This time, I'd like to talk about iliotibial ligamentitis.
Iliotibial ligamentitis is a condition that occurs from an environment where the iliotibial ligament, which passes through the prominence of the femur, is subjected to the friction of repetitive motion.
This is something that many people should know about, as it is said to be more common during running, but sometimes it is not.
When does it happen?
It is common among athletes in running and bicycle racing.
It can be caused by repetitive injuries, so overuse may be considered, but there are other causes as well.
What are the characteristics?
The shortening of the iliotibial ligament is one of the factors, so it may be based on the shortening of the myofascial tension muscle and the gluteus medius muscle.
The risk of developing the disease is high in cases of abnormalities of the bony axis, such as O-leg and internal tibial torsion.
The iliotibial ligament friction test (grasping test) is used to detect the syndrome.
It can also be detected by the squatting test.
Stretching of the iliotibial ligament is useful for prevention.
Injury to the lateral meniscus is a common differential for this condition.
Cases
38-year-old male
Bicycle racing athlete.
He had been experiencing discomfort in the lateral part of the right knee for two months, and had motion pain and tenderness in the lateral femoral epicondyle.
Physical examination revealed a positive result, and it was determined that he had the syndrome.
An MRI scan also confirmed the diagnosis.
Summary
Runner's knee is also called "runner's knee," and some people think that it only occurs during running, but it has the same characteristics as explained above.
In addition, some people are prone to misdiagnosis, so it is advisable to understand the tender areas and characteristics of the condition and treat the patient accordingly.
Do not think that pain on the outside of the knee = meniscus, but suspect this syndrome as well.
