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Trokanter major smertesyndrom

Sist oppdatert: Sist revidert:
Sist revidert av:

Definisjon:
Inflammasjon i bursa og sener ved eller ovenfor trochanter major på lateralsiden av låret
Forekomst:
Forholdsvis hyppig i allmennpraksis og en av de vanligste årsaker til hoftesmerter
Symptomer:
Smerte lokalisert lateralt i låret over trochanter major
Funn:
Kan være unormal gange, lokalisert palpasjonsømhet over trochanter
Diagnostikk:
Ingen andre undersøkelser er av diagnostisk betydning
Behandling:
Avlastning, tøyninger, ev. NSAID, ev. kortisoninjeksjoner
  1. Reid D. The management of greater trochanteric pain syndrome: a systematic literature review. J Orthop. 2016;13(1):15–28. www.ncbi.nlm.nih.gov  
  2. Kane SF, Olewinski LH, Tamminga KS. Management of chronic tendon injuries. Am Fam Physician. 2019 Aug 1;100(3):147-157. PubMed  
  3. Chi AS, Long SS, Zoga AC, et al. Prevalence and pattern of gluteus medius and minimus tendon pathology and muscle atrophy in older individuals using MRI. Skeletal Radiol 2015; 44:1727. PubMed  
  4. Sutter R, Kalberer F, Binkert CA, et al. Abductor tendon tears are associated with hypertrophy of the tensor fasciae latae muscle. Skeletal Radiol 2013; 42:627. PubMed  
  5. Dean DD. Trochanter bursitis. Medscape, last updated Jan 26, 2017.
  6. Cardone DA, Tallia AF. Diagnostic and therapeutic injection of the hip and knee. Am Fam Physician 2003; 67: 2147-52. PubMed  
  7. Lustenberger DP, Ng VY, Best TM, Ellis TJ. Efficacy of treatment of trochanteric bursitis: a systematic review. Clin J Sport Med 2011; 21:447. PubMed  
  8. Mellor R, Bennell K, Grimaldi A, et al. Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomised clinical trial. BMJ 2018; 361:k1662. BMJ (DOI)  
  9. Ganderton C, Semciw A, Cook J, et al. Gluteal Loading Versus Sham Exercises to Improve Pain and Dysfunction in Postmenopausal Women with Greater Trochanteric Pain Syndrome: A Randomized Controlled Trial. J Womens Health (Larchmt) 2018; 27:815. PubMed  
  10. Brinks A, van Rijn RM, Willemsen SP, Bohnen AM, Verhaar JA, Koes BW, et al. Corticosteroid injections for greater trochanteric pain syndrome: a randomized controlled trial in primary care. Ann Fam Med. 2011 May-Jun. 9(3):226-34.
  11. Lievense A, Bierma-Zienstra S, Schouten A, et al. Prognosis of trochanteric pain in primary care. Br J Gen Pract 2005; 55: 199-204. PubMed  
  12. Cohen SP, Strassels SA, Foster L, et al. Comparison of fluoroscopically guided and blind corticosteroid injections for greater trochanteric pain syndrome: multicentre randomised controlled trial. BMJ 2009; 338: b1088. BMJ (DOI)  
  13. Brinks A, van Rijn MR, Willemsen SP, et al. Corticosteroid injections for greater trochanteric pain syndrome: a randomized controlled trial in primary care. Ann Fam Med 2011; 9: 226-34. PubMed  
  14. McEvoy JR, Lee KS, Blankenbaker DG, et al. Ultrasound-guided corticosteroid injections for treatment of greater trochanteric pain syndrome: Greater trochanter bursa versus subgluteus medius bursa. Am J Roentgenol 2013; 201: W313. pmid:23883246 PubMed  
  15. Furia JP, Rompe JD, Maffulli N. Low-energy extracorporeal shock wave therapy as a treatment for greater trochanteric pain syndrome. Am J Sports Med. 2009 Sep. 37(9):1806-13.
  16. Ramon S, Russo S, Santoboni F, et al. Focused Shockwave Treatment for Greater Trochanteric Pain Syndrome: A Multicenter, Randomized, Controlled Clinical Trial. J Bone Joint Surg Am. 2020; 102:1305-11. PMID: 32769596 PubMed  
  • Terje Johannessen, professor i allmennmedisin, Trondheim (tilpasning til NEL)

Tidligere fagmedarbeidere

  • Stig Fossum, fysioterapeut, spesialkompetanse på muskel- og skjelettsykdommer, Moholt Fysioterapi, Trondheim
  • Bendik Johannessen, fysioterapeut, Trondheim