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A Review of Treatments for Iliotibial Band Syndrome in the Athletic Population

Iliotibial band syndrome (ITBS) is a common injury in runners and other long distance athletes with the best management options not clearly established. This review outlines both the conservative and surgical options for the treatment of iliotibial band syndrome in the athletic population. Ten studi...

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Autores principales: Beals, Corey, Flanigan, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4590904/
https://www.ncbi.nlm.nih.gov/pubmed/26464876
http://dx.doi.org/10.1155/2013/367169
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author Beals, Corey
Flanigan, David
author_facet Beals, Corey
Flanigan, David
author_sort Beals, Corey
collection PubMed
description Iliotibial band syndrome (ITBS) is a common injury in runners and other long distance athletes with the best management options not clearly established. This review outlines both the conservative and surgical options for the treatment of iliotibial band syndrome in the athletic population. Ten studies met the inclusion criteria by focusing on the athletic population in their discussion of the treatment for iliotibial band syndrome, both conservative and surgical. Conservative management consisting of a combination of rest (2–6 weeks), stretching, pain management, and modification of running habits produced a 44% complete cure rate, with return to sport at 8 weeks and a 91.7% cure rate with return to sport at 6 months after injury. Surgical therapy, often only used for refractory cases, consisted of excision or release of the pathologic distal portion of the iliotibial band or bursectomy. Those studies focusing on the excision or release of the pathologic distal portion of the iliotibial band showed a 100% return to sport rate at both 7 weeks and 3 months after injury. Despite many options for both surgical and conservative treatment, there has yet to be consensus on one standard of care. Certain treatments, both conservative and surgical, in our review are shown to be more effective than others; however, further research is needed to delineate the true pathophysiology of iliotibial band syndrome in athletes, as well as the optimal treatment regimen.
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spelling pubmed-45909042015-10-13 A Review of Treatments for Iliotibial Band Syndrome in the Athletic Population Beals, Corey Flanigan, David J Sports Med (Hindawi Publ Corp) Review Article Iliotibial band syndrome (ITBS) is a common injury in runners and other long distance athletes with the best management options not clearly established. This review outlines both the conservative and surgical options for the treatment of iliotibial band syndrome in the athletic population. Ten studies met the inclusion criteria by focusing on the athletic population in their discussion of the treatment for iliotibial band syndrome, both conservative and surgical. Conservative management consisting of a combination of rest (2–6 weeks), stretching, pain management, and modification of running habits produced a 44% complete cure rate, with return to sport at 8 weeks and a 91.7% cure rate with return to sport at 6 months after injury. Surgical therapy, often only used for refractory cases, consisted of excision or release of the pathologic distal portion of the iliotibial band or bursectomy. Those studies focusing on the excision or release of the pathologic distal portion of the iliotibial band showed a 100% return to sport rate at both 7 weeks and 3 months after injury. Despite many options for both surgical and conservative treatment, there has yet to be consensus on one standard of care. Certain treatments, both conservative and surgical, in our review are shown to be more effective than others; however, further research is needed to delineate the true pathophysiology of iliotibial band syndrome in athletes, as well as the optimal treatment regimen. Hindawi Publishing Corporation 2013 2013-10-02 /pmc/articles/PMC4590904/ /pubmed/26464876 http://dx.doi.org/10.1155/2013/367169 Text en Copyright © 2013 C. Beals and D. Flanigan. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Beals, Corey
Flanigan, David
A Review of Treatments for Iliotibial Band Syndrome in the Athletic Population
title A Review of Treatments for Iliotibial Band Syndrome in the Athletic Population
title_full A Review of Treatments for Iliotibial Band Syndrome in the Athletic Population
title_fullStr A Review of Treatments for Iliotibial Band Syndrome in the Athletic Population
title_full_unstemmed A Review of Treatments for Iliotibial Band Syndrome in the Athletic Population
title_short A Review of Treatments for Iliotibial Band Syndrome in the Athletic Population
title_sort review of treatments for iliotibial band syndrome in the athletic population
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4590904/
https://www.ncbi.nlm.nih.gov/pubmed/26464876
http://dx.doi.org/10.1155/2013/367169
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