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[髌软骨病——原发性神经源性病变的后遗症?]

[Chondropathia patellae--a sequel of a primary neurogenic lesion?].

作者信息

Rüther W, Vogel P, Tackmann W

机构信息

Orthopädische Klinik der Universität Bonn.

出版信息

Z Orthop Ihre Grenzgeb. 1987 Sep-Oct;125(5):577-9. doi: 10.1055/s-2008-1044758.

Abstract

In twenty patients with a patellar pain syndrome (Chondropathia patellae) the quadriceps muscles were examined electromyographically. The study aimed for detection of neural lesions in the respective segments. According to Weh and Eickhoff (1983) nerve root lesions are the common cause for patellar pain syndrome. In their opinion malinnervation of the quadriceps leads to a muscular disbalance of the vastus medialis and lateralis and in consequence to an unphysiological traction of their patellar insertions that induces pain. Neither clinical data nor electromyographical findings gave any indication to believe that primary nerve root disturbances are a common cause for patellar pain syndrome.

摘要

对20例髌股疼痛综合征(髌骨软骨病)患者的股四头肌进行了肌电图检查。该研究旨在检测相应节段的神经损伤。根据韦和艾克霍夫(1983年)的研究,神经根损伤是髌股疼痛综合征的常见原因。他们认为,股四头肌的神经支配异常会导致股内侧肌和股外侧肌的肌肉失衡,进而导致其髌骨附着点的非生理性牵拉,从而引发疼痛。无论是临床数据还是肌电图检查结果,均未表明原发性神经根紊乱是髌股疼痛综合征的常见原因。

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