Ruptured proximal ilio-tibial band

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Fell heavily on lateral hip whilst skateboarding. Now palpable defect in skin with pain laterally.

Patient Data

Age: 20
Gender: Male

Focal full-thickness defect with swelling and fluid in the ilio-tibial band, lateral to the greater trochanter

Case Discussion

Traumatic rupture of the proximal ilio-tibial band is rare and in this case due to direct impact.  The distal and proximal ilio-tibial bands are subject to friction with swelling and pain in some athletes.  Rarely spontaneous rupture can occur following steroid injection for treatment of such symptoms.

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