Dynamic ultrasound-guided trochanteric bursal injection

Skeletal Radiol. 2020 Jul;49(7):1155-1158. doi: 10.1007/s00256-020-03411-1. Epub 2020 Mar 31.

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.

Keywords: Greater trochanteric bursa; Injection; Ultrasound; Ultrasound-guided injection.

MeSH terms

  • Anesthetics, Local / administration & dosage*
  • Arthralgia / drug therapy*
  • Bursa, Synovial
  • Bursitis / drug therapy*
  • Hip Joint / diagnostic imaging*
  • Humans
  • Injections, Intralesional
  • Needles*
  • Pain Management
  • Patient Positioning
  • Steroids / administration & dosage*
  • Tendinopathy / drug therapy*
  • Ultrasonography, Interventional*

Substances

  • Anesthetics, Local
  • Steroids