Abstract
Possible lack of length or over-stiffness of soft tissues may explain some musculo-skeletal disorders. Certain extra length of soft tissues can be recovered by releasing some strain with pie-crusti...
Highlights
Possible lack of length or over-stiffness of soft tissues may explain some musculo-skeletal disorders
Strain release obtained using the pie-crusting technique was assessed on the iliotibial band (ITB) using digital image correlation
Even if a general tendency showed the increase of the strain release with deeper pie-crusting cut and full ITB dissection of the tibial attachment, a variability of strain release levels was observed
Summary
Possible lack of length or over-stiffness of soft tissues may explain some musculo-skeletal disorders. Certain extra length of soft tissues can be recovered by releasing some strain with pie-crusting technique. This technique can be applied to the tendons (Burge et al, 2014), the ligaments (He et al, 2018), or the fascias (Catal et al, 2019). It is widely used when patients having a too short and too stiff iliotibial band (ITB), suffer from unstable knee, joint line elevation, etc. Soft tissue releasing using the pie-crusting technique is challenging as too extensive releases may lead to complications In valgus knees, ITB is tensed on the lateral side and the main technique used to correct valgus deformity is to perform a pie-crusting technique to release the ITB.
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