Proximal iliotibial band syndrome: what is it and where is it?

Sher, Irene; Umans, Hilary; Downie, Sherry A.; Tobin, Keith; Arora, R. K.; Olson, Todd R.

doi:10.1007/s00256-011-1168-5

Cited by 50 publications

(63 citation statements)

References 12 publications

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“…Therefore, injury to the ITB will influence the activities of the knee joint. [20][21][22] Additionally, displaced distal femur fractures require anatomic reduction of the articular surface. Multiple authors have shown that articular incongruity leads to poor outcomes, such as posttraumatic arthritis.…”

Section: Discussionmentioning

confidence: 99%

A New Anterolateral Approach for Type C Fractures of the Distal Femur

Zhang

Luo²,

et al. 2014

International Surgery

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To provide an anatomic basis for treating type C distal femoral fractures by a new anterolateral approach. Twenty surgical procedures were performed in 10 adult cadaveric specimens using a new anterolateral approach followed by dissection of all lower limbs. The main anterolateral muscles and ligaments were observed. Vessels and nerves related to the new anterolateral approach were also evaluated. Full exposure of the distal femur was achieved. The iliotibial band was protected, and damage to the quadriceps femoris was reduced. The distance between the common peroneal nerve and the new incision line at the level of the lateral epicondyle of the femur was (v 6 s) 8.19 6 0.79 cm (range, 7.48-9.57 cm). This new anterolateral approach to the distal femur is safe. Although it induces slight soft tissue damage, its exposure is excellent. Knee rehabilitation can be performed in the early postoperative period. condyles in association with severe soft tissue injuries. This type of fracture requires anatomic reduction of the articular surface, internal fixation, and early functional rehabilitation to improve outcomes and reduce the incidence of posttraumatic complications. 6-8Although indirect reduction maneuvers are available for type C fractures of the distal femur, direct exposure with visualization of the articular surface and fracture fragments is recommended to ensure anatomic reduction. 8,9 Adequate exposure can reduce the operation time and address fractures anatomically, reducing the rates of malunion, nonunion, and infection.9,10 Many approaches to the distal femur have been described. Lateral and anterolateral approaches are commonly used, but full exposure is difficult, and soft tissue injury may occur, potentially leading to malunion, nonunion, knee dysfunction, and other problems.11 To minimize soft tissue injury, widely expose the joint, operate easily, and implement early postoperative functional exercise, we designed a new anterolateral approach termed the ''S-shaped approach.'' We performed a cadaveric anatomic study to confirm the technical feasibility of this approach. Materials and MethodsTen embalmed adult cadaveric specimens (6 male and 4 female) were obtained from the Department of Anatomy of Nanchang University Medical School (Table 1). All studies were performed bilaterally (i.e., 10 cadavers and 20 limbs). All specimens were confirmed to have no previous knee surgeries or scars. The specimens were placed in the supine position on the dissecting tables. All approaches and dissections were performed by the senior author, a fellowship-trained orthopedic traumatologist. The new anterolateral approach was first performed on each specimen, and a dissection to the lower limb was then performed. We observed the anatomic characteristics of the main anterolateral muscles and ligaments and their relationships with the approach. The distances of the main vessels and nerves in relation to the approach were also measured with a vernier caliper. Description of ApproachA 20-to 25-cm S-shaped incision was made ...

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Section: Discussionmentioning

confidence: 99%

A New Anterolateral Approach for Type C Fractures of the Distal Femur

Zhang

Luo²,

et al. 2014

International Surgery

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“…Kadınlarda ve özellikle koşucularda olmak üzere sporcularda görülür [17]. İlyak tüberkülün inferior kenarı boyunca iliotibial bantta T2A serilerde hiperintens olarak izlenir.…”

Section: Proksimal İliotibial Bant Friksiyon Sendromuunclassified

Kalca Eklemi Cevresi Yumusak Dokulari

Balcı¹,

Gezer²

2017

Trd Sem

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GirişKalça çevresi yumuşak dokuları, cilt, cilt altı yağ dokusu, fasyal planlar, kas, sinir ve vaskü-ler dokuları da içeren geniş bir anatomik böl-gedir. Manyetik rezonans görüntüleme (MRG) bu bölgenin patolojilerinin değerlendirilmesin-de en yüksek kontrast çözünürlüğü ile öncelikli tercih edilen yöntemdir. Ayrıca direkt radyografi, ultrasonografi (US) ve bilgisayarlı tomografi (BT) gerektiğinde kullanılabilen diğer görüntüleme yöntemleridir. Bu başlık altında, sıklıkla görülen patolojilerin radyolojik görün-tüleme bulgularının tartışılması hedeflenmiştir. Tuzak NöropatilerTuzak nöropatiler, karmaşık klinik bulguları nedeniyle tanı koymada güçlük yaşanan patolojilerdir. Periferik sinirlerin akut veya kronik hasarına sekonder ortaya çıkan ağrı ve fonksiyonel bozukluk ile karakterizedir. MRG, tuzak nöropatilerin tanısında kullanılan non-invaziv ve kullanıcıdan bağımsız görüntüleme yönte-midir. Nöral hasarlanmanın yeri ve altta yatan nedeni hakkında bilgi verir, cerrahiden fayda görebilecek hastaları belirlemeye yardımcı olur ve selektif sinir blokajı için yol göstericidir [1].Manyetik rezonans görüntüleme ile kalça ve pelvisin tuzak nöropatilerinin görüntüleme-sinde T1 ve T2A görüntüler kullanılmaktadır. İdeal görüntüleme planı sinir trasesine göre değişir ancak sıklıkla aksiyal kesitler yararlıdır. T2A görüntüler elde edilirken eko zamanı uzun seçilir. Görüntü alanındaki vasküler yapılardan gelen sinyalleri baskılamak amacıyla RF pulsunun olduğu "satürasyon" ve yağ sinyalini baskılamak amacıyla "yağ baskılama" teknikleri kullanılır. Ayrıca yağ baskılamalı "ağır T2" görüntüler sinyal intensite değişikliklerini belirginleştirir.Periferik sinirler veya sinir demetleri, T1A serilerde kas ile izointens, T2A serilerde izo-hafif hiperintens longitudinal yapılar şek-

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“…Thus, it is most common in women because they present with wider pelvic girdle and shorter femur as compared with men, which leads to a greater mechanical overload on the iliotibial band as a stabilizer element during ambulation (9) . Clinically, the discomfort tends to be restricted to the iliac tubercle area, worsening with physical activity.…”

Section: Proximal Iliotibial Band Syndromementioning

confidence: 99%

Sonography of the iliotibial band: spectrum of findings

Arend¹

2014

Radiol Bras

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ResumoIliotibial band lesions constitute a potential source of discomfort and are frequently confounded with other conditions which cause pain on the lateral aspect of the hip, thigh and knee. Ultrasonography is usually regarded as a first-line imaging modality in the assessment of such conditions because of its excellent diagnostic accuracy, low cost and wide availability. The correct identification of the structure involved in the production of symptoms leads to an appropriate management and to a higher probability of resolution of the clinical complaint. The present article is aimed at reviewing the different sonographic presentations of iliotibial band syndromes.Keywords: Sonography; Iliotibial band; Iliotibial band friction syndrome.Lesões no trato iliotibial constituem potencial fonte de desconforto e são frequentemente confundidas com outras enfermidades causadoras de dor na face lateral do quadril, coxa e joelho. A ultrassonografia é reconhecida como um método de imagem de primeira linha na investigação destas alterações, em virtude da excelente capacidade diagnóstica, baixo custo e ampla disponibilidade. A correta identificação da estrutura geradora dos sintomas resulta em tratamento específico e maior probabilidade de resolução da queixa clínica. O objetivo deste artigo é revisar as diferentes apresentações ultrassonográficas de doença do trato iliotibial.Unitermos: Ultrassonografia; Trato iliotibial; Síndrome do trato iliotibial.

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Proximal iliotibial band syndrome: what is it and where is it?

Cited by 50 publications

References 12 publications

A New Anterolateral Approach for Type C Fractures of the Distal Femur

A New Anterolateral Approach for Type C Fractures of the Distal Femur

Kalca Eklemi Cevresi Yumusak Dokulari

Sonography of the iliotibial band: spectrum of findings

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