Point-of-Care Ultrasound in Greater Trochanteric Pain Syndrome (GTPS)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Descriptive diagnostic ultrasound findings of the bony and soft tissue structures of the lateral hip and iliotibial band
研究概览
简要总结
Greater trochanteric pain syndrome (GTPS) is a common cause of musculoskeletal pain.
The primary aim of this study is to describe the soft tissue and bony structural ultrasound (US) findings identified in the lateral hip and iliotibial band (ITB) in patients presenting with greater trochanteric pain syndrome (GTPS) in an outpatient rheumatology clinic.
详细描述
GTPS, widely known as trochanteric bursitis, encompasses a spectrum of disorders (gluteal tendinopathy, tears, bursitis, and ITB syndrome) that are difficult to distinguish by clinical exam alone. Better understanding of US imaging characteristics in relation to clinical symptoms may be helpful in identifying those patients who would most benefit from corticosteroid injections and other non-operative treatment options.
Point-of-care musculoskeletal US use has been shown to reduce repeated hospital appointments, improve accuracy of diagnosis, and provide expedited treatment, thus improving quality of care in an outpatient musculoskeletal clinic. US assessment is not routinely included in the management of GTPS patients and ideal imaging modalities are not established.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Lateral hip pain thought to be due to GTPS as evidenced by tenderness to palpation of the lateral hip over the greater trochanter
- •Have a pain score of at least 2 out of 10 on an 11-point numeric rating scale
- •Lateral hip pain for at least 1 week
- •For participants with bilateral GTPS, the most symptomatic hip will be considered the study hip
- •Have a telephone
排除标准
- •Inability to give informed consent
- •BMI > 40
- •Evidence of severe OA of the study hip by X-ray
- •Avascular necrosis of the study hip
- •Groin pain at rest or with log-rolling
- •Hip internal rotation range of motion < 15 degrees
- •Prior fracture involving the study hip or femur
- •Prior hip surgery or prosthesis in the painful hip
- •Paralysis or paresis of the lower extremity
- •Wheelchair bound
- •Open wound or skin lesions in the lateral hip
结局指标
主要结局
Descriptive diagnostic ultrasound findings of the bony and soft tissue structures of the lateral hip and iliotibial band
时间窗: Baseline
Presence of tendinopathy, tendon tears, bursitis, enthesophytes, calcifications
次要结局
- Demographics- composite(Baseline)
- Pressure point threshold as measured by an algometer(Baseline)
- Pain with activity as measured by a numeric rating scale(Baseline and 2 weeks)
- Clinical data: Predictors of treatment response- composite(Baseline)
- Pain with rest measured by a numeric rating scale(Baseline and 2 weeks)
研究者
Minna Jean Kohler
Director, Musculoskeletal Ultrasound- Division of Rheumatology, Allergy, and Immunology
Massachusetts General Hospital