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dc.creatorZibis A.H., Mitrousias V.D., Klontzas M.E., Karachalios T., Varitimidis S.E., Karantanas A.H., Arvanitis D.L.en
dc.date.accessioned2023-01-31T11:38:35Z
dc.date.available2023-01-31T11:38:35Z
dc.date.issued2018
dc.identifier10.1007/s00586-018-5486-3
dc.identifier.issn09406719
dc.identifier.urihttp://hdl.handle.net/11615/80999
dc.description.abstractPurpose: The purpose of this study is to point out the difficulty of differentiating great trochanter bursitis (GTB) from sciatica and estimating the prevalence of GTΒ, in patients poorly diagnosed with sciatica in their first visit to the general practitioner and referred to a spine infirmary. Methods: The diagnosis of GTΒ was made based on history and physical examination, and was confirmed by ultrasonography and/or response to an anesthetic plus corticosteroid injection to the trochanteric bursa. Demographic and clinical characteristics of the study group were evaluated. The statistical analysis was held with the SPSS pc package (version 24.0). Results: In a total of 657 referrals for sciatica, 72 patients (10.95%) were incorrectly diagnosed as suffering from sciatica, whereas, in fact, they were suffering from GTΒ. In addition, 18 patients (2.74%) were diagnosed as suffering from persistent sciatica with coexisting GTΒ. More women than men had GTΒ (79–11). Mean age for patients with sciatica diagnosis but suffering from GTΒ was 60 years. Mean age for patients with both sciatica and GTΒ was 61 years. Conclusions: The GTB is a common clinical entity in middle-aged women, which can escape from the physician in cases of incomplete medical history and clinical examination, leading to unnecessary imaging tests and treatment approaches, burdening both the patient and the health system. Early diagnosis of GTB may dramatically reduce cost, prevent unwanted and inappropriate imaging exams and treatment, and make the patient free of symptoms immediately. Graphical abstract: These slides can be retrieved under Electronic Supplementary Material.[Figure not available: see fulltext.]. © 2018, Springer-Verlag GmbH Germany, part of Springer Nature.en
dc.language.isoenen
dc.sourceEuropean Spine Journalen
dc.source.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85045047338&doi=10.1007%2fs00586-018-5486-3&partnerID=40&md5=05a197b102faf858a862f3fe1bb58954
dc.subjectanesthetic agenten
dc.subjectcorticosteroiden
dc.subjectadulten
dc.subjectArticleen
dc.subjectbursitisen
dc.subjectdiagnostic erroren
dc.subjectdifferential diagnosisen
dc.subjectechographyen
dc.subjectfemaleen
dc.subjectgreater trochanteren
dc.subjecthumanen
dc.subjectmajor clinical studyen
dc.subjectmaleen
dc.subjectmedical historyen
dc.subjectmiddle ageden
dc.subjectphysical examinationen
dc.subjectpriority journalen
dc.subjectsciaticaen
dc.subjectstatistical analysisen
dc.subjectsynovial bursaen
dc.subjectbursitisen
dc.subjectfemuren
dc.subjectpathophysiologyen
dc.subjectsciaticaen
dc.subjectBursitisen
dc.subjectDiagnosis, Differentialen
dc.subjectFemaleen
dc.subjectFemuren
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectSciaticaen
dc.subjectSpringer Verlagen
dc.titleGreat trochanter bursitis vs sciatica, a diagnostic–anatomic trap: differential diagnosis and brief review of the literatureen
dc.typejournalArticleen


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