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Conditions around the hip and thigh
Published in David Silver, Silver's Joint and Soft Tissue Injection, 2018
The iliotibial band is a thickening of the fascia lata in the lateral side of the thigh. It is superficial and extends from the anterior superior iliac spine to the Gerdy’s tubercle on the anterolateral side of the upper tibia. Flexion and extension of the knee joint causes the band to move in an anterior and posterior fashion, thus causing friction of the band over the lateral femoral condyle. Pain may be quite acute, which is an indication to inject steroid. Otherwise, physiotherapy in the form of deep massage, heat and anti-inflammatories are useful.
Hip and femur
Published in Pankaj Sharma, Nicola Maffulli, Practice Questions in Trauma and Orthopaedics for the FRCS, 2017
Pankaj Sharma, Nicola Maffulli
The iliotibial tract is a downward continuation of the fascia lata. It is attached to the lateral condyle of the tibia, which is known as Gerdy’s tubercle. The iliotibial tract helps to maintain the knee in a hyperextended position.
Proximal tibial fractures
Published in Charles M Court-Brown, Margaret M McQueen, Marc F Swiontkowski, David Ring, Susan M Friedman, Andrew D Duckworth, Musculoskeletal Trauma in the Elderly, 2016
Matthew D. Karam, J. Lawrence Marsh
The approach begins with an anterolateral surgical incision at or around Gerdy’s tubercle and in line with the tibial shaft. Careful dissection should be made with consideration for subsequent wound closure and includes gentle skin and subcutaneous tissue retraction, clear identification of the underlying fascia and when possible fascial incisions made slightly off the anterior tibial crest so as to allow an appropriate layered closure. Articular impaction may be elevated with the use of surgical instruments such as a hemostat or bone tamp from below the depressed articular fragment(s); the articular surface during surgical elevation should be visualized with fluoroscopic imaging both in the AP and lateral views. Comparison views of the opposite knee are often helpful in assessing the reduction of the lateral joint. Elevation of a lateral split depression fracture, particularly in an elderly patient with poor bone stock, commonly leaves a void in the subchondral cancellous bone. A variety of bone void fillers may be utilized to backfill this void including calcium phosphate cement or allograft chips. The compressive strength of calcium phosphate cement and resistance to articular subsidence compare favourably to those of autograft.31 These nonautogenous void fillers should be used in an attempt to decrease the surgical morbidity of harvesting autografts, such as from the iliac crest.
How weakness of the tensor fascia lata and gluteus maximus may contribute to ACL injury: A new theory
Published in Physiotherapy Theory and Practice, 2020
Michael T. Cibulka, Jack Bennett
The literature agrees that the ITB inserts into the portion of the tibia where a Segond fracture develops. Milch (1936) described the Segond fracture as an “avulsion of the iliotibial band at its insertion behind Gerdy’s tubercle.” Kaplan (1958) described the role of the ITB in the pathogenesis of a Segond fracture. Campos et al. (2001) suggests the fibers of the ITB and the anterior oblique band of the fibular collateral ligament are likely responsible for the pathogenesis of a Segond fracture. Shaikh et al. (2017) studied 36 ACL patients with Segond fractures and found that 34 out of 36 (94%), who had a Segond fracture and ACL rupture, also had the ITB attached to the Segond fragment. Thus, it appears that the lateral capsular ligament (capsulo-osseous layer of the ITB) and deep layers of the ITB are both involved in the pathogenesis of a Segond fracture. Though the capsule and ITB equally attach to a Segond fracture, the ITB is much stiffer than the capsule and thus the principal restraint of internal tibial rotation (Shaikh et al, 2017).
Superior rotational stability and lower re-ruptures rate after combined anterolateral and anterior cruciate ligament reconstruction compared to isolated anterior cruciate ligament reconstruction: a 2-year prospective randomized clinical trial
Published in The Physician and Sportsmedicine, 2023
Ștefan Mogos, Dinu Antonescu, Ioan-Cristian Stoica, Riccardo D’Ambrosi
The anterolateral ligament (ALL) is an individualized ligamentous structure located in the anterolateral region of the knee. It originates in the femur, proximal, and posterior to the lateral epicondyle and inserts in the tibia, posterior to the center of Gerdy’s tubercle, and proximal to the anterior margin of the fibular head [12–14]. Despite the various publications regarding the anatomy and biomechanics of the anterolateral ligament, only a few clinical studies were published [8,15–21].
Ultrasonography findings and physical examination outcomes in dancers with and without patellofemoral pain
Published in The Physician and Sportsmedicine, 2018
Itzhak Siev-Ner, Myriam D Stern, Shay Tenenbaum, Alexander Blankstein, Aviva Zeev, Nili Steinberg
In the lateral part of the knee: Lateral collateral ligament (grade 0 or 1).Iliotibial band: At insertion on the Gerdy tubercle and at the level of femoral condyle (grade 0 or 1).