Definition
Inflammation of tendons is an inflammatory disease of the tendons, which are a connective tissue connection at the origin and attachment of a muscle. Tendons fulfill the function of power transmission. The tendons can be quickly affected by a heavy load or overstraining of the corresponding muscles.
This primarily manifests itself in tendon inflammation. In medicine, inflammation of the tendon is generally referred to as “tendinitis” (Latin “tendo” = tendon, ending, “-itis” = inflammation). In the specific case of an inflammation of the hip tendon, the term “trochanteric tendinosis” is used (“trochanter” = “large rolling mound”, bony projection on the thigh boil; “tendinosis” = disease of the tendon). The reason for this is that some tendons, combined in a tendon bundle, have their attachment at this bone protrusion. This attachment of the muscles with its tendonous parts represents an exposed site for mechanical irritation, so that the development of tendonitis is very likely there.
Causes of tendon inflammation at the hip
In most cases, tendonitis of the hip is ultimately based on a few classic causes. Most often, mechanical irritation of the tendons plays a role. The affected tendons originate bundled at the so-called trochanter major, a bony prominence on the femur bone near the hip joint.
Strong stress puts a lot of strain on the tendons at this point, which leads to an inflammatory reaction. In addition, a taut tendon ligament, the so-called tractus iliotibialis, which runs over the tendon attachments, exerts pressure on the tendons when under stress. Since this region around the greater trochanter is thus considered the key site for the development of tendon inflammation, it is also referred to as “trochanterendinosis”.
This mechanical irritation can be provoked by forms of overloading or incorrect loading. Depending on the individual constitution, such overloading can manifest itself due to an excessive training workload. Ultimately, however, unusual everyday physical strain can also lead to tendonitis in the hip.
A false load can result from individual, physical pre-existing hip diseases, for example hip malpositions (med. : hip dysplasia), or diseases of the musculoskeletal system, such as leg length differences or asymmetries in the gait pattern. The development of inflammation of the hip tendon is also provoked by wearing the wrong shoes under stress. In addition to the previously more harmless causes mentioned, the clinical picture of rheumatism can also be responsible for inflammation of the tendon in the hip.
