Munzinger U, Dubs L, Buchmann R
Orthopade. 1985 Sep;14(4):247-60.
Owing to the largely unsatisfactory results achieved to date following surgery for chondromalacia patellae, and owing to our greater knowledge of the functional relationships within the knee joint, the range of aetiological factors in femoropatellar pain needs to be expanded. Functional variants in the muscular and ligamentous system must be considered as well as anatomical variants. On the basis of symptomatology and the results of clinical examination, two extreme forms can be distinguished, depending on ligamentous laxity and muscular stabilisation capacity. Physiotherapy must be determined by these. There remain few cases in which surgery is indicated.
由于迄今为止髌骨软化症手术后取得的结果在很大程度上不尽人意,并且由于我们对膝关节内功能关系有了更多了解,因此需要扩大股骨髌股疼痛的病因范围。必须考虑肌肉和韧带系统的功能变异以及解剖变异。根据症状和临床检查结果,可根据韧带松弛和肌肉稳定能力区分出两种极端形式。物理治疗必须据此确定。需要进行手术的病例仍然很少。