What diagnosis is most likely when a patient reports pain at the end range of external rotation and with hip adduction/internal rotation?

What diagnosis is most likely when a patient reports pain at the end range of external rotation and with hip adduction/internal rotation?

• A. Tendinitis
• B. Trochanteric Bursitis
• C. Hip Osteoarthritis
• D. Sciatica

Answer: (B)

Trochanteric bursitis is the most likely diagnosis in this scenario due to the characteristic pain patterns associated with the condition. Patients with trochanteric bursitis typically experience pain over the lateral aspect of the hip, particularly during activities that involve hip movement, such as external rotation, adduction, and internal rotation. The pain often increases at the end range of these motions due to the irritation of the bursa, which lies between the greater trochanter of the femur and the overlying soft tissues. These pain patterns are consistent with trochanteric bursitis since the fluid-filled bursa becomes inflamed, leading to discomfort during activities that compress or stretch the area. The specific combinations of hip movements mentioned — external rotation, adduction, and internal rotation — can exacerbate the irritation and pain, making trochanteric bursitis the most fitting diagnosis in this case. In contrast, tendinitis typically presents with pain related to muscle or tendon activities and may have a different pain distribution. Hip osteoarthritis generally involves more diffuse joint pain and stiffness, often with referred pain and limited range of motion rather than isolated end-range pain. Sciatica, on the other hand, is characterized by pain radiating along the sciatic nerve, which

Trochanteric bursitis is the most likely diagnosis in this scenario due to the characteristic pain patterns associated with the condition. Patients with trochanteric bursitis typically experience pain over the lateral aspect of the hip, particularly during activities that involve hip movement, such as external rotation, adduction, and internal rotation. The pain often increases at the end range of these motions due to the irritation of the bursa, which lies between the greater trochanter of the femur and the overlying soft tissues.

These pain patterns are consistent with trochanteric bursitis since the fluid-filled bursa becomes inflamed, leading to discomfort during activities that compress or stretch the area. The specific combinations of hip movements mentioned — external rotation, adduction, and internal rotation — can exacerbate the irritation and pain, making trochanteric bursitis the most fitting diagnosis in this case.

In contrast, tendinitis typically presents with pain related to muscle or tendon activities and may have a different pain distribution. Hip osteoarthritis generally involves more diffuse joint pain and stiffness, often with referred pain and limited range of motion rather than isolated end-range pain. Sciatica, on the other hand, is characterized by pain radiating along the sciatic nerve, which