{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:40:14Z","timestamp":1760060414389,"version":"build-2065373602"},"reference-count":21,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JFMK"],"abstract":"<jats:p>Background: The iliotibial band (ITB) is an anatomically complex structure with multiple proximal and distal attachments, making its mechanical behavior difficult to interpret. In the study of iliotibial band syndrome (ITBS), prior research has often considered the underlying lateral femoral epicondyle (LFE) as a fixed reference to describe ITB movement during knee flexion, potentially misrepresenting true tissue dynamics. This proof-of-concept study introduces the musculoskeletal advanced transillumination technique (MATT) to visualize and measure LFE displacement relative to the ITB and the tubercule of the ITB (tITB) on the tibia during passive knee flexion. Methods: Un-embalmed donor knees (n = 8) were dissected to expose the ITB and positioned on a device allowing standardized passive motion from 0\u00b0 to 30\u00b0. A trocar was inserted between the femoral epicondyles, and a 300-watt xenon light source illuminated the LFE. Video was recorded with an iPhone 15, and key frames were analyzed using ImageJ Version 1.54i, and a custom Python (Version 3.12.5) script to quantify LFE displacement relative to the ITB and to the tITB. Results: Median absolute LFE displacement from 0\u00b0 to 30\u00b0 was 9.18 mm (IQR 7.23\u201310.95). Between 0\u00b0 and 30\u00b0, the LFE shifted anteriorly by \u22121.76 mm (IQR \u221210.28 to \u22128.72) relative to the anterior border of the ITB, and by 11.26 mm (IQR 8.27 to 26.33) relative to its posterior border. The LFE-tITB distance increased from 51.98 mm (IQR 49.13\u201352.36) at 0\u00b0 to 53.66 mm (IQR 50.08\u201360.11) at 30\u00b0, with a median displacement of 3.92 mm (IQR: 2.48\u20135.73). Conclusions: Musculoskeletal Advance Transillumination Technique (MATT) is a straightforward and reproducible technique that offers direct visualization of the dynamic relationship between a skeletal landmark and myofascial structures, such as the LFE and the ITB. By challenging the assumption that the LFE is a fixed reference point, MATT opens new perspectives for investigating the biomechanical mechanisms underlying conditions like iliotibial band syndrome.<\/jats:p>","DOI":"10.3390\/jfmk10030327","type":"journal-article","created":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:19:32Z","timestamp":1756282772000},"page":"327","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Musculoskeletal Advanced Transillumination Technique (MATT): A Descriptive Proof-of-Concept Study of a New Method for the Study of the Iliotibial Tract Tested on Fresh Cadaveric Specimens"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8100-5908","authenticated-orcid":false,"given":"Sonia","family":"B\u00e9dard","sequence":"first","affiliation":[{"name":"Centre de Recherche du CHUS, CIUSSSE de l\u2019Estrie-CHUS, Sherbrooke, QC J1H 5N4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre","family":"B\u00e9dard","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universit\u00e9 de Montr\u00e9al, Qu\u00e9bec, QC H3C 3J7, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathaly","family":"Gaudreault","sequence":"additional","affiliation":[{"name":"Centre de Recherche du CHUS, CIUSSSE de l\u2019Estrie-CHUS, Sherbrooke, QC J1H 5N4, Canada"},{"name":"\u00c9cole de R\u00e9adaptation, Faculty of Medicine and Health Sciences, Universit\u00e9 de Sherbrooke, Qu\u00e9bec, QC J1H 5N4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo","family":"Izzo","sequence":"additional","affiliation":[{"name":"Swiss Surgical Practice, 6900 Lugano, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9661-241X","authenticated-orcid":false,"given":"Fran\u00e7ois","family":"V\u00e9zina","sequence":"additional","affiliation":[{"name":"Department of Surgery, Orthopedic Division, Faculty of Medicine and Health Sciences, Universit\u00e9 de Sherbrooke, Qu\u00e9bec, QC J1H 5N4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1007\/s00402-020-03718-7","article-title":"The anatomy of Kaplan fibers","volume":"141","author":"Sayac","year":"2021","journal-title":"Arch. 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