A Case of Iliotibial Band Contracture due to Prolonged Sittiing

A case of bilateral hip flexion abduction deformity due to iliotibial band contracutre developed after prolonged sitting is reported. The patient was a 23 year-old Army convict who spent a month in a prison cell sitting on the floor all day and complained of pain in both buttocks, radiating to the knees along the hamstring muscles. There was limitation of extension of both hips and knees as well as of the thoracolumbar spine. Roentgenographic examinations revealed a diffuse irregular periosteal reaction on both ischial tuberosities. Laboratory findings were within normal limits. Yount s operation was combined with Soutter's fasciotomy on the left side and the patient was immobilized in a bilateral hip spica cast for 6 weeks. After surgery and cast immobilization, both hip and knee deformities were corrected and symptoms relieved.