Endoscopic iliotibial band release and trochanteric bursectomy for recalcitrant greater trochanteric pain syndrome: a randomised controlled trial comparing operative to nonoperative management and their outcomes on pain and function

Western Health0 个研究点目标入组 90 人开始时间: 2015年11月9日最近更新: 2020年1月13日

适应症

试验速览

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•Adult patients (age >18yrs)
•GTPS diagnosed clinically by the principal investigator (according to following criteria – must have 1 & 2, as well as one of 3-5):
•1.History of aching pain on lateral aspect of hip
•2.Distinct tenderness about the greater trochanter
•3.Pain at extremes of hip rotation
•4.Pain on strong contraction of hip abductors
•5.Pseudoradiculopathy (pain radiating down lateral thigh)
•Have had minimum 6 months of symptoms
•Failed minimum of 6 months of non-operative treatment for their symptoms (rest/physiotherapy/corticosteroid injection)
•Have had minimum one previous corticosteroid injection into area of affected hip (not intra-articular)
•Have optimised non-operative management (e.g. on appropriate analgesics, have medical comorbidities well controlled)
•Have an ultrasound or MRI scan showing signs of GTPS (gluteal tendinopathy, bursitis) without a full thickness gluteal muscle or tendon tear
•Have had hip x-ray prior to intervention showing no or mild arthritis (Tonnis grade 0 or 1)
•Have no clinical signs of other pathology not related to GTPS that can cause lateral hip/thigh or groin pain on their affected side

•Any previous surgery on affected hip (e.g. arthroscopy, total hip replacement)
•Other pathology involving affected hip region that can mimic pain of GTPS, for example:
•Moderate to severe hip arthritis (Tonnis grade 2-3)
•Labral tear
•Femoroacetabular impingement
•Lumbar radiculopathy
•Hip dysplasia
•Fibromyalgia
•Full thickness gluteal muscle tear on affected side (diagnosed clinically and on US/MRI)
•Does not speak English
•Unable to complete questionnaires due to mental/physical comorbidities
•Person is known to have a psychological, developmental, physical, emotional or social disorder that may interfere with compliance with study requirements

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