ABSTRACT
The iliotibial band syndrome is most often diagnosed in runners but can be found in athletes who participate in other sports. From our experience most patients are high mileage runners with shoes either worn out or with insufficient cushioning. A total of 19 athletes with this condition have been seen in the past 3 years. Treatment consisted of rest or decreased distance, shoe changes, modification in exercise technique, anti-inflammatory medication, steroid injections and stretching. Surgery was not required.
Subject(s)
Athletic Injuries/therapy , Cumulative Trauma Disorders/therapy , Ilium/injuries , Ligaments/injuries , Tibia/injuries , Adolescent , Adult , Bicycling/injuries , Female , Humans , Male , Middle Aged , Physical Examination , Running/injuries , Shoes/adverse effects , Tennis/injuriesABSTRACT
Ankle arthroscopy is a useful technique, especially for intra-articular problems and osteocartilagenous lesions. Indications for this diagnostic and therapeutic technique include: ankle sprain unresponsive to the usual course of treatment, complaints of intermittent locking, pain and clicking, limitation of motion, and painful conditions with no obvious etiology (especially in a worker's compensation beneficiary). A review of arthroscopic, radiographic, and clinical data of all patients undergoing ankle arthroscopy at our center provided the following diagnoses: talar dome osteochondral fractures, loose bodies, accessory ossicles, talar dome cyst with loose bodies, and chronic synovitis. The anatomy of ankle arthroscopy is demanding; while the technique incorporates the same instrumentation as is used for knee arthroscopy, awareness of the neurovascular structures is essential to avoid complications. Although infrequent, complications can include sinus tract formation, sensory nerve damage, synovitis, infection, instrument breakage, and calf compartment syndromes due to extravasation of irrigation fluid.
Subject(s)
Ankle Joint/surgery , Arthroscopy , Humans , Joint Diseases/surgery , Joint Loose Bodies/surgery , Sprains and Strains/surgery , Synovitis/surgeryABSTRACT
Iliotibial band syndrome was diagnosed in 48 of 1030 runners treated for lower extremity musculoskeletal complaints. Most athletes had been running 20 to 40 miles a week for one year or longer and had significantly changed their distance, speed, terrain, surface, and/or shoes before the onset of symptoms. Symptoms often persisted for 2 to 6 months. All runners were treated conservatively with rest, stretching, reduced distance, anti-inflammatory medications, local cortisone injections and/or orthoses.
Subject(s)
Athletic Injuries/etiology , Ilium/injuries , Running , Tibia/injuries , Adolescent , Adult , Aged , Athletic Injuries/physiopathology , Athletic Injuries/therapy , Child , Diagnosis, Differential , Female , Humans , Joint Diseases , Knee Joint , Male , Middle Aged , Physical Examination , Sex Factors , Shoes/adverse effects , SyndromeABSTRACT
In brief: Iliotibial band syndrome was diagnosed in 48 of 1,030 runners treated for lower extremity musculoskeletal complaints. Most Patients had been running 20 to 40 miles a week for one year or longer and had significantly changed their distance, speed, terrain, surface, and/or shoes before the onset of symptoms. Persons with a varus knee alignment Were most likely to develop the symptoms, which often persisted for two to six months. All runners were treated conservatively with rest, reduced distance, anti-inflammatory medication, local cortisone injections, and/or orthoses.
