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An arthroscopic technique to treat the iliotibial band syndrome

PainSci » bibliography » Michels et al 2009
Tags: surgery, knee, IT band pain, running, etiology, treatment, classics, leg, limbs, pain problems, overuse injury, injury, exercise, self-treatment, tendinosis, pro

Two articles on PainSci cite Michels 2009: 1. The Complete Guide to IT Band Syndrome2. Is IT Band Tendinitis Really a Tendinitis?

PainSci notes on Michels 2009:

See the updated 2011 report, “The iliotibial band syndrome treated with an arthroscopic technique in 40 patients”.

original abstract Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.

Iliotibial band syndrome (ITBS) is an overuse injury mainly affecting runners. The initial treatment is conservative. Only in recalcitrant cases surgery is indicated. Several open techniques have been described. The purpose of this study is to evaluate the results of a standardized arthroscopic technique for treatment of a resistant ITBS. Thirty-six athletes with a resistant ITBS were treated with a standardized arthroscopic technique, limited to the resection of lateral synovial recess. Thirty-three patients were available for follow-up (mean 2 years 4 months). Thirty-two patients (34 knees) had good or excellent results. All patients went back to sports after 3 months. In two patients a meniscal lesion was found, which required treatment. One patient with only a fair result had associated cartilage lesions of the femoral condyle. Our results show that arthroscopic treatment of resistant ITBS is a valid option with a consistently good outcome. In addition, this arthroscopic approach allows excluding or treating other intra-articular pathology.

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