Hip bursitis: Difference between revisions
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*NSAIDs, rest, heat | *NSAIDs, rest, heat | ||
*Admit for IV abx if infected bursa is suspected | *Admit for IV abx if infected bursa is suspected | ||
==See Also== | |||
[[Bursitis] | |||
==Source== | ==Source== | ||
Revision as of 05:53, 29 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
See Also
[[Bursitis]
Source
- Tintinalli