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Article
October 5, 1935

IN DEFENSE OF THE FASCIA LATA AND THE ILIOTIBIAL BAND: A COMMENT ON BACK STRAIN AND SCIATICA

JAMA. 1935;105(14):1135-1136. doi:10.1001/jama.1935.02760400051021

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Abstract

To the Editor:—  Occasionally in the history of surgery, and in the development of the surgeon's armamentarium, there has arisen an apparent necessity of defending certain tissues in the human body, against hasty and unwarranted surgical attacks. Rarely has it been necessary to defend the deep fascia of the body. Recently there appeared in The Journal (May 4, p. 1580) an article by Dr. Ober entitled "Back Strain and Sciatica," which prompts this defense of the fascia lata and the iliotibial band.The dual purpose of this communication is, first, to correct some misconceptions of anatomy expressed in Dr. Ober's paper and, secondly, to prevent an epidemic of dangerous operations on this structure.Under pathology, he has written: "It has been observed in many patients with low back disturbances that the iliotibial band is extremely tight and prominent when the patient is lying on his back, with the knees together...."

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