ITB Contracture & Friction Syndrome

Question 1

inflammation and pain where the IT band crosses the lateral femoral condyle =

Answer 1

ITB friction syndrome

Question 2

ITB contracture and friction syndrome can present

Answer 2

unilaterally & bilaterally

Question 3

what is the IT band

Answer 3

reinforced tract of fascia connecting proximal to the TFL and glute max and distally to lateral tibia

• provides lateral support at knee, escpec when knee is extended

Question 4

causes of ITB contracture

Answer 4

• activities that place knee and hip in flexion
• postural imbalances (APT)
• prolonged WC use or bed rest

Question 5

causes of ITB friction syndrome

Answer 5

• prolonged repetitive activities where hip and knee and flexed (running)
• poor TFL stretching
• anterior pelvic tilt

Question 6

symptoms

Answer 6

• pain at lateral thigh into lateral aspect of knee
• shortening IT band
• thickened, adhesion and fibrositic nodules
• inflammation due to IT band rubbing over lat.femoral condyle
• HT and TPs in TFL, hip flexors, rec fem
• valgus / hyperextension of knee possibly
• trochanteric bursas can develop

Question 7

pain present contracture vs friction syndrome

Answer 7

contracture = P achy on lateral aspect of thigh, gradual onset

friction syndrome = P directly over lateral femoral condyle, worse on activity

Question 8

with a unilateral IT band contracture viewed anteriorly, what tilt is seen

Answer 8

lateral pelvic tilt that is low on affected or contracted side

Question 9

which movement of the knee is always painful w ITB friction syndrome

Answer 9

extension of knee

Question 10

what does a positive Ober’s test indicate

Answer 10

shortened TFL or ITB

Question 11

what does a positive Noble’s test indicate

Answer 11

presence of ITB friction syndrome