Download - TROCHANTERIC BURSITIS o Symptoms – pain over the greater

-
TROCHANTERIC BURSITIS
o Symptoms – pain over the greater trochanter (lateral hip), radiating to the
buttock; pain increased when the patient climbs stairs
o Causes – (Acute) – direct blow to the greater trochanter
(Chronic) – irritation from the IT band passing over the bursa
o Predispositions – increased Q angles (see knee, this also causes overuse forces to
be placed on the greater trochanter), leg length discrepancy, increased bike
riding and running may also contribute to this injury.
(1)
-
ISCHIAL BURSITIS
o Symptoms – pain over the ischial tuberosity, in the vicinity of the gluteal fold
o Causes – (Acute) – direct blow to the ischial tuberosity such as falling on it
(Chronic) – repeated shifting and moving while weight bearing in the
seated position (rowing)
o Predispositions – tightness of the hamstring muscle group, prolonged sitting and
rocking, especially on a hard surface
(1)
-
Piriformis Syndrome
o Symptoms – pain in the deep posterior aspect of the hip, radiating into the
buttock and possibly down into the posterior aspect of the leg; increases upon
standing and often decreases with the patient lying supine and knees flexed
o Causes – blow to the buttocks, hyperinternal rotation of the femur, other trauma
that causes spasm of the piriformis muscle
o Predispositions – anatomical deviation in which the sciatic nerve passes through
the piriformis muscle; females have an increases incidence of acquiring
piriformis syndrome
(1)
-
Iliac Crest Contusion (Hip Pointer)
o Symptoms – pain at the iliac crest, possibly radiating into the internal and
external oblique muscles
o Causes – blunt trauma
o Predispositions – unprotected ilium
(1)