Greater trochanteric pain syndrome

Sports Med Arthrosc Rev. 2010 Jun;18(2):113-9. doi: 10.1097/JSA.0b013e3181e0b2ff.


Originally defined as "tenderness to palpation over the greater trochanter with the patient in the side-lying position," greater trochanteric pain syndrome (GTPS) as a clinical entity, has expanded to include a number of disorders of the lateral, peritrochanteric space of the hip, including trochanteric bursitis, tears of the gluteus medius and minimus and external coxa saltans (snapping hip). Typically presenting with pain and reproducible tenderness in the region of the greater trochanter, buttock, or lateral thigh, GTPS is relatively common, reported to affect between 10% and 25% of the general population. Secondary to the relative paucity of information available on the diagnosis and management of components of GTPS, the presence of these pathologic entities may be underrecognized, leading to extensive workups and delays in appropriate treatment. This article aims to review the present understanding of the lesions that comprise GTPS, discussing the relevant anatomy, diagnostic workup and recommended treatment for trochanteric bursitis, gluteus medius and minimus tears, and external coxa saltans.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Bursitis / diagnosis
  • Bursitis / surgery
  • Bursitis / therapy*
  • Cartilage, Articular / pathology*
  • Female
  • Femoral Fractures / diagnosis
  • Femoral Fractures / pathology
  • Femoral Fractures / therapy*
  • Femur / anatomy & histology
  • Femur / pathology*
  • Femur / surgery
  • Hip / anatomy & histology
  • Hip / pathology*
  • Hip Joint / pathology*
  • Hip Joint / surgery
  • Humans
  • Male
  • Middle Aged
  • Osteoarthritis, Hip / pathology*
  • Osteoarthritis, Hip / surgery
  • Pain / diagnosis
  • Pain Management*
  • Syndrome
  • Tendon Injuries / pathology
  • Tendon Injuries / surgery
  • Treatment Outcome
  • Young Adult