title: Iliotibial band Z-lengthening.
abstract: Iliotibial band friction syndrome (ITBFS) is a common overuse injury reported to afflict 1.6% to 12% of runners. It results from an inflammatory response secondary to excessive friction that occurs between the lateral femoral epicondyle and the iliotibial band. Initial treatments include rest, anti-inflammatory medication, modalities (ice or heat), stretching, physical therapy, and possibly a cortisone injection. In recalcitrant cases of ITBFS, surgery has been advocated. This report describes a surgical technique of Z-lengthening of the iliotibial band in patients presenting with lateral knee pain localized to the iliotibial band at the lateral femoral epicondyle and Gerdy's tubercle who failed all nonoperative efforts.
authors.affiliation: Plano Orthopedic and Sports Medicine Center, Plano, Texas, USA.
authors.forename: David P
authors.initials: DP
authors.lastname: Richards
authors.forename: F
authors.initials: F
authors.lastname: Alan Barber
authors.forename: Randal L
authors.initials: RL
authors.lastname: Troop
mesh_terms: D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D018771:Arthralgia / Q000209:etiology; D001182:Arthroscopy / Q000379:methods*; D003131:Combined Modality Therapy; D003348:Cortisone / Q000627:therapeutic use; D012090:Cumulative Trauma Disorders / Q000188:drug therapy / Q000208:ethnology / Q000601:surgery*; D005208:Fasciitis / Q000188:drug therapy / Q000534:rehabilitation / Q000601:surgery*; D017276:Friction; D006801:Humans; D007718:Knee Injuries / Q000188:drug therapy / Q000534:rehabilitation / Q000601:surgery*; D026741:Physical Therapy Modalities; D052256:Tendinopathy / Q000188:drug therapy / Q000208:ethnology / Q000601:surgery*
chemical_list: D000893:Anti-Inflammatory Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D003348:Cortisone