Greater trochanter bursa injection

Case contributed by Dr James Harvey

Presentation

Left lateral hip pain centered on the greater trochanter. Previous GT bursa injections with good effect.

Patient Data

Age: 70
Gender: Male
Ultrasound

Ultrasound-guided greater trochanteric bursa HCLA injection

Preliminary ultrasound demonstrated the left greater trochanteric bursa distended with anechoic fluid. The patient was focally tender to probe pressure.

In-plane approach. 25-gauge needle inserted under ultrasound guidance. HCLA injected (in this case 1ml 5.7 mg betamethasone + 3 ml 0.5% bupivacaine). The bursa can be seen to distend.

Case Discussion

The trochanteric bursa (also known as the subgluteus maximus bursa) is located between the gluteus maximus and the posterior part of gluteus medius.

In this case the bursa was seen distended with fluid. Where no fluid is identified within the bursa on the preliminary ultrasound, gentle rotation of the hip may help to identify the potential space of the bursa.

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Case information

rID: 82181
Published: 20th Sep 2020
Last edited: 20th Sep 2020
Inclusion in quiz mode: Included

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