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Greater trochanteric pain syndrome (GTPS), a form of bursitis, is inflammation of the trochanteric bursa, a part of the hip. This bursa is at the top, outer side of the femur, between the insertion of the gluteus medius and gluteus minimus muscles into the greater trochanter of the femur and the femoral shaft. It has the function, in common ...
Trochanteric fractures are subdivided into either intertrochanteric (between the greater and lesser trochanter [18]) or pertrochanteric (through the trochanters [18] [19]) by the Müller AO Classification of fractures. [20] Practically, the difference between these types is minor. The terms are often used synonymously.
The greater trochanter of the femur is a large, irregular, quadrilateral eminence and a part of the skeletal system. It is directed lateral and medially and slightly posterior. In the adult it is about 2–4 cm lower than the femoral head. [1] Because the pelvic outlet in the female is larger than in the male, there is a greater distance ...
In 1949, Phemister described a variation on the technique where the graft tissue was inserted into the base of the greater trochanter and femoral neck in order to treat osteonecrosis. [6] A 1967 study found the original Phemister graft to be more effective than the cortical sliding graft and cancellous graft for fractures of the tibia. [7]
In early skeletal development, a common physis serves the greater trochanter and the capital femoral epiphysis. This physis divides as growth continues in a balance that favors the capital epiphysis and creates a normal neck shaft angle (angle between the femoral shaft and the neck). The corresponding angle at maturity is 135 ± 7 degrees.
Greater trochanteric avulsion injury; Fracture or non-union of the femoral neck; Coxa vara (the angle between the femoral neck head and shaft is less than 120 degrees) Damage to the hip joint (fulcrum); chronic or developmental hip dislocation/dysplasia Avascular necrosis; Legg–Calvé–Perthes disease; Developmental dysplasia; Chronic infection
Normally the greater trochanter of the femur lies below this line, but in cases of iliac joint dislocation [1] of the hip or fracture of the neck of the femur the trochanter is felt above or in the line. [2] Though the line can be of help for diagnosis of fractures, its practical value is disputed. [3]
For low-grade fractures (Garden types 1 and 2), standard treatment is fixation of the fracture in situ with screws or a sliding screw/plate device. In elderly patients with displaced or intracapsular fractures many surgeons prefer to undertake a hemiarthroplasty , replacing the broken part of the bone with a metal implant.
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