By Mary Ann Porucznik
Patients whose chronic recalcitrant trochanteric bursitis does not respond to nonsurgical interventions now have a choice. According to the presentation made by Champ L. Baker, MD, and R. Vaughan Massie, MD, arthroscopic bursectomy appears to be an effective and viable alternative to open bursectomy.
Trochanteric bursitis usually affects middle-aged patients, who are often unable to lie on the affected side and and who experience chronic pain that intensifies with adduction and internal rotation. The condition results from friction between the greater trochanter and the iliotibial band during active hip flexion and extension, resulting in microtrauma and mild degenerative changes of the gluteus medius and minimus tendons with associated bursal inflammation.