Noble C A
Br J Sports Med. 1979 Jun;13(2):51-4. doi: 10.1136/bjsm.13.2.51.
Iliotibial band friction syndrome is a common cause of knee pain in long distance runners. The pain is caused by friction of the iliotibial band over the lateral epicondyle of the femur. Two hundred and twenty one cases were seen in a two year period. Tenderness over the lateral epicondyle associated with pain at 30 degrees of flexion on compressing the iliotibial band against the lateral epicondyle is diagnostic. Conservative treatment consisted of treating the cause, mostly training irregularities and the local inflammation mostly with steroid injections and rest. Nine cases failed to respond to conservative treatment and these were treated by surgical release of the posterior fibres of the iliotibial band.
髂胫束摩擦综合征是长跑运动员膝关节疼痛的常见原因。疼痛是由髂胫束在股骨外侧髁上的摩擦引起的。在两年时间里共诊治了221例。在股骨外侧髁处有压痛,同时在将髂胫束压向外侧髁并使膝关节屈曲30度时出现疼痛,即可作出诊断。保守治疗包括针对病因进行治疗,主要是纠正训练不规范的问题,以及对局部炎症大多采用类固醇注射和休息的方法进行治疗。9例对保守治疗无效,这些病例采用手术松解髂胫束后纤维的方法进行治疗。