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Article

Intraobserver Assessment of Shear Wave Elastography in Tensor Fasciae Latae and Gluteus Maximus Muscle: The Importance of the Hip Abductor Muscles in Runners Knee Compared to Healthy Controls

1
Radiology Department, Medical University Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria
2
Gelenkpunkt—Sport- und Gelenkchirurgie Innsbruck, 6020 Innsbruck, Austria
3
Fachhochschule Kärnten Gemeinnützige Privatstiftung, 9020 Klagenfurt am Wörthersee, Austria
4
Centre for Sport Science and University Sports, University of Vienna, 1010 Wien, Austria
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
J. Clin. Med. 2022, 11(13), 3605; https://doi.org/10.3390/jcm11133605
Submission received: 17 March 2022 / Revised: 31 May 2022 / Accepted: 20 June 2022 / Published: 22 June 2022
(This article belongs to the Special Issue Diagnostic Imaging of Arthritis)

Abstract

Background: Iliotibial band syndrome (ITBS) represents one of the most common running related injuries. The pathophysiology is postulated to be caused by excessive ITB tension, impingement and irritation of soft tissues at the lateral femoral epicondyle. However, direct evidence has yet to be found and the multifactorial etiology is under discussion. The purpose was to evaluate stiffness of ITB, gluteus maximus (GM) and tensor fasciae latae (TFL) muscles using shear wave elastography (SWE). Methods: In 14 patients with clinically verified ITBS and 14 healthy controls, three SWE measurements each of ITB, GM and TFL in both legs was performed to determine measurement reliability and between-group and -leg differences. Results: The mean value of ITB was 12.8 m/s with ICC of 0.76, whereas the values measured in the GM were 3.02 m/s with an ICC of 0.87. No statistically significant difference in controls compared to patients were found (p = 0.62). The mean value of TFL was 5.42 m/s in healthy participants, compared to 3.89 m/s patients with an ICC of 0.98 (p = 0.002). Conclusion: Although SWE showed no difference in ITB stiffness, significant differences for TFL muscle stiffness in runner’s knee was found, suggesting that the hip abductor muscles might play a bigger role in the pathophysiology of ITBS. We aimed to implement baseline values for stiffness assessments and prove reliability for further prospective studies of SWE in runner’s knee.
Keywords: sonoelastography; iliotibial band syndrome; ultrasonography; runners knee; hip muscles; tensor fasciae latae; gluteus maximus sonoelastography; iliotibial band syndrome; ultrasonography; runners knee; hip muscles; tensor fasciae latae; gluteus maximus

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MDPI and ACS Style

Klauser, A.S.; de-Koekkoek, F.; Schwabl, C.; Fink, C.; Friede, M.; Csapo, R. Intraobserver Assessment of Shear Wave Elastography in Tensor Fasciae Latae and Gluteus Maximus Muscle: The Importance of the Hip Abductor Muscles in Runners Knee Compared to Healthy Controls. J. Clin. Med. 2022, 11, 3605. https://doi.org/10.3390/jcm11133605

AMA Style

Klauser AS, de-Koekkoek F, Schwabl C, Fink C, Friede M, Csapo R. Intraobserver Assessment of Shear Wave Elastography in Tensor Fasciae Latae and Gluteus Maximus Muscle: The Importance of the Hip Abductor Muscles in Runners Knee Compared to Healthy Controls. Journal of Clinical Medicine. 2022; 11(13):3605. https://doi.org/10.3390/jcm11133605

Chicago/Turabian Style

Klauser, Andrea S., Felix de-Koekkoek, Christoph Schwabl, Christian Fink, Miriam Friede, and Robert Csapo. 2022. "Intraobserver Assessment of Shear Wave Elastography in Tensor Fasciae Latae and Gluteus Maximus Muscle: The Importance of the Hip Abductor Muscles in Runners Knee Compared to Healthy Controls" Journal of Clinical Medicine 11, no. 13: 3605. https://doi.org/10.3390/jcm11133605

APA Style

Klauser, A. S., de-Koekkoek, F., Schwabl, C., Fink, C., Friede, M., & Csapo, R. (2022). Intraobserver Assessment of Shear Wave Elastography in Tensor Fasciae Latae and Gluteus Maximus Muscle: The Importance of the Hip Abductor Muscles in Runners Knee Compared to Healthy Controls. Journal of Clinical Medicine, 11(13), 3605. https://doi.org/10.3390/jcm11133605

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