381 results match your criteria Iliotibial Band Syndrome

Comparing Functional Motor Control Exercises With Therapeutic Exercise in Wrestlers With Iliotibial Band Syndrome.

J Sport Rehabil 2022 Jun 25:1-10. Epub 2022 Jun 25.

Division of Physical Medicine and Rehabilitation, Department of Orthopedics, Stanford University, Stanford, CA,USA.

Context: Iliotibial band syndrome (ITBS) is a common overuse injury in runners with parallels to our findings of overuse in Greco Roman wrestlers. Despite research indicating coordination and movement-based factors about the hip, no studies were found using functional motor control (FMC) in runners or wrestlers with ITBS. Thus, we compared FMC exercises and therapeutic exercises (TEs) on pain, function, muscle strength, and range of motion (ROM) in national-level Greco Roman wrestlers with ITBS. Read More

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Shockwave Therapy Versus Dry Needling for the Management of Iliotibial Band Syndrome: A Randomized Clinical Trial: SWT Vs. DN for the Treatment of ITBS.

Galen Med J 2021 6;10:1-8. Epub 2021 Jul 6.

Department of Physical Medicine and Rehabilitation, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Iliotibial band syndrome (ITBS) is a common leading cause of lateral knee pain. Despite varieties of medical and non-medical treatments proposed for the management of ITBS, the best therapeutic approach for its treatment remained a significant question. The current study aims to compare the outcomes of dry needling (DN) versus shockwave therapy (SWT) in the management of ITBS. Read More

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Care of the Active Female.

Am Fam Physician 2022 Jul;106(1):52-60

Physical activity has many health-related benefits, including prevention and management of chronic disease, weight management, and improved mental health. Active girls and women of all ages and abilities are at risk of relative energy deficiency in sport, a syndrome encompassing low energy availability, menstrual irregularities, and disordered bone metabolism. Presence of amenorrhea or oligomenorrhea may suggest reduced energy availability. Read More

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Intraobserver Assessment of Shear Wave Elastography in Tensor Fasciae Latae and Gluteus Maximus Muscle: The Importance of the Hip Abductor Muscles in Runners Knee Compared to Healthy Controls.

J Clin Med 2022 Jun 22;11(13). Epub 2022 Jun 22.

Centre for Sport Science and University Sports, University of Vienna, 1010 Wien, Austria.

Background: Iliotibial band syndrome (ITBS) represents one of the most common running related injuries. The pathophysiology is postulated to be caused by excessive ITB tension, impingement and irritation of soft tissues at the lateral femoral epicondyle. However, direct evidence has yet to be found and the multifactorial etiology is under discussion. Read More

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Editorial Commentary: The Indication and Technique of Iliotibial Band Release for External Snapping Hip During Hip Arthroscopy in Patients With Femoroacetabular Impingement Syndrome.

Arthroscopy 2022 06;38(6):1900-1903

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

Patients with femoroacetabular impingement syndrome (FAIS) often have extra-articular disorders, such as external snapping hip (ESH). We recommend that obvious ESH be addressed by endoscopic transversal iliotibial band (ITB) release during hip arthroscopy for FAIS because the residual serious snapping caused by ESH negatively affects the outcome of hip arthroscopy. However, for mild ESH without indications for severe trochanteric bursitis on magnetic resonance imaging, we still propose that physical therapy, extracorporeal shock wave therapy, or local injection be performed for pain relief. Read More

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Selective Iliotibial Band Release for Iliotibial Band Traction Syndrome After Second-Generation Motion-Guided Bicruciate Stabilizing Total Knee Arthroplasty and Its Rationale: A Case Report With Review of Literature.

Cureus 2022 Apr 4;14(4):e23827. Epub 2022 Apr 4.

Orthopedics, Veterans Affairs Medical Center, Albuquerque, USA.

Iliotibial band traction syndrome (ITBTS) after total knee arthroplasty (TKA) has been well documented following first-generation guided motion bicruciate substituting (BCS) TKA. The incidence of ITBTS following second-generation BCS has been found to be rare, and surgical release of the IT band has not been reported. A 64-year old male was diagnosed with ITBTS following second-generation guided motion BCS TKA. Read More

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Knee Plical Pathology and Impingement Syndromes.

Magn Reson Imaging Clin N Am 2022 May 13;30(2):293-305. Epub 2022 Apr 13.

Department of Radiology & Imaging Sciences, University of Utah School of Medicine, 30 North 1900 East #1A071, Salt Lake City, UT 84132-2140, USA.

Impingement syndromes are caused by anatomic variability of normal structures, altered biomechanics, or a combination of both. Imaging manifestations of painful impingement syndromes can explain patient symptoms and guide appropriate management. This article discusses the MR imaging findings associated with synovial plica syndrome and other impingement syndromes of the knee joint. Read More

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Endoscopic fascia lata release for treatment of gluteal tendinopathy: a prospective study with a follow-up of 6 months to 1 year.

Acta Orthop Belg 2022 Mar;88(1):17-25

Greater trochanteric pain syndrome (GTPS) is clinically defined as greater trochanter pain with mechanical characteristics. The most common diagnosis is gluteal tendinopathy. Most cases of gluteal tendinopathy resolve with conservative management. Read More

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Editorial Commentary: It Is Imperative to Fix Symptomatic Hip Gluteus Medius Tears at Time of Femoroacetabular Impingement: Why Ignore This Pain in the Butt?

Arthroscopy 2022 05;38(5):1506-1508

Akron, Ohio.

The hip can have a multitude of different pathologies leading to different symptoms. Greater trochanteric pain syndrome, historically attributed to bursitis, has been largely found to be associated with lesions of the gluteus medius and minimus tendons, and the prevalence of gluteus medius pathology in patients with femoroacetabular impingement (FAI) is as high as one-third of the FAI population. If a patient is found to have significant clinical symptoms of both FAI and a gluteus medius tear, it is imperative to fix both pathologies. Read More

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The deep fascia and its role in chronic pain and pathological conditions: A review.

Clin Anat 2022 Jul 27;35(5):649-659. Epub 2022 Apr 27.

Department of Anatomy & Cell Biology, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.

The deep fascia is a three-dimensional continuum of connective tissue surrounding the bones, muscles, nerves and blood vessels throughout our body. Its importance in chronically debilitating conditions has recently been brought to light. This work investigates changes in these tissues in pathological settings. Read More

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Classification Based Treatment of Greater Trochanteric Pain Syndrome (GTPS) with Integration of the Movement System.

Int J Sports Phys Ther 2022 1;17(3):508-518. Epub 2022 Apr 1.

Department of Physical Therapy, Duquesne University.

Greater trochanteric pain syndrome (GTPS) refers to pain in the lateral hip and thigh and can encompass multiple diagnoses including external snapping hip (coxa saltans), also known as proximal iliotibial band syndrome, trochanteric bursitis, and gluteus medius (GMed) or gluteus minimus (GMin) tendinopathy or tearing. GTPS presents clinicians with a similar diagnostic challenge as non-specific low back pain with special tests being unable to identify the specific pathoanatomical structure involved and do little to guide the clinician in prescription of treatment interventions. Like the low back, the development of GTPS has been linked to faulty mechanics during functional activities, mainly the loss of pelvic control in the frontal place secondary to hip abductor weakness or pain with hip abductor activation. Read More

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Friction Syndromes of the Knee.

J Knee Surg 2022 Apr 21;35(5):491-497. Epub 2022 Feb 21.

Department of Radiology, University of Missouri System, Columbia, Missouri.

The knee is a complex joint with many fascial and ligamentous interactions. The movement in multiple planes makes the knee a prime site for friction syndromes, especially in active individuals. The most common friction syndrome is the iliotibial band friction syndrome. Read More

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Mid- to long-term clinical outcomes of arthroscopic surgery for external snapping hip syndrome.

J Hip Preserv Surg 2021 Jul 24;8(2):172-176. Epub 2021 Aug 24.

Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, No. 5, Fuxing Street, Guishan District, Taoyuan City 333, Taiwan.

This study evaluated the outcomes of arthroscopic surgery for the treatment of external snapping hip at 2- to 10-year follow-ups. Eighteen patients with refractory external snapping hip treated by arthroscopic surgery were enrolled in this prospective study. All patients underwent unsuccessful conservative treatment for more than 3 months before surgery. Read More

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The Iliotibial Band: A Complex Structure with Versatile Functions.

Sports Med 2022 05 24;52(5):995-1008. Epub 2022 Jan 24.

School of Human Movement and Nutrition, The University of Queensland, Brisbane, QLD, Australia.

The development of a pronounced iliotibial band (ITB) is an anatomically distinct evolution of humans. The mechanical behaviour of this "new" structure is still poorly understood and hotly debated in current literature. Iliotibial band syndrome (ITBS) is one of the leading causes of lateral knee pain injuries in runners. Read More

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Conservative treatment of iliotibial band syndrome in runners: Are we targeting the right goals?

Phys Ther Sport 2022 Mar 27;54:44-52. Epub 2021 Dec 27.

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

Objective: Iliotibial band syndrome (ITBS) is presumably caused by excessive tension in the iliotibial band (ITB) leading to compression and inflammation of tissues lying beneath it. Usually managed conservatively, there is a lack of scientific evidence supporting the treatment recommendations, and high symptom recurrence rates cast doubt on their causal effectiveness. This review discusses the influence of common physiotherapeutic measures on risk factors contributing to tissue compression beneath the ITB. Read More

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Patients With Concomitant Painful External Snapping Hip and Femoroacetabular Impingement Syndromes Reported Complete Snapping Resolution With Release of the Gluteus Maximus and Iliotibial Band, and Comparable Minimum 2-Year Outcomes to a Propensity-Matched Control Group.

Arthroscopy 2022 06 14;38(6):1890-1899. Epub 2021 Dec 14.

American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.; American Hip Institute, Chicago, Illinois, U.S.A.; AMITA Health St. Alexius Medical Center, Hoffman Estates, Illinois, U.S.A.. Electronic address:

Purpose: To report minimum 2-year patient-reported outcome measures (PROMs) following primary hip arthroscopy for femoroacetabular impingement syndrome (FAIS) and painful external snapping hip (ESH) treatment and ESH resolution, and to compare these PROMs to a benchmark FAIS propensity-matched control group without ESH.

Methods: Data were prospectively collected and retrospectively reviewed between November 2009 and April 2018. Patients were eligible if they were preoperatively diagnosed with FAIS and painful ESH and received primary hip arthroscopy to address these pathologies. Read More

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The immediate effects of Kinesio Taping on running biomechanics, muscle activity, and perceived changes in comfort, stability and running performance in healthy runners, and the implications to the management of Iliotibial band syndrome.

Gait Posture 2022 01 26;91:179-185. Epub 2021 Oct 26.

Allied Health Research Unit, University of Central Lancashire, UK.

Background: Kinesio Taping is frequently used in the management of lower limb injuries, and has been shown to improve pain, function, and running performance. However, little is known about the effects of Kinesio Taping on running biomechanics, muscle activity, and perceived benefits.

Research Question: This study aimed to explore the immediate effects of Kinesio Taping on lower limb kinematics, joint moments, and muscle activity, as well as perceived comfort, knee joint stability, and running performance in healthy runners. Read More

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January 2022

Anterior knee pain in runners after a half-marathon race.

J Clin Orthop Trauma 2021 Dec 16;23:101640. Epub 2021 Oct 16.

Centro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cra 98 No. 18 - 49, Cali, 760032, Colombia.

Background: Anterior knee pain has been associated with sports activity, especially long-distance running and endurance sports. It is important to determine the incidence of anterior knee pain (AKP) in runners after a half-marathon race and identify possible risk factors associated.

Methods: Cross-sectional study where runners from a half marathon race were randomly invited to participate. Read More

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December 2021

Arthroscopic confirmation of femoral button deployment prevents soft tissue interposition in ACL reconstruction.

Knee Surg Sports Traumatol Arthrosc 2022 Jul 19;30(7):2251-2258. Epub 2021 Oct 19.

Ramsay Générale de Santé, Hôpital Privé Jean Mermoz, Centre Orthopédique Santy, 24 Avenue Paul Santy, 69008, Lyon, France.

Purpose: The purpose of this study was to determine whether direct arthroscopic control of femoral buttons can prevent improper deployment and soft tissue interposition in anterior cruciate ligament (ACL) reconstruction.

Methods: A retrospective analysis of prospectively collected data from the SANTI study group database was performed. All patients who underwent ACL reconstruction using suspensive femoral fixation between 01/01/2017 and 31/12/2019 were included. Read More

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[Arthroscopic labrum reconstruction for femoroacetabular impingement syndrome: 12 cases report].

Beijing Da Xue Xue Bao Yi Xue Ban 2021 Oct;53(5):1007-1011

Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, Beijing 100191, China.

To investigate the surgical effect of hip arthroscopic labrum reconstruction. A retrospective study was performed on the clinical data of 12 patients who underwent hip arthroscopic labrum reconstruction in our department from September 2017 to February 2021 and were followed up for 5-46 months, with an average of 21.5 months. Read More

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October 2021

External snapping hip syndrome is associated with an increased femoral offset.

Eur J Orthop Surg Traumatol 2021 Sep 22. Epub 2021 Sep 22.

Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.

Background: External snapping hip syndrome (ESH) is postulated to be one of the causes of greater trochanteric pain syndrome, which also includes greater trochanteric bursitis and tendinopathy or tears of the hip abductor mechanism. However, it was not yet described what kind of bony morphology can cause the snapping and whether symptomatic and asymptomatic individuals have different imaging features.

Purpose: It was the purpose of this study to look for predisposing morphological factors for ESH and to differentiate between painful and asymptomatic snapping. Read More

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September 2021

Current Clinical Concepts: Synthesizing the Available Evidence for Improved Clinical Outcomes in Iliotibial Band Impingement Syndrome.

Paul R Geisler

J Athl Train 2021 Aug;56(8):805-815

Exercise Science and Athletic Training, School of Health Sciences and Human Performance, Ithaca College, NY.

The current paradigm of insidious lateral knee pain involving the iliotibial band (ITB) in repetitive knee-flexion activities has been termed ITB friction syndrome since 1975. The 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 histologic reports, has helped deconstruct this long-held paradigm for ITB-related pathology and treatment. Read More

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

Wilderness Environ Med 2021 09 12;32(3):293-301. 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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September 2021

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 Aug 17;13(6):1730-1738. 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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