Treatment of Recalcitrant Iliotibial Band Friction Syndrome with Open Iliotibial Band Bursectomy

Abstract

Iliotibial band bursectomy successfully reduces knee pain in patients with ITBFS and allows them to return to their preinjury level of activity. The great majority of patients were satisfied with the results of the procedure.

Iliotibial Band Lengthening: An Arthroscopic Surgical Technique

“…4,9,18 Despite the well-described techniques with satisfactory outcomes that have been reported in the literature, it is imperative that different surgical lengthening techniques are clearly described to optimize outcomes and return to activity. [11][12][13]17 Hence, we have presented our arthroscopic IT bandelengthening procedure that we believe allows for a complete lengthening of the IT band. Table 1 shows pearls and pitfalls.…”

“…[11][12][13]15,18 Hariri et al 13 evaluated this in a series of 11 patients in whom a 6-month course of nonoperative treatment failed. The operation was performed with an open technique after a diagnostic arthroscopy.…”

“…6 It has been seen that by surgically lengthening the IT band, one can achieve satisfactory pain relief and a quick return to activity. [11][12][13] Although there have been surgical techniques for this particular condition published, it is critical that techniques continue to be improved to achieve optimal results.…”

Retracted Chapter: The Expert View on Bicycling Injuries

“…Some report found no bursal sacs (Fairclough et al 2006 ). Others have treated ITBS with bursectomy (Hariri et al 2009 ). Some have removed surgically cyst-like structures, which are possible extensions of the lateral synovial capsule (Costa et al 2004 ).…”

Iliotibial band friction syndrome

“…The study of Hariri and others also calls into question whether inflammation of the ITB is actually involved in ITBFS [11]. In their case series, the symptoms of ITBFS were alleviated by surgical excision of what they described as a bursa in the sub-ITB space.…”