Surgical vs nonsurgical management for severe chronic greater trochanteric pain syndrome: a randomised controlled trial

Not Applicable

Recruiting

• Conditions: Greater trochanteric pain syndrome; Musculoskeletal - Other muscular and skeletal disorders; Surgery - Other surgery

• Registration Number: ACTRN12615001217594
• Lead Sponsor: Western Health

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2015-11-09
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 90

Inclusion Criteria

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

Exclusion Criteria

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

Study & Design

• Study Type: Interventional
• Study Design: Not specified