Trochanteric bursa injection

Trochanteric bursa injection, which may be multiple, not single as shown, may be made up of a standard large joint dose such as 40 mg of triamcinolone acetonide mixed with several mL of xylocaine without epinephrine. After localizing the points of maximum tenderness by deep palpation, a 1.5- to 4-inch needle is used as a probe and the points of maximum tenderness are determined. The injection should be done by redirecting several places within the same coronal plane close to bone. The operator should not wander off the coronal plane of the maximal bony protuberance in order to be absolutely sure of avoiding neurovascular structures.