Backgrounds: Iliotibial band syndrome (ITBS) is one of the many different causes of lateral knee pain. The iliotibial band (ITB) is the distal fascial continuation of the tensor fascia lata, gluteus medius, and gluteal maximus. It traverses superficial to the vastus lateralis and inserts on the Gerdy tubercle of the lateral tibial plateau and partially to the supracondylar ridge of the lateral femur. The etiology of ITBS is controversial and likely multifactorial. One theory advocates that repetitive friction of the ITB and the lateral epicondyle during flexion and extension lead to inflammation of the contact area of the ITB. The discrepancy in leg length has long been a source of controversy in the research and clinical environment. It disagrees on many aspects, such as its effect on various neuro musculoskeletal disorders and the evaluation of different measurement methods. Several orthopaedic disorders have also been associated with LLD, including low back pain, iliotibial band syndrome, hip osteoarthritis, intervertebral disc disease, and stress fractures of the femur, tibia, fibula, and metatarsal bones. Methods: Our trial was an international, expertise-based, randomized, controlled trial. Details of the trial objectives and design have been published previously. To identify studies about correlation between leg length discrepancy with ITB Syndrome, we reviewed the Cochrane, Pubmed, Embase databases for relevant articles published up to June 2022. Following the PICOS (Participants, Interventions, Comparisons, Outcomes and Study design) principle, the key search terms included (P) patients with ITB syndrome; (I) Leg length discrepancy; (C/O) the comparisons between ITB syndrome with leg length discrepancy thant without leg length discrepancy; (S) RCT, cohort study, or case-control study. Results: This study results Literature search through The flow diagram of study selection that shown in Figure 1. A total of RCT, cohort and case control study, meta analysis and systematic review about correlation between leg length dicrepancy with ITB Syndrome.Discussions: There can be a predisposition to developing IT band syndrome. Anatomy issues may include leg length discrepancy, an abnormal tilt to the pelvis, or bowed legs (genu varum). These situations can cause the IT band to become excessively tight, leading to increased friction and irritation as the band crosses over the femoral condyle with movement. leg length discrepancy, which can also increase ITB tightness. Leg length discrepancy can make an impact to biomechanical abnormalities. ITBS is usually caused by biomechanical abnormalities, often combined with overtraining. Conclusions: This confirms that may be leg length discrepancy also a factor that contributes to iliotibial band syndrome (ITBS).
Backgrounds: Stress fractures are common overuse injuries in the lower extremities. Repetitive episodes of high-intensity or extended-duration axial load to the leg place the bone at risk of stress-related injury. The femoral neck is an uncommon location for stress fracture (less than 5% of all stress fractures). Fracture location, type, and grade permits generic dichotomized classification of “low-risk” and “high-risk” fractures. Tension-side femoral neck stress fractures are considered “high-risk” because of their potential for displacement, nonunion, and avascular necrosis if displaced. Fractures in locations prone to these 3 outcomes are categorized as “high risk.” These include anterior tibial cortex, medial malleolus, talar neck, dorsal tarsal navicular, proximal fifth metatarsal metaphysis, tension side patella, and tension side of the femoral neck. The risk of avascular necrosis following treatment of displaced femoral neck fractures in adults may be as high as 45%. In runners, pain typically begins with onset of weight bearing early in the run. Pain may progressively increase and does not remit until the run ends. In some athletes, the desire to train or perform may supersede the pain. This may lead to disastrous consequences if a femoral neck stress fracture completes itself and displaces. This paper describes side effects abnormal gait pattern to femoral neck stress fractures in athlete. Methods: Our trial was an international, expertise-based, randomized, controlled trial. Details of the trial objectives and design have been published previously. Additional information about the eligibility criteria, interventions, follow-up, outcome definitions, and statistical analysis. To identify studies pertaining to the clinical results about Correlation between Abnormal Running Gait Pattern and Femoral Neck Stress Fracture, we reviewed the Cochrane, Pubmed, Embase databases for relevant articles published up to July 2022. We also reviewed the references of all identified articles to identify additional studies. Search terms were as follows: femoral neck stress fracture, femoral fracture, running gait. Following the PICOS (Participants, Interventions, Comparisons, Outcomes and Study design) principle, the key search terms included (P) patients were runner with FNSFs; (I) patients were running as a recreational sport, and or professional athlete; (C/O) the outcomes including sign and symptoms, femoral neck stress fracture, length of rehabilitation, time to get back in early performance in sport; (S) RTC, cohort study, or case control study. Results: A total of 13 RCTs, meta- analysis and systematic review correlation abnormal running gait with femoral neck stress fractures. Discussions: There are correlations between abnormal running gait with femoral neck fractures, because abnormal running gait with high intense could make bone stress injury. However, bone stress injury at neck femoral is one of many factors that commonly happen become a femoral neck stress fractures. Conclusions: Abnormal running gait combining with high intense training are etiology of bone stress injuries in athletes. Bone stress injuries in femoral neck could possibly become femoral neck stress fractures.
Background: Since there are too many cases of lumbar canal stenosis in Indonesia. The aim of the study was to discover all the factors that influence the incidence of lumbar canal stenosis.Methods: This study used all cases of lumbar canal stenosis in Koja District Hospital in Jakarta from 2011 to 2021. This was a medical record-based retrospective study in which files of patients with the diagnosis of lumbar canal stenosis were reviewed. A descriptive analytic test was used to analyze results was presented in the form of a table.Results: There were 48 lumbar canal stenosis cases in male patients out of 66 total patients. Incidents of lumbar canal stenosis occurred more frequently in anatomical locations L4-5 than in other locations. There were 48 lumbar canal stenosis cases with anatomical locations L4-5 in 50 patients from 66 patients. Incidents of lumbar canal stenosis occur in people with obesity more frequently than in people without obesity. There were 48 lumbar canal stenosis cases in people with obesity patients out of 66 total patients. The incidence of lumbar canal stenosis with a moderate VAS score was greater than that with a mild or severe VAS score. There were 48 lumbar canal stenosis patients with a moderate vas score out of 66 patients. There were 59 lumbar canal stenosis patients who got surgery out of 66 patients, and 7 of them had no surgery. Lumbar canal stenosis more frequently occurred in men than women, with more frequent anatomical lesions in L4-L5, and more frequently in people with obesity than in people without obesity. Most of them had a moderate VAS score and got surgery.Conclusions: According to this study, males had more lumbar canal stenosis incidents than females.
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