Key result
A surgical technique involving excision of the distal posterior band is proposed alongside nonoperative measures like bicycle adjustments for treating iliotibial band syndrome in cyclists.
This paper highlights iliotibial band syndrome as a notable injury in cyclists and outlines tailored nonoperative and operative management strategies.
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May warrant evaluation for ITBS in cyclists with lateral knee pain; leaves open efficacy of proposed adjustments pending controlled trials.
Iliotibial band syndrome is an overuse injury caused by repetitive friction of the iliotibial band across the lateral femoral epicondyle. Once considered an injury indigenous to runners, it is now frequently being seen in cyclists. The purpose of this paper is to identify iliotibial band syndrome as a significant problem in cyclists and to propose both operative and nonoperative measures for treating cyclists. Nonoperative measures specific to cyclists consist of bicycle adjustments and training modifications. These are adjunctive therapies to stretching, icing, rest, and oral nonsteroidal antiinflammatory drugs. For cyclists requiring operative intervention, a new surgical technique for excising or releasing the distal iliotibial band is presented. This technique, used by the senior author (JCH) since 1984, involves excision of an elliptical piece of the distal posterior band off the lateral femoral epicondyle.
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Holmes et al. (1993) conducted a review in Iliotibial band syndrome. Operative and nonoperative measures was evaluated. A surgical technique involving excision of the distal posterior band is proposed alongside nonoperative measures like bicycle adjustments for treating iliotibial band syndrome in cyclists.
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