The natural history of greater trochanteric pain syndrome: an 11-year follow-up study

BMC Musculoskeletal Disorders

Isaac Knott¹  Luke Bicket²  Julie Cooke³  Angie Fearon⁴ 

[1] Canberra Health Services, 20 Guraguma St, 2617, Bruce, Australia;Faculty of Health, University of Canberra, 11 Kirinari St, 2617, Bruce, ACT, Australia;Faculty of Health, University of Canberra, 11 Kirinari St, 2617, Bruce, ACT, Australia;Research Institute for Sport and Exercise, University of Canberra, 11 Kirinari St, 2617, Bruce, ACT, Australia;Faculty of Health, University of Canberra, 11 Kirinari St, 2617, Bruce, ACT, Australia;Research Institute for Sport and Exercise, University of Canberra, 11 Kirinari St, 2617, Bruce, ACT, Australia;Trauma and Orthopaedic Research Centre at the Canberra Hospital, 2606, Garren, ACT, Australia;

关键词: Greater trochanteric pain syndrome;    GTPS;    hip osteoarthritis;    Hip OA;    hip pain;    bursitis;    Gluteal tendinopathy;    Trochanteric bursitis;    follow-up;    natural history;   

DOI  :  10.1186/s12891-021-04935-w

来源: Springer

【 摘 要 】

BackgroundGreater trochanteric pain syndrome (GTPS) is a musculoskeletal condition which can cause disability and reduce quality of life. However, limited evidence is available on the long-term outcomes of people with GTPS. Our aims were to determine the long-term prevalence of GTPS; to calculate the proportion of people with GTPS who had developed hip osteoarthritis (OA); and to determine the level of function and quality of life, 11-years after initial GTPS diagnosis.MethodsA prospective 11-year natural history study. Two groups [GTPS group (n = 24), asymptomatic control (ASC) group (n = 20)] were evaluated at baseline, 12-months and 11-years. At 11-years all participants completed the modified Harris Hip Score (mHHS), Oswestry Disability Index (ODI) and Assessment of Quality-of-Life questionnaire. At 11-year follow-up 20/24 GTPS and 19/20 ASC participants were clinically assessed for GTPS and hip OA, completed the 10 metre-walk-test, timed up and go, and hip abduction and external rotation strength testing.ResultsAt 11-year follow-up 45.0% of GTPS participants had GTPS compared to 5.3% of ASC participants (p = 0.008), OR [95% CI]: 10.19 [1.95, 104.3], and 35.0% of GTPS participants were clinically diagnosed with hip OA compared to none of the ASC participants (p = 0.002), OR [95% CI]: 21.6, [2.3, 2898.0]. GTPS participants reported more pain and disability than ASC participants via the ODI, mean difference [95% CI]: 6.1 [0.7, 11.6] but not the modified Harris Hip Score, mean difference [95% CI]: -3.3 [-10.3, 3.7]. Both groups had similar levels of quality of life and measures of function.ConclusionsGTPS is a chronic condition: people with GTPS at baseline had twice the odds of being clinically diagnosed with GTPS or hip OA than the control group at 11-years. Further, there appears to be a temporal relationship between GTPS and the development of hip OA. This finding highlights the need to identify effective treatments that address the underlying impairments associated with GTPS. Pain and function results varied depending on the assessment tools used. Between group differences in quality of life seen at baseline are not found at the 11-year follow-up. The small sample size means the results must be considered with caution.Level of EvidenceLevel II Natural history Study.

【 授权许可】

CC BY