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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]
Once symptoms have decreased a maintenance program of stretching and strengthening can be initiated. Light aerobic activity (warmup) followed by stretching and strengthening of the proper hamstring, hip flexors, and iliotibial band length is important for reducing recurrences. Conservative measures may resolve the problem in six to eight weeks.
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.
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.
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 ...
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Gerdy's tubercle is a lateral tubercle of the tibia, located where the iliotibial tract inserts. It was named after French surgeon Pierre Nicolas Gerdy (1797–1856).. Gerdy's tubercle is a smooth facet on the lateral aspect of the upper part of the tibia, just below the knee joint and adjacent to the proximal tibio-fibular joint, where the iliotibial tract runs down the outside part of the thigh.
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