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Chapter-275 Soft Tissue Lesions around the Hip

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Babhulkar Sudhir
2. Patil D
ISBN
9789385891052
DOI
10.5005/jp/books/12869_276
Edition
3/e
Publishing Year
2016
Pages
2
Author Affiliations
1. Sushrut Hospital and Research Centre, Nagpur, India, Sushrut Hospital and Research Centre, Ramdaspeth, Nagpur, Indira Gandhi Medical College and Mayo General Hospital, Nagpur, Maharashtra, India; Sushrut Hospital, Research Center and Postgraduate Institute of Orthopedics, Nagpur, Maharashtra, India, Indira Gandhi Medical College, Nagpur, Maharashtra, India; Sushrut Hospital, Research Center and Postgraduate Institute of Orthopedics, Nagpur, Maharashtra, India, E-mail: sudhirbabhulkar@gmail.com, Sushrut Institute of Medical Sciences, Nagpur, Maharashtra, India, Sushrut Hospital, Research Centre and Postgraduate Institute of Orthopedics, Nagpur, Maharashtra, India
2. Sushrut Hospital and Research Centre, Ramdas Peth, Nagpur, Sushrut Hospital and Research Centre, Ramdas Peth, Nagpur, Maharashtra, India
Chapter keywords
Soft tissue lesion, bursitis, trochanteric bursa, iliopectineal bursa, ischiogluteal bursa, subgluteal bursa, adventitious bursa, snapping hip

Abstract

This chapter discusses the soft tissue lesions around the hip. The main focus of this chapter is on bursitis and snapping hip. Bursa is a sac lined by synovial membrane. Bursae are found between tendons and muscles or over a bony prominence. There are around 13 bursae present around the hip. Trochanteric, iliopectineal, ischiogluteal, subgluteal and adventitious bursa are the most constant bursae around the hip. They are subjected to all the inflammatory conditions like infections, nonspecific inflammations, rheumatoid arthritis and gout. Snapping is an audible or palpable, invisible snap on the lateral aspect of hip, as tight fascia band slips over the prominence of the greater trochanter. Usually, it causes no inconvenience to the patient. Usually, no treatment is required as the patient has little inconvenience with snapping. The patient should be explained the cause of snapping. Conservative treatment consists of local injections, activity modification, etc. Surgical treatment is considered only if symptoms persist.

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