Proximal Iliotibial Band Syndrome in a Runner: A Case Report

Decker, Gregory; Hunt, Devyani

doi:10.1016/j.pmrj.2018.06.017

Cited by 10 publications

(12 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, friction occurs at slightly less than thirty degrees of knee flexion, when the ITB crosses over the lateral femoral epicondyle. The cumulative effect of mechanical friction causes an inflammatory disorder within the periosteum of the lateral femoral epicondyle, underlying bursa, and iliotibial tract, eventually inducing lateral knee pain [11][12][13][14][15]. However, several other diseases may also be observed in this area, both distally and proximally in relation to the usually affected location in the lateral knee [13].…”

Section: Discussionmentioning

confidence: 99%

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

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

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

View full text Add to dashboard Cite

show abstract

“…It is more common in females as well as in runners and cyclists. Enthesopathy of the proximal ITB responds well with relative rest, targeted physical therapy, and gradual return to activity (running) after 2 to 3 months (33).…”

Section: Lateralmentioning

confidence: 99%

Hip Pain in an Athlete

Covey,

Knobloch,

Kim

2023

Curr Sports Med Rep

View full text Add to dashboard Cite

Hip pain is a common complaint in sports, and narrowing the differential diagnosis can be difficult. Many etiologies are secondary to overuse and respond well to nonsurgical treatment. The increased use of point-of-care ultrasound has helped provide timely and accurate diagnoses and some guided treatments. The hip is in close proximity to the abdomen and pelvis, and clinicians should be familiar with nonmusculoskeletal pain generators. This article is a comprehensive review of hip pain etiologies in athletes.

show abstract

“…23 . 6,9,16 Our patient was initially treated with various nonoperative NSAID modalities, physical therapy, home stretching program, and activity modification before being considered for pain intervention with corticosteroid injection. Corticosteroid injection versus placebo injection has shown significant pain relief, there are several studies showing ultrasound-guided corticosteroid injections.…”

Section: Discussionmentioning

confidence: 99%

Pain management in Illiotibial band syndrome

Rahayu

Suswati

Maulida

et al. 2022

ijhs

View full text Add to dashboard Cite

ITB syndrome is mostly caused by repetitive physical injury to the lateral knee and as much as 15-24% of severe injuries on cycling. The overall incidence of the syndrome is an iliotibial band of 5%-10%, and is often bilateral. Adolescents and young adults are commonly involved, especially those who perform extreme hip movements such as runners and soccer players.The ITB syndrome can be diagnosed by the appearance of a high-intensity signal on image-weighted T2 that appears over the deep lateral epicondyle for ITB, and thickening distal to ITB. On sonographic examination, the iliotibial pathway is relatively a hyperechoic linear structure that has a fibrillar pattern. Proximally, the iliotibial pathway can be easily visualized in the axial plane as a line above the greater trochanter. In this article, we report a case of ITB syndrome with conservative management that can reduce pain scale. Injections at Bursa ITB may be performed for patients who continue to experience pain that is unresponsive to rest, analgesics, and physical therapy. In our patient, after being given steroid injections under ultrasound guidance we recommended physiotherapy and limiting physical activity to exercise for 2 weeks, and there was improvement in pain scale.

show abstract

Proximal Iliotibial Band Syndrome in a Runner: A Case Report

Cited by 10 publications

References 18 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

Hip Pain in an Athlete

Pain management in Illiotibial band syndrome

Contact Info

Product

Resources

About