Pauwels F
Z Orthop Ihre Grenzgeb. 1975 Feb;113(1):1-5.
The history of the case and findings and follow-up in radiographs when submitted to analysis of the mechanical forces, are an example and proof for : 1. the fact that, in compression forces overlayed by flexion forces, the tension on the pressure aspect of flexion is always larger than on the extension side, since on the flexion side it is the sun of, on the extension side the difference between, the two tensions which are active. 2. Ossification and bone absorption are steered by the amount of tension and will be the greater, the more the tensions exceed or fall short of the "required" tensions which maintain the balance between ossification and bone absorption during the continuous restructuring of bone. 3. In epiphyseal cartilage which physiologically is purely subject to pressure, longitudinal growth will increase when flexion forces overlay on the pressure side where tensions are greatest. This will automatically exclude the overlaying flexion forces.
该病例的病史、检查结果以及X线片随访结果在进行力学分析时,可作为以下情况的示例和证据:1. 在压缩力与屈曲力叠加的情况下,屈曲受压侧的张力始终大于伸展侧,因为在屈曲侧它是两种作用力之和,而在伸展侧它是两种作用力之差。2. 骨化和骨质吸收受张力大小的控制,在骨骼持续重塑过程中,当张力超过或低于维持骨化与骨质吸收平衡所需的“所需”张力越多时,骨化和骨质吸收就越明显。3. 在生理状态下仅承受压力的骨骺软骨中,当屈曲力叠加在张力最大的受压侧时,纵向生长会增加。这将自动排除叠加的屈曲力。