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e-CASES: Iliotibial trak disruption

Channel Musculoskeletal


A sixty-three year old female presented with acute left buttock and groin pain.


@5.29, @7.8, @1.12


Iliotibial trak disruption



The iliotibial fascia arises from the iliac tubercle and presents with longitudinally oriented fibers that spraid along the lateral aspect of the thigh to aninsertion on Gerdy’s tubercle.

At the level of the greatertrochanter, the Ilio tibial band receives contributions from the facia lata tensor and gluteus maximus muscle tendons.

At this level it is well known to being participating to the snapping hip. Its disruption occurs in elderly poeple


Differential diagnoses can be considered: gluteus medium muscle tendon lesion


(Greater trochanteric pain syndrome: more than bursitis and iliotibial tract friction.Ho GW, Howard TM. Curr Sports Med Rep. 2012 Sep-Oct;11(5):232-8. 


Iliotibial band syndrome in runners: a systematic review.

van der Worp MP, van der Horst N, de Wijer A, Backx FJ, Nijhuis-van der Sanden MW.

Sports Med. 2012 Nov 1;42(11):969-92.



Proximal iliotibial band syndrome: what is it and where is it?

Sher I, Umans H, Downie SA, Tobin K, Arora R, Olson TR. Skeletal Radiol. 2011 Dec;40(12):1553-6.


Tensor fascia lata muscle tear: evaluation by MRI.D. A. Asinger and G. Y. el-Khoury Iowa Orthop J. 1998; 18: 146–149.

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