MRI and US of gluteal tendinopathy in greater trochanteric pain syndrome

Eur Radiol. 2007 Jul;17(7):1772-83. doi: 10.1007/s00330-006-0485-x. Epub 2006 Dec 6.


Greater trochanteric pain syndrome is commonly due to gluteus minimus or medius injury rather than trochanteric bursitis. Gluteal tendinopathy most frequently occurs in late-middle aged females. In this pictorial review the pertinent MRI and US anatomy of the gluteal tendon insertions on the greater trochanter and the adjacent bursae are reviewed. The direct (peritendinitis, tendinosis, partial and complete tear) and indirect (bursal fluid, bony changes and fatty atrophy) MRI signs of gluteal tendon injury are illustrated. The key sonographic findings of gluteal tendinopathy are also discussed.

MeSH terms

  • Arthralgia / etiology*
  • Buttocks / injuries
  • Buttocks / pathology*
  • Diagnosis, Differential
  • Hip Joint* / pathology
  • Humans
  • Image Processing, Computer-Assisted*
  • Magnetic Resonance Imaging*
  • Muscle, Skeletal / injuries
  • Muscle, Skeletal / pathology
  • Rupture
  • Tendinopathy / diagnosis*
  • Tendon Injuries / diagnosis
  • Tendons / pathology
  • Ultrasonography*