Dihlmann W, Nebel G, Lingg G
Rofo. 1979 Dec;131(6):632-5. doi: 10.1055/s-0029-1231506.
Radiological and pathological comparisons carried out on patellae at autopsy have shown a statistical relationship between the size of marginal patellar osteophytes and radiologically invisible ulceration of the joint cartilage. Patellar osteophytes greater than 2 mm. show a 100% association with cartilage ulcers. The detritus originating from the ulcerated cartilage is a potent irritant of the synovial membrane. The radiological demonstration of marginal patellar osteophytes therefore provides evidence concerning the severity of the arthrosis; the larger the patellar marginal osteophytes, the greater is the need for treatment of the painful arthrosis. The lateral and upper margins of the patella are the sites of predelection for the osteophytes. The medial patellar facet is the site of predelection for the cartilagenous ulcers.
尸检时对髌骨进行的放射学和病理学比较显示，髌骨关节边缘骨赘的大小与关节软骨放射学上不可见的溃疡之间存在统计学关联。大于2毫米的髌骨关节边缘骨赘与软骨溃疡的关联率为100%。源自溃疡软骨的碎屑是滑膜的强效刺激物。因此，髌骨关节边缘骨赘的放射学表现为关节炎的严重程度提供了证据；髌骨关节边缘骨赘越大，对疼痛性关节炎进行治疗的必要性就越大。髌骨的外侧和上缘是骨赘的好发部位。髌骨关节内侧小面是软骨溃疡的好发部位。
