Iliotibial Band Friction Syndrome - MSK Radiology Imaging Findings: • The iliotibial band (ITB) is thickened with no tear visualized. • Ill-defined area of increased signal on fluid-sensitive sequences between the lateral femoral condyle (LFC) and ITB. Case description: • Clinical: anterolateral knee pain with point tenderness 1-2 cm proximal to lateral joint line. • Treatment: Conservative measures and image-guided steroid injection (may accelerate recovery). • Chronic inflammatory response to friction between the TIB and LFC causing ill-defined increased signal in this region on fluid-sensitive sequences. • Findings of chronic disease: - Thickening of the IT B and superficial increased T2-signal. - Reactive marrow edema in the adjacent LFC. Differential diagnosis for similar location of pain: • Fluid in lateral knee joint recess: Well-defined margins and connection to knee joint is seen. • Lateral collateral ligament complex injury: Signal around and/or within lateral ligaments. • Direct trauma/contusion: Soft-tissue swelling is predominant, with minimal fluid-signal deep to ITB. Dr. Donald von Borstel @DrvonBorstel #Iliotibial #Band #ITBand #Friction #Syndrome #Radiology #diagnosis #msk #clinical
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