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Síndrome da banda iliotibial

Última revisão: 20 Aug 2025
Última atualização: 29 Apr 2025

Resumo

Definição

Анамнез и осмотр

Ключевые диагностические факторы

  • presença de fatores de risco
  • dor aguda ou ardência acima da interlinha articular lateral
  • teste de Noble positivo
  • teste de Ober positivo
  • teste de Thomas modificado positivo
Полная информация

Другие диагностические факторы

  • força do músculo abdutor do quadril reduzida
  • geno varo (perna arqueada), retropé e antepé varo e pé cavo (arco alto)
  • epicôndilo femoral lateral proeminente
  • edemaciamento, edema local ou crepitações
Полная информация

Факторы риска

  • atleta
  • alta quilometragem semanal
  • treinamento intervalado
  • fraqueza muscular de extensores do joelho, flexores do joelho e abdutores do quadril
  • falta de experiência em corrida
  • uso de tênis de corrida desgastado
  • corrida em declive ou corrida em uma superfície curvada ou escorregadia
  • sexo feminino
  • contratura da banda iliotibial preexistente
  • discrepâncias de comprimento de membros inferiores
  • largura do passo e taxa de deformação
  • joelho varo em corredores do sexo masculino
  • fraqueza muscular nos músculos rotadores externos do quadril em corredores do sexo masculino
  • excessiva rotação interna do quadril em corredores do sexo masculino
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • diagnóstico clínico
Полная информация

Исследования, проведение которых нужно рассмотреть

  • radiografia do joelho
  • ultrassonografia do joelho
  • ressonância nuclear magnética (RNM) de joelho
Полная информация

Алгоритм лечения

Острый

dor e inflamação

ПРОДОЛЖЕНИЕ

remissão da dor e da inflamação

refratária ao tratamento conservador

Составители

Авторы

Bob Baker, PT, PhD, MBA, OCS
Bob Baker

Rehabilitation Services Manager

NorthBay Healthcare

Fairfield

CA

Раскрытие информации

BB is an author of articles cited in this topic.

Jenson C. Mak, PhD, FRACP, FAFRM, FACP, MBBS
Jenson C. Mak

Rehabilitation Fellow

University of Sydney

Sydney

Australia

Раскрытие информации

JCM declares that he has no competing interests.

Michael Fredericson, MD, FACSM
Michael Fredericson

Professor of Orthopaedic Surgery

Stanford Medical Center

Stanford University

Stanford

CA

Раскрытие информации

MF is an author of several articles cited in this topic.

Рецензенты

Robert Werner, MD

Professor

Chief of Physical Medicine and Rehabilitation

Ann Arbor VA Medical Center

Ann Arbor

MI

Раскрытие информации

RW has been reimbursed by the University of Michigan for attending several conferences and has been paid an honorarium for speaking at the American Association of Neuromuscular and Electrodiagnostic Medicine national meeting. RW has been paid by the National Institute for Occupational Safety and Health, the American Dental Association, and SmartHealth as a consultant and has received grant funding from the UAW/GM Health and Safety Board (over US$1 million).

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

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Основные статьи

Fredericson M, Weir A. Practical management of iliotibial band friction syndrome in runners. Clin J Sport Med. 2006 May;16(3):261-8. Аннотация

Статьи, указанные как источники

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