Ségal P, Lallement J J, Raguet M, Jacob M, Gérard Y
Rev Chir Orthop Reparatrice Appar Mot. 1980 Sep;66(6):357-65.
The authors have operated on 110 cases of chronic antero-medial instability of the knee. In 33 cases there were femoral and tibial lesions. The medial tibial plateau was eroded at its posterior border with, at times, microfractures at this level or at the level of the posterior and axial part of the medial femoral condyle. This can be explained by abnormal movements of lateral rotation and translation of the posterior border of the medial tibial plateau which becomes subluxated under the femoral condyle. In 14 cases, periosteal elevation of the posterior capsule from the posterior border of the medial tibial plateau was found. The authors consider that this type of lesion may explain secondary degenerative lesions of the patella.
作者对110例膝关节慢性前内侧不稳定患者进行了手术。33例存在股骨和胫骨病变。内侧胫骨平台后缘有侵蚀，有时在该水平或内侧股骨髁后轴部水平出现微骨折。这可以通过内侧胫骨平台后缘的外侧旋转和平移异常运动来解释，该后缘在股骨髁下发生半脱位。14例中，发现后关节囊从内侧胫骨平台后缘掀起。作者认为这种类型的病变可能解释髌骨的继发性退行性病变。
