Department of Orthopaedics, University Hospital of North Norway, 9038 Tromsø, Norway.
Knee Surg Sports Traumatol Arthrosc. 2011 Nov;19(11):1971-85. doi: 10.1007/s00167-011-1573-2. Epub 2011 Jun 16.
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.
本文旨在回顾髋关节后外侧疼痛综合征的现有知识,就诊断和鉴别诊断提供建议,并对治疗方案提出建议。文献中的术语令人困惑,这些症状可以被称为“大转子疼痛综合征”、“转子滑囊炎”和“转子肌腱炎”等。作者重点关注一种特殊类型的坐骨神经痛,即放射到下肢的髋关节后外侧疼痛。讨论了不同影像学评估的影响。作者建议在遵循他们建议的类似坐骨神经痛的髋关节后外侧疼痛的治疗方案之前,先排除脊柱和骨盆区域的病变。