+ All Categories
Home > Documents > The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is...

The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is...

Date post: 10-May-2020
Category:
Upload: others
View: 8 times
Download: 0 times
Share this document with a friend
19
Transcript
Page 1: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area
Page 2: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

The Iliotibial band syndrome (ITB)  is commonly called "runner's knee" and is an inflammatory process in the iliotibial area which is the last section of the femoral fascia (or fascia lata). The problem occurs at the distal side of the knee, where the band fits on the side of the tuberosity of the tibia.

Page 3: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

In fact, rather than borne by the band, the inflammatory process is related to the innervated and vascularized tissue that separates the ilio-tibial band from the femoral epicondyle. It affects mainly the runners, though cyclists and sports in general are included.

Page 4: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

ANATOMY

The iliotibial band is the common tendon of two muscles: • the gluteus maximus • tensor fascia lata (TFL). It fits on the outer face of the tibia, just below the femoral articulation - tibial (Gerdy's tubercle). In its course passes over a bony protuberance, the lateral femoral epicondyle (LFE), which is separated, in order to facilitate the sliding, by a bursa scroll.

Page 5: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

ANATOMY

The iliotibial band, which moves from behind toward the front of the femur during physical activity, is essential for the stabilization of the pelvis and the knee joint during the monopodalic stance phase in running and in gear.

Page 6: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

At this point there may be a mechanical friction that generates a chronic inflammatory painful state in the fibrous tissue and in the bursa, that is exacerbated in the movements of flexion and extension of the knee.

ANATOMY

Page 7: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

The ilio-tibial bendelletta is in front of the tuberosity of the LFC when the knee is extended; begins to flow in the direction of the condyle back when it starts bending motion, is perfectly superimposed on the condyle when the decline reaches 30 ° and goes further back with increasing knee flexion.

ANATOMY

Page 8: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

Any movement that causes to the leg a side internal bend or and internal rotation, stretches the ITB against the femur. Excessive pronation (feet rotate too far inward on impact) tightens the iliotibial muscle, as well as not enough stretching, running shoes are not suitable or worn, excessive hill running (especially downhill), circular racing circuits and overload training.

Page 9: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

Ø  varus knee Ø  varus tibial Ø  prominence of the lateral femoral

epicondyle Ø  the limb-length discrepancy Ø  tending to foot pronation

Page 10: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

Ø  running on a sloping or uneven surface Ø  excessive mileage Ø  abrupt change in excess of excessive

training loads circuits with alternating ups and downs

Ø  training for explosive strength particularly intense

Ø  overweight athletic.

Page 11: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

The main symptom is lateral knee pain especially acute in the first 30 ° of flexion. Sometimes there is also a swelling in the inset of bendelletta.

Page 12: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

At first the pain manifests itself deaf after a few minutes, then seems to fade with the passage of km, but eventually increases again up to affect the dynamics of the race at the end of the session.

With every passing day, if the picture does not improve, pain induces reduce km and the speed of the race.

Page 13: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

It’s substantially clinic. Usually the pain is in the side of the knee and increases with a pressure with a knee flexion on the lateral condyle of the femur.

Radiographic examination is negative, the ultrasound examination can help confirm the diagnosis and quantify inflammation while the MRI may be useful for differential diagnosis with other diseases of the knee.

Page 14: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

The first treatment that can provide relief is cryotherapy: Apply the ice pack locally for 10-15 min. immediately after the race but also during the day. Reduce your training load and intensity, however, in any case avoided running down the paths and circular tracks.

Page 15: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

In the event that the problem is not resolved, normally the orthopedic specialist advise of NSAIDs (nonsteroidal antiinflammatory drugs) and muscle relaxants in addition to the suspension of the race.

Page 16: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

AUTO- TREATMENT

Stretching of the ITB, maintain 30 seconds and then s lowly relax. Repeat on both legs two or three times a day.

Page 17: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

AUTO- TREATMENT

Myofascial release of the iliotibial band with the help of tools such as the foam roller

Page 18: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

Ø  Swimming Ø  Bike in low gear. Ø  Avoid any exercise that brings power to

the ITB, especially to prevent the movement up and down the stairs.

Page 19: The Iliotibial band syndrome (ITB) is - Marcia dal Mondo · The Iliotibial band syndrome (ITB)is commonly called "runner's knee" and is an inflammatory process in the iliotibial area

Reduction of predisposing factors and favoring the onset of the syndrome of ITB:

Ø  evaluation and correction of postural defects Ø  evaluation of the biomechanics of the sporting

gesture Ø  stretching the ITB, quadriceps, and gluteal

dell'hamstring medium, small and large Ø  reinforcement of muscle deficit Ø  use of appropriate footwear Ø  gradual increase in the program of 'training Ø  avoid the rush downhill and on uneven terrain.


Recommended