Historia clínica y examen físico
Factores clave de diagnóstico
- sharp or burning pain superior to the lateral joint line
- positive Noble's test
- positive Ober's test
- positive modified Thomas's test
Otros factores de diagnóstico
- pain on sitting or walking
- local oedema
- crepitation
- reduced hip abductor muscle strength
- genu varum (bow leg)
- hind-foot and fore-foot varum
- pes cavus (high arch)
- prominent lateral femoral epicondyle, tight iliotibial tract and tensor fascia lata
- weak gluteus medius, gluteus maximus, and tensor fascia lata
- tightness and weakness in the quadriceps, iliotibial tract, and lateral retinaculum
Historia clínica y examen físico en detalle
Pruebas diagnósticas
Otras pruebas a considerar
- MRI of knee
- ultrasound
Pruebas diagnósticas en detalle
Detalles del tratamiento
Agudo
pain and inflammation
- non-steroidal anti-inflammatory drugs (NSAIDs)
- activity modification
-
severe pain and swelling or refractory to non-steroidal anti-inflammatory drugs (NSAIDs)/activity modification
- combination local anaesthetic and corticosteroid injection
Continuado
resolved pain and inflammation
- stretching exercises
- foam roll mobilisation
- hip abductor strengthening
refractory to conservative treatment
- elective surgery
Detalles del tratamiento
Actualizado por última vez: abr 22, 2013
