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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]
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.
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.
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 – a common knee injury generally associated with running Iowa Tests of Basic Skills – a set of standardized tests given annually to school students in the United States See also
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 .
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.
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