Trochanteric Bursitis: Easy Diagnosis, Easy Location for CS Injection
Trochanteric bursitis is a common cause of hip pain secondary to an
inflammation of the subgluteus maximus bursa. However, inflammatory
findings have not ever been found in tissue samples (1).
Diagnosis is easily made in clinical settings but, in some instances,
ultrasounds and MRI were found to be useful diagnostic tools (2) (3).
Steroid injection have been postulated as preferred and definitive
treatment in trochanteric bursitis (4)
Cohen and colleagues study (5) demonstrated that local steroid injection
using a fluoroscopic guide improved not outcomes as compared to blind
local steroid injection alone, increasing costs.
We also postulate that fluoroscopic guide exposes patients and heath
personnel to unnecessary radiation doses according to ALARA basis (As Low As
Reasonably Achievable) for Radiation Safety.
We support blind local steroid injection as basis for trochanteric
bursitis therapy but also emphasize the complementary role of
rehabilitation therapy (ultrasounds and stretching programs)
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Competing interests: No competing interests