Iliotibial band lengthening (for ITB friction syndrome)
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This is a description of the surgical technique for iliotibial band (ITB) lengthening and bursa excision for recalcitrant ITB friction syndrome. The technique shown is in a young and very physically active man . Iliotibial band friction syndrome is an overuse injury often experienced by runners and presents with lateral sided knee pain. Surgery is reserved for recalcitrant cases that do not improve with rest, physiotherapy, alignment correction and anti-inflammatory medication.
Well over 90% of cases of iliotibial band friction pain will settle with conservative treatment over 6 months. All patients should have a trial of specific physiotherapy, anti-inflammatory medication and a diagnostic local anaesthetic / steroid injection.
Failure of the above measures after 6 months may strengthen the argument for surgery. The patient however must accept that the success of surgery is only around 75%. Although it is low risk there have been reports of weak abduction with overlengthening of the ITB.
Iliotibial band friction syndrome is often a diagnosis of exclusion with investigations being normal.
Author :Mr Andrew Pearse FRCS (Tr & Orth)
Institution: The Worcestershire Acute Hospitals NHS Trust, UK.
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Question 1 of 10
Conservative treatment for iliotibial band friction syndrome is successful in what proportion of cases ?CorrectIncorrect
Question 2 of 10
The main symptom that patients complain of with ITB friction syndrome is which one of the following ?:CorrectIncorrect
Question 3 of 10
Which one of the following statements with respect to imaging ITB syndrome is TRUE?CorrectIncorrect
Question 4 of 10
Which one of the following statements is true re the initial surgical incision ?CorrectIncorrect
Question 5 of 10
When elevating the ITB at the level of the lateral epicondyle which one of the following structures is most at risk ?CorrectIncorrect
Question 6 of 10
The longitudinal incision in the ITB should extend by which one of the following ?CorrectIncorrect
Question 7 of 10
Which one of the following describes the maximum intended lengthening of the ITB in the average patient ?CorrectIncorrect
Question 8 of 10
If damage to the lateral collateral ligament is occurs intra-operatively which one of the following is the most appropriate treatment?CorrectIncorrect
Question 9 of 10
Jogging after this procedure can commence generally at which one of the following stages ?CorrectIncorrect
Question 10 of 10
The literature would suggest that the success rate of surgery is best described by which one of the following ?CorrectIncorrect