tibial band syndrome

8/17/2019 Tibial Band Syndrome

1/15

Iliotibial Band SyndromeIliotibial Band Syndrome

ByBy

A.Rifai Pandin C11110143A.Rifai Pandin C11110143

Moh.Gilang F Nohu C11110285Moh.Gilang F Nohu C11110285

Syahril C11111255Syahril C11111255

Ferina Ra!u C111111"#Ferina Ra!u C111111"#

Andi Ade$u%ra C11110008Andi Ade$u%ra C11110008

Ad&i'orAd&i'or

(r.Arie' F )u%aara%(r.Arie' F )u%aara%

(r.)ando*o(r.)ando*o

(r.+an'en(r.+an'en

Su$er&i'orSu$er&i'or

(r. No%ina' )ora',M.-e', S$./(r. No%ina' )ora',M.-e', S$./


2/15


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5/15

Fro!Fro! extensor fascia lataeextensor fascia latae

n'er%ionn'er%ion

gerdy’s tuberclegerdy’s tubercle

Patella dan patellar tendonPatella dan patellar tendon

Supracondylar tubercleSupracondylar tubercle


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7/15

Ilio-Tibial BandIlio-Tibial Band

SyndromeSyndrome

/he and/he and

origina%e' a% %heorigina%e' a% %hela%eral ilia re'%la%eral ilia re'%and e%end'and e%end'di'%ally %o %hedi'%ally %o %he$a%ella, %iia, and$a%ella, %iia, and

ie$' fe!ori'ie$' fe!ori'%endon%endon


8/1588

Features of ITB syndromeFeatures of ITB syndrome

a%eral *nee $aina%eral *nee $ain

Freuen%ly 'een in runner' or yli'%' 6o&eru'e7Freuen%ly 'een in runner' or yli'%' 6o&eru'e7

due %o 'lide' o&er %he la%eral fe!oraldue %o 'lide' o&er %he la%eral fe!oral e$iondylee$iondyle

during re$e%i%i&e fleion andduring re$e%i%i&e fleion and e%en'ion of %hee%en'ion of %he*nee*nee

MR 'ho' di'%al ilio%iial and eo!e'MR 'ho' di'%al ilio%iial and eo!e'

%hi*ened and %ha% %he $o%en%ial '$ae dee$ %o%hi*ened and %ha% %he $o%en%ial '$ae dee$ %o

%he ilio%iial and o&er %he fe!oral e$iondyle%he ilio%iial and o&er %he fe!oral e$iondyleeo!e' infla!ed and filled i%h fluideo!e' infla!ed and filled i%h fluid


9/15

99

Potential risk factorsPotential risk factors

Preei'%ing ilio%iial and %igh%ne''Preei'%ing ilio%iial and %igh%ne''

)igh ee*ly !ileage)igh ee*ly !ileage

/i!e '$en% al*ing or running on a %ra*/i!e '$en% al*ing or running on a %ra*

n%er&al %raining andn%er&al %raining and

!u'ular ea*ne'' of *nee e%en'or',!u'ular ea*ne'' of *nee e%en'or',

*nee fleor', and*nee fleor', and

hi$ adu%or'hi$ adu%or'


10/15

1010

(ifferen%ial (iagno'i' of(ifferen%ial (iagno'i' of

a%eral -nee Paina%eral -nee Pain

Biceps femorisBiceps femoris

tendinopathytendinopathy

Degeneratie !ointDegeneratie !oint

diseasedisease

"ateral collateral"ateral collateral

ligament sprainligament sprain

"ateral meniscal tear"ateral meniscal tear

#yofascial pain#yofascial pain

Patellofemoral stressPatellofemoral stress

syndromesyndrome

Popliteal tendinopathyPopliteal tendinopathy

$eferred pain from$eferred pain from

lumbar spinelumbar spine

Stress fractureStress fracture

Superior tibiofibularSuperior tibiofibular

!oint sprain !oint sprain


11/15

1111

Physical %ssessmentPhysical %ssessment

findingsfindings

Pain loali9ed 2 !' ao&e :oin% linePain loali9ed 2 !' ao&e :oin% line

;or'e hen '%anding i%h *nee fleed 30;or'e hen '%anding i%h *nee fleed 30ºº

Mul%i$le %rigger $oin%' in %he &a'%u' la%erali',Mul%i$le %rigger $oin%' in %he &a'%u' la%erali',

glu%eu' !ediu', and ie$' fe!ori'glu%eu' !ediu', and ie$' fe!ori'(e!on'%rale ea*ne'' of %he !u'le'(e!on'%rale ea*ne'' of %he !u'le'


12/15

1212

&ber's test&ber's test

A''e'' %igh%ne'' of %he ilio%iial andA''e'' %igh%ne'' of %he ilio%iial and

Clien% lie' don i%h %he unaffe%ed 'ide donClien% lie' don i%h %he unaffe%ed 'ide don

andand %he unaffe%ed hi$ and *nee a% a


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1313

TreatmentTreatment

A%i&i%y !odifia%ion, !a''age, andA%i&i%y !odifia%ion, !a''age, and

'%re%hing and '%reng%hening of %he'%re%hing and '%reng%hening of %he

affe%ed li!affe%ed li!

An%i=infla!!a%ory !ediine' and '%re%hingAn%i=infla!!a%ory !ediine' and '%re%hing


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1414

Stretches of the rightStretches of the right

iliotibial bandiliotibial band


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1515

(eight-bearing exercises for(eight-bearing exercises for

strengthening of the right gluteusstrengthening of the right gluteus

medius musclemedius muscle 6A7 /he $a%ien%6A7 /he $a%ien%'%and' on a $la%for!'%and' on a $la%for!and loer' %he lef%and loer' %he lef%leg %oard %heleg %oard %heground 'loly.ground 'loly.

6>7 /hrough6>7 /hroughon%ra%ion of %heon%ra%ion of %herigh% glu%eu'righ% glu%eu'!ediu', %he $a%ien%!ediu', %he $a%ien%%hen ele&a%e' %he%hen ele&a%e' %heleg, re%urning %heleg, re%urning %he$el&i' %o a le&el$el&i' %o a le&el$o'i%ion.$o'i%ion.

tibial band syndrome

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