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Iliotibial Band Syndrome Differential Diagnoses

  • Author: Jerold M Stirling, MD; Chief Editor: Craig C Young, MD  more...
Updated: Oct 21, 2015
Contributor Information and Disclosures

Jerold M Stirling, MD Interim Chairman of Pediatrics, Associate Professor of Pediatrics and Orthopedics, Departments of Pediatrics and Orthopedic Surgery, Loyola University Medical Center

Jerold M Stirling, MD is a member of the following medical societies: American Academy of Pediatrics

Disclosure: Nothing to disclose.


Pietro Tonino, MD Director of Sports Medicine, Associate Professor of Orthopaedic Surgery, Orthopaedic Surgery, Loyola University Medical Center

Pietro Tonino, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American College of Sports Medicine, American Medical Association, American Orthopaedic Society for Sports Medicine, Chicago Medical Society, Illinois State Medical Society, Mid-America Orthopaedic Association, American College of Occupational and Environmental Medicine

Disclosure: Nothing to disclose.

Timothy D Marsho, DO Pediatrician

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Chief Editor

Craig C Young, MD Professor, Departments of Orthopedic Surgery and Community and Family Medicine, Medical Director of Sports Medicine, Medical College of Wisconsin

Craig C Young, MD is a member of the following medical societies: American Academy of Family Physicians, American College of Sports Medicine, American Medical Society for Sports Medicine, Phi Beta Kappa

Disclosure: Nothing to disclose.

Additional Contributors

Leslie Milne, MD Assistant Clinical Instructor, Department of Emergency Medicine, Harvard University School of Medicine

Leslie Milne, MD is a member of the following medical societies: American College of Sports Medicine

Disclosure: Nothing to disclose.

  1. Ellis R, Hing W, Reid D. Iliotibial band friction syndrome--a systematic review. Man Ther. 2007 Aug. 12(3):200-8. [Medline].

  2. Fairclough J, Hayashi K, Toumi H, et al. The functional anatomy of the iliotibial band during flexion and extension of the knee: implications for understanding iliotibial band syndrome. J Anat. 2006 Mar. 208(3):309-16. [Medline].

  3. Fredericson M, Wolf C. Iliotibial band syndrome in runners: innovations in treatment. Sports Med. 2005. 35(5):451-9. [Medline].

  4. Beynnon BD Johnson RJ, Coughlin KM. Knee. DeLee JC, Drez D Jr, Miller MD, eds. DeLee and Drez's Orthopaedic Sports Medicine. 2nd ed. Philadelphia, Pa: Saunders; 2003. 1871-2.

  5. Akuthota V, Stilp SK, Lento P. Iliotibial band syndrome. Frontera WR, Silver JK, eds. Essentials of Physical Medicine and Rehabilitation. Philadelphia, Pa: Hanley & Belfus; 2002. 328-33.

  6. Harris M, Williams CW, Stanish W, Micheli LJ, eds. Oxford Textbook of Sports Medicine. Oxford, England: Oxford University Press; 1994.

  7. Orchard JW, Fricker PA, Abud AT, Mason BR. Biomechanics of iliotibial band friction syndrome in runners. Am J Sports Med. 1996 May-Jun. 24(3):375-9. [Medline].

  8. Messier SP, Edwards DG, Martin DF, et al. Etiology of iliotibial band friction syndrome in distance runners. Med Sci Sports Exerc. 1995 Jul. 27(7):951-60. [Medline].

  9. Holmes JC, Pruitt AL, Whalen NJ. Iliotibial band syndrome in cyclists. Am J Sports Med. 1993 May-Jun. 21(3):419-24. [Medline].

  10. Lindenberg G, Pinshaw R, Noakes TD. Iliotibial band friction syndrome in runners. Phys Sports Med. 1984. 12(5):118-130.

  11. van der Worp MP, van der Horst N, de Wijer A, Backx FJ, Nijhuis-van der Sanden MW. Iliotibial band syndrome in runners: a systematic review. Sports Med. 2012 Nov 1. 42(11):969-92. [Medline].

  12. Richards DP, Alan Barber F, Troop RL. Iliotibial band Z-lengthening. Arthroscopy. 2003 Mar. 19(3):326-9. [Medline].

  13. Foch E, Milner CE. Frontal Plane Running Biomechanics in Female Runners with Previous Iliotibial Band Syndrome. J Appl Biomech. 2013 May 13. [Medline].

  14. Meardon SA, Campbell S, Derrick TR. Step width alters iliotibial band strain during running. Sports Biomech. 2012 Nov. 11(4):464-72. [Medline].

  15. Noehren B, Schmitz A, Hempel R, Westlake C, Black W. Assessment of strength, flexibility, and running mechanics in men with iliotibial band syndrome. J Orthop Sports Phys Ther. 2014 Mar. 44 (3):217-22. [Medline]. [Full Text].

  16. Shamus J, Shamus E. THE MANAGEMENT OF ILIOTIBIAL BAND SYNDROME WITH A MULTIFACETED APPROACH: A DOUBLE CASE REPORT. Int J Sports Phys Ther. 2015 Jun. 10 (3):378-90. [Medline]. [Full Text].

  17. Martens M, Libbrecht P, Burssens A. Surgical treatment of the iliotibial band friction syndrome. Am J Sports Med. 1989 Sep-Oct. 17(5):651-4. [Medline].

  18. Gunter P, Schwellnus MP. Local corticosteroid injection in iliotibial band friction syndrome in runners: a randomised controlled trial. Br J Sports Med. 2004 Jun. 38(3):269-72; discussion 272. [Medline].

  19. Cardone DA, Tallia AF. Diagnostic and therapeutic injection of the hip and knee. Am Fam Physician. 2003 May 15. 67(10):2147-52. [Medline]. [Full Text].

  20. Allen DJ. Treatment of distal iliotibial band syndrome in a long distance runner with gait re-training emphasizing step rate manipulation. Int J Sports Phys Ther. 2014 Apr. 9 (2):222-31. [Medline]. [Full Text].

  21. Henderson JM. Therapeutic drugs. What to avoid with athletes. Clin Sports Med. 1998 Apr. 17(2):229-43. [Medline].

The Ober test.
This illustration demonstrates active stretching of the iliotibial band (ITB). The athlete stands a comfortable distance from a wall and, with the contralateral knee extended, leans the proximal shoulder against the wall to stretch the ipsilateral ITB.
This illustration demonstrates iliotibial band syndrome stretching that is performed in a side-lying position.
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