Lower limb
Trochanteric and gluteal bursae (Subgluteal, trochanteric & ischiogluteal)
Bursae trochantericae et gluteales
- Origin
- Between gluteus maximus, medius, minimus tendons, iliotibial band, and greater trochanter/ischial tuberosity
- Insertion
- Greater trochanter of femur and ischial tuberosity (ischiogluteal bursa)
- Function
- Reduces friction between abductor tendons, IT band, and greater trochanter/ischium during gait and sitting
- Innervation
- Superior gluteal nerve and sciatic branches (L4–S1)
- Movement & chain
- Facilitates seamless gliding of gluteal tendons during stance-phase pelvic stabilization
- Palpation
- Direct focal tenderness over greater trochanter or ischial tuberosity
- Clinical
- Greater Trochanteric Pain Syndrome (GTPS / gluteal tendinopathy / bursitis causing lateral hip pain worse lying on side); Ischiogluteal bursitis ('weaver's bottom' pain when sitting).
- Segmental innervation
- L4–S1
- In clinical practice
- Ultrasound-guided trochanteric injection, radial shockwave therapy, isometric/eccentric abductor loading, and pillow between knees at night
- Region in the model
- Lower limb