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Iliotibial band syndrome — MRCGP AKT MCQ

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ModerateKnee InjuriesIliotibial band syndromeMRCGP AKT

A 34-year-old distance runner develops lateral knee pain after increasing downhill sessions. Pain starts predictably after 20 minutes and there is tenderness over the lateral femoral epicondyle without effusion. What is the most likely diagnosis?

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Correct answer: D — Iliotibial band pain syndrome

Iliotibial band pain typically presents as activity-related lateral knee pain in runners, often linked with training change or downhill running. Focal tenderness around the lateral femoral epicondyle supports the diagnosis. An effusion or locking would prompt consideration of intra-articular pathology.

Reference: BJSM/Brukner & Khan