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Orthopaedic Proceedings
Vol. 103-B, Issue SUPP_4 | Pages 97 - 97
1 Mar 2021
Reimer L Jacobsen JS Mechlenburg I
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Greater trochanteric pain syndrome (GTPS) is a common and disabling hip condition. Hypermobility has been suggested as a possible cause of GTPS. The purpose of this study was to report the prevalence of hypermobility and to investigate its impact on hip-related function and awareness in patients with GTPS. This cross-sectional study was based on a cohort of patients diagnosed with GTPS in the 2013–2015 period. Hypermobility was investigated with the Beighton Score and defined by a cut-off score ≥5. Data on patients' current hip function and awareness were collected with the questionnaires the Copenhagen Hip and Groin Outcome Score and the Forgotten Joint Score. A total of 612 patients with GTPS were identified based on the diagnosis system; out of those, 390 patients were assessed for eligibility, and 145 (37%) were included. The prevalence of hypermobility within this cohort was estimated to be 11% (95% confidence interval (CI): 3–26%) for males and 25% (95% CI: 17–34%) for females. No significant association was found between hypermobility and self- reported hip function and awareness. We recommend that future studies of GTPS will include hypermobility and investigate the consequences of hypermobility among patients with GTPS


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XVIII | Pages 98 - 98
1 May 2012
Dando M Sparkes V
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Aim

To identify differences in hip muscle strength, knee valgus during a single leg squat (SLS),and function between subjects with Greater Trochanter Pain Syndrome (GTPS) and healthy(H) subjects. To determine associations between pain, function, hip strength and SLS in GPTS subjects. Study Design: Observational study of 14 (3 male 11 female) PFP patients (mean symptom duration 17 months), matched for age height and weight with 14 healthy (H) subjects, All subjects fulfilled specific inclusion and exclusion criteria. Appropriate Ethical approval was obtained. Measures for both groups were Knee valgus angle during SLS using 2D motion capture and SiliconCoach software for measurement of knee valgus angles, hip abduction, internal and external rotation muscle strength using hand held dynamometry, visual analogue scale for pain. Lower Extremity Functional Scale (LEFS). All measures were taken on the affected leg for GPTS subjects and matched for the equivalent leg in healthy group. Strength was reported as a percentage of body weight. SiliconCoach was reliable for intra-rater reliability of knee valgus angle (ICC.996).

Results

There were no significant differences in age, height and weight (p=.85,.57,.51 respectively). Significant differences existed in hip abduction strength p=.005(GPTS13.72 (7.65), H21.49 (5.55)) and LEFS p=0.001(GPTS 57.28(16.55), H76.92(4.44)). There were no significant differences in internal and external rotation and knee valgus angles p=.509, p=.505, p=.159 respectively. There was a negative correlation between pain and function r=.879) p=0.001) and a moderate positive correlation between function and hip abduction strength r=.428 (p=.127).

This preliminary study shows that patients with GPTS have reduced strength in hip abductor musculature when compared to healthy subjects. This may be due to pain inhibition; however the true causes of pain need to be determined. Pain and to a lesser extent hip abductor strength appears to have an effect on function in GPTS patients. In summary the results indicate that hip abductor muscle strengthening and management strategies to reduce pain should be included in the rehabilitation programmes of patients with GPTS. Further research with larger numbers of subjects should be developed to investigate this subject.