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ITB ILIOTIBIAL BAND FRICTION SYNDROME MRI: IS IT A BURSA OR A RECESS?

ITB ILIOTIBIAL BAND FRICTION SYNDROME MRI

TWO POSSIBILLITIES

With fluid deep to the ITB we have 2 possibilities.

- It’s a recess of the suprapatellar bursa or,
- It’s an ITB bursa (an adventitial bursa which develops due to friction).

HOW DOES THE ANATOMY HELP TO DIFFERENTIATE?

ITB BURSA will NOT communicate with the suprapatellar recess or supraptellar bursa.
SUPRAPATELLAR RECESS will communicate with the joint via the suprapatellar bursa.

MRI HOW DO YOU DIFFERENTIATE THEM

Follow the axial scans from superior to inferior.
See if you can spot any communication between the the fluid and the suprapatellar bursa/recess.
If you can’t see any communication it’s an ITB bursa.

THE TAKE AWAY

You can confuse a normal supra patellar recess with an ITB bursa.
But the recess will communicate with the joint and the ITB bursa won’t.
On axial scans look for communication between joint/ recess and the fluid collection.

ITBILIOTIBIAL BAND FRICTION SYNDROME BURSA OR RECESS ON MRI?

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