Journal
JOURNAL OF ATHLETIC TRAINING
Volume 56, Issue 8, Pages 805-815Publisher
NATL ATHLETIC TRAINERS ASSOC INC
DOI: 10.4085/1062-6050-548-19
Keywords
iliotibial band; impingement; pathology; running
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The current paradigm of ITB pain was based on limited or incorrect understanding, leading to frustrating and ineffective intervention strategies. Recent studies have helped deconstruct this paradigm and provide a more informed model for treating ITB-related pathology.
The current paradigm of insidious lateral knee pain involving the iliotibial band (ITB) in repetitive knee-flexion activities has been termed ITB friction syndrome since 1975. The original model for ITB pain was based on a limited or incorrect understanding of the relevant anatomy, biomechanics, and tissue science, which gradually led to a plethora of frustrating and ineffective interventional strategies. Mounting evidence from arthroscopic, cadaveric, and biomechanical studies, as well as from diagnostic imaging and histologic reports, has helped deconstruct this long-held paradigm for ITB-related pathology and treatment. By outlining the historical paradigm for our understanding of ITB pain and gathering newer evidence through extensive research, I will synthesize the available data in this clinical update to present an updated, more informed model for understanding insidious-onset ITB-related pathology and treating patients. The result is called ITB impingement syndrome.
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