Department of Anesthesiology and Pain Medicine, Keimyung University School of Medicine, Daegu, Korea.
Korean J Pain. 2013 Oct;26(4):387-91. doi: 10.3344/kjp.2013.26.4.387. Epub 2013 Oct 2.
A 64-year-old woman visited our pain clinic with the pain of right lateral side of thigh for one year. Her pain always started from knee and was radiated to buttock area when symptom was severe. She showed significant tenderness at knee lateral side and local tightness at lateral thigh. Magnetic resonance image of the knee was performed and we could identify high signal intensity of iliotibial band through coronal and axial view. In spite of medication and physical stretching exercise of iliotibial band for one month, she did not show any improvement of pain. To alleviate her symptom, ultrasound guided local corticosteroid injection targeting beneath the iliotibial band was performed. After the procedure, the reduction of pain was significant and there was no need for further management.
一位 64 岁女性因大腿外侧疼痛一年就诊于我院疼痛科。她的疼痛通常始于膝关节，并在症状严重时放射至臀部区域。查体膝关节外侧有明显压痛，大腿外侧局部紧张。行膝关节磁共振检查，我们可以通过冠状位和轴位观察到髂胫束高信号。尽管接受了一个月的药物治疗和髂胫束物理拉伸运动，她的疼痛仍没有任何改善。为缓解症状，我们对髂胫束下方进行了超声引导下局部皮质类固醇注射。治疗后，疼痛明显缓解，无需进一步治疗。
