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FSEM Diploma In MSK Medicine Practice Questions - Faculty Of Sport And Exercise Medicine Diploma In Musculoskeletal Medicine Exam

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A 32-year-old marathon runner presents with localized lateral right knee pain that begins approximately 15 minutes into a run, particularly on downhill routes. Local tenderness is elicited over the lateral femoral epicondyle, roughly 2 cm proximal to the joint line. Noble's compression test reproduces the pain at 30 degrees of knee flexion. What is the primary underlying diagnosis?
Correct Answer:
Iliotibial band (ITB) syndrome

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