J Orthop Sports Phys Ther. 1987;9(4):160-5. doi: 10.2519/jospt.1987.9.4.160.
Excessive compression of the lateral articular surfaces is frequently a major component of patellofemoral dysfunction. Many subjects exhibiting symptoms of this disorder have structural deviations throughout the lower extremity which combine to produce malalignment of the patellofemoral joint. Included in these malalignment factors is excessive pronation of the subtalar joint. Excessive rotation of the lower leg which accompanies subtalar joint pronation has been cited as a major contributor to patellofemoral dysfunction. Although the excessive rotation of the lower leg will disrupt the normal mechanics of the tibiofemoral joint, the specific link between tibial rotation and patellofemoral symptoms has not been established. This paper presents a theoretical model which describes the compensation that can occur at the tibiofemoral joint to deal with the excessive tibial rotation. The link between the tibiofemoral compensation and increased patellofemoral compression is delineated. Factors which determine whether this increased compression becomes symptomatic are discussed. J Orthop Sports Phys Ther 1987;9(4):160-165.
外侧关节面过度压缩常常是髌股功能紊乱的一个主要组成部分。许多表现出这种紊乱症状的患者，下肢存在结构上的偏歪，这些偏歪综合起来导致髌股关节对线不良。这些对线不良的因素包括距下关节过度旋前。距下关节旋前伴随的小腿过度旋转，被认为是髌股功能紊乱的一个主要原因。尽管小腿的过度旋转会破坏胫股关节的正常力学，但胫骨旋转与髌股症状之间的具体联系尚未确定。本文提出了一个理论模型，描述了胫股关节可能发生的代偿，以应对胫骨的过度旋转。阐明了胫股关节代偿与髌股关节压力增加之间的联系。讨论了决定这种增加的压力是否会出现症状的因素。
《美国矫形运动疗法杂志》1987 年 9 月第 9 卷第 4 期 160-165 页
