XXXX in runners.

@entity1 @entity7184 @entity134 @entity158 @entity23223
The @entity23223 is an @entity7184 found in long-distance runners. It is characterized by @entity158 on the outer aspect of the knee in close relation to the lateral femoral epicondyle. It is usually poorly localized, is aggravated by running long distances or excessive striding, and is more severe running downhill. It may be prevented by walking with a stiff knee. In a series of 100 consecutive knees, including 6 @entity1 with the syndrome in both knees (age range, 19 to 48 years; average, 31 years), of which 73 were available for follow-up evaluation, only 30 @entity1 were resolved on the initial regimen of a single injection of local @entity134 and reduction in the training program. Twenty-one @entity1 had two injections and 8 @entity1 required the third injection. The remaining 14 @entity1 were placed on a regimen of total rest from running for 4 to 6 weeks. Nine @entity1 returned to training and had no recurrence of @entity158 . Five @entity1 consented to surgery and returned to long-distance running between 2 and 7 weeks later. The syndrome apparently has a higher incidence in areas where long-distance running is the vogue, such as, South Africa, or where the climate is cool and running surfaces are slippery.
