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Iliotibial band syndrome (ITBS)
- Due to recurrent friction of the iliotibial band (ITB) sliding over the lateral femoral condyle.
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Hx -
- Sharp or burning pain on the lateral aspect of the knee usually in runners.
- Rarely occurs at start of run, rather, occurs after reproducible time or distance
- (especially when running downhill)
PE-
- Typically negative other than local tenderness (approx. 2cm above lateral joint line) & occasional swelling over the distal ITB.
- Specialized tests: See also Ober's test and Noble's test
Tx
- Most patients respond to conservative treatment involving NSAIDs, stretching of the iliotibial band, strengthening of the gluteus medius, and altering training regimens.