20Shoulder Care
AC Joint Injuries
Arthritis
Biceps Tendon Injuries
Calcific Tendinitis
Clavicle Fractures
Frozen Shoulder
Labral and SLAP Tears
Rotator Cuff Injuries
Shoulder Dislocation/Instability
Subacromial Impingement/Busitis
A-C Joint Stabilization
Biceps Tenodesis
Clavicle Fracture Fixation
Pectoralis Major Repair
Rotator Cuff Repair
Shoulder Instability Surgery – Bankart Repair
Shoulder Instability Surgery – Latarjet Procedure
Subacromial Decompression and Acromioplasty
Superior Capsular Reconstruction
Total Shoulder Replacement
28Knee Care
ACL Tear
Cartilage Injury
Lateral Meniscus Tear
LCL Injury
MCL Injury
Medial Meniscus Tear
Osteoarthritis
Patellar Instability
Patellofemoral Chondromalacia
Posterolateral Corner Injury
Trochlear Dysplasia
Anterior Cruciate Ligament (ACL) Reconstruction
Cartilage Restoration Surgery – Autologous Chondrocyte Implantation (ACI-Carticel)
Cartilage Restoration Surgery – Donor Graft
Collagen Meniscal Implant (CMI)
Lateral Collateral Ligament (LCL) Reconstruction
Medial Collateral Ligament (MCL) Reconstruction
Meniscus Repair
Meniscus Root Repair
Meniscal Transplant
Nanofracture
Osteochondral Allograft Transfer
Osteochondral Autograft Transfer (OATS)
Partial Meniscectomy
Posterior Cruciate Ligament (PCL) Reconstruction
Posterolateral Corner (PLC) Surgery
Tibial Tubercle Osteotomy
Trochleoplasty
17Hip Care
Cartilage Injury
Femoroacetabular Impingement (FAI)
Gluteal Tears
Hamstring Tears
Hip Instability
Labral Tears
Psoas Impingement (Internal Snapping Hip)
Trochanteric Bursitis
Acetabuloplasty
Chondroplasty
Femoroplasty
Gluteal Repair
Labral Debridement
Labral Repair
Labral Reconstruction
Nanofracture
Trochanteric Bursa Debridement
2Biologics
Bone Marrow Aspirate Stem Cell Concentrate (BMC)
Platelet-Rich Plasma “PRP”

TROCHANTERIC BURSECTOMY

Bursae are fluid filled sacs located all over the body that enable smooth, pain-free motion between certain structures. Some bursae sit between tendons and bone. The trochanteric bursa is located between the gluteal tendons and the bony point of the hip known as the greater trochanter. When the trochanteric bursa becomes irritated and inflamed, it can cause symptoms, such as pain.

Irritation and inflammation of the trochanteric bursa (trochanteric bursitis) is most commonly caused by overuse and/or an altered gait. Some individuals with a tight iliotibial (IT) band (the muscle and tendon tract that runs between the outer hip to the outer knee) may also develop trochanteric bursitis. If a given patient fails non-operative management, then surgical removal of the inflamed bursa may be recommended.

During surgery, Dr. Keller maneuvers a camera and surgical instruments through small incisions adjacent to the peritrochanteric space (space on the outside of the thigh). Dr. Keller identifies the inflamed bursa tissue with a camera and then uses instruments to remove the inflamed tissue. Some patients with an inflamed bursa also may have a tight IT band. In these patients, Dr. Keller will use a sharp device to cut a window in the IT band. The goal of creating this window is to remove the tight area of the IT band that rubs over the femur bone.

Postoperative Rehabilitation

Following surgery, Dr. Keller recommends a guided physical therapy program with a licensed physical therapist. Early motion following surgery is very important, and Dr. Keller recommends that each patient either use a stationary bike or a continuous passive motion machine daily. Dr. Keller may also recommend the use of a brace to help protect the hip.