Proximal iliotibial tract

Cause, clinical and ultrasound findings

• Pain in the iliotibial tract typically results from overuse by runners or other athletes, or from poor lower limb biomechanics. The proximal part is more commonly affected in females. The iliotibial tract is affected at the level of the iliac tubercle or the greater trochanter and can be a cause of clunking.

• On examination, the patient’s pain can be elicited on palpation of the proximal portion of the iliotibial tract.

• Ultrasound findings may include hypoechoic irregular thickening of the iliotibial tract.