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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.
Iliotibial Band Syndrome Overview. The iliotibial band (IT band) is a thick band of fibers that begins at the iliac crest (the border of the most prominent bone of the pelvis) in the pelvis and runs on the lateral or outside part of the thigh until it attaches into the tibia (shinbone).