Iliotibial band friction syndrome (ITBFS) is the commonest injury among South African long distance runners. Although conservative management is the cornerstone of treatment, a significant number of long distance runners develop chronic conditions requiring surgery. Cutting the posterior 2 cm of the iliotibial band at the level of the lateral epicondyle gave 93.7% good or excellent results. The operation is done under local anaesthesia as an outpatient procedure. There is a very low minor complication rate with no long-term morbidity.
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P Firer (1992) studied this question.