
The greater trochanter is a four-sided bony prominence located at the upper part of the femur, where the neck meets the shaft. It is a part of the skeletal system and serves as an attachment site for several muscles in the hip region. The gluteus medius and minimus muscles, the piriformis, obturator internus, and the superior and inferior gemelli all have their insertions on the greater trochanter. The greater trochanter also serves as an attachment point for hip ligaments, which contribute to the stability and integrity of the hip joint.
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What You'll Learn
- The gluteus medius and minimus muscles attach to the greater trochanter
- The piriformis, obturator internus, and gemelli muscles attach to the greater trochanter
- The greater trochanter is a large, irregular, quadrilateral eminence
- The greater trochanter is part of the hip joint
- The greater trochanter is located at the upper part of the femur

The gluteus medius and minimus muscles attach to the greater trochanter
The gluteal region, or the buttock, is a group of muscles that play a critical role in the stability of the lower limb and pelvis. The gluteal muscles are divided into two groups: superficial large extensors and deep smaller muscles. The gluteus medius and minimus muscles are part of the former group, along with the gluteus maximus and tensor fascia lata. These muscles work together as hip abductors and are crucial for normal locomotion.
The gluteus medius muscle is fan-shaped and lies between the gluteus maximus and minimus. It originates from the gluteal surface of the ilium and inserts into the lateral surface of the greater trochanter of the femur. The gluteus medius acts on the hip joint, producing two movements: its anterior part internally rotates the thigh, while the contraction of the whole muscle abducts the thigh. Additionally, the gluteus medius stabilises the pelvis while standing or walking, preventing the 'dropping' of the pelvis on the contralateral side.
The gluteus minimus is the deepest and smallest of the superficial gluteal muscles. It originates from the ilium and converges to form a tendon, inserting into the anterior side of the greater trochanter of the femur. Similar to the gluteus medius, the gluteus minimus also contributes to the abduction and medial rotation of the lower limb. It stabilises the pelvis during locomotion, preventing the 'dropping' of the pelvis.
Injuries to the gluteal muscles are common, and tears in the gluteus medius tendon are frequently observed. Such injuries can result in acute or chronic hip pain and may require surgical repair if they do not respond to medical treatment. Greater trochanteric pain syndrome (GTPS) is often associated with tendinopathy of the gluteus medius and/or minimus, leading to lateral hip pain that increases during weight-bearing activities and side-lying at night.
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The piriformis, obturator internus, and gemelli muscles attach to the greater trochanter
The obturator internus is a triangular-shaped muscle situated deep within the pelvic and gluteal regions. It is considered a lower limb muscle and acts as a lateral rotator of the extended thigh. The obturator internus, along with the superior and inferior gemelli muscles, forms the common tendon of triceps coxae. This tendon inserts at the greater trochanter of the femur. The obturator internus and the gemelli muscles, due to their attachment to the greater trochanter, act as external lateral rotators of the extended thigh and abductors of the flexed thigh. They also play a crucial role in providing stability to the hip joint.
The piriformis muscle is an important anatomical landmark in the gluteal region. It travels through the greater sciatic foramen, effectively dividing the region into superior and inferior parts. The piriformis also attaches to the greater trochanter of the femur. This attachment occurs at the superior border of the medial surface of the greater trochanter, which is marked by an impression for the insertion of the piriformis.
The superior gemellus muscle originates from the ischial spine, while the inferior gemellus muscle originates from the ischial tuberosity. Both of these muscles attach to the greater trochanter of the femur, contributing to lateral rotation and abduction movements of the thigh. The superior gemellus muscle is innervated by the nerve to the obturator internus, while the inferior gemellus muscle is innervated by the nerve to the quadratus femoris.
The greater trochanter of the femur is a large, irregular, quadrilateral-shaped bony prominence that serves as the site of origin and insertion for several muscles. It is located about 2-4 cm lower than the femoral head in adults and exhibits slight posterior, lateral, and medial directions. The greater trochanter has two surfaces and four borders, providing attachment points for various muscles, including the obturator internus, superior and inferior gemelli, and piriformis muscles.
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The greater trochanter is a large, irregular, quadrilateral eminence
The medial surface, which is much smaller than the lateral surface, presents a deep depression at its base, known as the trochanteric fossa or digital fossa. This is the insertion point for the tendon of the obturator externus. Above and in front of this depression is an impression for the insertion of the obturator internus, the superior gemellus, and the inferior gemellus muscles. The superior border is thick, irregular, and free, with an impression near its centre for the insertion of the piriformis.
The inferior border corresponds to the line where the base of the trochanter meets the lateral surface of the body. It is marked by a rough, prominent, slightly curved ridge, which is the origin point for the upper part of the vastus lateralis. The anterior border is irregular and prominent, providing insertion at its lateral part for the gluteus minimus. The posterior border is very prominent, appearing as a free, rounded edge that bounds the back of the trochanteric fossa.
The greater trochanter, therefore, serves as a site of origin and insertion for several muscles and tendons, including the gluteus medius, gluteus minimus, piriformis, obturator internus, obturator externus, superior gemellus, and inferior gemellus.
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The greater trochanter is part of the hip joint
The greater trochanter is a large, irregular, quadrilateral eminence that is part of the hip joint. It is a crucial landmark to guide surgeons during anterolateral approaches to the hip joint. It can be palpated on the upper part of the lateral thigh, below the midpoint of the iliac crest and approximately level with the horizontal plane passing through the pubic tubercle. The greater trochanter is about 2-4 cm lower than the femoral head in adults. It has two surfaces and four borders. The lateral surface, quadrilateral in form, is broad, rough, and convex, and marked by a diagonal impression, which extends from the postero-superior to the antero-inferior angle. This serves for the insertion of the tendon of the gluteus medius. The gluteus minimus muscle attaches to the anterior facet of the greater trochanter.
The medial surface, of much less extent than the lateral, presents a deep depression at its base called the trochanteric fossa, for the insertion of the tendon of the obturator externus. Above and in front of this is an impression for the insertion of the obturator internus and superior and inferior gemellus muscles. The superior border is thick and irregular, and marked near the centre by an impression for the insertion of the piriformis. The inferior border corresponds to the line of junction of the base of the trochanter with the lateral surface of the body. It is marked by a rough, prominent, slightly curved ridge, which gives origin to the upper part of the vastus lateralis. The anterior border is prominent and affords insertion at its lateral part to the gluteus minimus. The posterior border is very prominent and appears as a free, rounded edge, which bounds the back part of the trochanteric fossa.
The hip joint is a ball-and-socket synovial joint, with the ball being the femoral head and the socket being the acetabulum. The hip joint is the articulation of the pelvis with the femur, which connects the axial skeleton with the lower extremity. The hip joint contains a strong fibrous capsule that attaches proximally to the acetabulum and transverse acetabular ligament and distally to the neck of the femur, with the anterior at the greater trochanter. The fibrous capsule plays a crucial role in stabilizing the hip joint by limiting external rotation in flexion and both internal and external rotation in extension.
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The greater trochanter is located at the upper part of the femur
The greater trochanter is a large, irregular, quadrilateral eminence that is part of the skeletal system. It is located at the upper part of the femur, approximately 2-4 cm lower than the femoral head in adults. The greater trochanter is a prominent, palpable bony projection that can be felt on the upper lateral side of the thigh. It extends superolaterally from the junction of the neck and shaft of the femur, marked by the intertrochanteric line.
The greater trochanter has two surfaces and four borders. The lateral surface, which is quadrilateral in shape, is broad, rough, convex, and marked by a diagonal impression. This surface serves as the insertion site for the tendon of the gluteus medius muscle. The medial surface, or trochanteric fossa, is a deep depression that serves as the insertion site for the tendon of the obturator externus muscle. The superior border is thick and irregular, with an impression for the insertion of the piriformis muscle. The inferior border is marked by a rough, prominent, slightly curved ridge that gives origin to the upper part of the vastus lateralis muscle.
The greater trochanter plays an important role as an attachment site for several muscles in the hip region. These include the gluteus medius, gluteus minimus, piriformis, obturator internus, and superior and inferior gemellus muscles. The gluteus medius and minimus muscles work together to stabilise the head of the femur during movement and assist in the initiation of abduction. The abductor mechanism of the hip joint is facilitated by the strong abductor tendons that attach to the greater trochanter.
The greater trochanter is also clinically significant in orthopaedic surgery, particularly in procedures such as total hip replacement and hip arthroplasty. It serves as a useful bony landmark for injection techniques around the hip. Additionally, the position of the greater trochanter in relation to the articular surface of the femur is assessed in conditions like Legg-Perthes disease to evaluate femoral head-neck physeal growth.
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Frequently asked questions
The greater trochanter is a four-sided, bony prominence located at the upper part of the femur, where the neck meets the shaft. It is a part of the skeletal system and serves as an attachment site for several muscles in the hip region.
The following muscles are attached to the greater trochanter: gluteus medius, gluteus minimus, piriformis, obturator internus, obturator externus, superior and inferior gemellus, and the deep lateral rotators of the hip.
The primary function of the greater trochanter is to serve as an attachment site for muscles responsible for abducting and rotating the thigh. It also serves as an attachment point for hip ligaments, which contribute to the stability and integrity of the hip joint.







































