{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:17:13Z","timestamp":1777882633500,"version":"3.51.4"},"reference-count":6,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Video Journal of Sports Medicine"],"published-print":{"date-parts":[[2021,3]]},"abstract":"\n Background:<\/jats:title>\n This technique video reviews an iliotibial band Z-lengthening procedure for iliotibial band (ITB) syndrome using a patient case example.<\/jats:p>\n <\/jats:sec>\n \n Indications:<\/jats:title>\n Indications for considering surgical intervention include a diagnosis of iliotibial band syndrome, ruling out other possible etiologies of knee pain, and a minimum of 6 months of failed conservative treatment.<\/jats:p>\n <\/jats:sec>\n \n Technique Description:<\/jats:title>\n There are several surgical techniques described in the literature, although the ITB Z-lengthening procedure is preferred at our institution. This technique uses a \u201cZ\u201d-type incision through the distal ITB to allow lengthening of the ITB and to allow access for surgical debridement of the underlying inflamed bursa. Nonabsorbable suture is then used for a side-to-side repair of the ITB in the elongated position.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Complications from this technique are uncommon, and the few published outcomes from this procedure show good clinical results and return to preactivity levels.<\/jats:p>\n <\/jats:sec>\n \n Discussion\/Conclusion:<\/jats:title>\n Preoperative planning should include analysis of lower extremity alignment and can include advanced imaging to rule out intra-articular pathology. Diagnostic arthroscopy is typically used at the start of the case for completeness. Distal iliotibial band Z-lenghtening can be a successful surgical option for patients who have failed extensive conservative treatment for iliotibial band syndrome.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/2635025421997139","type":"journal-article","created":{"date-parts":[[2021,3,9]],"date-time":"2021-03-09T09:00:28Z","timestamp":1615280428000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Distal Iliotibial Band Z-lengthening for Iliotibial Band Syndrome"],"prefix":"10.1177","volume":"1","author":[{"given":"Scott E.","family":"Dart","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, University of Virginia, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zane","family":"Hyde","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Virginia, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Winston","family":"Gwathmey","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Virginia, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7956-2123","authenticated-orcid":false,"given":"Brian C.","family":"Werner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Virginia, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,3,9]]},"reference":[{"issue":"4","key":"bibr1-2635025421997139","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1055\/s-0030-1248058","volume":"20","author":"Barber FA","year":"2007","journal-title":"J Knee Surg"},{"key":"bibr2-2635025421997139","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509332039"},{"key":"bibr3-2635025421997139","doi-asserted-by":"publisher","DOI":"10.1177\/036354659302100316"},{"issue":"3","key":"bibr4-2635025421997139","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1007\/s00167-008-0660-5","volume":"17","author":"Michels F","year":"2009","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"bibr5-2635025421997139","doi-asserted-by":"publisher","DOI":"10.1177\/036354658000800403"},{"issue":"3","key":"bibr6-2635025421997139","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1053\/jars.2003.50081","volume":"19","author":"Richards DP","year":"2003","journal-title":"Arthroscopy"}],"container-title":["Video Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2635025421997139","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2635025421997139","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2635025421997139","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:18:18Z","timestamp":1777598298000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2635025421997139"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1177\/2635025421997139"],"URL":"https:\/\/doi.org\/10.1177\/2635025421997139","relation":{},"ISSN":["2635-0254","2635-0254"],"issn-type":[{"value":"2635-0254","type":"print"},{"value":"2635-0254","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3]]},"article-number":"2635025421997139"}}