General practice & prim · UKMLA & AKT
Bursitis
A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise bursitis — the full SA Note notes add investigations, management, complications and 10 practice questions.
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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