Trochanteric Bursectomy with Iliotibial Band Release
What is a Trochanteric Bursectomy with Iliotibial Band Release?
A bursa is a fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body. The hip bone has a bony prominence that can be felt on the side of the hip which is known as the greater trochanter. The trochanteric bursa is located over this bony prominence, and is the bursa that is most commonly inflamed around the hip.
The biggest of the gluteal or 'buttock muscles' has a tendon that folds over the greater trochanter and joins a fibrous band that runs down the side of the thigh. This fibrous band is known as the iliotibial band or ITB. This fibrous band may become tight and contribute to irritation of the trochanteric bursa.
Trochanteric bursitis causes pain to be felt on the side of your hip which may be particularly felt at night if sleeping on the affected side.
Although most patients respond to corticosteroid injections, rest, physiotherapy, stretching, and anti-inflammatory medications, those with persistent symptoms may require an operation.
The operation involves removing the inflamed bursae and releasing the tension in the iliotibial band by making an incision in the band where it crosses the greater trochanter.