Case history
Case history
A 21-year-old male long-distance runner in training for an upcoming marathon presents with left lateral knee and thigh pain. He recently increased his level of training to runs of 8 to 13 km (5 to 8 miles) approximately 4 times a week. The patient first noted the pain upon completion of a vigorous 13-km (8-mile) run. Physical examination is significant only for right lateral knee pain throughout range-of-motion testing and exacerbation of this pain with direct pressure on the lateral femoral epicondyle region.
Other presentations
Proximal ITBS is a condition that involves stress to the origin of the iliotibial band at the iliac crest.[7] It is uniquely reported in female runners and in older overweight or obese women. Patients with proximal ITBS typically present with pain and tenderness at the iliac tubercle as opposed to lateral knee pain.
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