I get repeated troncanteric bursitis helped for few months with steroid injection latest. Scan shows most tendons frayed and fluid in bursa and both tendons what does this mean and what would best treatment be now?

Biomechanical fault. I'm not a firm believer of "chronic trochanteric bursitis" as a definitive diagnosis. Usually the bursitis is a result of biomechanical deficiencies throughout the low back, hip and pelvis. Many times, some weakness or deconditioning is present along with tight muscles, usually in the hips, hamstrings and achilles tendons. A thorough biomechanical evaluation is in order to get at the problem.