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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]
Structures found in the posterolateral corner include the tibia, fibula, lateral femur, iliotibial band (IT band), the long and short heads of the biceps femoris tendon, the fibular (lateral) collateral ligament (FCL), the popliteus tendon, the popliteofibular ligament, the lateral gastrocnemius tendon, and the fabellofibular ligament.
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.
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.
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 ...
Extra-articular snapping hip syndrome is commonly associated with leg length difference (usually the long side is symptomatic), tightness in the iliotibial band (ITB) on the involved side, weakness in hip abductors and external rotators, poor lumbopelvic stability and abnormal foot mechanics (overpronation). [6]
Tight anatomical structures, e.g. retinaculum or iliotibial band [7] Excessive genu valgum and repetitive motion Patellofemoral pain syndrome can also result from fractures/trauma, internal knee derangement, osteoarthritis of the knee, and bony tumors in or around the knee.
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