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2017, Number 2

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Ortho-tips 2017; 13 (2)

Syndrome of the iliotibial band

Pasos NFJ

Language: Spanish
References: 20
Page: 65-72
PDF size: 155.09 Kb.


ABSTRACT

The Iliotibial band syndrome (ITBS) is one of the most common causes for pain on the lateral side of the knee. It has a 12% of incidence on runners and in cyclists. One of the main causes of this injury is the continuous and recurrent friction of the Iliotibial band over the femur’s lateral condyle. When the knee flexes in an angle greater than 30 degrees, the Iliotibial band slides to the lateral condyle. If the knee extends the Iliotibial band moves in front of the condyle. This work found runners with ITBS that have a significant weakness of the hip’s abductor in the medium gluteus and the fascia lata’s tensor noted an increment of the abduction and internal thigh’s rotation. Many papers have studied the bio-mechanical alterations that causes ITBS. They have proposed several bio-mechanical factors on all the iliotibial’s band journey, but the production mechanisms are not well defined. The ITBS friction syndrome is an inflammatory, non traumatic injury, caused by an extended use of the knee that affects long and short range runners and cyclists. In more than 90% of the cases the patients responded well to the treatment and depending on the degree of the injury, there is a specific program for each patient. Some examples range from simple homemade stretching to more complex physiotherapy departments, applying ice on the knee or the use of non-steroids anti-inflammatory analgesics. The most difficult cases to the conservative treatment can require interventions like application of local steroids continuing physiotherapy and if there is no good response, surgical treatment is recommended.


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