio Team (2020). Knee Surg Sports Traumatol Arthrosc. 2. However, there are no longitudinal studies to indicate if the conditions arise concurrently or sequentially. To account for body size effect on hip strength, strength data was standardised to participant body mass via the body mass average index (BMavg) [19]. The greater trochanter pain syndrome is one of the most common regional pain syndromes. HHS Vulnerability Disclosure, Help Mr Bicket was a student at the time of the research and received no funding. This difference was not present at 12-months, or at 11-years. These findings should be confirmed with a larger study. Disclaimer. As per the baseline [1, 10], we assessed: As per the baseline, four reliable and valid clinical tests were undertaken by LB. Bookshelf Greater Trochanteric Pain Syndrome - PubMed Prof. Diana Perriman and Dr Andrew Woodward for their help with the statistics used in this study. BMC Musculoskelet Disord 22, 1048 (2021). Musculoskeletal injury causes pain and when chronic can affect mental health, employment and quality of life. At 11-year follow-up 45.0% of GTPS participants had GTPS compared to 5.3% of ASC participants (p = 0.008), OR [95% CI]: 10.19 [1.95, 104.3], and 35.0% of GTPS participants were clinically diagnosed with hip OA compared to none of the ASC participants (p = 0.002), OR [95% CI]: 21.6, [2.3, 2898.0]. Greater trochanteric pain syndrome (GTPS) is one of the most common causes of lateral hip pain in adults. Epub 2013 Nov 5. Greater trochanteric pain syndrome (GTPS) is a musculoskeletal condition which can cause disability and reduce quality of life. Gluteus medius and minimus muscles contribute to stabilising the head of femur within the acetabulum whilst walking [31]. Ebert JR, Retheesh T, Mutreja R, Janes GC. 1 First steps to consider Mild to moderate pain can be treated at home. We clinically assessed 20 (64.5%) and recorded patient reported outcomes for 24 (77.4%) of eligible GTPS participants. Maximum isometric hip abduction (in supine) and external rotation strength (in prone) were assessed using the same fixed calibrated hand-held dynamometer, (Chatillon, MSC FL, USA) as used at baseline assessment" [10]. This site needs JavaScript to work properly. Angie Fearon, Email: ua.ude.arrebnac@noraeF.eignA. Management of the greater trochanteric pain syndrome: a systematic Cates HE, Schmidt MA, Person RM. Two groups [GTPS group (n = 24), asymptomatic control (ASC) group (n = 20)] were evaluated at baseline, 12-months and 11-years. To answer question 1 and 2, we undertook Fisher Exact evaluations. Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis. For categorical data (sex, obesity, number of cortisone injections and full-time work status), Chi-square (X2) analysis was undertaken, except where cell frequency was less than five, when a Fisher Exact test was implemented. Furthermore, investigations exploring effective long-term conservative management strategies are necessary to reduce the burden of GTPS, and the risk of developing hip OA. This difference was not present at 12-months, or at 11-years. Provided by the Springer Nature SharedIt content-sharing initiative. The clinical, functional and biomechanical presentation of patients with symptomatic hip abductor tendon tears. Incidence and prevalence of lower extremity tendinopathy in a Dutch general practice population: a cross sectional study. Accessibility Between group differences in quality of life seen at baseline are not found at the 11-year follow-up. Bethesda, MD 20894, Web Policies This study was approved by the University of Canberra human research ethics committees (HREC: 20181528), all participants provided signed informed consent. We would also like to acknowledge Assoc. Subject to manuscript acceptance, at that point, the data from this study will be uploaded to that platform. 12-month follow-up gait speed: GTPS n=30. d Different instructions were inadvertently used at the 11-year follow-up than baseline. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. Qual Life Res. The https:// ensures that you are connecting to the AF supervised the collected and analysis of the participant data. Spine (Phila Pa 1976). The baseline higher levels of disability and lower quality of life seen in people with GTPS compared to controls were not consistently found at the 11-year follow-up. Nevertheless, we can confidently compare between groups at each time point but not within the groups across the different follow-up periods. government site. At 11-years all participants completed the modified Harris Hip Score (mHHS), Oswestry Disability Index (ODI) and Assessment of Quality-of-Life questionnaire. Bazett-Jones DM, Cobb SC, Joshi MN, Cashin SE, Earl JE. Am J Orthop (Belle Mead NJ). See home treatments 2 When you may need a provider Your pain is moderate to severe Howell G, Biggs R, Bourne R. Prevalence of abductor mechanism tears of the hips in patients with osteoarthritis. An official website of the United States government. Mayo Clin Proc. Google Scholar. Folia Morphol (Praha). The initial sample included three mutually exclusive groups, a GTPS group (n=42, 11 of whom underwent gluteal reconstruction surgery in the following 12 months), a hip OA group (n=20, all who underwent total hip arthroplasty (THA) in the following 12 months), and an asymptomatic control group (ASC) (n=23) of similar age and sex to the GTPS participants.
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