Greater Trochanteric Bursectomy

Overview

When nonoperative measures such as physical therapy and injections are ineffective for trochanteric bursitis, surgery may be beneficial. Using minimally invasive techniques with an arthroscope, two small incisions (one for a camera and one for a working instrument) are made over the lateral (outside) thigh over the bony prominence called the greater trochanter. A small incision is made in the iliotibial band and the inflamed bursa tissue is resected using a shaver. The tendons of the gluteus medius and minimus can also be inspected at this time to look for any partial tendon tears. In cases of external snapping hip (snapping sensation on the outside part of your hip), an iliotibial band lengthening may be performed by making a cruciform incision in the iliotibial (IT) band in order for the IT band to scar in a more lengthened position. A greater trochanteric bursectomy may also be included with a standard hip arthroscopy as well.

Potential Implications

Blood loss, infection, damage to blood vessels or nerves, failure of repair, deep vein thrombosis (DVT), and need for additional surgery.