358 results match your criteria Iliotibial Band Syndrome

Independent Risk Factors Predicting Gradual Onset Injury in 2824 Trail Running Race Entrants: SAFER XVIII Study.

Wilderness Environ Med 2021 Jul 12. Epub 2021 Jul 12.

Biostatistics Unit, South African Medical Research Council, Cape Town, South Africa; Statistics and Population Studies Department, University of the Western Cape, Western Cape, South Africa.

Introduction: Trail running is characterized by elevation changes, with uneven and varying running surfaces. Risk factors that may predict gradual-onset running-related injuries (GORRIs) in short-distance trail running have not been explored. The objective was to determine risk factors that predict GORRIs in trail running race entrants who entered mass community-based trail running events. Read More

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A quantitative MRI investigation of the association between iliotibial band syndrome and patellofemoral malalignment.

Quant Imaging Med Surg 2021 Jul;11(7):3209-3218

Department of Radiology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Background: The iliotibial band (ITB) has a wide patellar insertion that provides lateral restraint to the patella and maintains the patellofemoral joint's stability. There has been limited investigation into the relationship between patellofemoral malalignment and iliotibial band syndrome (ITBS).

Methods: We retrospectively analyzed 47 knees with ITBS by retrieving magnetic resonance imaging (MRI) data collected over an approximately 6-year period from our database. Read More

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Sex-Specific Hip Movement Is Correlated With Pelvis and Upper Body Rotation During Running.

Front Bioeng Biotechnol 2021 21;9:657357. Epub 2021 Jun 21.

Department of Sport Science, University of Innsbruck, Innsbruck, Austria.

There is a sex bias for common overuse running injuries that are associated with sex-specific hip kinematics. Gait retraining programs aimed at altering hip kinematics may be more efficient if they incorporated an understanding of how hip kinematics are correlated with the movement of the remaining body segments. We applied a principal component analysis to structure the whole-body running kinematics of 23 runners (12 ♀) into k = 12 principal movements (PM), describing correlated patterns of upper and lower body movements. Read More

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Editorial Commentary: An Optimal Classification System to Guide Prognosis and Treatment in Greater Trochanteric Pain Syndrome: Now We're Speaking the Same Language.

Joshua D Harris

Arthroscopy 2021 07;37(7):2137-2139

The optimal classification system in arthroscopic and related surgery research and clinical practice should be clinically relevant, descriptive, reproducible, simple, inexpensive, safe, and widely applicable. For the hip, classification systems that characterize intra-articular disorders like femoroacetabular impingement (FAI) syndrome, dysplasia, labral tears, and articular cartilage disease predominate the literature. Recently, awareness of peritrochanteric and other extra-articular disorders has increasingly led to greater recognition, diagnosis, and treatment of what has been historically known as "just bursitis". Read More

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The role of the iliotibial band cross-sectional area as a morphological parameter of the iliotibial band friction syndrome: a retrospective pilot study.

Korean J Pain 2021 Jul;34(3):369-370

Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, BeiHu Branch and National Taiwan University College of Medicine, Taipei, Taiwan.

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Arthroscopic Treatment for Femoroacetabular Impingement Syndrome with External Snapping Hip: A Comparison Study of Matched Case Series.

Orthop Surg 2021 Jun 17. Epub 2021 Jun 17.

Department of Orthopaedics, The Fourth Medical Center, Chinese PLA General Hospital, Beijing, China.

Objective: To determine the effectiveness of hip arthroscopy combined with endoscopic iliotibial band (ITB) release in patients with both femoroacetabular impingement (FAI) syndrome and external snapping hip (ESH).

Methods: Retrospectively review the preoperative and minimum of 2-year follow-up data of patients with both FAI syndrome and ESH who underwent endoscopic ITB release during hip arthroscopy (FAI + ESH group) from January 2014 to December 2018. The same number of age- and gender-matched FAI syndrome patients without ESH undergoing hip arthroscopy were enrolled in the control group (FAI group). Read More

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The Immediate Effects of Foam Rolling and Stretching on Iliotibial Band Stiffness: A Randomized Controlled Trial.

Int J Sports Phys Ther 2021 Jun 1;16(3):651-661. Epub 2021 Jun 1.

Texas Tech University Health Sciences Center, Lubbock, TX.

Background: Iliotibial Band Syndrome (ITBS) is a common clinical condition likely caused by abnormal compressive forces to the iliotibial band (ITB). Stretching interventions are common in ITBS treatment and may predominantly affect tensor fascia latae (TFL). Another ITBS treatment is foam rolling, which may more directly affect the ITB. Read More

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Running-related injuries in middle school cross-country runners: Prevalence and characteristics of common injuries.

PM R 2021 May 30. Epub 2021 May 30.

Spaulding Rehabilitation Hospital, Charlestown, Massachusetts, USA.

Background: Understanding the prevalence and factors associated with running-related injuries in middle school runners may guide injury prevention.

Objective: To determine the prevalence of running-related injuries and describe factors related to a history of injury.

Design: Retrospective cross-sectional study. Read More

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Ultrasound-guided surgery for lateral snapping hip: a novel ultraminimally invasive surgical technique.

J Orthop Surg Res 2021 May 19;16(1):322. Epub 2021 May 19.

Avanfi Institute and Unit for Ultrasound-guided Surgery, Hospital Beata María Ana, Calle de Donoso Cortes 80, 28015, Madrid, Spain.

Background: Greater trochanteric pain syndrome encompasses a range of causes of lateral hip pain including greater trochanteric bursitis, tendinopathy and tears of the gluteus minimus and medius, and lateral snapping hip (LSH). Surgical options for LSH range from open surgery to endoscopic surgery, including a diamond-shaped cut or a simple transversal release to gluteus maximus tendon release. Resection of an area of proximal iliotibial band (ITB) and step-cut or z-plasty lengthening have not proven superior to transverse release of the ITB. Read More

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Bilateral Recurrent, Atraumatic Anterior Knee Dislocations in a Pediatric Patient With Congenital Absence of the Anterior Cruciate Ligament.

J Am Acad Orthop Surg Glob Res Rev 2020 11 17;4(11):e20.00078. Epub 2020 Nov 17.

Children's Healthcare of Atlanta, Atlanta, Georgia (Dr. Moreland and Dr. Flanagan); and Department of Orthopedic Surgery, Boston, Children's Hospital, Boston, Massachusetts (Dr. Christino)..

An 8 yo 15 kg male child with an undiagnosed congenital syndrome presented with painful, recurrent atraumatic bilateral knee dislocations. Recurrent dislocations were reduced in the emergency department and were never associated with neurovascular compromise. Magnetic resonance imaging identified congenital agenesis of the anterior cruciate ligament (ACL) bilaterally. Read More

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November 2020

Musculoskeletal Injuries in Ultra-Endurance Running: A Scoping Review.

Front Physiol 2021 31;12:664071. Epub 2021 Mar 31.

University of Washington and Seattle Children's Sports Medicine, Seattle, WA, United States.

Ultra-endurance running (UER) has seen an important increase in participation over the last few decades. Long hours of UER can lead to excessive stress on the body, resulting in musculoskeletal injuries (MSKI). UER is not a uniform sport and events can differ considerably in distance (over 42. Read More

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A systematic review of running-related musculoskeletal injuries in runners.

J Sport Health Sci 2021 Apr 20. Epub 2021 Apr 20.

National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, LE11 3TU, UK. Electronic address:

Objective: Running-related musculoskeletal injuries (RRMIs), especially stemming from overuse, frequently occur in runners. This study aimed to systematically review the literature and determine the incidence and prevalence proportion of RRMIs by anatomic location and specific pathology.

Methods: An electronic database search with no date beginning restrictions was performed in SPORTDiscus, PubMed, and MEDLINE up to June 2020. Read More

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The role of the iliotibial band cross-sectional area as a morphological parameter of the iliotibial band friction syndrome: a retrospective pilot study.

Korean J Pain 2021 Apr;34(2):229-233

Department of Anesthesiology and Pain Medicine, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea.

Background: Iliotibial band friction syndrome (ITBFS) is a common disorder of the lateral knee. Previous research has reported that the iliotibial band (ITB) thickness (ITBT) is correlated with ITBFS, and ITBT has been considered to be a key morphologic parameter of ITBFS. However, the thickness is different from inflammatory hypertrophy. Read More

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Ultrasound-guided release for iliotibial band syndrome: A novel ultraminimally invasive surgical procedure.

Knee 2021 Jun 27;30:9-17. Epub 2021 Mar 27.

Avanfi Institute and Unit for Ultrasound-guided Surgery, Hospital Beata María Ana, Madrid, Spain; Department of Nursery and Physiotherapy, School of Medicine and Health Sciences, University of Alcalá, Madrid, Spain.

Background: Iliotibial band (ITB) syndrome is the most common cause of lateral knee pain in runners (affecting 7-14%) and in persons taking part in other sports. The aim of this study was to show how to perform a distal release of the ITB guided by ultrasound and present our initial results with this new technique.

Methods: The surgical technique - either Z-plasty or transverse section of the ITB - was first validated on 14 cadaver specimens and then applied in clinical practice. Read More

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The Effect of Manual Therapy on Lower Extremity Joint Kinematics during Running: A single-subject case study.

J Bodyw Mov Ther 2021 Jan 16;25:218-222. Epub 2020 Dec 16.

Drake University, United States.

Background: While there is scarcity of current literature to support the effectiveness of muscle energy techniques (MET) with musculoskeletal injuries, the overall impact on gait kinematics necessitates investigation. This case study involved a 48-year-old male runner and aimed to determine the effect of manual therapy, including joint mobilization and MET, on lower extremity (LE) kinematics. The subject had a medical history that included: Achilles tendonitis, low back pain, and iliotibial band syndrome. Read More

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January 2021

Hip Abductor and Peritrochanteric Space Conditions.

Clin Sports Med 2021 Apr 5;40(2):311-322. Epub 2021 Feb 5.

USC Epstein Family for Sports Medicine at Keck Medicine of USC, 1520 San Pablo Street, #2000, Los Angeles, CA 90033, USA.

The hip trochanteric bursa, tendinous insertions of the gluteal muscles, and the origin vastus lateralis make up the main structures of the peritrochanteric space. Greater trochanteric pain syndrome (GTPS) refers to pain generated by one or multiple disorders of the peritrochanteric space, such as trochanteric bursitis, gluteus medius and minimus tendinopathy or tear, and disorders of the proximal iliotibial band. Patients with GTPS might present with associated intra-articular hip pathology, which requires further investigation and appropriate management. Read More

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The Effect of Diacutaneous Fibrolysis on Local and Widespread Hyperalgesia and Muscle Length in Patients With Patellofemoral Pain Syndrome: Secondary Analysis of a Pretest-Posttest Clinical Trial.

J Sport Rehabil 2021 Feb 16;30(5):804-811. Epub 2021 Feb 16.

Context: Localized and widespread hyperalgesia has been observed in patients with patellofemoral pain. Diacutaneous fibrolysis (DF) has shown to be effective in reducing pain in several musculoskeletal conditions including patellofemoral pain syndrome, but no studies have evaluated the effects of this technique in reducing localized and widespread hyperalgesia.

Objective: To assess the effect of DF on the pressure pain threshold and muscle length tests in patients with patellofemoral pain syndrome. Read More

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February 2021

Endoscopic Iliotibial Band Release During Hip Arthroscopy for Femoroacetabular Impingement Syndrome and External Snapping Hip Had Better Patient-Reported Outcomes: A Retrospective Comparative Study.

Arthroscopy 2021 06 2;37(6):1845-1852. Epub 2021 Feb 2.

Department of Orthopedic Surgery, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, China. Electronic address:

Purpose: To compare patient-reported outcomes (PROs) in patients with femoroacetabular impingement (FAI) syndrome and external snapping hip (ESH) treated with hip arthroscopy with or without endoscopic iliotibial band (ITB) release.

Methods: Retrospective review case series with both FAI syndrome and ESH who underwent surgical treatment under same indications. According to the primary operation that was determined by patients themselves, the patients undergoing ITB release during hip arthroscopy for FAI syndrome were enrolled in the ITB-R group, and patients undergoing hip arthroscopy without ITB release were enrolled in non-ITB-R group. Read More

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Hip Pain in Adults: Evaluation and Differential Diagnosis.

Am Fam Physician 2021 01;103(2):81-89

University of New Mexico, Albuquerque, NM, USA.

Adults commonly present to their family physicians with hip pain, and diagnosing the cause is important for prescribing effective therapy. Hip pain is usually located anteriorly, laterally, or posteriorly. Anterior hip pain includes referred pain from intra-abdominal or intrapelvic causes; extra-articular etiologies, such as hip flexor injuries; and intra-articular etiologies. Read More

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January 2021

Etiology of knee pain in elite cyclists: A 14-month consecutive case series.

Acta Orthop Belg 2020 Jun;86(2):262-271

Overuse injuries of the knee are a common cause of missed training and competition days in elite cyclists, however the underlying conditions causing this knee pain are not well defined. We conducted a diagnostic study, investigating a consecutive series of 53 high level cyclists with non-traumatic knee pain over a 14 month period. Demographic data on the participants' cycling specialty and training level was noted. Read More

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Iliotibial Band Pathology: Synthesizing the Available Evidence for Clinical Progress.

Paul R Geisler

J Athl Train 2020 Dec 22. Epub 2020 Dec 22.

Ithaca College, Ithaca, NY.

The current paradigm of practice concerning insidious lateral knee pain involving the iliotibial band in repetitive knee flexion activities has been presented as iliotibial band friction syndrome since 1974. Renne's original model for ITB pain was based on a limited or incorrect understanding of the relevant anatomy, biomechanics, and tissue science, which gradually led to a plethora of frustrating and ineffective interventional strategies. Mounting evidence from arthroscopic, cadaveric and biomechanical studies, as well as from diagnostic imaging and histology reports helps deconstruct this long-held paradigm for ITB related pathology and treatment. Read More

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December 2020


Int J Sports Phys Ther 2020 Dec;15(6):958-966

Institut PPrime, CNRS - Université de Poitiers - ENSMA, UPR 3346, 11 bd Marie et Pierre Curie, BP 30179 - 86962 Futuroscope, France.

Background: Despite abundant literature, the treatment of iliotibial band syndrome (ITBS) in cyclists remains complicated as it lacks evidence-based recommendations.

Purpose: The aim of this study was to develop a musculoskeletal modelling approach that investigates three potential biomechanical determinants of ITBS (strain, strain rate and compression force) and to use this approach to investigate the effect of saddle setback.

Design: Cross-sectional. Read More

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December 2020

Indications and Outcomes for Arthroscopic Hip Labral Reconstruction With Autografts: A Systematic Review.

Front Surg 2020 16;7:61. Epub 2020 Oct 16.

Division of Young Adult Hip Surgery, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, United States.

The acetabular labrum plays a major role in hip function and stability. The gold standard treatment for labral tears is labral repair, but in cases where tissue is not amenable to repair, reconstruction has been demonstrated to provide superior outcomes compared to debridement. Many types of grafts have been used for reconstruction with good to excellent outcomes. Read More

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October 2020

Arthrokatadysis from post-injection gluteal muscular fibrosis case report.

BMC Musculoskelet Disord 2020 Nov 14;21(1):748. Epub 2020 Nov 14.

Department of Orthopedics, School of Medicine, Shanghai Tenth People's Hospital, Tongji University School of Medicine, NO.301 Yanchang Middle Road, Shanghai, 200072, China.

Background: Gluteal muscle contracture (GMC) is a clinical syndrome characterized by the contracture of gluteal muscles, iliotibial band (ITB), and related fascia. GMC is much more prevalent in China, which has been proven to be associated with repeated intramuscular injections into the buttocks and the subsequent fibrosis and contracture.Generally, GMC is manifested mild. Read More

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November 2020

Is the plantaris muscle the most undefined human skeletal muscle?

Anat Sci Int 2021 Jun 7;96(3):471-477. Epub 2020 Nov 7.

Department of Normal and Clinical Anatomy, Medical University of Lodz, Żeligowskiego 7/9, Łódź, 90-136, Poland.

The plantaris muscle is located in the posterior aspect of the superficial compartment of the lower leg, running from the lateral condyle of the femur to the calcaneal tuberosity. Classically, it is characterized by a small and fusiform muscle belly, which then changes into a long slender tendon. From the evolutionary point of view, the muscle is considered vestigial. Read More

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External Snapping Hip Syndrome Endoscopic Treatment: "Fan-like" Technique as a Stepwise, Tailor-made Solution.

Arthrosc Tech 2020 Oct 1;9(10):e1553-e1557. Epub 2020 Oct 1.

ORTIM Orthopaedic Clinic, Bialystok, Poland.

Classically, external snapping hip syndrome (ESHS) is considered to be caused by friction of a tight iliotibial band (ITB) over the greater trochanter (GT), which leads to pain, inflammation, and palpable or audible snapping. Surgical treatment remains a gold standard in patients resistant to conservative measures. Many surgical procedures addressing ESHS exist in the literature, but the vast majority of them involve only plasties of the ITB. Read More

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October 2020

Running-related injuries in Portuguese trail runners: a retrospective cohort study.

J Sports Med Phys Fitness 2021 Mar 22;61(3):420-427. Epub 2020 Oct 22.

High School Sport and Leisure, Polytechnic Institute of Viana do Castelo, Viana do Castelo, Portugal.

Background: The purpose of this study was to characterize trail running injuries within a cohort of Portuguese male and female recreational trail running athletes.

Methods: The study was retrospective (12 months), with data collected through an online survey. A total of 719 athletes participated (529 male and 190 female, average age: 38. Read More

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Factors Influencing Base of Gait During Running: Consideration of Sex, Speed, Kinematics, and Anthropometrics.

J Athl Train 2020 Dec;55(12):1300-1306

University of Wisconsin-Madison.

Context: A narrow base of gait (BOG), the mediolateral distance between the foot and the body's line of gravity at midstance, during running is a suggested cause of injuries such as iliotibial band syndrome and tibial stress injury. However, an understanding of modifiable and nonmodifiable factors that influence BOG is lacking, which limits the development of corrective strategies.

Objective: To determine if BOG varies by sex and running speed and the influence of running kinematics and anthropometrics on BOG. Read More

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December 2020

Arthroscopic management of greater trochanter pain syndrome and abductor tears has demonstrated promising results in terms of improvement in pain scores and functional outcomes: a scoping review.

Knee Surg Sports Traumatol Arthrosc 2021 Aug 12;29(8):2401-2407. Epub 2020 Oct 12.

Division of Orthopaedic Surgery, Department of Surgery, McMaster University, 1200 Main St. W. HSC 4E15, Hamilton, ON, L8N 3Z5, Canada.

Purpose: Greater trochanteric pain syndrome (GTPS) refers to the constellation of signs and symptoms related to pain in the trochanteric region and has recently replaced the previously ubiquitous term of 'greater trochanteric bursitis'. GTPS is common, particularly in women 50-79 years of age, and the understanding and management of GTPS have expanded considerably in recent years to include management with arthroscopic and endoscopic techniques in recalcitrant cases. The purpose of this scoping literature review was to summarize the current evidence on arthroscopic management of GTPS including sources of evidence, key concepts, and gaps in the literature. Read More

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Consequences and Prognosis of Running-Related Knee Injuries Among Recreational Runners.

Clin J Sport Med 2020 Sep 15. Epub 2020 Sep 15.

Department of General Practice, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.

Objective: To investigate the consequences and prognostic factors of running-related knee injuries (RRKIs) among recreational runners.

Design: Prospective cohort study.

Setting: This study is part of a randomized-controlled trial (RCT) on running injury prevention among recreational runners. Read More

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September 2020