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

Acta ortopedica mexicana Pub Date : 2025-01-01
V S Takahashi, P H Segatt, D A Pires, M L Duarte
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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.

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[髂胫束近端撕裂:1例业余足球运动员]。
髂胫束起源于髂嵴和髋关节囊,沿整个外侧表面延伸,直至胫骨前外侧的胫骨前外侧结节。它是前交叉韧带的激动剂。简而言之,髂胫束主要有助于膝关节的外侧稳定。髂胫束撕裂的主要原因之一是运动相关损伤。孤立的髂胫束撕裂是罕见的,因为它的发生需要单纯的内翻应力,包括膝关节屈曲和内旋的组合。诊断这种情况是具有挑战性的,因为它的罕见和临床怀疑困难。我们报告一例51岁男性患者,业余足球运动员,近端髂胫束撕裂。临床表现,x线摄影和磁共振成像(MRI)的发现,治疗和恢复进行了讨论。
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