Tuberculosis of the greater trochanter causes localized pain and tenderness associated with swelling, which must be distinguished from tumor and other forms of infection. It is common for the bursae about the trochanter to become involved, with a resulting fluctuating mass containing serum and broken down débris; more rarely, extension into the femoral neck or hip joint is the result.
The literature on the subject is rather meager and consists largely of reports of cases: in one report eleven cases of tuberculosis of the trochanter were presented. Teale,1 in 1870, described a case of tuberculosis of the bursa over the greater trochanter in which the gluteal tendon appeared to be a factor in prolonging the disease of the bursa. He advised division of the structure for the purpose of removing all muscular tension. In 1903, at which time he2 reported another case, he mentioned the possibility of confusion
MEYERDING HW, MROZ RJ. TUBERCULOSIS OF THE GREATER TROCHANTER. JAMA. 1933;101(17):1308-1313. doi:10.1001/jama.1933.02740420028008