Sonography of the iliotibial band: spectrum of findings

Abstract

ResumoIliotibial band lesions constitute a potential source of discomfort and are frequently confounded with other conditions which cause pain on the lateral aspect of the hip, thigh and knee. Ultrasonography is usually regarded as a first-line imaging modality in the assessment of such conditions because of its excellent diagnostic accuracy, low cost and wide availability. The correct identification of the structure involved in the production of symptoms leads to an appropriate management and to a higher probability of resolution of the clinical complaint. The present article is aimed at reviewing the different sonographic presentations of iliotibial band syndromes.Keywords: Sonography; Iliotibial band; Iliotibial band friction syndrome.Lesões no trato iliotibial constituem potencial fonte de desconforto e são frequentemente confundidas com outras enfermidades causadoras de dor na face lateral do quadril, coxa e joelho. A ultrassonografia é reconhecida como um método de imagem de primeira linha na investigação destas alterações, em virtude da excelente capacidade diagnóstica, baixo custo e ampla disponibilidade. A correta identificação da estrutura geradora dos sintomas resulta em tratamento específico e maior probabilidade de resolução da queixa clínica. O objetivo deste artigo é revisar as diferentes apresentações ultrassonográficas de doença do trato iliotibial.Unitermos: Ultrassonografia; Trato iliotibial; Síndrome do trato iliotibial.

Diagnostic performance of 3D TSE MRI versus 2D TSE MRI of the knee at 1.5 T, with prompt arthroscopic correlation, in the detection of meniscal and cruciate ligament tears

“…Imaging methods are essential for the evaluation of knee injuries ( 16 , 17 ) . Among the various methods, MRI is one of considerable importance.…”

Is There a Correlation Between Reported Knee Pain and Fluid at the Distal Insertion of the Iliotibial Band in Runners?

“…ITBS is the most common presentation of ITB disease [10]. It is most commonly an overuse injury in runners, arising from the chronic compression of the ITB over a thin, richly innervated layer of fat, positioned between the ITB and the lateral femoral epicondyle [10].…”

“…ITBS is the most common presentation of ITB disease [10]. It is most commonly an overuse injury in runners, arising from the chronic compression of the ITB over a thin, richly innervated layer of fat, positioned between the ITB and the lateral femoral epicondyle [10]. Due to its diagnostic accuracy, wide availability, and affordability, USG is quickly becoming the first-line imaging modality in the assessment of ITBS [11].…”

“…As women are anatomically more predisposed to ITBS [7] due to wider hips resulting in different biomechanics than men [8], higher NRS scores on knee pain assessment would also be expected [9]. Older runners are more likely to have degeneration of the bursa located at the distal ITB [10]. Therefore, a decreased amount of fluid should consolidate at the distal insertion of the ITB.…”

Pain management in Illiotibial band syndrome

“…1 Many studies have demonstrated the involvement of the anterolateral ligament (ALL) in rotational stability of the knee. 2 Musculoskeletal injuries include strains, sprains, and iliotibial band syndrome, which account for 47% of all injuries. Severe lower extremity injuries are of particular concern in the active population, accounting for 50% to 75% of all runner injuries and 35% of all musculoskeletal injuries in military personnel.…”