Iliotibial band friction syndrome: An original technique of digastric release of the iliotibial band from Gerdy's tubercle

Abstract The various surgical techniques to treat iliotibial band friction syndrome consist in releasing the iliotibial band by means of plasties that partially interrupt its continuity or by release of the deep aspect. We describe an original technique of digastric distal iliotibial band release from Gerdy's tubercle. Via a 2 cm approach above Gerdy's tubercle, the iliotibial band is incised longitudinally and partially released from the tubercle. Fourteen knees underwent the procedure. With a mean 27 ± 20.6 months’ follow-up (range, 12–69 months), return to sport at previous level was possible at a mean 4 ± 2.18 months (range, 1–8 months). Eight patients were very satisfied, 3 satisfied and 2 (15%) dissatisfied. Respect of continuity is a key-point in this technique to control internal rotation of the knee.