Proximal iliotibial band syndrome: case report

Abstract

Objective The overuse injuries in the hip joint occur commonly in sports practitioners and currently due to technical advances in diagnostic imaging, especially magnetic resonance imaging (MRI), are often misdiagnosed. Recently, a group of people were reported, all female, with pain and swelling in the pelvic region. T2-weighted MRI showed increased signal in the enthesis of the iliotibial band (ITB) along the lower border of the iliac tubercle. We report a case of a 34 year old woman, non-professional runner, with pain at the iliac crest with no history of trauma and whose MRI was compatible with the proximal iliotibial band syndrome.

Proximal Iliotibial Band Syndrome - A Recently Described Disease

“…It usually occurs in long-distance runners, cyclists, and football players and represents the most common cause of lateral knee pain in runners [1].…”

“…Hip joint overload injuries usually occur in sports practitioners, and presently, because of advances in diagnostic imaging tests, principally MRI, they are often diagnosed [1,2]. Sher et al [1] studied group patients referring pain and edema in the region of the iliac tubercle and demonstrated that T2-weighted MRI shows an increase in the iliotibial band (ITB) signal along the lower border of the iliac tubercle.…”

“…Sher et al [1] studied group patients referring pain and edema in the region of the iliac tubercle and demonstrated that T2-weighted MRI shows an increase in the iliotibial band (ITB) signal along the lower border of the iliac tubercle.…”

“…The fascia lata gets thicker in its insertion in the lower border of the iliac tubercle with the formation of ITB [1,3]. ITB is a longitudinal orientation fibrous structure that acquires a contribution from gluteus maximus tendon and tensor of the fascia lata in the greater trochanter [1][2][3].…”

“…ITB is a longitudinal orientation fibrous structure that acquires a contribution from gluteus maximus tendon and tensor of the fascia lata in the greater trochanter [1][2][3]. ITB inserts into Gerdy's tubercle in the distal region [1,3].…”