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During management of these patients, surgeons must decide whether adjunctive hip arthroscopy to treat concomitant intra\u2010articular pathology (such as labral tears or chondral lesions) is required, because the prevalence of intra\u2010articular findings may be greater than the clinical significance. A thorough history and physical examination can help distinguish whether the symptoms are arising from a peritrochanteric issue (e.g., gluteal tendinopathy, trochanteric bursitis, external coxa saltans) versus an intra\u2010articular pain generator. Increased symptoms with provocative impingement or instability testing indicate adjunctive hip arthroscopy to address intra\u2010articular abnormalities. In addition, an ultrasound\u2010guided analgesic injection into the hip joint or peritrochanteric region may aid in diagnosis. A patient with partial symptomatic relief from separate injections into both areas is a classic presentation and consistent with a mixed\u2010picture of peritrochanteric and intra\u2010articular pathology, which may be addressed with a combined endoscopic and arthroscopic approach.<\/jats:p>","DOI":"10.1016\/j.arthro.2022.08.014","type":"journal-article","created":{"date-parts":[[2023,2,3]],"date-time":"2023-02-03T02:11:41Z","timestamp":1675390301000},"page":"865-867","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["<i>Editorial Commentary:<\/i>\n                    Treatment of Concomitant Intra\u2010Articular Pathology in Patients With Greater Trochanteric Pain Syndrome Is Indicated by Provocative Impingement or Instability Physical Examination and Ultrasound\u2010Guided Analgesic Injection Testing"],"prefix":"10.1002","volume":"39","author":[{"given":"Benjamin G.","family":"Domb","sequence":"first","affiliation":[{"name":"Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Curley","sequence":"additional","affiliation":[{"name":"Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,1]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000000567"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-14-00406"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/20503121211022582"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-018-0832-z"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.06.031"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-016-2392-9"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-096175"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806322004935?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806322004935?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2022.08.014","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2022.08.014","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2022.08.014","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:53:46Z","timestamp":1773564826000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2022.08.014"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3]]},"references-count":7,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1016\/j.arthro.2022.08.014"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2022.08.014","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Editorial Commentary: Treatment of Concomitant Intra-Articular Pathology in Patients With Greater Trochanteric Pain Syndrome Is Indicated by Provocative Impingement or Instability Physical Examination and Ultrasound-Guided Analgesic Injection Testing","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2022.08.014","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}