Sonographic Evaluation of the Iliotibial Band at the Lateral Femoral Epicondyle

Jelsing, Elena J.; Finnoff, Jonathan T.; Cheville, Andrea L.; Levy, Bruce A.; Smith, Jay

doi:10.7863/ultra.32.7.1199

Cited by 22 publications

(7 citation statements)

References 24 publications

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“…Finally, the knee was placed in 45° of knee flexion with use of a goniometer and the presence and location of fluid was again recorded. Knee flexion values of 25° and 45° were chosen based on the fact that the ITB translates posteriorly over the lateral femoral epicondyle within this range of knee flexion [13]. This was important given that the location of fluid relative to the ITB was determined at the level of the lateral femoral epicondyle.…”

Section: Methodsmentioning

confidence: 99%

“…Multiple risk factors have been identified, but overuse during running and cycling activities is most commonly associated with ITBS [1,2,4]. Although the precise pathoetiology of ITBS has not been defined, researchers have hypothesized that cyclical iliotibial band (ITB) motion during running and cycling may produce symptoms via 2 mechanisms: (1) anteroposterior ITB motion over the lateral femoral epicondyle resulting in frictional, translatory stresses, or (2) medial-lateral ITB movement resulting in compression-related stresses [2][3][4][5][6][7][8][9][10][11][12][13]. These pathoetiologic mechanisms are not necessarily mutually exclusive, and common to both is the development of irritative stresses on the ITB and the underlying tissues.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Source of Fluid Deep to the Iliotibial Band: Documentation of a Potential Intra‐Articular Source

Jelsing¹,

Maida²,

Finnoff³

et al. 2013

PM&R

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Source of Fluid Deep to the Iliotibial Band: Documentation of a Potential Intra‐Articular Source

Jelsing¹,

Maida²,

Finnoff³

et al. 2013

PM&R

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“…Une rétraction du fascia lata peut être recherchée par le test d'Ober sur un patient en décubitus latéral sur le côté sain, hanche et genou sains à 90° de flexion: le patient a des difficultés à réaliser une adduction de la cuisse (genou à 90°) au-delà de la ligne médiane, avec apparition d'une douleur de la face latérale du genou [21]. L'imagerie n'a pas d'intérêt dans les formes typiques, en dehors de l'échographie dynamique ; en effet celle-ci a permis de démontrerchez des coureurs à pied asymptomatiques -que la bandelette iliotibiale a une mobilité antéropostérieure par rapport au condyle latéral dans l'arc de mobilité 0-45° en charge et en décharge combinée à une réduction de sa largeur [23], associée à un épanchement liquidien sous la bandelette dont la présence varie selon la position (95% en charge et en extension vs 22% à 30° de flexion), en rapport possible avec une extension du récessus latéral synovial [24]: cet épanchement n'est donc pas toujours synonyme d'un SBIT. En pratique, la sensibilité de l'échographie dans le bilan d'un SBIT est faible.…”

Section: Syndrome De La Bandelette Iliotibialeunclassified

Douleurs latérales mécaniques du genou

Chalès

Albert

Guillin

2016

Revue du Rhumatisme Monographies

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National audienceLateral knee pain is a common presenting complaint with many possible causes. History and physical examination can decrease imaging indication and narrow the possible causes explained by an articular (lateral knee osteoarthritis, patellofemoral syndrome, proximal tibiofibular joint, lateral meniscus tear, discoid lateral meniscus), a musculotendinous (iliotibial band syndrome, biceps femoris, popliteus syndrome) or an osseous origin (osteonecrosis, complex regional pain syndrome, stress fracture…). Referred pain resulting from hip joint pathology, L4 or L5 radiculopathy also may cause lateral knee pain.Les douleurs latérales du genou constituent un motif de consultation fréquent avec de nombreuses causes. L’interrogatoire et l’examen clinique peuvent limiter les indications de l’imagerie et réduire le nombre de causes possibles expliquées par une origine articulaire (arthrose fémoro-tibiale latérale, syndrome fémoro-patellaire, articulation tibiofibulaire supérieure, ménisque latéral, discoïde), abarticulaire (syndrome de la bandelette iliotibiale, tendinopathie bicipitale, poplitée) ou osseuse (ostéonécrose, syndrome régional douloureux complexe, fractures de fatigue). Les douleurs référées résultant d’une coxopathie, d’une radiculopathie L4 ou L5 peuvent aussi être responsables de douleurs latérales du genou

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“…The repetitive knee flexion with running, cycling, other sports, and military activities is thought to create friction of the ITB over the lateral femoral epicondyle at approximately 25° of knee flexion 3 . The movement of the ITB in reference to the lateral femoral epicondyle has been confirmed utilizing dynamic ultrasound imaging at 0°, 30° and 45° of knee flexion 4 …”

Section: Introductionmentioning

confidence: 96%

Ultrasound‐Guided Cutting Wire Release of the Posterior Iliotibial Band: A Feasibility Study

Boettcher

Hollman

Stuart

et al. 2020

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Background Distal iliotibial band friction syndrome (ITBFS) is a common cause of knee pain in endurance athletes. Nonsurgical treatment is usually successful, but surgery is occasionally required for recalcitrant cases. No published studies to date have evaluated the feasibility of an ultrasound‐guided (USG) partial iliotibial band (ITB) release. Objective To determine the feasibility of an USG partial ITB release using a cutting wire. A secondary aim was to assess whether adjacent structures were damaged. We hypothesized that the posterior distal ITB could be partially transected with a cutting wire under USG with no injury to adjacent structures. Design Cadaveric study. Setting Quaternary‐care academic institute. Participants Ten cadaveric knees ranging from 76‐89 years old with a mean body mass index of 21.9 kg/m2. Interventions One physician sonographer performed USG releases of the posterior ITBs at the level of the lateral femoral epicondyle with a cutting wire. Dissection was carried out by an independent second physician to assess for primary and secondary outcomes. Main Outcome Measures (1) Release of the posterior border of the ITB; (2) width of the release; (3) evaluation for any injury to adjacent structures; (4) technical difficulty of the procedure (0 = no difficulty, 10 = most difficult procedure possible); (5) duration of time it took to complete the procedure. Results All 10 knees had the posterior border of the ITB transected. Mean release length was 16 mm (range 15‐17), which was within 1 mm of the target release length of 15 mm. No adjacent structures were damaged. Conclusion A USG release of the posterior ITB utilizing a cutting wire is feasible and safe in a cadaveric model. Translational research is warranted to determine how these results apply to the clinical setting.

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Sonographic Evaluation of the Iliotibial Band at the Lateral Femoral Epicondyle

Cited by 22 publications

References 24 publications

The Source of Fluid Deep to the Iliotibial Band: Documentation of a Potential Intra‐Articular Source

The Source of Fluid Deep to the Iliotibial Band: Documentation of a Potential Intra‐Articular Source

Douleurs latérales mécaniques du genou

Ultrasound‐Guided Cutting Wire Release of the Posterior Iliotibial Band: A Feasibility Study

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