Iliotibial Band Syndrome


Sx/Exam:


Ober's test:
The patient lies down with the unaffected side down and the unaffected hip and knee at a 90-degree angle. If the iliotibial band is tight, the patient will have difficulty adducting the leg beyond the midline and may experience pain at the lateral knee (arrows)

Tx:

 

 

ITE 2013 Q#129.
 A 20-year-old female distance runner presents with a 1-month history of left knee pain. The pain is worse with her first few steps in the morning and when going down stairs. Examination of the knee reveals no deformity, effusion, or ligamentous laxity. The knee joint and surrounding tissues are not tender to palpation, with the exception of an area 2 cm proximal to the left lateral joint line.
What is the most likely cause of this patient’s pain?
A) Osteoarthritis of the knee joint
B) Pes anserine bursitis
C) Iliotibial band syndrome
D) Chronic lateral meniscal tear
E) Osgood-Schlatter disease

ANSWER: C