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Iliotibial band syndrome is one of the leading causes of lateral knee pain in runners. The iliotibial band is a thick band of fascia composing the tendon of the tensor fasciae latae muscle . It is located on the lateral aspect of the knee, extending from the outside of the pelvis , over the hip and knee, and inserting just below the knee.
The Ober test is used in physical examination to identify tightness of the iliotibial band (iliotibial band syndrome). During the test, the patient lies on his/her side with the unaffected leg on the bottom with their shoulder and pelvis in line. The lower hip and knee can be in a flexed position to take out any lordosis of the lumbar spine. [1]
Iliotibial band syndrome (ITBS) is defined as inflammation of the iliotibial band on the outside of the knee. This inflammation occurs a result of the iliotibial band and the outside of the knee joint rubbing together. The resulting pain typically is initially mild and worsens if running continues.
Greater trochanteric pain syndrome (GTPS), a form of bursitis, is inflammation of the trochanteric bursa, a part of the hip. This bursa is at the top, outer side of the femur , between the insertion of the gluteus medius and gluteus minimus muscles into the greater trochanter of the femur and the femoral shaft .
728.89 Iliotibial band syndrome; 729 Other disorders of soft tissues. 729.0 Rheumatism unspecified and fibrositis; 729.1 Myalgia and myositis, Fibromyositis; 729.2 Neuralgia neuritis and radiculitis unspecified; 729.3 Panniculitis unspecified; 729.4 Fasciitis unspecified; 729.5 Pain in limb; 729.6 Foreign body in soft tissue; 729.7 Nontraumatic ...
The iliotibial tract or iliotibial band (ITB; also known as Maissiat's band or the IT band) is a longitudinal fibrous reinforcement of the fascia lata. The action of the muscles associated with the ITB ( tensor fasciae latae and some fibers of gluteus maximus ) flex, extend, abduct, and laterally and medially rotate the hip.
This occurs as the iliotibial band changes from a knee flexor to extensor around 30°. Again, the affected knee should be compared the normal side to rule out a false positive test. [5] [22] [26] Lachman & Posterior drawer tests - Increased anterior translation on the Lachman test is found when the patient has had a combined ACL and PLC injury ...
The more common lateral extra-articular type of snapping hip syndrome occurs when the iliotibial band, tensor fasciae latae, or gluteus medius tendon slides back and forth across the greater trochanter. This normal action becomes a snapping hip syndrome when one of these connective tissue bands thickens and catches with motion.