A consideration about the mechanism of greater trochanteric pain syndrome in soccer player

Sugiyama T, Ishikawa T, Miyake H, Himi R

doi:10.57474/jjcsm.32.1_154

We present two cases of soccer players with greater trochanteric pain syndrome (GTPS).Case 1 had a nontraumatic onset triggered by a kicking motion, and Case 2 had a traumatic onset triggered by contusion of the greater trochanter due to a diving motion. However, the pain in Case 2 worsened with long kicks. The injury was on the pivot leg side in both cases. Physical examinations in both cases revealed tenderness on the greater trochanter, pain on hip abduction against resistance, limited hip internal rotation range of motion, trunk muscle weakness, and a positive Ober test. Only Case 2 had muscle weakness of the gluteus medius. Magnetic resonance imaging-short-TI inversion recovery revealed no high signals in the gluteus minimus or gluteus medius tendons, however high signals in the greater trochanteric bursa were observed.We hypothesized the mechanism of GTPS in these cases as follows. During the kicking motion, the pivot legʼs pelvis was laterally deviated due to muscle weakness of the gluteus medius and trunk (Case1: trunk, Case2: gluteus medius and trunk), and its iliotibial band was stretched. Therefore, hip flexion/extension and internal/external rotation caused friction of the greater trochanteric bursa between the greater trochanter and iliotibial ligament.

A consideration about the mechanism of greater trochanteric pain syndrome in soccer player

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