Differential Diagnosis table forIliotibial band syndrome
| Condition | Differentiating signs/symptoms | Differentiating tests |
| Biceps femoris tendinopathy |
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| Degenerative joint disease |
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| Lateral collateral ligament (LCL) sprain |
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Pain over the LCL.
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Pain provocation with various stress tests.
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Varus instability test to check the LCL. With the patient lying flat and the knee held at about 30° of flexion, the shin is shifted to the medial side. Insufficiency of the LCL will allow the knee to "open up" excessively. The test is repeated with the leg straight. If the knee still opens up excessively, then more than just the LCL is torn.
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| Lateral meniscal tear |
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| Myofascial pain |
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| Patellofemoral stress syndrome |
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| Popliteal tendinopathy |
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Tenderness of the popliteal tendon.
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Positive figure of 4 test.
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Positive Garrik's test. The test is performed with the patient supine; the knee is flexed to 90°, the leg internally rotated, and the patient is asked to resist the examiner's attempt to externally rotate the tibia.
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| Referred pain from lumbar spine |
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X-ray: plain radiographs should be obtained if pain is not settling after 6 to 8 weeks.
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MRI or CT: considered if neurological compromise, infection, or tumour is suggested by clinical evaluation.
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| Stress fracture |
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| Superior tibiofibular joint sprain |
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