Iliotibialbandsyndrom, „Runner′s Knee“
摘要
The iliotibial band syndrome (ITBS) is one of the most common overuse problems in runners. It is the most common running injury affecting the lateral side of the knee. The underlying pathological mechanism has not yet been consistently defined. However, it appears to be a combination of friction of the iliotibial tract on the lateral femoral epicondyle during repeated flexion and compression of the highly innervated fat pad between the iliotibial ligament (ITL) and the lateral epicondyle. There are numerous causes of ITBS, ranging from anatomical changes and muscular imbalances to functional factors such as running technique. The aim of all measures should be to improve muscle tonus and alignment to minimize compression of the tissue between the ITB and the epicondyle. Strength endurance training of the hip muscles in combination with running technique training is recommended. The integration of stretching exercises seems to be beneficial.