Reid Diane
The University of Salford, The Crescent, Salford M5 4WT, United Kingdom.
J Orthop. 2016 Jan 22;13(1):15-28. doi: 10.1016/j.jor.2015.12.006. eCollection 2016 Mar.
Greater trochanteric pain syndrome (GTPS) is a common cause of lateral hip pain. Most cases respond to conservative treatments with a few refractory cases requiring surgical intervention. For many years, this condition was believed to be caused by trochanteric bursitis, with treatments targeting the bursitis. More recently gluteal tendinopathy/tears have been proposed as potential causes. Treatments are consequently developing to target these proposed pathologies. At present there is no defined treatment protocol for GTPS. The purpose of this systematic literature review is to evaluate the current evidence for the effectiveness of GTPS interventions, both conservative and surgical.
大转子疼痛综合征(GTPS)是髋关节外侧疼痛的常见原因。大多数病例对保守治疗有反应,少数难治性病例需要手术干预。多年来,人们认为这种情况是由转子滑囊炎引起的,治疗针对滑囊炎。最近,臀肌肌腱病/撕裂被认为是潜在原因。因此,治疗方法正在针对这些提出的病理情况进行开发。目前,GTPS尚无明确的治疗方案。本系统文献综述的目的是评估目前关于GTPS保守和手术干预有效性的证据。