In the Bursal Test for the gluteal bursa, which hip position stresses the bursa with a moderate force?

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Multiple Choice

In the Bursal Test for the gluteal bursa, which hip position stresses the bursa with a moderate force?

Explanation:
The test relies on placing the hip in a position that creates contact and friction between the gluteus medius/minimus tendons and the greater trochanter, thereby stressing the trochanteric (gluteal) bursa. Extending the hip tightens the abductors over the hip and, when the thigh is abducted, the greater trochanter sits in a position that increases contact with those tendons. Adding external rotation further lines up the tendons across the bursa. This combination—extension with abduction and external rotation—provides a moderate amount of bursal compression to reproduce symptoms if the bursa is inflamed. Positions involving flexion or internal rotation tend to reduce this tendon-bursa contact, so they provoke less stress on the gluteal bursa.

The test relies on placing the hip in a position that creates contact and friction between the gluteus medius/minimus tendons and the greater trochanter, thereby stressing the trochanteric (gluteal) bursa. Extending the hip tightens the abductors over the hip and, when the thigh is abducted, the greater trochanter sits in a position that increases contact with those tendons. Adding external rotation further lines up the tendons across the bursa. This combination—extension with abduction and external rotation—provides a moderate amount of bursal compression to reproduce symptoms if the bursa is inflamed. Positions involving flexion or internal rotation tend to reduce this tendon-bursa contact, so they provoke less stress on the gluteal bursa.

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