The awl (black arrow) is placed perpendicular to the bone of the lateral facet of the greater trochanter at the site of the pathology (blue arrow) as judged by palpation and preoperative imaging.

Further, there is no clear, characteristic lameness of a third trochanter fracture. Ultrasound, however, is very useful in locating such a break.

Hip osteoarthritis is associated with pain — typically in the groin — provoked by internal rotation of the hip. Trochanteric bursitis is associated with tenderness over the greater trochanter.

US examination of TFL must include the “non-insertional” area of the tendon proximal to greater trochanter of femur. These two cases illustrate an undescribed and atypical presentation of TFL ...