Biedert R M
Sportclinic Villa Linde, Swiss Olympic Medical Center Magglingen-Biel, Blumenrain 87, CH-2503 Biel, Schweiz.
Orthopade. 2008 Sep;37(9):872, 874-6, 878-80 passim. doi: 10.1007/s00132-008-1294-5.
Skeletal geometry, soft tissues, and neuromuscular control influence the patellofemoral gliding mechanism. Abnormal skeletal geometry - such as increased femoral anteversion, trochlear dysplasia, patella alta, increased tibial external torsion, increased tibial tubercle lateralization, and variations of combined deformities - may lead to patellofemoral complaints. Altered vectors and forces acting on the patellofemoral joint can cause cartilage failure with later arthrosis, instability, and musculotendinous insufficiency. Osteotomy with soft tissue repair might be the best treatment, depending on the primary pathology. Surgery aims to eliminate the underlying pathomorphology.
骨骼几何结构、软组织及神经肌肉控制会影响髌股关节滑动机制。骨骼几何结构异常，如股骨前倾增加、滑车发育不良、髌骨高位、胫骨外旋增加、胫骨结节外侧化增加以及合并畸形的变异，可能导致髌股关节问题。作用于髌股关节的矢量和力的改变可导致软骨损伤，随后发展为关节炎、不稳定和肌腱肌肉功能不全。根据原发性病理情况，截骨术联合软组织修复可能是最佳治疗方法。手术旨在消除潜在的病理形态。
