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Causes of Iliotibial Band Syndrome. Causes of Iliotibial Band Syndrome. Iliotibial band syndrome is caused by irritation to the band of fibrous tissue that runs from the hip joint to the shinbone just below the knee joint. Risk factors include extensive running, a bowlegged stance, overpronation and leg length discrepancies.
The iliotibial tract, also known as the iliotibial band, is a thick strip of connective tissue connecting several muscles in the lateral thigh. It plays an important role in the movement of the thigh by connecting hip muscles to the tibia of the lower leg.Located on the lateral edge of the fascia lata, the iliotibial tract forms a wide sheath of fibrous connective tissue that surrounds the lateral thigh. common injury to the iliotibial tract is iliotibial band syndrome (ITBS), a condition caused by the friction of the tract moving across the tissues on the lateral side of the thigh. When the knee flexes, the iliotibial band moves posteriorly over the bony ridge of the lateral condyle of the femur.