Hip Unit, Orthopedic and Traumatology Department, Hospital Universitario Infanta Leonor, Gran Via Del Este 80, 28031, Madrid, Spain.
Arthroscopy Centre, Interbalkan European Medical Centre, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Knee Surg Sports Traumatol Arthrosc. 2021 Aug;29(8):2417-2423. doi: 10.1007/s00167-020-06366-x. Epub 2020 Nov 21.
Greater trochanter pain syndrome (GTPS) or lateral hip pain terms include external snapping hip, trochanteric bursitis and gluteus medius or minimus pathology. The aim of this review is to update the most recent knowledge about non-surgical management of peritrochanteric disorders.
A literature review was performed including articles most relevant in the last years that were focused in non-surgical treatment of peritrochanteric disorders.
Conservative treatment still has a place and includes activity modification, NSAIDs, analgesics, physiotherapy, home training, local corticosteroid injection (CSI) and shock wave therapy (SWT). These non-surgical alternatives have demonstrated good clinical results with low rate of complications.
Most patients tend to resolve GTPS or lateral hip pain with non-surgical management in the mid-term but when everything failed, surgical options should be evaluated. The next frontier that will be a game changer is to determine an individualized treatment plan based on the exact pathology.
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大转子疼痛综合征（GTPS）或髋关节外侧疼痛术语包括外弹响髋、转子滑囊炎和臀中肌或臀小肌病变。本文旨在更新关于髋关节周围疾病非手术治疗的最新知识。
对最近几年最相关的文章进行文献回顾，重点关注髋关节周围疾病的非手术治疗。
保守治疗仍有一席之地，包括活动调整、非甾体抗炎药、镇痛药、物理治疗、家庭训练、局部皮质类固醇注射（CSI）和冲击波治疗（SWT）。这些非手术治疗方法已显示出良好的临床效果，并发症发生率低。
大多数患者通过中期非手术治疗可以缓解 GTPS 或髋关节外侧疼痛，但当所有方法都失败时，应评估手术选择。下一个具有变革意义的前沿是根据确切的病理制定个体化治疗计划。
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