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Syndrome wiper

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Clinical case: wiper syndrome

Laurent, 28, consults for pain the lateral compartment of the right knee, appearing 30 minutes of racing, becoming more lively if he insists, forcing him to stop. He returned to walking, continues to experience pain a day or two, walking but especially down stairs. On the third day it was worse, as a precaution it stops sport 15 days. He left ski a week pleasantly surprised, he did not complain about his knee. It then resumes running, the pain returns for only 30 minutes of racing.

This is the "syndrome of the wiper." It's an inflammatory reaction by friction of the iliotibial band (tensor fascia lata) on the lateral condyle of the knee during repeated flexion / extension movements in online sports: distance running and cycling, power walking sometimes. It is not manifested in other sports.

Contributing factors are the resumption of sporting activity after a pause or a rapid increase in training volume, morphotype in Genu Varum, a supination attack.

Treatment involves gradually resume sporting activity with corrective insoles

Doctor Yves GUGLIELMETTI. - 30 janvier 2009.

Conflicts of interest: the author or authors have no conflicts of interest concerning the data published in this article.

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