Open AccessRetro‐trochanteric sciatica‐like pain: current concept
Author(s) -
Meknas Khaled,
Johansen Oddmund,
Kartus Jüri
Publication year - 2011
Publication title -
knee surgery, sports traumatology, arthroscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.806
H-Index - 125
eISSN - 1433-7347
pISSN - 0942-2056
DOI - 10.1007/s00167-011-1573-2
Subject(s) - sciatica , medicine , terminology , bursitis , physical therapy , hip pain , differential diagnosis , surgery , physical medicine and rehabilitation , pathology , philosophy , linguistics
The aim of this manuscript is to review the current knowledge in terms of retro‐trochanteric pain syndrome, make recommendations for diagnosis and differential diagnosis and offer suggestions for treatment options. The terminology in the literature is confusing and these symptoms can be referred to as ‘greater trochanteric pain syndrome’, ‘trochanteric bursitis’ and ‘trochanteritis’, among other denominations. The authors focus on a special type of sciatica, i.e. retro‐trochanteric pain radiating down to the lower extremity. The impact of different radiographic assessments is discussed. The authors recommend excluding pathology in the spine and pelvic area before following their suggested treatment algorithm for sciatica‐like retro‐trochanteric pain. Level of evidence II.