Iliotibial band friction syndrome: MR imaging findings in 16 patients and MR arthrographic study of six cadaveric knees

Claus Muhle, Joong Mo Ahn, LeeRen Yeh, Gabrielle A. Bergman, Robert D Boutin, Mark Schweitzer, Jon A. Jacobson, Parviz Haghighi, Debra J. Trudell, Donald Resnick

Research output: Contribution to journalArticle

101 Scopus citations

Abstract

PURPOSE: To define magnetic resonance (MR) imaging findings in patients with the iliotibial band friction syndrome (ITBFS) and to correlate these findings with anatomic features defined at magnetic resonance (MR) arthrography in cadavers. MATERIALS AND METHODS: The anatomic relationship of the iliotibial tract (ITT) to the lateral recesses of the knee joint and the lateral femoral epicondyle was investigated with MR arthrography at full extension and at 30°and 60°of knee flexion in sic cadaveric knees. Seventeen MR imaging studies in 16 patients with ITBFS were evaluated. RESULTS: In the cadaveric study, no interference of the lateral synovial recess with the lateral femoral epicondyle at full extension and at 30°and 60°of knee flexion was observed. In all specimens, correlation of MR images with macroscopic and microscopic sections revealed no primary bursa between the lateral femoral epicondyle and the ITT. In clinical studies, MR imaging findings of poorly defined signal intensity abnormalities or circumscribed fluid collections were located in a compartmentlike space confined laterally by the ITT and medially by the meniscocapsular junction, the lateral collateral ligament, and the lateral femoral epicondyle. CONCLUSION: MR imaging accurately depicts the compartmentlike distribution of signal intensity abnormalities in patients with ITBFS.

Original languageEnglish (US)
Pages (from-to)103-110
Number of pages8
JournalRadiology
Volume212
Issue number1
StatePublished - Jul 1999
Externally publishedYes

Keywords

  • Athletic injuries
  • Iliotibial tract
  • Joints, MR
  • Knee, injuries
  • Knee, ligaments, menisci, and cartilage
  • Knee, MR
  • Magnetic resonance (MR), arthrography

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

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    Muhle, C., Ahn, J. M., Yeh, L., Bergman, G. A., Boutin, R. D., Schweitzer, M., Jacobson, J. A., Haghighi, P., Trudell, D. J., & Resnick, D. (1999). Iliotibial band friction syndrome: MR imaging findings in 16 patients and MR arthrographic study of six cadaveric knees. Radiology, 212(1), 103-110.