PTA Physical Therapy Assistant

Answer: A - Use of hard shoes should be avoided in an iliotibial band friction syndrome.

The iliotibial band is a thick fibrous band running along the lateral aspect of the thigh. It inserts at the gerdy tubercle on the anterolateral aspect of the proximal tibia.
When the knee flexes from full extension, the iliotibial band shifts on the lateral femoral condyle from an anterior position to posterior. This crossing from anterior to posterior occurs during the 30 degrees of knee flexion.

Repeated flexion and extension of the knee in activities like running can lead to irritation. It is called an iliotibial friction syndrome.

Soft running shoes should be recommended.