Fulkerson J P, Tennant R, Jaivin J S, Grunnet M
Clin Orthop Relat Res. 1985 Jul-Aug(197):196-205.
Patellofemoral malalignment is frequently accompanied by pain that may respond to conservative treatment or lateral retinacular release. Frequently, there is little or no evidence of chondromalacia patellae in these patients. This study presents consistent evidence of nerve damage (demyelination and fibrosis) in the lateral retinaculum of patients with intractable patellofemoral pain requiring lateral retinacular release or realignment of the patellofemoral joint. The changes observed in the retinacular nerves resemble the histopathologic picture of Morton's interdigital neuroma. It is likely that the lateral retinaculum itself is painful in many patients with patellofemoral malalignment.
髌股关节对线不良常伴有疼痛，这种疼痛可能对保守治疗或外侧支持带松解有反应。通常，这些患者几乎没有或没有髌骨软骨软化的证据。本研究提供了一致的证据，表明在需要进行外侧支持带松解或髌股关节重新对线的顽固性髌股关节疼痛患者的外侧支持带中存在神经损伤（脱髓鞘和纤维化）。在支持带神经中观察到的变化类似于莫顿趾间神经瘤的组织病理学表现。在许多髌股关节对线不良的患者中，外侧支持带本身可能是疼痛的来源。
