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首页> 外文期刊>Current sports medicine reports. >Greater trochanteric pain syndrome: More than bursitis and iliotibial tract friction
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Greater trochanteric pain syndrome: More than bursitis and iliotibial tract friction

机译：大转子转子疼痛综合征：不仅是滑囊炎和胫束摩擦

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摘要

Disorders causing lateral hip pain are encountered frequently by physicians. Evaluating these problems can be challenging because of the myriad of potential causes, the complex anatomy of the peritrochanteric structures, and the inconsistently described etiologic factors. Misconceptions about the causes of lateral hip pain and tenderness are common, frequently leading to approaches that only provide temporary solutions rather than address the underlying pathology. Trochanteric bursitis is implicated frequently but is seldom the primary cause of pain in chronic cases. It is important to address hip rotator cuff tendinopathy and pelvic core instability. Treatment options include therapeutic exercise, physical modalities, corticosteroid injections, extracorporeal shock wave therapy, and regenerative injection therapies. For recalcitrant cases, surgery may be appropriate. By understanding the anatomy of the peritrochanteric structures, and the pathologic processes most likely responsible for symptomatology and dysfunction, the physician will be prepared to provide effective longterm solutions for this common problem.
机译：医生经常遇到引起侧髋关节疼痛的疾病。由于存在多种潜在原因，转子周围结构的复杂解剖以及病因描述不一致，因此评估这些问题可能具有挑战性。对外侧髋部疼痛和压痛的原因存在误解，这很常见，常常导致只能提供临时解决方案而不能解决潜在病理问题的方法。股骨滑囊炎经常涉及，但在慢性病例中很少是引起疼痛的主要原因。解决髋关节肩袖腱病和骨盆核心不稳很重要。治疗选择包括治疗运动，身体形态，皮质类固醇注射，体外冲击波治疗和再生注射疗法。对于顽固性病例，手术可能是合适的。通过了解转子周围结构的解剖结构以及最有可能导致症状和功能障碍的病理过程，医生将准备为这一常见问题提供有效的长期解决方案。

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