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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2025, Number 1

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Acta Ortop Mex 2025; 39 (1)

Proximal iliotibial band tear: a case report in an amateur football player

Takahashi V, Segatt P, Pires D, Duarte M
Full text How to cite this article 10.35366/118852

DOI

DOI: 10.35366/118852
URL: https://dx.doi.org/10.35366/118852

Language: Spanish
References: 5
Page: 44-46
PDF size: 311.33 Kb.


Key words:

magnetic resonance imaging, iliotibial band, football, sports medicine.

ABSTRACT

The iliotibial band originates from the iliac crest and the hip joint capsule, extending along the entire lateral surface until it inserts onto tuberculum anterolateralis tibiae on the anterolateral tibia. It acts as an agonist of the anterior cruciate ligament. In short, the iliotibial band primarily contributes to the lateral stabilization of the knee joint. One of the main causes of iliotibial band tear is sports-related injuries. Isolated iliotibial band tear is rare due to the specific requirement of pure varus stress for its occurrence, involving a combination of knee joint flexion with internal rotation. Diagnosing this condition is challenging due to its rarity and difficult clinical suspicion. We present a case of 51-year-old male patient, amateur football player, with proximal iliotibial band tear. The clinical presentation, radiographic and Magnetic Resonance Imaging (MRI) findings, treatment and return to play are discussed.


REFERENCES

  1. Huang BK, Campos JC, Michael-Peschka PG, Pretterklieber ML, Skaf AY, Chung CB, et al. Injury of the gluteal aponeurotic fascia and proximal iliotibial band: anatomy, pathologic conditions, and MR imaging. Radiographics. 2013; 33(5): 1437-1452.

  2. Pandit SR, Solomon DJ, Gross DJ, Golijanin P, Provencher MT. Isolated iliotibial band rupture after corticosteroid injection as a cause of subjective instability and knee pain in a military special warfare trainee. Mil Med. 2014; 179(4): e469-e472.

  3. Casmus RJ, Paider B, Messick B, Guy JA. Iliotibial band rupture associated with an acute knee dislocation in a collegiate football player. Athl Train Sports Health Care. 2017; 9(5): 233-237.

  4. Vaughan W, Anderson CN. Suture anchor repair of a combined tear of the proximal iliotibial band and tensor fascia lata. Arthrosc Tech. 2022; 11(2): e103-e107.

  5. Asinger DA, el-Khoury GY. Tensor fascia lata muscle tear: evaluation by MRI. Iowa Orthop J. 1998; 18: 146-149.




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Acta Ortop Mex. 2025 Ene-Feb;39