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 language | English (US) |
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Pages (from-to) | 208-212 |
Number of pages | 5 |
Journal | Journal of Arthroplasty |
Volume | 25 |
Issue number | 2 |
DOIs | |
State | Published - Feb 2010 |
Keywords
- corticosteroid injection
- lateral trochanteric pain
- total hip arthroplasty
- trochanteric bursitis
ASJC Scopus subject areas
- Orthopedics and Sports Medicine