Trochanteric Bursitis After Total Hip Arthroplasty. Incidence and Evaluation of Response to Treatment

Kevin W. Farmer, Lynne C. Jones, Kirstyn E. Brownson, Harpal S. Khanuja, Marc W. Hungerford

Research output: Contribution to journalArticlepeer-review

Abstract

We examined the efficacy of corticosteroid injection as treatment for postarthroplasty trochanteric bursitis and the risk factors for failure of nonoperative treatment. There were 32 (4.6%) cases of postsurgical trochanteric bursitis in 689 primary total hip arthroplasties. Of the 25 hips with follow-up, 11 (45%) required multiple injections. Symptoms resolved in 20 (80%) but persisted in 5. We found no statistically significant differences between patients who did and did not develop trochanteric bursitis, or between those who did and did not respond to treatment. There was a trend toward younger age and greater limb-length discrepancy in nonresponders. In conclusion, (1) corticosteroid injection(s) for postoperative trochanteric bursitis is effective; and (2) nonoperative management may be more likely to fail in young patients and those with leg-length discrepancy.

Original languageEnglish (US)
Pages (from-to)208-212
Number of pages5
JournalJournal of Arthroplasty
Volume25
Issue number2
DOIs
StatePublished - Feb 2010

Keywords

  • corticosteroid injection
  • lateral trochanteric pain
  • total hip arthroplasty
  • trochanteric bursitis

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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