Ultrasound-Guided Ultrasonic Tenotomy for the Treatment of Refractory Proximal Tensor Fascia Lata Tendinopathy and Tearing: A Case Report

Cummings, Paige; Boettcher, Brennan J.

doi:10.1249/jsr.0000000000000990

Cited by 1 publication

(13 citation statements)

References 8 publications

(19 reference statements)

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“…A summary of the included articles is found in the Table. Thirteen articles were case series or case reports describing various treatments and outcomes of ITBOT or tendon tearing (5)(6)(7)(8)10,11,(13)(14)(15)(16)(17)(18)(19). The remaining five articles were then categorized into anatomy, history/ physical exam, or imaging of ITBOT (4,9,12,20,21).…”

Section: Resultsmentioning

confidence: 99%

“…No studies reported on the sensitivity or specificity of clinical signs or tests for this condition. Nonetheless, focal tenderness at the anterior iliac crest or the iliac tubercle has been found in more than one study in the literature (5)(6)(7)(8)10,11,14,15). Additionally, resisted hip abduction and Ober's maneuver are nonspecific but can be positive in this condition (7,10,14,16).…”

Section: History and Physical Exammentioning

confidence: 99%

“…Of note, we also find that many of these patients present with multiple pain generators around the hip region, including the hip joint, gluteal tendons, sacroiliac joint, and hamstring tendon origin. In these cases, USG low-volume anesthetic injections can be helpful in identifying pain generators and can be considered in patients where the contribution of ITBOT is unclear (10,11).…”

Section: History and Physical Exammentioning

confidence: 99%

“…3A, B). A wide field of view should be utilized when ordering an MRI when ITBOT is suspected, as standard hip protocols do not cover the whole iliac crest and can miss pathologic findings of this condition (11). MRI findings of ITBOT include superficial and deep peritendinous edema on fluid-sensitive sequences (5,6,9,12,21), thickening of the tendon (4,5,9,12,21), and marrow changes at the iliac tubercle enthesis (12,20,21) (Fig.…”

Section: Imagingmentioning

confidence: 99%

“…In our clinical experience and understanding of the anatomy in this region, ITBOT most accurately describes this condition. For consistency in this review, ITBOT will be substituted for synonymous diagnoses (e.g., proximal TFL tendinopathy in the literature will be reported as ITBOT) (11). The purpose of this narrative review is to assimilate the published literature and our clinical experience to describe the relevant anatomy, outline the clinical diagnosis and imaging findings, and summarize treatment options for ITBOT.…”

Section: Introductionmentioning

confidence: 99%

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Iliotibial Band Origin Tendinopathy Is an Underrecognized Cause of Anterolateral Hip Pain: A Narrative Review and Clinical Commentary

Buttinger,

Romero,

Sellon

et al. 2024

Curr Sports Med Rep

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Hip pain is a common concern among athletes. With gluteal tendinopathy, femoroacetabular impingement, and osteoarthritis predominating sports medicine and musculoskeletal practices, less common etiologies may be overlooked. Complex pelvic anatomy and variable pain referral patterns may make identifying an accurate diagnosis challenging. Employing a systematic approach to evaluation and having a thorough understanding of hip region anatomy are essential. A potentially overlooked cause of anterolateral hip pain is iliotibial band origin tendinopathy. Patients often present with pain around the anterolateral hip and tenderness to palpation at the anterolateral iliac crest. While patients with iliotibial band origin tendinopathy usually respond to nonsurgical intervention, there is little literature to guide evaluation and treatment, highlighting a gap in the recognition of this condition. The purpose of this narrative review is to describe the anatomy of the proximal iliotibial band origin, outline the clinical diagnosis and imaging findings of ITBOT, and summarize current treatment options.

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