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Iliotibial Band Syndrome: Evaluation and Management

Strauss, Eric J. MD; Kim, Suezie MD; Calcei, Jacob G.; Park, Daniel PT, DPT

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: December 2011 - Volume 19 - Issue 12 - p 728–736
Review Article

Iliotibial band syndrome is a common overuse injury typically seen in runners, cyclists, and military recruits. Affected patients report lateral knee pain associated with repetitive motion activities. The diagnosis is usually made based on a characteristic history and physical examination, with imaging studies reserved for cases of recalcitrant disease to rule out other pathologic entities. Several etiologies have been proposed for iliotibial band syndrome, including friction of the iliotibial band against the lateral femoral epicondyle, compression of the fat and connective tissue deep to the iliotibial band, and chronic inflammation of the iliotibial band bursa. The mainstay of treatment is nonsurgical; however, in persistent or chronic cases, surgical management is indicated.

From the Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases (Dr. Strauss and Dr. Kim), New York University School of Medicine (Mr. Calcei), and Sports PT (Mr. Park), New York, NY.

Dr. Strauss or an immediate family member has received nonincome support (such as equipment or services), commercially derived honoraria, or other nonresearch-related funding (such as paid travel) from Mitek. None of the following authors or any immediate family member has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Kim, Mr. Calcei, and Mr. Park.

© 2011 by American Academy of Orthopaedic Surgeons
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