Superior to the triangle | Myofascial trigger points in gluteus medius and tensae fasciae latae | Gluteal and lateral leg tightness and discomfort ± accompanying lateral knee pain. | Restricted movement/strength in affected muscle.31 Tender “trigger” points palpable within muscle.18 19 | Dry needling effective in relieving trigger points.32 |
Greater trochanter pain syndrome | Weakness in stance phase of walking and/or running, climbing stairs.33 | Trendelenberg test 72% sensitive, 76% specificity.34 | Ultrasound.35 |
Gluteus medius tendinopathy |
Trochanteric bursitis | Boggy feel and swelling. | Pain on rising/standing.34 | Ultrasound, relief of pain by local anaesthetic injection.36 |
Apophysitis; iliac crest | Age group (13–25 years),23 activity load. | Point tenderness,24 painful Trendelenberg.4 | Plain film x-ray,25 computerised tomography (CT).26 |