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Iliotibial band syndrome (ITBS) is the second most common knee injury, and is caused by inflammation located on the lateral aspect of the knee due to friction between the iliotibial band and the lateral epicondyle of the femur. [2]
The iliotibial tract or iliotibial band (ITB; also known as Maissiat's band or the IT band) is a longitudinal fibrous reinforcement of the fascia lata.The action of the muscles associated with the ITB (tensor fasciae latae and some fibers of gluteus maximus) flex, extend, abduct, and laterally and medially rotate the hip.
The Ober test is used in physical examination to identify tightness of the iliotibial band (iliotibial band syndrome). During the test, the patient lies on his/her side with the unaffected leg on the bottom with their shoulder and pelvis in line. The lower hip and knee can be in a flexed position to take out any lordosis of the lumbar spine. [1]
In some cases, an audible snapping or popping noise as the tendon at the hip flexor crease moves from flexion (knee toward waist) to extension (knee down and hip joint straightened). It can be painless. [2] After extended exercise, pain or discomfort may be present caused by inflammation of the iliopsoas bursae. [3]
The gluteus maximus is a tensor of the fascia lata, and by its connection with the iliotibial band steadies the femur on the articular surfaces of the tibia during standing, when the extensor muscles are relaxed. Therefore, the muscle carries out an extension, a valgisation and an external rotation of the knee. [5]
The tensor fasciae latae is a tensor of the fascia lata; continuing its action, the oblique direction of its fibers enables it to stabilize the hip in extension (assists gluteus maximus during hip extension). The fascia lata is a fibrous sheath that encircles the thigh like a subcutaneous stocking and tightly binds its muscles.
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Continuous passive motion (CPM) devices are used during the first phase of rehabilitation following a soft tissue surgical procedure or trauma. The goals of phase 1 rehabilitation are: control post-operative pain, reduce inflammation, provide passive motion in a specific plane of movement, and protect the healing repair or tissue.