An arthroscopic technique to treat the iliotibial band syndrome

Knee Surg Sports Traumatol Arthrosc. 2009 Mar;17(3):233-6. doi: 10.1007/s00167-008-0660-5. Epub 2008 Nov 5.

Abstract

Iliotibial band syndrome (ITBS) is an overuse injury mainly affecting runners. The initial treatment is conservative. Only, in recalcitrant cases surgery is indicated. Several open techniques have been described. The purpose of this study is to evaluate the results of a standardized arthroscopic technique for treatment of a resistant ITBS. Thirty-six athletes with a resistant ITBS were treated with a standardized arthroscopic technique, limited to the resection of lateral synovial recess. Thirty-three patients were available for follow-up (mean 2 years 4 months). Thirty-two patients (34 knees) had good or excellent results. All patients went back to sports after 3 months. In two patients a meniscal lesion was found, which required treatment. One patient with only a fair result had associated cartilage lesions of the femoral condyle. Our results show that arthroscopic treatment of resistant ITBS is a valid option with a consistently good outcome. In addition, this arthroscopic approach allows excluding or treating other intra-articular pathology.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Arthroscopy / methods*
  • Athletic Injuries / surgery*
  • Cumulative Trauma Disorders / surgery*
  • Female
  • Femur / surgery
  • Follow-Up Studies
  • Humans
  • Knee Injuries / surgery*
  • Knee Joint / surgery
  • Male
  • Patient Satisfaction
  • Retrospective Studies
  • Syndrome
  • Synovectomy
  • Treatment Outcome
  • Young Adult