[khanar]

A 27 year old woman who daily runs 5 miles came to the office complaining of increasing pain in her right hip after she recently changed her running route due to construction. She now runs on uneven ground instead of the pavement. On examination pain was reproduced by internal rotation and flexion and direct lateral pressure on the right hip. Range of movement was full. Which of the following structures is most likely involved?

A- Anserine bursa
B- Sacroiliac joint
C- Psoas bursa
D- Ischeal bursa
E- Sciatic nerve
F- Trochanteric bursa

 

[DrRX8]

A 27 year old woman who daily runs 5 miles came to the office complaining of increasing pain in her right hip after she recently changed her running route due to construction. She now runs on uneven ground instead of the pavement. On examination pain was reproduced by internal rotation and flexion and direct lateral pressure on the right hip. Range of movement was full. Which of the following structures is most likely involved?

A- Anserine bursa
B- Sacroiliac joint
C- Psoas bursa
D- Ischeal bursa
E- Sciatic nerve
F- Trochanteric bursa

I would say F, Trochanteric bursa. Running on uneven ground work the gluteus maximus whose fibers rub the trochanteric bursa - a type of "Friction bursitis". Pain on flexion because the Tensor of Fascia Lata (a flexor of the thigh along with iliopsoas) shares a common distal attachment to the anteriolateral tibial condyle of the femur.

 

[Seetal]

I would say F, Trochanteric bursa. Running on uneven ground work the gluteus maximus whose fibers rub the trochanteric bursa - a type of "Friction bursitis". Pain on flexion because the Tensor of Fascia Lata (a flexor of the thigh along with iliopsoas) shares a common distal attachment to the anteriolateral tibial condyle of the femur.[/QUOTE]

are these self-limiting symptoms? what would be the therapeutic advice/treatment?

 

[stepdominator]

Trochanteric bursitis

Answer is def F
Here is a good website, good pictures
http://www.eorthopod.com/content/trochanteric-bursitis-hip

The gluteus maximus attaches to this long tendon. As you walk, the gluteus maximus pulls this tendon over the greater trochanter with each step. When the tendon is tight, it rubs against the bursa. The rubbing causes friction to build in the bursa, leading to irritation and inflammation. Friction can also start if the outer hip muscle (gluteus medius) is weak, if one leg is longer than the other, or if you run on banked (slanted) surfaces.