The Source of Fluid Deep to the Iliotibial Band: Documentation of a Potential Intra‐Articular Source

Jelsing, Elena J.; Maida, Eugene; Finnoff, Jonathan T.; Smith, Jay

doi:10.1016/j.pmrj.2013.08.594

Cited by 10 publications

(8 citation statements)

References 16 publications

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“…Fluid measurements were limited as participants maintained a standing position with the knee in 0° extension only. It may have been more beneficial to measure fluid in a different position; however, the decision to measure distal ITB fluid in this manner was based on previous studies showing the highest likelihood of fluid detection in this position [13]. The risk of protocol deviation due to varying scanning techniques and different skill levels among the multiple study investigators may have also played a role in distorted measurements.…”

Section: Discussionmentioning

confidence: 99%

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

Narducci¹,

Taylor²,

Montero³

et al. 2022

Cureus

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To determine whether there is a correlation between pain and the amount of fluid present at the distal insertion of the iliotibial band (ITB) in runners, as measured by USG. MethodOur retrospective cross-sectional study evaluated 100 male and female runners prior to the start of a race. A valid and reliable questionnaire collected demographic, pain, and training data. If a runner reported knee pain, a numeric pain rating scale was used to record the degree of pain. Participants then underwent USG on both knees to determine the presence or absence of fluid at the distal insertion of the ITB. ResultWe found no statistically significant correlations of fluid measurements with pain score, running experience in years, or age. In addition, we found no other differences in fluid measurements between those with and without knee pain or between the sexes. ConclusionsOur findings indicate that the presence or absence of fluid at the distal insertion of the ITB does not correlate with knee pain in runners, regardless of age, running experience, or sex.

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Section: Discussionmentioning

confidence: 99%

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

Narducci¹,

Taylor²,

Montero³

et al. 2022

Cureus

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“…During running or cycling, irritative stresses on the ITB and the underlying tissues caused by anteroposterior movement or mediolateral movement of the ITB over the lateral femoral epicondyle result in this syndrome. 30 The pathology of ITBFS still remains controversial. The earlier hypothesis of ITBFS is that the repetitive friction of ITB over the lateral femoral condyle causes thickening of the ITB, as well as a bursitis in the sub-ITB space.…”

Section: Iliotibial Band Friction Syndromementioning

confidence: 99%

“…31,33 Knee effusion with extension to the LSR deep to the ITB is a regular phenomenon (see Figure 2D). 30 If patients do not have ITBFS symptoms, the effusion in the LSR may only imply that the amount of fluid in the knee joint is significant. If patients have ITBFS symptoms, it is crucial to determine if the source of the fluid is from the knee joint or an isolated accumulation.…”

Section: Iliotibial Band Friction Syndromementioning

confidence: 99%

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Sonography of Knee Effusion

Li¹

2020

Journal of Diagnostic Medical Sonography

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Objective: A review of the anatomy of the synovial recesses of the knee is important to better understand the different effusion presentations, update the diagnosis criteria of knee effusion based on the measured synovial recesses and discuss the differentiation of some effused recesses from other lesions around the knee. Method: This review focuses on the anatomy of the synovial recesses of the knee and classifies them into three groups (anterior, parameniscal, and posterior recesses), as well as provides an overview on the etiology of knee effusion, its sonographic detection, and diagnosis criteria. Results: Knee effusion is a very common pathological finding in sonography of the knee. The unique joint structure of the knee provides the possibility to host complex synovial recesses. Fluid in some of the synovial recesses is valuable for the diagnosis of knee effusion, while in certain situations, some recesses may impose diagnostic uncertainty. Knowledge of these synovial recesses is essential to avoid diagnostic pitfalls. Conclusion: This review provides an important discussion of the differentiation of some recesses effusions from other lesions around the knee.

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“…Une rétraction du fascia lata peut être recherchée par le test d'Ober sur un patient en décubitus latéral sur le côté sain, hanche et genou sains à 90° de flexion: le patient a des difficultés à réaliser une adduction de la cuisse (genou à 90°) au-delà de la ligne médiane, avec apparition d'une douleur de la face latérale du genou [21]. L'imagerie n'a pas d'intérêt dans les formes typiques, en dehors de l'échographie dynamique ; en effet celle-ci a permis de démontrerchez des coureurs à pied asymptomatiques -que la bandelette iliotibiale a une mobilité antéropostérieure par rapport au condyle latéral dans l'arc de mobilité 0-45° en charge et en décharge combinée à une réduction de sa largeur [23], associée à un épanchement liquidien sous la bandelette dont la présence varie selon la position (95% en charge et en extension vs 22% à 30° de flexion), en rapport possible avec une extension du récessus latéral synovial [24]: cet épanchement n'est donc pas toujours synonyme d'un SBIT. En pratique, la sensibilité de l'échographie dans le bilan d'un SBIT est faible.…”

Section: Syndrome De La Bandelette Iliotibialeunclassified

Douleurs latérales mécaniques du genou

Chalès

Albert

Guillin

2016

Revue du Rhumatisme Monographies

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National audienceLateral knee pain is a common presenting complaint with many possible causes. History and physical examination can decrease imaging indication and narrow the possible causes explained by an articular (lateral knee osteoarthritis, patellofemoral syndrome, proximal tibiofibular joint, lateral meniscus tear, discoid lateral meniscus), a musculotendinous (iliotibial band syndrome, biceps femoris, popliteus syndrome) or an osseous origin (osteonecrosis, complex regional pain syndrome, stress fracture…). Referred pain resulting from hip joint pathology, L4 or L5 radiculopathy also may cause lateral knee pain.Les douleurs latérales du genou constituent un motif de consultation fréquent avec de nombreuses causes. L’interrogatoire et l’examen clinique peuvent limiter les indications de l’imagerie et réduire le nombre de causes possibles expliquées par une origine articulaire (arthrose fémoro-tibiale latérale, syndrome fémoro-patellaire, articulation tibiofibulaire supérieure, ménisque latéral, discoïde), abarticulaire (syndrome de la bandelette iliotibiale, tendinopathie bicipitale, poplitée) ou osseuse (ostéonécrose, syndrome régional douloureux complexe, fractures de fatigue). Les douleurs référées résultant d’une coxopathie, d’une radiculopathie L4 ou L5 peuvent aussi être responsables de douleurs latérales du genou

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The Source of Fluid Deep to the Iliotibial Band: Documentation of a Potential Intra‐Articular Source

Cited by 10 publications

References 16 publications

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

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

Sonography of Knee Effusion

Douleurs latérales mécaniques du genou

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