Point-of-Care Ultrasound in Greater Trochanteric Pain Syndrome

Completed

• Conditions: Greater Trochanteric Pain Syndrome

• Registration Number: NCT01642043
• Lead Sponsor: Massachusetts General Hospital

Brief Summary

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.

Detailed Description

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.

Study Timeline

• Study Start: 2012-06
• Study First Submitted: 2012-07-11
• Study First Submitted QC: 2012-07-13
• Study First Posted: 2012-07-17
• Primary Completion: 2015-08
• Study Completion: 2015-08
• Status Verified: 2022-08
• Last Update Submitted: 2022-08-24
• Last Update Posted: 2022-08-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• 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

Exclusion Criteria

• 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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Descriptive diagnostic ultrasound findings of the bony and soft tissue structures of the lateral hip and iliotibial band	Baseline	Presence of tendinopathy, tendon tears, bursitis, enthesophytes, calcifications

Secondary Outcome Measures

Name	Time	Method
Demographics- composite	Baseline	age, gender, race/ethnicity, education, occupation, comorbidities, overall health status.
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	* Duration of pain; * Body Mass Index; * Physical exam findings; * Treatments tried in the past; * Presence of back pain
Pain with rest measured by a numeric rating scale	Baseline and 2 weeks

Trial Locations

Locations (1)

Massachusetts General Hospital; 🇺🇸 Boston, Massachusetts, United States