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    Iliotibial Band Syndrome

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    Yuni Ismulyati
    This document discusses iliotibial band syndrome, which is an overuse injury of the knee caused by repetitive flexion and extension. It affects the iliotibial band, a thick band of fascia that extends from the hip to the knee. Risk factors include tightness of the iliotibial band and high weekly mileage. Patients experience diffuse lateral knee pain that is aggravated by activities like running downhill or sitting with the knee flexed. Treatment focuses on reducing inflammation, stretching the iliotibial band and surrounding muscles, and strengthening exercises like those for the gluteus medius muscle.

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    © All Rights Reserved
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    Iliotibial Band Syndrome

    Uploaded by

    Yuni Ismulyati
    55 views15 pages
    This document discusses iliotibial band syndrome, which is an overuse injury of the knee caused by repetitive flexion and extension. It affects the iliotibial band, a thick band of fascia that extends from the hip to the knee. Risk factors include tightness of the iliotibial band and high weekly mileage. Patients experience diffuse lateral knee pain that is aggravated by activities like running downhill or sitting with the knee flexed. Treatment focuses on reducing inflammation, stretching the iliotibial band and surrounding muscles, and strengthening exercises like those for the gluteus medius muscle.

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    This document discusses iliotibial band syndrome, which is an overuse injury of the knee caused by repetitive flexion and extension. It affects the iliotibial band, a thick band of fascia that extends from the hip to the knee. Risk factors include tightness of the iliotibial band and high weekly mileage. Patients experience diffuse lateral knee pain that is aggravated by activities like running downhill or sitting with the knee flexed. Treatment focuses on reducing inflammation, stretching the iliotibial band and surrounding muscles, and strengthening exercises like those for the gluteus medius muscle.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    55 views15 pages

    Iliotibial Band Syndrome

    Uploaded by

    Yuni Ismulyati
    This document discusses iliotibial band syndrome, which is an overuse injury of the knee caused by repetitive flexion and extension. It affects the iliotibial band, a thick band of fascia that extends from the hip to the knee. Risk factors include tightness of the iliotibial band and high weekly mileage. Patients experience diffuse lateral knee pain that is aggravated by activities like running downhill or sitting with the knee flexed. Treatment focuses on reducing inflammation, stretching the iliotibial band and surrounding muscles, and strengthening exercises like those for the gluteus medius muscle.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 15

    Iliotibial Band Syndrome

    Yuni Ismulyati
    01.211.6555

    Definisi
    The iliotibial band is a thick band of fascia that
    crosses the hip joint and extends distally to insert
    on the patella, tibia, and biceps femoris tendon.
    Iliotibial band friction syndrome (ITBFS) is an
    inflammatory, non-traumatic, overuse injury of
    the knee

    Etiology
    repetitive flexion and extension of
    the knee causes the distal iliotibial
    band to become irritated and
    inflamed resulting in diffuse lateral
    knee pain.

    Risk Factors
    Potential risk factors for the development
    of iliotibial band syndrome, including the
    following:
    preexisting iliotibial band tightness;
    high weekly mileage;
    time spent walking or running on a track;
    interval training;
    muscular weakness of knee extensors,
    knee flexors, and hip abductors.

    Clinical Presentation
    The primary initial complaint is diffuse pain over
    the lateral aspect of the knee.
    patients are unable to indicate one specific area
    of tenderness, but tend to use the palm of the
    hand to indicate pain over the entire lateral
    aspect of the knee.
    With time and continued activity, the initial lateral
    achiness progresses into a more painful, sharp,
    and localized discomfort over the lateral femoral
    epicondyle and/or the lateral tibial tubercle.

    the iliotibial band becomes increasingly, irritated,


    the symptoms typically begin earlier in an
    exercise session and can even occur when the
    person is at rest
    Patients often note that the pain is aggravated
    while running down hills, lengthening their stride,
    or sitting for long periods of time with the knee in
    the flexed position.

    Differential Diagnosis

    Physical Examination
    The Obers test can be used to assess tightness
    of the iliotibial band

    MRI shows a thickened iliotibial band


    over the lateral femoral epicondyle
    and often detects a fluid collection
    deep to the iliotibial band in the
    same region

    Terapi
    Treatment
    requires
    activity
    modification,
    massage, and stretching and strengthening of the
    affected limb The goal is to minimize the
    friction of the iliotibial band
    The initial goal of treatment should be to alleviate
    inflammation by using ice and antiinflammatory
    medications.
    Patient education : Any activity that requires
    repeated knee flexion and extension is prohibited.

    If visible swelling or
    pain with ambulation
    persists for more than
    three
    days
    after
    initiating treatment, a
    local
    corticosteroid
    injection should be
    considered

    As the acute inflammation diminishes, the patient


    should begin a stretching regimen that focuses on
    the iliotibial band as well as the hip flexors and
    plantar flexors. The stretch shown in Figure 4C was
    consistently the most effective in increasing the
    length of the iliotibial band in a study of elite
    distance runners.

    Once the patient can perform stretching without pain, a


    strengthening program should be initiated. For patients with
    iliotibial band syndrome particular emphasis needs to be
    placed on the gluteus medius muscle. A strengthening
    exercise geared toward the gluteus medius is shown in
    Figure 5.

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