AB266. SOH26AB_0065. Hydrodissection of iliotibial band syndrome: a case report

Background: Iliotibial band syndrome is a common pain condition affecting the lateral thigh. This condition is characterized by abnormal fibrous tissue formation along the iliotibial band. Hydrodissection is a minimally invasive technique involving the injection of fluid to separate fascial layers and release entrapped nerves and tendons. Its use in Iliotibial band syndrome has not been reported.

Case Description: We present the case of a 48-year-old male with Iliotibial band syndrome. Despite extensive conservative therapies, including medications and physical therapy, he continued to experience left lateral thigh pain. The patient underwent ultrasound-guided Iliotibial band hydrodissection as a targeted approach to address perineural inflammation and nerve entrapment. Hydrodissection of the Iliotibial band was performed. A low concentration (5%) dextrose solution was used to free the tendon from surrounding scar tissue and muscle adhesions. The procedure was performed in a theatre setting. Following the hydrodissection procedure, the patient experienced improvement with sustained improvement over 2 months at follow-up. Functional outcomes, including range of motion and daily activities improved. No complications were reported.

Conclusions: This case supports the potential role of dextrose hydrodissection as a safe, minimally invasive treatment option for Iliotibial band syndrome. Hydrodissection offers an alternative to more invasive interventions and warrants further investigation in the management of Iliotibial band syndrome.

Keywords: Iliotibial band syndrome; hydrodissection technique; dextrose injection; nerve entrapment; case report