Proximal iliotibial band enthesopathy

Authors

M Posadzy-Dziedzic Department of Radiology, W. Degi Orthopaedic and Rehabilitation University Hospital, K. Marcinkowski University of Medical Sciences in Poznan
FM Vanhoenacker Department of Radiology, AZ Sint-Maarten Duffel-Mechelen, Department of Radiology, Antwerp University Hospital, Edegem, University of Ghent, Faculty of Medicine and Health sciences, Ghent, Belgium

DOI:

Abstract

A 58-year-old female presented with sudden-onset pain and tenderness at the lateral aspect of the right pelvis occurring after long-distance walking. Physical examination showed a normal range of movements. Magnetic Resonance Imaging (MRI) was performed in order to exclude a stress fracture. Coronal fatsuppressed intermediate weighted images (WI) showed focal thickening and increased signal at the proximal insertion of the right iliotibial tract (ITT) at the iliac tubercle. There was also increased signal surrounding the deep and superficial layers of the ITT (Fig. A, arrows). Axial fatsuppressed T2-WI demonstrated also subtle muscular edema in the adjacent anterior part of the gluteus medius muscle (Fig. B, arrow). There was no evidence of tendon rupture. Based on the imaging findings, the diagnosis of proximal iliotibial band enthesopathy was made. The patient was treated with local infiltration of corticosteroids followed by kinesitherapy.

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Published

2012-11-01

Issue

Vol. 95 No. 6 (2012)

Section

Images in Clinical Radiology

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