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Spinopelvic parameters in greater trochanteric pain syndrome: a retrospective case-control study

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Abstract

Purpose

Greater trochanteric pain syndrome (GTPS) is a condition resulting in lateral hip pain, most commonly caused by tendinosis or tear of the gluteus medius and minimus tendons, and greater trochanteric bursitis. Our aim was to assess pelvic parameters and proximal femoral anatomy in patients suffering from surgical-stage GTPS compared with a control group.

Methods

This retrospective, case-control study assessed 43 patients suffering from GTPS, matched according to age, gender, body mass index and level of sport and physical activity to 43 control patients, between 2013 and 2018. Pelvic parameters, including pelvic incidence (PI), pelvic tilt (PT) and sacral slope (SS), and proximal femoral anatomy, including femoral offset (FO) and neck-shaft angle (NSA), were measured using the EOS Imaging™ system.

Results

GTPS patients had a significantly lower mean (± SD) SS than control patients (33.1 ± 10.4 vs. 39.6 ± 9.7°, respectively; p < 0.05). There was no significant difference in PT (21.3 ± 7.1 vs. 19.0 ± 7.2°), PI (53.5 ± 11.6 vs. 57.7 ± 10.5°), FO (40.4 ± 8 vs. 42.2 ± 6.8°) or NSA (125.1 ± 5.8 vs. 124.4 ± 4.7°). There was no difference in lower back pain symptoms in a subgroup analysis of GTPS patients.

Conclusions

Sacral slope was lower in patients with surgical-stage GTPS than in asymptomatic hip patients, using the EOS Imaging™ system.

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Abbreviations

GTPS:

Greater trochanteric pain syndrome

GT:

Greater trochanter

MRI:

Magnetic resonance imaging

BMI:

Body mass index

UCLA:

University of California, Los Angeles

LBP:

Lower back pain

PI:

Pelvic incidence

PT:

Pelvic tilt

SS:

Sacral slope

FO:

Femoral offset

NSA:

Neck-shaft angle

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Authors and Affiliations

  1. Ramsay Générale de Santé, Hôpital Privé Jean Mermoz, Centre Orthopédique Santy, 24 Avenue Paul Santy, 69008, Lyon, France

    Robin Canetti, Benoit de Saint Vincent, Thais D. Vieira, Vincent Fière & Mathieu Thaunat

Authors
  1. Robin Canetti
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  2. Benoit de Saint Vincent
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  3. Thais D. Vieira
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  4. Vincent Fière
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  5. Mathieu Thaunat
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Corresponding author

Correspondence to Mathieu Thaunat.

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Mathieu Thaunat is consultant for Arthrex Company. All other authors declare that they have no conflict of interest.

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Canetti, R., de Saint Vincent, B., Vieira, T.D. et al. Spinopelvic parameters in greater trochanteric pain syndrome: a retrospective case-control study. Skeletal Radiol 49, 773–778 (2020). https://doi.org/10.1007/s00256-019-03359-x

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  • DOI: https://doi.org/10.1007/s00256-019-03359-x

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