![]() ![]() 9 So extensive was this treatise on the peculiar ITB that it was at one point referred to as the band of Maissiat. In 1843, Jacques Maissiat published an extensive monograph on the anatomy and function of the ilio-trochantero-tibial bande, in which he considered the unique muscle-fascia-tendon combination structure a ligament that connects the ilium and the knee to maintain balance during stance and motion. I will also introduce practitioners to an updated, evidence-based paradigm for assessing and treating patients with ITBPS that leads to improved clinical outcomes. 8 In this clinical update, I will outline the historical paradigm used to inform our understanding of ITBPS to better characterize the poor clinical outcomes associated with the condition. 7 Despite this relatively common and problematic ailment, effective treatment approaches for ITBPS have been elusive for sports medicine clinicians, largely because of the conceptual model used to explain its nature. ![]() 1– 4 Iliotibial band pain syndrome has also been described as the most common overuse injury of the lower extremity in female soccer, basketball, and field hockey athletes 5 it affects up to 24% of road cyclists 6 and is common in rowing athletes. ![]() The frequency and overall incidence of iliotibial band (ITB) pain syndrome (ITBPS) varies widely across patient populations and sports, reportedly occurring in 12% to 52% of habitual runners and 1% to 5% of military recruits and accounting for 1.6% to 52% of all knee injuries. ![]()
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