Review Article Open Access

Treatment of Greater Trochanteric Pain Syndrome A Systematic Review

Abstract

Greater trochanteric pain syndrome (GTPS) is a clinical syndrome of lateral hip pain, including soft tissue pathologies such as trochanteric bursitis, external snapping hip, or gluteal tendon pathology. The aim of this systematic review is to determine the current evidence for the management of GTPS. The data bases of Scopus, Embase, Web of science, PubMed, PubMed Central, Medline OVID, CINAHL, UpToDate, Google Scholar, and Trip Medical Database were searched up to January 31, 2020. Human studies and original research in English language, published between January 2000 and January 2020 were considered (full-text articles, minimum sample size: 10 participants). Review articles or trial registrations were removed, but screened for additional literature. The sample size was 1570 patients (mean age 54.8 years, mean BMI 27.1). The gender ratio (female/male) was 3.8:1. There is good evidence for the short-term use of corticosteroid injections in GTPS but no evidence for benefit in the longer term. There is emerging evidence that exercise therapy is beneficial, but no specific GTPS exercise program has been established based on evidence to date. There is limited moderate evidence for SWT and low levels of evidence for any specific surgical intervention. Future research should aim to specify the diagnosis within the symptom complex of GTPS.

Andreas Ladurner*

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