Diagnosis of Iliotibial Band Friction Syndrome and Ultrasound Guided Steroid Injection

Hong, Ji Hee; Kim, Ji Sub

doi:10.3344/kjp.2013.26.4.387

Cited by 26 publications

(21 citation statements)

References 14 publications

(34 reference statements)

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“…Various diagnostic imaging technique, such as US, MRI, radiography, stress radiography, and computed tomography are available [ 3 , 6 ], however, the diagnosis of ITBFS is still not easy due to the lack of an exact morphological image parameter. The process of ITB thickening starts with continuous mechanical stress, which induces inflammation, structural damage, and finally thickening [ 2 , 16 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…ITB lesions are frequently confused with pathologic conditions which cause discomfort on the lateral aspect of the knee, thigh, and hip. Iliotibial band friction syndrome (ITBFS) involves discomfort in the location of the lateral femoral condyle, that occurs after repetitive mechanical friction of the knee, typically in an athlete such as a runner or cyclist [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Ultrasonography (US) is an accurate, rapid, and widely available image modality capable of evaluating a wide spectrum of ITB alterations. Previous studies assessed the ITB thickness (ITBT) using a measurement at the approximate “halfway” point of the ITB [ 3 ]. However, an asymmetrical tear and partial thickening of the ITB can occur at any time [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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The role of the iliotibial band cross-sectional area as a morphological parameter of the iliotibial band friction syndrome: a retrospective pilot study

et al. 2021

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Background: Iliotibial band friction syndrome (ITBFS) is a common disorder of the lateral knee. Previous research has reported that the iliotibial band (ITB) thickness (ITBT) is correlated with ITBFS, and ITBT has been considered to be a key morphologic parameter of ITBFS. However, the thickness is different from inflammatory hypertrophy. Thus, we made the ITB cross-sectional area (ITBCSA) a new morphological parameter to assess ITBFS. Methods: Forty-three patients with ITBFS group and from 43 normal group who underwent T1W magnetic resonance imaging were enrolled. The ITBCSA was measured as the cross-sectional area of the ITB that was most hypertrophied in the magnetic resonance axial images. The ITBT was measured as the thickest site of ITB. Results: The mean ITBCSA was 25.24 ± 6.59 mm 2 in the normal group and 38.75 ± 9.11 mm 2 in the ITBFS group. The mean ITBT was 1.94 ± 0.41 mm in the normal group and 2.62 ± 0.46 mm in the ITBFS group. Patients in ITBFS group had significantly higher ITBCSA (P < 0.001) and ITBT (P < 0.001) than the normal group. A receiver operator characteristic curve analysis demonstrated that the best cut-off value of the ITBT was 2.29 mm, with 76.7% sensitivity, 79.1% specificity, and area under the curve (AUC) 0.88. The optimal cut-off score of the ITBCSA was 30.66 mm 2 , with 79.1% sensitivity, 79.1% specificity, and AUC 0.87. Conclusions: ITBCSA is a new and sensitive morphological parameter for diagnosing ITBFS, and may even be more accurate than ITBT.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The role of the iliotibial band cross-sectional area as a morphological parameter of the iliotibial band friction syndrome: a retrospective pilot study

et al. 2021

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“…84 Ultrasound can show fluid interposed between the distal iliotibial band and the lateral femur and is useful in aiding image-guided corticosteroid injection deep to the iliotibial band for symptomatic relief. [85][86][87] MRI can show ill-defined edema of the fat interposed between the distal iliotibial band and the lateral femoral condyle. In chronic cases, an inflamed adventitious bursa may be present (►Fig.…”

Section: Iliotibial Bandmentioning

confidence: 99%

Imaging of Tendons of the Knee: Much More than just the Extensor Mechanism

2018

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The tendons of the knee play a critical role in the motion and stability of the knee. Knee pain, a common clinical complaint, can frequently be attributed to pathology of these structures. While the cornerstones of the radiological evaluation of the knee are radiography and magnetic resonance imaging, ultrasound can also play an important diagnostic role and can be useful for guided interventional procedures. Understanding the utility of each modality in the assessment for tendon pathology and a familiarity with the normal and abnormal imaging appearance of these structures are crucial for accurate diagnosis.

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“…9,10 The fat pad may become inflamed, through altered biomechanics of the extensor apparatus of the knee. 11 It is vascularized and richly innervated, making it a potential generator of anterior knee pain.…”

Section: Fat Padsmentioning

confidence: 99%

Interventional articular and para-articular knee procedures

Lalam

Winn

Cassar‐Pullicino

2016

BJR

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The knee is a common area of the body to undergo interventional procedures. This article discusses image-guided interventional issues specific to the knee area. The soft tissues in and around the knee are frequently affected by sportrelated injuries and often need image-guided intervention. This article details the specific technical issues related to intervention in these soft tissues, including the iliotibial tract, fat pads, patellar tendon and other tendons, bursae and the meniscus. Most often, simple procedures such as injection and aspiration are performed without image guidance. Rarely image-guided diagnostic arthrography and therapeutic joint injections are necessary. The technique, indications and diagnostic considerations for arthrography are discussed in this article. Primary bone and softtissue tumours may involve the knee and adjacent soft tissues. Image-guided biopsies are frequently necessary for these lesions; this article details the technical issues related to image-guided biopsy around the knee. A number of newer ablation treatments are now available, including cryoablation, high-frequency ultrasound and microwave ablation. Radiofrequency ablation, however, still remains the most commonly employed ablation technique. The indications, technical and therapeutic considerations related to the application of this technique around the knee are discussed here. Finally, we briefly discuss some newer, but as of yet, unproven image-guided interventions for osteochondral lesions and Brodie's abscess. INTRODUCTIONThe knee is one of the commonest joints affected by osteoarthritis and other internal derangements, such as ligament and meniscal pathology, which may need imageguided and surgical management. The tissues around the knee are also a common site for bone tumours and intervention in the form of biopsy or ablation is often performed around the knee. Interventions such as injections are routinely performed in the knee and, in most instances, are performed in the outpatient setting without any image guidance. In this article, we discuss issues related to imageguided intervention specific to the knee joint. Detailed descriptions of the techniques and the merits of most of the procedures are described elsewhere in this issue. We also discuss newer techniques such as drainage of abscess and retrograde drilling of osteochondral lesions, even though there is sparse literature on these procedures and the evidence is limited currently.

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Diagnosis of Iliotibial Band Friction Syndrome and Ultrasound Guided Steroid Injection

Cited by 26 publications

References 14 publications

The role of the iliotibial band cross-sectional area as a morphological parameter of the iliotibial band friction syndrome: a retrospective pilot study

The role of the iliotibial band cross-sectional area as a morphological parameter of the iliotibial band friction syndrome: a retrospective pilot study

Imaging of Tendons of the Knee: Much More than just the Extensor Mechanism

Interventional articular and para-articular knee procedures

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