Symptoms of bursitis of the greater trochanter of the femur

The symptoms of bursitis of the greater trochanter of the femur are as follows, mostly unilateral, with localized swelling, frequent disappearance of the posterior depression of the greater trochanter, and abnormal fullness of the lateral aspect of the hip joint. The hip joint is painful when moving. Early in the lesion, there is often a rubbing sensation or a rubbing sound is heard, and there is limited pressure pain but no fluctuating sensation. In order to relieve the pain, the affected hip is often held in the flexed, abducted and externally rotated position, and the range of motion of the hip joint is not restricted. Passive movement of the hip joint may occasionally cause a sensation of rustling friction or popping symptoms in the greater trochanter. The above symptoms are due to the friction between the gluteus maximus tendon and the greater trochanter, and the bursa becomes congested, edematous and exudates, which enlarges the bursa cavity and causes local symptoms. Treatment includes bed rest and local physical therapy in the acute stage, and cortisone closure injection in severe cases.