The iliotibial band another joke
HA HA HA the anatomical study...what a Joke...again the proof that you can only recognize what you know, or that you can only find what you are desperately looking for because that is what hope to find....such a joke and that is a linear objective science try hey?
Trust me I am a physiotherapist was the publicity below the picture...What was missing is " I have been biased to the rim by my education, but are not responsible for it because I am the X-th victim of "Polly says hello"....
my answer: I used to be a physiotherapist and manual therapist and am still an anatomist as well as just another osteopath...and Evost Fellow ...don't trust me...think for yourself. Reason. Still fighting the polly syndrome like crazy because you get inoculated by it without written consent, and then when somewhere along your path you become aware of it and want to get it of your system it is a lifelong battle....if you try to go towards healing and not just remission in one or two symptoms....that is my experience
And my main motivation for these posts is of course: get as many young people and professionals to read them and ignite at first observation and then reason by themselves....once that is going we can discuss and I can learn from it... Thus I am actually incredibly selfish.
And desperately looking for thinkers, not people that repeat what they heard and memorized, but people that let actually things process through their brain, several times and even then stay doubtful...lifelong students as our "dear Drew" called them. My original motivation to startup the Evost Fellowship in 2000 in Johannesburg.
Lets get out of memory-lane and return to that add...
The fascial system is one since the beginning, see several whole articles on that one.
The famous forces that are released upon the fascial system will cause it to make more fibroblasts and they in return will spit out more proto-fibers, that will assemble and orient themselves while they assemble or self organize in the main stress direction , yes now we are back on track...
But the fascia lata is just a progressive thickening of the fascia generalis and which is and stays one with its rest up until even the odd fellas that have been really stressed in the depth of the limbs...the bones
As an anatomist if you want to display it , you cut the rest away and with your knife or scalpel sculpt and make a nice tractus iliotibialis...yes but it is because we cut the rest away....and for no other reason it looks like a defined separate structure.
But this kind of nonsense modeling effectively creates structures that are apart in peoples minds, in reality they are not. The cuts and scraping are done in such a way that you get, in the end, a nice tendon look of the tensor fascia lata. And of course it is stretchable to a certain degree in the living, if you go at it slowly and steadily...
The fascial system is one from superficial to deep even in and through the bones which are just topographic hyper-stressed parts of the fascia, that much that they fill the matrix with minerals.
With JeanPaul we dissected several babies, still borns, which was very hard because they look as they are sleeping...and we had in that time just got babies of our own...it was the hardest thing to do in my anatomist career. But that is not the point, the point is that in a baby the continuity of the fascial system is even more visible but as the gravity stress has not really got the time to push the organism further in the direction of order, the structures look mostly like spiderwebs with here and there some growth stress lines recognizable in them...
Also the famous fascia lata and its iliotibial band....
You should dissect yourself a few , in order to really have an idea how much work it is to make an nice iliotibial band...you have no idea.
Read my other stuff and reason...
So this was a nicely short one...decent.
Cheers
Educator @ LINK Sports Council, Performance Doctor @ LINK Medical Center
5 年Dr. Tim Brown
Osteopath / Anatomist
5 年I haven’t read the study so won’t comment on it but I loved the length of the article Max, short and sweet. I will say that I have had many students who after spending time in the dissection lab are quite upset with how their favourite textbook gave such a terrible representation of this “structure” which is of course not an independent structure at all. For those who have not spent time with scalpel and forceps, find a way, it’s worth tenfold any course of technique.