cortisone

Greater trochanter pain syndrome

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

 

Morton's Neuroma

Definition

 

Benign enlargement of the common digital branch

- usually 3rd webspace

 

Mortons Neuroma Common Site

 

Anatomy

 

Found at level of or just distal to MT heads

- deep to the deep transverse MT ligament

 

Epidemiology

 

Classically women between 40 and 60

Unicameral Bone Cyst

AKAUnicameral bone cyst femur

 

Simple Bone Cyst

 

Definition

 

A simple bone cyst is a solitary cavity containing clear fluid

- originating in the metaphysis of growing children

- adjacent to the metaphyseal aspect of the growth plate.

 

Aetiology

 

Unknown pathological origin

Hallux Rigidus

Definition

 

Painful restriction of dorsiflexion of the great toe 

- secondary to degenerative changes in MTPJ

- initially pain and synovitis

- osteophytes don't form medially or on plantar aspect

 

Epidemiology 

 

Two peaks

1.  Adolescence F > M

2.  Middle Age M > F

 

Aetiology

 

Often Idiopathic

 

Trauma

Coccydynia

Definition

 

Pain in region of coccyx

 

Epidemiology

 

Women

- often obese

- mean age 40 years

 

Aetiology

 

Fracture

 

Difficult vaginal delivery

 

Subluxation / hypermobile coccyx

 

Anatomy

 

3 or 4 fused coccygeal vertebrae

 

Triangular structure