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Proximal iliotibial band thickness as a cause for recalcitrant greater trochanteric pain syndrome.
J Hip Preserv Surg. 2018 Aug; 5(3):296-300.JH

Abstract

To investigate iliotibial band (ITB) diameter thickness at the greater trochanter in patients requiring iliotibial band release who have failed conservative modalities, in comparison to an asymptomatic patient population. A total of 68 subjects were selected to be reviewed using T2 axial plane MRI. The ITB diameter thickness was measured in 34 subjects who underwent surgical ITB release, and compared with a match-paired asymptomatic hip cohort consisting of 34 subjects. ITB diameter thickness was measured at the thickest location for each subject twice by two different examiners. Inter/intra class correlation coefficient was determined for ITB measurement technique accuracy, and the presence of recalcitrant proximal hip pain was evaluated. Interclass correlation coefficient with 95% confidence was measured to be 0.953. The average thickness for ITB surgical release subjects was measured to be 5.61 ± 2.10 mm, and for asymptomatic subjects 3.77 ± 0.79 mm (P < 0.001). The results of this study demonstrate a statistically significant positive relationship of an increased diameter thickness in the ITB in symptomatic patients who failed conservative therapy and underwent surgical intervention for treatment.

Authors+Show Affiliations

Hip Preservation Center, Baylor University Medical Center at Dallas, 3900 Junius St. Suite 705, Dallas, TX, USA. Bioengineering Department, University of Texas at Arlington, Engineering Research Building, Room 226, Arlington, TX, USA.Hip Preservation Center, Baylor University Medical Center at Dallas, 3900 Junius St. Suite 705, Dallas, TX, USA.Hip Preservation Center, Baylor University Medical Center at Dallas, 3900 Junius St. Suite 705, Dallas, TX, USA.Hip Preservation Center, Baylor University Medical Center at Dallas, 3900 Junius St. Suite 705, Dallas, TX, USA.Hip Preservation Center, Baylor University Medical Center at Dallas, 3900 Junius St. Suite 705, Dallas, TX, USA.Hip Preservation Center, Baylor University Medical Center at Dallas, 3900 Junius St. Suite 705, Dallas, TX, USA.Hip Preservation Center, Baylor University Medical Center at Dallas, 3900 Junius St. Suite 705, Dallas, TX, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30393557

Citation

Khoury, Anthony N., et al. "Proximal Iliotibial Band Thickness as a Cause for Recalcitrant Greater Trochanteric Pain Syndrome." Journal of Hip Preservation Surgery, vol. 5, no. 3, 2018, pp. 296-300.
Khoury AN, Brooke K, Helal A, et al. Proximal iliotibial band thickness as a cause for recalcitrant greater trochanteric pain syndrome. J Hip Preserv Surg. 2018;5(3):296-300.
Khoury, A. N., Brooke, K., Helal, A., Bishop, B., Erickson, L., Palmer, I. J., & Martin, H. D. (2018). Proximal iliotibial band thickness as a cause for recalcitrant greater trochanteric pain syndrome. Journal of Hip Preservation Surgery, 5(3), 296-300. https://doi.org/10.1093/jhps/hny025
Khoury AN, et al. Proximal Iliotibial Band Thickness as a Cause for Recalcitrant Greater Trochanteric Pain Syndrome. J Hip Preserv Surg. 2018;5(3):296-300. PubMed PMID: 30393557.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Proximal iliotibial band thickness as a cause for recalcitrant greater trochanteric pain syndrome. AU - Khoury,Anthony N, AU - Brooke,Karina, AU - Helal,Asad, AU - Bishop,Benton, AU - Erickson,Lane, AU - Palmer,Ian James, AU - Martin,Hal David, Y1 - 2018/08/08/ PY - 2017/11/07/received PY - 2018/04/23/revised PY - 2018/07/08/accepted PY - 2018/11/6/entrez PY - 2018/11/6/pubmed PY - 2018/11/6/medline SP - 296 EP - 300 JF - Journal of hip preservation surgery JO - J Hip Preserv Surg VL - 5 IS - 3 N2 - To investigate iliotibial band (ITB) diameter thickness at the greater trochanter in patients requiring iliotibial band release who have failed conservative modalities, in comparison to an asymptomatic patient population. A total of 68 subjects were selected to be reviewed using T2 axial plane MRI. The ITB diameter thickness was measured in 34 subjects who underwent surgical ITB release, and compared with a match-paired asymptomatic hip cohort consisting of 34 subjects. ITB diameter thickness was measured at the thickest location for each subject twice by two different examiners. Inter/intra class correlation coefficient was determined for ITB measurement technique accuracy, and the presence of recalcitrant proximal hip pain was evaluated. Interclass correlation coefficient with 95% confidence was measured to be 0.953. The average thickness for ITB surgical release subjects was measured to be 5.61 ± 2.10 mm, and for asymptomatic subjects 3.77 ± 0.79 mm (P < 0.001). The results of this study demonstrate a statistically significant positive relationship of an increased diameter thickness in the ITB in symptomatic patients who failed conservative therapy and underwent surgical intervention for treatment. SN - 2054-8397 UR - https://www.unboundmedicine.com/medline/citation/30393557/Proximal_iliotibial_band_thickness_as_a_cause_for_recalcitrant_greater_trochanteric_pain_syndrome L2 - https://academic.oup.com/jhps/article-lookup/doi/10.1093/jhps/hny025 DB - PRIME DP - Unbound Medicine ER -
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