The role of the iliotibial band cross-sectional area as a morphological parameter of the iliotibial band friction syndrome: a retrospective pilot study
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Background: Iliotibial band friction syndrome (ITBFS) is a common disorder of the lateral knee. Previous research has reported that the iliotibial band (ITB) thickness (ITBT) is correlated with ITBFS, and ITBT has been considered to be a key morphologic parameter of ITBFS. However, the thickness is different from inflammatory hypertrophy. Thus, we made the ITB cross-sectional area (ITBCSA) a new morphological parameter to assess ITBFS. Methods: Forty-three patients with ITBFS group and from 43 normal group who underwent T1W magnetic resonance imaging were enrolled. The ITBCSA was measured as the cross-sectional area of the ITB that was most hypertrophied in the magnetic resonance axial images. The ITBT was measured as the thickest site of ITB. Results: The mean ITBCSA was 25.24 ± 6.59 mm2 in the normal group and 38.75 ± 9.11 mm2 in the ITBFS group. The mean ITBT was 1.94 ± 0.41 mm in the normal group and 2.62 ± 0.46 mm in the ITBFS group. Patients in ITBFS group had significantly higher ITBCSA (P < 0.001) and ITBT (P < 0.001) than the normal group. A receiver operator characteristic curve analysis demonstrated that the best cut-off value of the ITBT was 2.29 mm, with 76.7% sensitivity, 79.1% specificity, and area under the curve (AUC) 0.88. The optimal cut-off score of the ITBCSA was 30.66 mm2, with 79.1% sensitivity, 79.1% specificity, and AUC 0.87. Conclusions: ITBCSA is a new and sensitive morphological parameter for diagnosing ITBFS, and may even be more accurate than ITBT.
Abstract
Background: Iliotibial band friction syndrome (ITBFS) is a common disorder of the lateral knee. Previous research has reported that the iliotibial band (ITB) thickness (ITBT) is correlated with ITBFS, and ITBT has been considered to be a key morphologic parameter of ITBFS. However, the thickness is different from inflammatory hypertrophy. Thus, we made the ITB cross-sectional area (ITBCSA) a new morphological parameter to assess ITBFS. Methods: Forty-three patients with ITBFS group and from 43 normal group who underwent T1W magnetic resonance imaging were enrolled. The ITBCSA was measured as the cross-sectional area of the ITB that was most hypertrophied in the magnetic resonance axial images. The ITBT was measured as the thickest site of ITB. Results: The mean ITBCSA was 25.24 ± 6.59 mm2 in the normal group and 38.75 ± 9.11 mm2 in the ITBFS group. The mean ITBT was 1.94 ± 0.41 mm in the normal group and 2.62 ± 0.46 mm in the ITBFS group. Patients in ITBFS group had significantly higher ITBCSA (P < 0.001) and ITBT (P < 0.001) than the normal group. A receiver operator characteristic curve analysis demonstrated that the best cut-off value of the ITBT was 2.29 mm, with 76.7% sensitivity, 79.1% specificity, and area under the curve (AUC) 0.88. The optimal cut-off score of the ITBCSA was 30.66 mm2, with 79.1% sensitivity, 79.1% specificity, and AUC 0.87. Conclusions: ITBCSA is a new and sensitive morphological parameter for diagnosing ITBFS, and may even be more accurate than ITBT.
참고문헌 (22)
- Flato R, "The iliotibial tract : imaging, anatomy, injuries, and other pathology", Skeletal Radiol, 46, pp.605~622 (2017)
- "Iliotibial band friction syndrome" (2020)[URL]
- 홍지희, "Diagnosis of Iliotibial Band Friction Syndrome and Ultrasound Guided Steroid Injection", The Korean Journal of Pain, 26(4), pp.387~391 (2013), 대한통증학회
- Lavine R, "Iliotibial band friction syndrome", Curr Rev Musculoskelet Med, 3, pp.18~22 (2010)
- Sooho Lee, "The prognostic value of median nerve thickness in diagnosing carpal tunnel syndrome using magnetic resonance imaging: a pilot study", The Korean Journal of Pain, 33(1), pp.54~59 (2020), 대한통증학회[DOI]
- Yan R, "MR manifestations and clinical significance of iliotibial band friction syndrome", Zhonghua Yi Xue Za Zhi, 94, pp.1473~1475 (2014)
- Khaund R, "Iliotibial band syndrome : a common source of knee pain", Am Fam Physician, 71, pp.1545~1550 (2005)
- Strauss EJ, "Iliotibial band syndrome : evaluation and management", J Am Acad Orthop Surg, 19, pp.728~736 (2011)
- Rathore S, "Intra-articular fibroma of tendon sheath in knee joint associated with iliotibial band friction syndrome : rare occurrence in a teenage girl", J Orthop Case Rep, 7, pp.28~31 (2017)
- Takagi K, "Iliotibial band friction syndrome after knee arthroplasty", Knee, 27, pp.263~273 (2020)
- Walbron P, "Iliotibial band friction syndrome : an original technique of digastric release of the iliotibial band from Gerdy’s tubercle", Orthop Traumatol Surg Res, 104, pp.1209~1213 (2018)
- Decker G, "Proximal iliotibial band syndrome in a runner : a case report", PM R, 11, pp.206~209 (2019)
- Everhart JS, "The relationship between lateral epicondyle morphology and iliotibial band friction syndrome : a matched case-control study", Knee, 26, pp.1198~1203 (2019)
- Foch E, "Influence of previous iliotibial band syndrome on coordination patterns and coordination variability in female runners", J Appl Biomech, 35, pp.305~311 (2019)
- Landreau P, "Anatomic study and reanalysis of the nomenclature of the anterolateral complex of the knee focusing on the distal iliotibial band : identification and description of the condylar strap", Orthop J Sports Med, 7, pp.2325967118818064~ (2019)
- Pegrum J, "Iliotibial band syndrome", BMJ, 364, pp.l980~ (2019)
- ”, "Knee", 2019, 1291~
- Young Joo, "Evaluation of the cross-sectional area of acromion process for shoulder impingement syndrome", The Korean Journal of Pain, 33(1), pp.60~65 (2020), 대한통증학회[DOI]
- Jeff C. Gadsden, "The relative analgesic value of a femoral nerve block versus adductor canal block following total knee arthroplasty: a randomized, controlled, double-blinded study", Korean Journal of Anesthesiology, 73(5), pp.417~424 (2020), 대한마취통증의학회
- Çiftçi Bahadir, "Ultrasound-guided rhomboid intercostal block provides effective pain control after video-assisted thoracoscopic surgery: a brief report of three cases", Korean Journal of Anesthesiology, 74(4), pp.355~357 (2021), 대한마취통증의학회[DOI]
- Abdelbaser Ibrahim, "Preemptive analgesic efficacy of ultrasound-guided transversalis fascia plane block in children undergoing inguinal herniorrhaphy: a randomized, double-blind, controlled study", Korean Journal of Anesthesiology, 74(4), pp.325~332 (2021), 대한마취통증의학회[DOI]
- Seshadri C. Mudumbai, "Erratum : An ultrasound-guided fascia iliaca catheter technique does not impair ambulatory ability within a clinical pathway for total hip arthroplasty", Korean Journal of Anesthesiology, 73(3), pp.267~267 (2020), 대한마취통증의학회