Ultrasound of iliotibial band syndrome

Díaz, Fernando Jiménez; Gitto, Salvatore; Sconfienza, Luca Maria; Draghi, Ferdinando

doi:10.1007/s40477-020-00478-3

Cited by 17 publications

(27 citation statements)

References 64 publications

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“…Unfortunately, sonographic descriptions of adventitious bursitis within the residual limb are sparse. In other locations, such as in the plantar forefoot or between the lateral femoral condyle and iliotibial band, adventitious bursitis has generally been described as a well‐circumscribed fluid collection located between bone and skin, often adjacent to bone 30–32 . The fluid collection may appear hypoechoic, heterogenous (with mixed echogenicity), or complex (containing internal debris of varying echogenicity due to infection, hemorrhage, crystals, or other etiologies) (Figure 5).…”

Section: Discussionmentioning

confidence: 99%

“…In other locations, such as in the plantar forefoot or between the lateral femoral condyle and iliotibial band, adventitious bursitis has generally been described as a well-circumscribed fluid collection located between bone and skin, often adjacent to bone. [30][31][32] The fluid collection may appear hypoechoic, heterogenous (with mixed echogenicity), or complex (containing internal debris of varying echogenicity due to infection, hemorrhage, crystals, or other etiologies) (Figure 5). Ruangchaijatuporn et al demonstrated an adventitial bursa in an individual with a transfemoral amputation as a hypoechoic fluid collection with hyperechoic debris, located between the femur and thigh muscles.…”

Section: Soft Tissue Abnormalitiesmentioning

confidence: 99%

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Diagnostic ultrasound of the residual limb: A narrative review

Powell

Sparling

Yuan

2022

PM&R

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Globally, 57.7 million people lived with traumatic limb loss in 2017, with the prevalence of amputation in the United States alone expected to reach 3.6 million by 2050. Pain is a common complication after limb loss, with up to 59% of patients experiencing residual limb pain (RLP). Although RLP is often due to a structural etiology, it is difficult to treat because the exact structure involved is frequently not apparent on history and physical examination alone. This narrative review aims to summarize the available literature on diagnostic ultrasound of the residual limb and examine the utility of ultrasound in identifying specific pathology. A total of 31 peer‐reviewed manuscripts published between 1989 and 2021 were included, grouped by pathology. Although ultrasound presents a promising and cost‐effective approach to identifying pathology within the residual limb, many gaps remain in the current knowledge, and no specific protocol for a sonographic assessment of the residual limb has ever been proposed. Future studies of diagnostic ultrasound of the residual limb should focus on replicable sonographic techniques and standardized exam protocols.

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Section: Discussionmentioning

confidence: 99%

Section: Soft Tissue Abnormalitiesmentioning

confidence: 99%

Diagnostic ultrasound of the residual limb: A narrative review

Powell

Sparling

Yuan

2022

PM&R

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“…Evaluation with ultrasound will show a hypoechoic fluid filled sac or discrete fluid collection at the site of pain indicating bursitis. 51 , 52 Treatment: The treatment of bursitis-related knee pain is typically focused on reducing the inflammation of the bursa, itself – this includes ice, NSAIDs, activity modifications (such as knee pads for prepatellar bursitis), injections of corticosteroid, and therapeutic aspiration. For patients with active lifestyle or occupational demands and non-septic bursitis, intrabursal injection of corticosteroids provides acute pain relief.…”

Section: Patient Evaluation and Imagingmentioning

confidence: 99%

“…Evaluation with ultrasound will show a hypoechoic fluid filled sac or discrete fluid collection at the site of pain indicating bursitis. 51 , 52 …”

Section: Patient Evaluation and Imagingmentioning

confidence: 99%

Consensus Guidelines on Interventional Therapies for Knee Pain (STEP Guidelines) from the American Society of Pain and Neuroscience

Hunter¹,

Deer²,

Jones³

et al. 2022

JPR

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Knee pain is second only to the back as the most commonly reported area of pain in the human body. With an overall prevalence of 46.2%, its impact on disability, lost productivity, and cost on healthcare cannot be overlooked. Due to the pervasiveness of knee pain in the general population, there are no shortages of treatment options available for addressing the symptoms. Ranging from physical therapy and pharmacologic agents to interventional pain procedures to surgical options, practitioners have a wide array of options to choose from – unfortunately, there is no consensus on which treatments are “better” and when they should be offered in comparison to others. While it is generally accepted that less invasive treatments should be offered before more invasive ones, there is a lack of agreement on the order in which the less invasive are to be presented. In an effort to standardize the treatment of this extremely prevalent pathology, the authors present an all-encompassing set of guidelines on the treatment of knee pain based on an extensive literature search and data grading for each of the available alternative that will allow practitioners the ability to compare and contrast each option.

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“…In simple terms, at the level of the greater femoral trochanter, the fascia/aponeurotic coverings of the gluteus maximus, potentially the gluteus medius, and tensor fascia lata (TFL) coalesce to form the IT band 1,3,4 . The IT band, which is a strong, dense fibrous connective tissue, then courses distally along the lateral aspect of the thigh 1,3 .…”

Section: Introduction and Anatomic Considerationsmentioning

confidence: 99%