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Abstract
The incidence is 1.8 per 1,000 patients.2 Differentials include osteoarthritis, septic joint, impingement, snapping hip syndrome or periformis syndromes, ileolumbar strain, osteonecrosis, zoster, stress fracture, neuropathies, and fibromyalgia syndrome.3 Causes History should be targeted to identify activities associated with tendon or bursa overuse. Pain worsening with passive range of motion indicates joint disease, whereas pain worsening with active range of motion, especially against resistance, supports a muscle-tendon pathology. Magnetic resonance imaging provides the clearest image of the bony structures, bursa, and tendons, and is completed before surgery or to clearly define structure.2,3 Treatment Recommendations Treatment includes activities to reduce inflammation and stress on the affected tendons and joint.