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Greater Trochanteric Pain Syndrome (GTPS) and Iliopsoas Bursitis

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Clinical Atlas of Bone SPECT/CT

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Abstract

The greater trochanteric pain syndrome (GTPS) (previously termed trochanteric bursitis) is a clinical syndrome defined by chronic lateral hip pain. In contrast, iliopsoas bursitis causes anterior hip and groin pain. Both entities are caused by repetitive trauma or overuse and involve inflammation of the hip’s bursae. While ultrasound is the preferred first-line imaging test to diagnose bursitis, many other conditions can produce similar symptoms, and bone SPECT/CT can rule out other pain generators and assess the involvement of entheses in the inflammatory process. In addition, careful assessment of the CT part of the study can provide clues to the coexistence of bursitis and impact subsequent workup and management. This chapter discusses the role of different imaging modalities in diagnosing GTPS and iliopsoas bursitis.

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Author information

Authors and Affiliations

  1. Department of Nuclear Medicine, All India Institute of Medical Sciences, Bhubaneswar, India

    Kanhaiyalal Agrawal & Tejasvini Singhal

  2. Consultant Musculoskeletal Radiologist, Royal Free London NHS Foundation Trust, London, UK

    Geoffrey Chow & Thomas Armstrong

  3. Department of Nuclear Medicine, Antwerp University Hospital, Edegem, Belgium

    Tim Van den Wyngaert

  4. Faculty of Medicine and Health Sciences (MICA – IPPON), University of Antwerp, Wilrijk, Belgium

    Tim Van den Wyngaert

Authors
  1. Kanhaiyalal Agrawal
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  2. Tejasvini Singhal
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  3. Geoffrey Chow
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  4. Thomas Armstrong
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  5. Tim Van den Wyngaert
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Corresponding author

Correspondence to Kanhaiyalal Agrawal .

Editor information

Editors and Affiliations

  1. Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium

    Tim Van den Wyngaert

  2. Department of Nuclear Medicine, Royal Free London NHS Foundation Trust, London, UK

    Gopinath Gnanasegaran

  3. Department of Radiology and Nuclear Medicine, Luzerner Kantonsspital, Lucerne, Switzerland

    Klaus Strobel

Section Editor information

  1. Royal Free London NHS Foundation Trust, London, United Kingdom

    Arum Parthipun

  2. Royal Free London Hospital, London, UK

    Malavika Nathan

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Agrawal, K., Singhal, T., Chow, G., Armstrong, T., Van den Wyngaert, T. (2023). Greater Trochanteric Pain Syndrome (GTPS) and Iliopsoas Bursitis. In: Van den Wyngaert, T., Gnanasegaran, G., Strobel, K. (eds) Clinical Atlas of Bone SPECT/CT. Springer, Cham. https://doi.org/10.1007/978-3-031-26449-8_231

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  • DOI: https://doi.org/10.1007/978-3-031-26449-8_231

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-26448-1

  • Online ISBN: 978-3-031-26449-8

  • eBook Packages: MedicineReference Module Medicine

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