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GTPS Terminology — SCE Rheumatology MCQ

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HardSoft Tissue RheumatologyGTPS TerminologySCE Rheumatology

A woman has lateral hip pain worsened by lying on that side, focal greater-trochanter tenderness and pain on resisted hip abduction. Which diagnosis best reflects the current syndrome concept?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — GTPS involving gluteal tendons and peritrochanteric tissues

The best answer is “GTPS involving gluteal tendons and peritrochanteric tissues”. GTPS is preferred because lateral hip pain commonly reflects gluteal tendinopathy with variable bursal or iliotibial-band involvement rather than isolated bursitis. Meralgia, hip osteoarthritis and radiculopathy have different examination patterns. The broader term matters clinically because load modification and progressive gluteal strengthening address the tendon-based syndrome, while injection or imaging is reserved for selected persistent or uncertain cases.

Reference: NICE CKS greater trochanteric pain syndrome: https://cks.nice.org.uk/topics/greater-trochanteric-pain-syndrome/