General practice & primary care · UKMLA & AKT
Bursitis
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
Key high-yield points
- Trochanteric bursitis (greater trochanteric pain syndrome) - most exam-relevant site; typically affects middle-aged to older women
- Lateral hip pain - localised to the greater trochanter, may radiate down the lateral thigh but does NOT extend to the knee or below (unlike radiculopathy)
- Nocturnal pain - classically worse when lying on the affected side
- Point tenderness over the greater trochanter on palpation
- Pain on external rotation of the abducted hip - key examination finding
- Hip range of motion generally preserved (unlike hip OA or fracture)
Trochanteric bursitis has insidious onset lateral thigh pain + focal tenderness over the greater trochanter + pain on external rotation of abducted hip. Pain does not extend below the knee.
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