The occurrence of subacute trochanteric bursitis is probably more frequent than expected, especially in the geriatric patients. The paper brings the findings in 70 patients that were referred for evaluation of low back pain or suspected discopathy. In 31 of them trochanteric bursitis was diagnosed. Diagnosis of subacute trochanteric bursitis is based on clinical symptoms, signs and response to local anesthetic injection. Local steroid injections are the most effective treatment. A mechanism of STB in association with low back pain may be related to the altered gait mechanism secondary to lumbar osteoarthritis and/or pain which can lead to restricted pelvic motion, restricted hip internal rotation, tight hip external rotators, tension on the iliotibial tract and friction on the trochanteric bursitis overlying the greater trochanter.
SURGERY Abdominal angina: intestinal enteric revascularization
absorption
eight years after successful
mes-
M.D. Tilson and H.C. Stansel, Amer. J. Surg., 131 (1976) 366-368 Abdominal angina is clearly identified as a clinical entity. A woman with panmalabsorption and symptoms characteristic of abdominal angina underwent successful revascularization of the superior mesenteric artery. Laboratory studies obtained 8 years postoperatively were compared with preoperative data. Her stool fat was reduced to 29% of the preoperative quantity, although her dietary intake of fat was increased 5-fold. The d-xylose tolerance test was increased to 346% of the preoperative value, serum carotenes to 81770, serum albumin to 172%, hematocrit to 148%, and cholesterol to 296R, and weight to 177% (from 69 to 122 pounds). It is concluded that the panmalabsorptive defect associated with mesenteric vascular insufficiency is reversible and that the intestine may function normally for a prolonged period of time after revascularization,