Excessive prevalence of higher trochanteric ache syndrome amongst sufferers presenting to backbone clinic for analysis of degenerative lumbar pathologies.
J Clin Neurosci. 2018 Apr 20;:
Authors: Tan LA, Benkli B, Tuchman A, Li XJ, Desai NN, Bottiglieri TS, Pavel J, Lenke LG, Lehman RA
BACKGROUND: Better trochanteric ache syndrome (GTPS) is a comparatively widespread analysis among the many normal inhabitants.
OBJECTIVE: We purpose to find out the prevalence of GTPS amongst sufferers who introduced to the backbone clinic.
METHODS: Medical information of sufferers who have been evaluated within the backbone clinic have been reviewed over a 12-month interval (four/1/2016 to three/31/2017). Affected person demographics, presenting symptomatology, bodily examination findings, presence or absence of GTPS, medical imaging findings, and interventions have been recorded analyzed. Statistical evaluation was carried out utilizing SPSS Statistics 23.zero (Chicago, IL). Statistical significance is outlined as p?<?zero.05.
RESULTS: A complete of 273 consecutive sufferers (145 ladies, 128 males) have been evaluated for degenerative lumbar pathologies by a single backbone surgeon over the research interval. The typical affected person age was 61.9?years. Total, there have been 138/273 sufferers (50.5%) with GTPS (Group I), whereas 135/273 sufferers (49.5%) didn’t have GTPS (Group II). There have been 73 sufferers in Group I obtained trochanteric injection for GTPS therapy and subsequently returned to clinic for follow-up, and there have been 36/73 (49.three%) sufferers reporting enchancment of their signs after trochanteric injection. There was a statistically vital predilection for presence of GTPS within the feminine gender (60% vs 32.eight%, p?=?<zero.01). There was no statistically vital distinction within the prevalence of low again ache, buttock, thigh or groin ache between the 2 teams.
CONCLUSION: GTPS is a quite common however usually unrecognized or misdiagnosed situation. Correct analysis and differentiation of GTPS from lumbar spinal pathologies are important in avoiding potential pointless spinal procedures.
PMID: 29685405 [PubMed – as supplied by publisher]