PRP

Greater trochanteric pain syndrome

Definition

Chronic lateral trochanteric pain

- abductor tendon tendonitis

- trochanteric bursitis

Epidemiology

Women 40 - 60 years old

Mechanism

? repetitive friction of iliotibial tract over GT

Symptoms

Pain over upper lateral thigh with activity

- often related to hip flexion

Epidemiology

Usually after 50-60 years of age

Aetiology

Primary 90% of cases

Secondary

- AVN

- trauma

- instability

Pathology

Incidence

Lateral : Medial 9:1

Epidemiology

4th & 5th decades

- M = F

- 75% dominant arm 

50% of regular tennis players

- especially > 2 hrs / week

Aetiology

Insertion pathology / Enthesopathy

Over-extension of the elbow with supination / pronation

Anatomy

Lateral epicondyle

- anconeus from posterior face

- ECRB and EDC from anterior face (CEO)