Authors: A M Fearon J M Scarvell J L Cook P N Smith
Publish Date: 2009/11/26
Volume: 468, Issue: 7, Pages: 1838-1844
Abstract
Using surgical and histopathology findings as a gold standard we therefore determined the positive predictive value of preoperative ultrasound assessment for greater trochanteric pain syndrome recalcitrant to nonoperative management In addition we report the outcomes of gluteal tendon reconstructive surgery using validated clinical and functional outcome tools and evaluate the contribution of the tendon and bursa to greater trochanteric pain syndromeWe reviewed 24 patients who had combined gluteal tendon reconstruction and bursectomy Preoperative ultrasound imaging was compared with surgical findings In the absence of a greater trochanteric pain syndrome specific outcome tool surgical outcomes for pain and function were assessed via a 100mm visual analog scale the modified Harris hip score and the Oswestry Disability Index Strength also was measured The tendon and bursa tissue collected at surgery was histopathologically reviewedThe surgery was performed at the Calvary John James Memorial Hospital Deakin ACT The clinical assessments were performed at Canberra Hospital Woden ACT The pathology was performed at Capital Pathology Deakin ACT The imaging was performed by Canberra Imaging Group ACT
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