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Iliotibial Band Syndrome

Iliotibial Band Tendinitis


Presentation

  • Abstract A 51-year-old male cyclist presented with a mass over the lateral portion of his knee. MR scans showed a cystic collection deep to the iliotibial band (ITB).[ncbi.nlm.nih.gov]
  • Stanford University Sports Medicine Clinics. 24 distance runners with ITBS (14 female, 10 male) were randomly selected from patients presenting to our Runners' Injury Clinic with history and physical examination findings typical for ITBS.[doi.org]
  • Initially pain may only be present when running. As the syndrome progresses, pain may be felt when not running. Solutions : If caused by excessive pronation, consider a stability or motion control shoe/insert.[fleetfeet.com]
Knee Pain
  • Overuse and inflexibility can shorten the ITB, causing hip and knee pain. Many runners attempt to counteract this with the ITB stretch shown here. But because it stresses the leg and back muscles, this stretch has the opposite effect.[runnersworld.com]
  • Epidemiology Frequency United States ITBS is the most common cause of lateral knee pain in runners.[emedicine.com]
  • Iliotibial Band Anatomy Iliotibial band syndrome is one of the most common causes of knee pain among runners.[rothmanortho.com]
  • Abstract Lateral knee pain in athletes is commonly seen in the sports medicine clinic, and the diagnosis of iliotibial band (ITB) syndrome is frequently made.[ncbi.nlm.nih.gov]

Treatment

  • […] the conservative treatment of ITBFS.[ncbi.nlm.nih.gov]
  • While the articles were inconsistent regarding the treatment of ITBS, hip/knee coordination and running style appear to be key factors in the treatment of ITBS.[doi.org]
  • There are numerous Sports Medicine treatments for this conditions; the recommended treatment for your particular case will depend upon the degree of irritation and inflammation that your ligament is experiencing.[rothmanortho.com]

Etiology

  • Etiology Excessive friction of the distal iliotibial band (ITB) sliding over the lateral femoral epicondyle occurs as the knee flexes during deceleration into stance-phase running. [5] This is termed the impingement zone at approximately 30 degrees of[online.epocrates.com]
  • […] was supplemented with the concept of the ITB impingement zone, occurring at around 30 of knee flexion, which was also the most common knee position during foot strike. 11 Fairclough et al. 12 refuted this friction model and proposed an etiology based[ncbi.nlm.nih.gov]
  • Etiology of iliotibial band friction syndrome in distance runners. Med Sci Sports Exerc. 1995 Jul. 27(7):951-60. [Medline]. Holmes JC, Pruitt AL, Whalen NJ. Iliotibial band syndrome in cyclists. Am J Sports Med. 1993 May-Jun. 21(3):419-24.[emedicine.com]
  • Etiology of iliotibial band friction syndrome in distance runners. Med Sci Sports Exerc 1995; 27(7): 951–60. PubMed Google Scholar 20. Taunton JE, Clement DB, Smart GW, et al. Non-surgical management of overuse knee injuries in runners.[doi.org]

Epidemiology

  • Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration Ann Intern Med 2007; 147(8): W–163. Google Scholar 125. Muhle C, Ahn JM, Yeh L, et al.[doi.org]
  • Epidemiology Frequency United States Iliotibial band syndrome (ITBS) is most common in athletes who participate in long-distance running. Studies have indicated a 4.3-7.5% occurrence rate for ITBS in long-distance runners.[emedicine.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology Anatomically, the iliotibial band (ITB) is a continuation of the tendinous portion of the tensor fascia lata muscle with significant contributions from the gluteus maximus. [6] [22] [23] Image 1 image Distally, the ITB spans out and has[online.epocrates.com]
  • Pathophysiology The iliotibial band (ITB) is a dense fibrous band of tissue that originates from the anterior superior iliac spine region and extends down the lateral portion of the thigh to the knee.[emedicine.com]

Prevention

  • The ITB is prevented from rolling over the epicondyle by its femoral anchorage and because it is a part of the fascia lata.[ncbi.nlm.nih.gov]
  • Can ITBS Be Prevented? Although no sports injury is entirely preventable, you can take steps to reduce your chances of developing ITBS.[saltlakeregional.org]
  • With that in mind, awareness is a key element of preventative health.[rothmanortho.com]
  • Therefore, the study designs should be improved to prevent selection bias and to increase the generalizability of findings.[doi.org]
  • Prevention To reduce your chances of ITBS, take these steps: Learn proper training techniques. Increase mileage from running gradually. Wear appropriate shoes for each sport. Replace athletic shoes as they show signs of wear.[winchesterhospital.org]

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