scholarly journals Conservative treatment of iliotibial band syndrome in runners: Are we targeting the right goals?

2021 ◽  
Author(s):  
Miriam C. Friede ◽  
Gunnar Innerhofer ◽  
Christian Fink ◽  
Luis M. Alegre ◽  
Robert Csapo
Keyword(s):  
Conservative Treatment ◽  
Iliotibial Band ◽  
Iliotibial Band Syndrome ◽  
The Right

scholarly journals Distal Iliotibial Band Z-lengthening for Iliotibial Band Syndrome

2021 ◽  
Vol 1 (2) ◽  
pp. 263502542199713
Author(s):  
Scott E. Dart ◽  
Zane Hyde ◽  
Winston Gwathmey ◽  
Brian C. Werner
Keyword(s):  
Conservative Treatment ◽  
Preoperative Planning ◽  
Surgical Intervention ◽  
Surgical Techniques ◽  
Clinical Results ◽  
Iliotibial Band ◽  
Iliotibial Band Syndrome ◽  
Diagnostic Arthroscopy ◽  
Articular Pathology ◽  
Rule Out

Background: This technique video reviews an iliotibial band Z-lengthening procedure for iliotibial band (ITB) syndrome using a patient case example. Indications: Indications for considering surgical intervention include a diagnosis of iliotibial band syndrome, ruling out other possible etiologies of knee pain, and a minimum of 6 months of failed conservative treatment. Technique Description: There are several surgical techniques described in the literature, although the ITB Z-lengthening procedure is preferred at our institution. This technique uses a “Z”-type incision through the distal ITB to allow lengthening of the ITB and to allow access for surgical debridement of the underlying inflamed bursa. Nonabsorbable suture is then used for a side-to-side repair of the ITB in the elongated position. Results: Complications from this technique are uncommon, and the few published outcomes from this procedure show good clinical results and return to preactivity levels. Discussion/Conclusion: Preoperative planning should include analysis of lower extremity alignment and can include advanced imaging to rule out intra-articular pathology. Diagnostic arthroscopy is typically used at the start of the case for completeness. Distal iliotibial band Z-lenghtening can be a successful surgical option for patients who have failed extensive conservative treatment for iliotibial band syndrome.

The Iliotibial Band Syndrome

2008 ◽  
Vol 7 (2) ◽  
pp. 102-106 ◽  
Author(s):  
F. Alan Barber ◽  
Michael J. Sutker
Keyword(s):  
Iliotibial Band ◽  
Iliotibial Band Syndrome

scholarly journals May-Thurner Syndrome Is Aggravated by Pregnancy

Medicina ◽  
2021 ◽  
Vol 57 (3) ◽  
pp. 222
Author(s):  
Kuntharee Traisrisilp ◽  
Manatsawee Manopunya ◽  
Tanop Srisuwan ◽  
Wisit Chankhunaphas ◽  
Theera Tongsong
Keyword(s):  
Conservative Treatment ◽  
Renal Agenesis ◽  
Iliac Vein ◽  
Vein Thrombosis ◽  
Left Lower Extremity ◽  
Asymptomatic Patients ◽  
Pregnancy And Postpartum ◽  
Anticoagulant Prophylaxis ◽  
The Right ◽  
Deep Vein

This study aims to emphasize that asymptomatic patients with undiagnosed and asymptomatic May-Thurner syndrome (MTS) may firstly develop severe compression during pregnancy. A 40-year-old woman, G1P0, at 22 weeks of twin gestation presented with left lower extremity edema and pain. One twin was structurally normal while the other had bilateral renal agenesis with oligohydramnios. Magnetic resonance venography (MRV) revealed severe compression of the left iliac vein by the right iliac artery without evidence of deep vein thrombosis (DVT). Conservative treatment with anticoagulant prophylaxis was instituted throughout the rest of pregnancy and postpartum period. She was also complicated with severe pre-eclampsia, a cesarean section was performed due to a prolapsed cord at 27 weeks of gestation, and she gave birth to a surviving baby weighing 1100 g. In conclusion, this case report provides evidence that pregnancy can disclose a subtle May-Thurner anatomy to be symptomatic without DVT. Successful pregnancy outcomes could be achieved with conservative treatment and anticoagulant prophylaxis.

scholarly journals Rehabilitation protocol of „runner’s knee” (Iliotibial Band Syndrome - ITBS) – a case study

2012 ◽  
Vol 26 (3) ◽  
pp. 35-40
Author(s):  
Ryszard Biernat ◽  
Dariusz Czaprowski
Keyword(s):  
Overuse Injury ◽  
Biomechanical Analysis ◽  
Iliotibial Band ◽  
Lateral Side ◽  
Sports Activity ◽  
Frame Size ◽  
Lateral Epicondyle ◽  
Iliotibial Band Syndrome ◽  
Runner’S Knee

Abstract Introduction:„Runner’s knee”, in other words Iliotibial Band Syndrome (ITBS) is the second, after PFPS, in terms of incidence frequency overuse injury amongst runners - 8.5 %. It is the most common cause of lateral knee pain. It mainly occurs in middle aged athletes, in the second decade of life. Cyclists, skiers, weight lifters, soccer and tennis players are next groups, where this clinical entity occurs. ITBS is typical overuse injury which results from cyclic friction (or compression) of iliotibial band on lateral epicondyle of femur. Training errors are main risk factors. Biomechanical disorders leading to this entity are: weakness of gluteus medius, lack of functional hip mobility, weakness of knee flexors and extensors, shortness of hip adductors, limited hip internal rotation. Improper saddle height, frame size or incorrect pedal position can cause ITBS among cyclists. Case study:Professional cyclist was referred to Rehabilitation Centre, complaining about severe pain located at lateral side of the right knee, lasting from 4 months. The pain was described as burning, sharp, increasing during biking, finally disabling him to continue sports activity. After biomechanical analysis we introduced functional re-education training correcting disbalances, the causes of injury. The role of tri-planar, eccentric exercises rotating the pelvis is underlined. After 7 weeks of aggressive, functional rehabilitation resumed sports activity without pain and functional limitations. Conclusions:An early diagnosis of ITBS allows for shorter rehabilitation time. It’s necessary to precisely determine biomechanical disorders leading to ITBS. 7-week rehabilitation, with functional, three dimensional exercises is effective mean of ITBS treatment. We recommend to continue this kind of exercises for 6-12 months to prevent injury recurrence

scholarly journals Internal jugular phlebectasia: A systematic review

2019 ◽  
Vol 10 ◽  
pp. 106 ◽  
Author(s):  
Jose A. Figueroa-Sanchez ◽  
Ana S. Ferrigno ◽  
Mario Benvenutti-Regato ◽  
Enrique Caro-Osorio ◽  
Hector R. Martinez
Keyword(s):  
Systematic Review ◽  
Natural History ◽  
Conservative Treatment ◽  
Literature Search ◽  
Jugular Vein ◽  
Adult Patients ◽  
Therapeutic Approaches ◽  
Jugular Phlebectasia ◽  
The Right ◽  
Meta Analyses

Background: Internal jugular phlebectasia (IJP), the abnormal dilatation of internal jugular vein, is generally considered a benign anomaly. However, because IJP is uncommon, little is known about its natural history, and currently, no consensus on the best treatment modality is available. Methods: The purpose of this article is to conduct a systematic review of available literature on recently reported IJP cases to understand the main characteristics of IJP and its most frequent therapeutic approaches. Following the preferred reporting items for systematic reviews and meta-analyses guidelines, literature search for IJP cases was conducted in the COCHRANE, PUBMED, EBSCOHOST, SCOPUS, OVID, and SCIELO databases. Results: A total of 97 original articles were found, with a total of 247 IJP cases reported including both pediatric and adult patients. Conclusions: To the best of our knowledge, this study is the largest systematic review analyzing all the reported cases of IJP. IJP is considered by most authors as a benign abnormality that predominantly affects the right jugular vein. It is most commonly diagnosed in children. At present, conservative treatment is preferred for pediatric but not for adult patients. Multicenter randomized prospective studies are required to further understand this rare anomaly.

scholarly journals Ober’s Test and Modified Ober’s Test are Reliable Means of Measuring Iliotibial Band using both Goniometer and Inclinometer

2019 ◽  
Vol 2 (13) ◽  
Author(s):  
Rolandas Kesminas ◽  
Jovita Burbulevičiūtė ◽  
Saulė Sipavičienė
Keyword(s):  
Knee Flexion ◽  
Intraclass Correlation ◽  
Iliotibial Band ◽  
Measurement Reliability ◽  
Test Results ◽  
Literature Research ◽  
Research Results ◽  
Intensive Training ◽  
Iliotibial Band Syndrome ◽  
Flexion And Extension

Research background. Iliotibial band syndrome is common among athletes due to intensive training or repetitive knee flexion and extension. There is not much data about iliotibial band length on the measurement reliability in the literature. Research aim was to investigate the links and the reliability of Ober’s test and Modifed Ober’s test results measuring iliotibial band length using goniometer and inclinometer. Methods. Ober’s test and Modifed Ober’s test were performed for the estimation of iliotibial band length, and the flexion angles were measured using a standard goniometer and an inclinometer. Results. Research results indicated that the values of intraclass correlation coeffcient were within the range of 0.85–0.94, so the measurement reliability (reproducibility) of Ober’s test and Modifed Ober’s test were estimated as good or very good. Conclusions. In Ober’s test and Modifed Ober’s test iliotibial band length can be reliably measured using both goniometer and inclinometer. The results of goniometric and inclinometric measurements of iliotibial band length in both Ober’s test and Modifed Ober’s test are reliable and their reproducibility is adequate. Keywords: reliability, Ober’s test, iliotibial band length, goniometer, inclinometer.

scholarly journals Imagenological findings of external snapping hip syndrome. Case report

Case reports ◽  
2019 ◽  
Vol 5 (2) ◽  
pp. 123-131
Author(s):  
Ingrid Carolina Donoso-Donoso ◽  
Enrique Calvo-Páramo ◽  
Roger David Medina-Ramírez
Keyword(s):  
Treatment Options ◽  
Multidisciplinary Treatment ◽  
Iliotibial Band ◽  
Snapping Hip ◽  
Adequate Response ◽  
Painful Sensation ◽  
External Snapping Hip ◽  
The Right ◽  
Snapping Hip Syndrome ◽  
Timely Treatment

Introduction: External snapping hip syndrome is characterized by a painful sensation accom­panied by an audible snapping noise in the hip when moving. Even though orthopedists are widely aware of this condition, imaging findings still need to be recognized by all radiologists in order to provide more information that allows for the best multidisciplinary treatment. Z-plasty of the iliotibial band is the most used treatment with the best results.Case presentation: Female patient with bi­lateral external hip snapping syndrome on the right side, who was treated initially in a con­servative manner without adequate response; hence, she required surgical management with arthroscopy. All treatment options used for this patient were not successful, and symptoms recurred.Discussion: The diagnosis of snapping hip syndrome is mainly clinical. However, the con­tribution of diagnostic imaging is important to characterize the structures involved in this nosological process, in order to develop the therapeutic planning and do the follow-up.Conclusion: Knowledge on ultrasound and magnetic resonance findings related to this pathology allows radiologists to identify this syndrome and contribute to a timely treatment.

Iliotibial Band Syndrome

2020 ◽  
pp. 384-390
Author(s):  
Venu Akuthota ◽  
Sonja K. Stilp ◽  
Paul Lento ◽  
Peter Gonzalez ◽  
Alison R. Putnam
Keyword(s):  
Iliotibial Band ◽  
Iliotibial Band Syndrome
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