Causes and findings:
• Overuse - especially long-distance runners
• Pain on the outer side of the knee above the lateral femoral condyle
• Painful: resisted abduction of leg passive adduction of leg
Equipment:
Syringe - 2ml
Needle - 23G 1 inches (25mm) blue
Kenalog 40 - 20 mg
Lidocaine - 1.5 ml 2%
Total volume - 2 ml
Anatomy:
The bursa lies deep to the iliotibial band just above the lateral condyle of the femur.
Technique:
• Patient sits with knee supported
• Identify and mark tender area on lateral side of femur
• Insert needle into bursa passing through tendon to touch bone
• Deposit solution in bolus
Aftercare:
Absolute rest must be maintained for about 10 days and then a stretching and strengthening programme initiated. Footwear and running technique should be checked and corrected if necessary.
Comments:
The lower end of the iliotibial tract itself can be irritated, but invariably the bursa is also at fault. If both lesions are suspected, infiltration of both at the same time can be performed.
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