Overview
What is iliotibial band syndrome (ITBS)?
What is the pathophysiology of iliotibial band syndrome (ITBS)?
What is the prevalence of iliotibial band syndrome (ITBS) in the US and internationally?
What is the mortality and morbidity associated with iliotibial band syndrome (ITBS)?
What are the racial predilections of iliotibial band syndrome (ITBS)?
How does the prevalence of iliotibial band syndrome (ITBS) vary by sex?
How does the incidence of iliotibial band syndrome (ITBS) vary by age?
Presentation
Which clinical history findings are characteristic of iliotibial band syndrome (ITBS)?
What is included in the physical exam for iliotibial band syndrome (ITBS)?
What are causes of iliotibial band syndrome (ITBS)?
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Workup
What is the role of lab studies in the workup of iliotibial band syndrome (ITBS)?
What is the role of imaging studies in the workup of iliotibial band syndrome (ITBS)?
What is the role of injections in the management of iliotibial band syndrome (ITBS)?
What is the role of surgery in the management of iliotibial band syndrome (ITBS)?
Which histologic findings are characteristic of iliotibial band syndrome (ITBS)?
Treatment
What is included in conservative treatment of iliotibial band syndrome (ITBS)?
What is the role of physical therapy in the treatment of iliotibial band syndrome (ITBS)?
What is included in physical therapy for the treatment of iliotibial band syndrome (ITBS)?
What is the role of occupational therapy in the treatment of iliotibial band syndrome (ITBS)?
What is the role of surgery in the treatment of iliotibial band syndrome (ITBS)?
Which specialist consultations are beneficial for the treatment of iliotibial band syndrome (ITBS)?
What is the role of corticosteroids in the treatment of iliotibial band syndrome (ITBS)?
Medications
What are the goals of drug treatment for iliotibial band syndrome (ITBS)?
Follow-up
What is the duration of physical therapy for the treatment of iliotibial band syndrome (ITBS)?
Which medications are used in the treatment of iliotibial band syndrome (ITBS)?
When is transfer of care indicated for iliotibial band syndrome (ITBS)?
How is iliotibial band syndrome (ITBS) prevented?
What are complications of iliotibial band syndrome (ITBS)?
What is the prognosis of iliotibial band syndrome (ITBS)?
What is included in patient education about iliotibial band syndrome (ITBS)?
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In this 27-year-old female marathon runner with anterolateral pain superior to the joint line, a coronal fast spin-echo T2-weighted magnetic resonance imaging scan with fat suppression demonstrates edema between the iliotibial band and the lateral femoral condyle (arrow). The edema's location is consistent with a clinical diagnosis of iliotibial band syndrome.
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Iliotibial band at the lateral femoral condyle, with the posterior fibers denoted.
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Iliotibial band noted prominently along the lateral thigh.
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Lateral hip stabilizers.
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The Thomas test can be used to evaluate restriction in the iliotibial band and hip flexors.
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The Ober test.
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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.
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This illustration demonstrates iliotibial band syndrome stretching performed in a side-lying position.