The epidemiology of ITBS is difficult to establish as most studies report on the incidence of knee injuries rather than ITBS itself.[8]van der Worp MP, van der Horst N, de Wijer A, et al. Iliotibial band syndrome in runners: a systematic review. Sports Med. 2012 Nov 1;42(11):969-92.
http://www.ncbi.nlm.nih.gov/pubmed/22994651?tool=bestpractice.com
Variability also exists in the reporting methods for ITBS injury rates (e.g., reporting ITBS as a percentage of running injuries rather than as an incidence in the general running population).[8]van der Worp MP, van der Horst N, de Wijer A, et al. Iliotibial band syndrome in runners: a systematic review. Sports Med. 2012 Nov 1;42(11):969-92.
http://www.ncbi.nlm.nih.gov/pubmed/22994651?tool=bestpractice.com
Depending on the population studied, the incidence of the ITBS has been estimated to range from 1.6% to 52%.[9]Kirk KL, Kuklo T, Klemme W. Iliotibial band friction syndrome. Orthopedics. 2000 Nov;23(11):1209-14.
http://www.ncbi.nlm.nih.gov/pubmed/11103969?tool=bestpractice.com
[10]Noble CA. Iliotibial band friction syndrome in runners. Am J Sports Med. 1980 Jul-Aug;8(4):232-4.
http://www.ncbi.nlm.nih.gov/pubmed/7396052?tool=bestpractice.com
It is the most common cause of lateral knee pain in runners and cyclists, with a reported incidence as high as 22.2% of all lower extremity injuries.[11]Linenger JMCC. Is iliotibial band syndrome overlooked? Phys Sportsmed. 1992 Feb;20(2):98-108.
http://www.ncbi.nlm.nih.gov/pubmed/29287538?tool=bestpractice.com
More experienced runners may be less likely to develop the injury.[12]Messier SP, Edwards DG, Martin DF, et al. Etiology of iliotibial band friction syndrome in distance runners. Med Sci Sports Exerc. 1995 Jul;27(7):951-60.
http://www.ncbi.nlm.nih.gov/pubmed/7564981?tool=bestpractice.com
One retrospective analysis of 2002 patients with running injuries reported 168 cases of ITBS. The sex distribution was significant with ITBS occurring in 62% of women and 38% of men.[13]Taunton JE, Ryan MB, Clement DB, et al. A retrospective case-control analysis of 2002 running injuries. Br J Sports Med. 2002 Apr;36(2):95-101.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1724490
http://www.ncbi.nlm.nih.gov/pubmed/11916889?tool=bestpractice.com
A prospective study of 400 female runners found that 16% of running injuries were due to ITBS.[14]Noehren B, Davis I, Hamill J. ASB clinical biomechanics award winner 2006 prospective study of the biomechanical factors associated with iliotibial band syndrome. Clin Biomech (Bristol, Avon). 2007 Nov;22(9):951-6.
http://www.ncbi.nlm.nih.gov/pubmed/17728030?tool=bestpractice.com
In a cross-sectional study of 6608 British army recruits, the incidence of ITBS was 6.2%.[15]Sharma J, Greeves JP, Byers M, et al. Musculoskeletal injuries in British Army recruits: a prospective study of diagnosis-specific incidence and rehabilitation times. BMC Musculoskelet Disord. 2015 May 4;16:106.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4443544
http://www.ncbi.nlm.nih.gov/pubmed/25935751?tool=bestpractice.com
ITBS may also be observed in athletes participating in volleyball, tennis, soccer, skiing, weight lifting, and aerobics. It is unusual in non-athletes.