Skip to main content
SpringerLink
Log in

Dynamic ultrasound-guided trochanteric bursal injection

  • Technical Report
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

Injection of steroid and anesthetic into the greater trochanteric bursa is commonly performed for trochanteric bursitis, gluteus medius/minimus tendinopathy, or as a part of a barbotage procedure for gluteus medius or minimus calcific tendonosis. Trochanteric bursal injection is widely performed both with and without image guidance, and is typically viewed as low-difficulty; however optimum needle tip position can be challenging. We discuss a simple dynamic technique to aid the practitioner in optimal needle placement.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Chang K-V, Wu W-T, Lew HL, Özçakar L. Ultrasound imaging and guided injection for the lateral and posterior hip. Am J Phys Med Rehabil. 2018;97(4):285–91.

    Article  Google Scholar 

  2. Board TN, Hughes SJ, Freemont AJ. Trochanteric bursitis: the last great misnomer. Hip International. 2014;24(6):610–5.

    Article  Google Scholar 

  3. Rowbotham EL, Grainger AJ. Ultrasound-guided intervention around the hip joint. Am J Roentgenol. 2011;197(1):W122–7.

    Article  Google Scholar 

  4. Mu A, Peng P, Agur A. Landmark-guided and ultrasound-guided approaches for trochanteric bursa injection: a cadaveric study. Anesth Analg. 2017;124(3):966–71.

    Article  Google Scholar 

  5. Cheng J, Abdi S. Complications of joint, tendon, and muscle injections. Tech Reg Anesth Pain Manag. 2007;11(3):141–7.

    Article  Google Scholar 

  6. Blaichman JI, Chan BY, Michelin P, Lee KS. US-guided musculoskeletal interventions in the hip with MRI and US correlation. RadioGraphics. 2020;40(1):181–99.

    Article  Google Scholar 

  7. McEvoy JR, Lee KS, Blankenbaker DG, Rio AMD, Keene JS. Ultrasound-guided corticosteroid injections for treatment of greater trochanteric pain syndrome: greater trochanter bursa versus subgluteus medius bursa. Am J Roentgenol. 2013;201(2):W313–7.

    Article  Google Scholar 

  8. Beck M, Sledge JB, Gautier E, Dora CF, Ganz R. The anatomy and function of the gluteus minimus muscle. J Bone Joint Surg Br. 2000;82(3):358–63.

    Article  CAS  Google Scholar 

  9. Al-Hayani A. The functional anatomy of hip abductors. Folia Morphol (Warsz). 2009;68(2):98–103.

    CAS  Google Scholar 

  10. Pfirrmann CW, Chung CB, Theumann NH, Trudell DJ, Resnick D. Greater trochanter of the hip: attachment of the abductor mechanism and a complex of three bursae—MR imaging and MR bursography in cadavers and MR imaging in asymptomatic volunteers. Radiology. 2001;221(2):469–77.

    Article  CAS  Google Scholar 

  11. Sher I, Umans H, Downie SA, Tobin K, Arora R, Olson TR. Proximal iliotibial band syndrome: what is it and where is it? Skelet Radiol. 2011;40(12):1553.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, St Paul’s Hospital, University of British Columbia, Vancouver, BC, V5Z 1M9, Canada

    Timothy É. Murray, David Roberts, Bishum Rattan, Darra T. Murphy & Mark Cresswell

Authors
  1. Timothy É. Murray
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. David Roberts
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Bishum Rattan
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Darra T. Murphy
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mark Cresswell
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Timothy É. Murray.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Murray, T.É., Roberts, D., Rattan, B. et al. Dynamic ultrasound-guided trochanteric bursal injection. Skeletal Radiol 49, 1155–1158 (2020). https://doi.org/10.1007/s00256-020-03411-1

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-020-03411-1

Keywords

Search

Navigation