Greater trochanter

It is directed lateral and medially and slightly posterior. In the adult it is about 2–4 cm lower than the femoral head. Because the pelvic outlet in the female is larger than in the male, there is a greater distance between the greater trochanters in the female.

It has two surfaces and four borders. It is a traction epiphysis.

Surfaces

The lateral surface, quadrilateral in form, is broad, rough, convex, and marked by a diagonal impression, which extends from the postero-superior to the antero-inferior angle, and serves for the insertion of the tendon of the gluteus medius.

Above the impression is a triangular surface, sometimes rough for part of the tendon of the same muscle, sometimes smooth for the interposition of a bursa between the tendon and the bone. Below and behind the diagonal impression is a smooth triangular surface, over which the tendon of the gluteus maximus lies, a bursa being interposed.

The medial surface, of much less extent than the lateral, presents at its base a deep depression, the trochanteric fossa (digital fossa), for the insertion of the tendon of the obturator externus, and above and in front of this an impression for the insertion of the obturator internus and superior and inferior gemellus muscles.