Point-of-Care Ultrasound in Greater Trochanteric Pain Syndrome

Greater Trochanteric Pain Syndrome Clinical Trial

Official title:

Point-of-Care Ultrasound in Greater Trochanteric Pain Syndrome (GTPS)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01642043
• Other study ID #: 2012p001126
• Status: Completed
• Start date: June 2012
• Est. completion date: August 2015

Study information

• Verified date: August 2022
• Source: Massachusetts General Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Greater trochanteric pain syndrome (GTPS) is a common cause of musculoskeletal pain.

The primary aim of this study is to describe the soft tissue and bony structural ultrasound (US) findings identified in the lateral hip and iliotibial band (ITB) in patients presenting with greater trochanteric pain syndrome (GTPS) in an outpatient rheumatology clinic.

Description:

GTPS, widely known as trochanteric bursitis, encompasses a spectrum of disorders (gluteal tendinopathy, tears, bursitis, and ITB syndrome) that are difficult to distinguish by clinical exam alone. Better understanding of US imaging characteristics in relation to clinical symptoms may be helpful in identifying those patients who would most benefit from corticosteroid injections and other non-operative treatment options.

Point-of-care musculoskeletal US use has been shown to reduce repeated hospital appointments, improve accuracy of diagnosis, and provide expedited treatment, thus improving quality of care in an outpatient musculoskeletal clinic. US assessment is not routinely included in the management of GTPS patients and ideal imaging modalities are not established.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 100
• Est. completion date: August 2015
• Est. primary completion date: August 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Lateral hip pain thought to be due to GTPS as evidenced by tenderness to palpation of the lateral hip over the greater trochanter

• Have a pain score of at least 2 out of 10 on an 11-point numeric rating scale

• Lateral hip pain for at least 1 week

• For participants with bilateral GTPS, the most symptomatic hip will be considered the study hip

• Have a telephone

Exclusion Criteria:

• Inability to give informed consent

• BMI > 40

• Evidence of severe OA of the study hip by X-ray

• Avascular necrosis of the study hip

• Groin pain at rest or with log-rolling

• Hip internal rotation range of motion < 15 degrees

• Prior fracture involving the study hip or femur

• Prior hip surgery or prosthesis in the painful hip

• Paralysis or paresis of the lower extremity

• Wheelchair bound

• Open wound or skin lesions in the lateral hip

Related Conditions & MeSH terms

• Bursitis
• Greater Trochanteric Pain Syndrome
• Somatoform Disorders
• Syndrome

Locations

Country	Name	City	State
United States	Massachusetts General Hospital	Boston	Massachusetts

Sponsors (1)

Lead Sponsor	Collaborator
Massachusetts General Hospital

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Descriptive diagnostic ultrasound findings of the bony and soft tissue structures of the lateral hip and iliotibial band	Presence of tendinopathy, tendon tears, bursitis, enthesophytes, calcifications	Baseline
Secondary	Pain with rest measured by a numeric rating scale		Baseline and 2 weeks
Secondary	Pain with activity as measured by a numeric rating scale		Baseline and 2 weeks
Secondary	Demographics- composite	age, gender, race/ethnicity, education, occupation, comorbidities, overall health status.	Baseline
Secondary	Pressure point threshold as measured by an algometer		Baseline
Secondary	Clinical data: Predictors of treatment response- composite	Duration of pain; Body Mass Index; Physical exam findings; Treatments tried in the past; Presence of back pain	Baseline