This trial is active, not recruiting.

Condition greater trochanteric pain syndrome
Sponsor Massachusetts General Hospital
Start date June 2012
End date August 2015
Trial size 120 participants
Trial identifier NCT01642043, 2012p001126


Greater trochanteric pain syndrome (GTPS) is a common cause of musculoskeletal pain.

The primary aim of this study is to describe the soft tissue and bony structural ultrasound (US) findings identified in the lateral hip and iliotibial band (ITB) in patients presenting with greater trochanteric pain syndrome (GTPS) in an outpatient rheumatology clinic.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Observational model cohort
Time perspective prospective

Primary Outcomes

Descriptive diagnostic ultrasound findings of the bony and soft tissue structures of the lateral hip and iliotibial band
time frame: Baseline

Secondary Outcomes

Pain with rest measured by a numeric rating scale
time frame: Baseline and 2 weeks
Pain with activity as measured by a numeric rating scale
time frame: Baseline and 2 weeks
Demographics- composite
time frame: Baseline
Pressure point threshold as measured by an algometer
time frame: Baseline
Clinical data: Predictors of treatment response- composite
time frame: Baseline

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: - Lateral hip pain thought to be due to GTPS as evidenced by tenderness to palpation of the lateral hip over the greater trochanter - Have a pain score of at least 2 out of 10 on an 11-point numeric rating scale - Lateral hip pain for at least 1 week - For participants with bilateral GTPS, the most symptomatic hip will be considered the study hip - Have a telephone Exclusion Criteria: - Inability to give informed consent - BMI > 40 - Evidence of severe OA of the study hip by X-ray - Avascular necrosis of the study hip - Groin pain at rest or with log-rolling - Hip internal rotation range of motion < 15 degrees - Prior fracture involving the study hip or femur - Prior hip surgery or prosthesis in the painful hip - Paralysis or paresis of the lower extremity - Wheelchair bound - Open wound or skin lesions in the lateral hip

Additional Information

Official title Point-of-Care Ultrasound in Greater Trochanteric Pain Syndrome (GTPS)
Principal investigator Minna J. Kohler, M.D.
Description GTPS, widely known as trochanteric bursitis, encompasses a spectrum of disorders (gluteal tendinopathy, tears, bursitis, and ITB syndrome) that are difficult to distinguish by clinical exam alone. Better understanding of US imaging characteristics in relation to clinical symptoms may be helpful in identifying those patients who would most benefit from corticosteroid injections and other non-operative treatment options. Point-of-care musculoskeletal US use has been shown to reduce repeated hospital appointments, improve accuracy of diagnosis, and provide expedited treatment, thus improving quality of care in an outpatient musculoskeletal clinic. US assessment is not routinely included in the management of GTPS patients and ideal imaging modalities are not established.
Trial information was received from ClinicalTrials.gov and was last updated in April 2015.
Information provided to ClinicalTrials.gov by Massachusetts General Hospital.