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Is the iliotibial band syndrome really a friction syndrome? / Michels Frederick, Van Der Bauwhede Jan, Jambou Stéphane

Material type: Continuing resourceContinuing resourceISSN: 1440-2440 In: Journal of Science and Medicine in Sport -- 2007, v. 10, n. 2, p. 74-76Summary: The iliotibial band (ITB) syndrome is an overuse syndrome mainly affecting runners but also found in cyclists. This syndrome is very common with an incidence between 1.6 and 12% [Lavine]. The diagnosis is primarily based on history and physical examination. The ITBS causes pain in the region of the lateral femoral epicondyle. Symptoms increase with running. Physical examination reveals a local tenderness of the lateral femoral epicondyle. The initial treatment of the iliotibial band syndrome may consist of activity modification, correction of training errors, a trial of nonsteroidal anti-inflammatory drugs, local modalities, stretching, physical therapy, shoe modification, and possibly a cortisone injection. Only in recalcitrant cases surgery is needed. Several surgical procedures have been described. Most techniques resect a part of the ITB to lower the tension. Some authors recommend performing an associated arthroscopy to address any associated intra-articular pathology
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Bibliografía: p.76

The iliotibial band (ITB) syndrome is an overuse syndrome mainly affecting runners but also found in cyclists. This syndrome is very common with an incidence between 1.6 and 12% [Lavine]. The diagnosis is primarily based on history and physical examination. The ITBS causes pain in the region of the lateral femoral epicondyle. Symptoms increase with running.
Physical examination reveals a local tenderness of the lateral femoral epicondyle. The initial treatment of the iliotibial band syndrome may consist of activity modification, correction of training errors, a trial of nonsteroidal anti-inflammatory drugs, local modalities, stretching, physical therapy, shoe modification, and possibly a cortisone injection. Only in recalcitrant
cases surgery is needed. Several surgical procedures have been described. Most techniques resect a part of the ITB to lower the tension. Some authors recommend performing an associated arthroscopy to address any associated intra-articular pathology

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