Abernethy P J, Townsend P R, Rose R M, Radin E L
J Bone Joint Surg Br. 1978 May;60-B(2):205-10. doi: 10.1302/0301-620X.60B2.659466.
The articular cartilage of the patella was studied in 100 knees at necropsy. In twenty-one of these knees the cartilage changes were related to the trabecular architecture of the underlying bone. It would appear that the initiation and location of cartilage damage and its rate and degree of progression are related to the relative stiffness of the underlying cancellous bone. On the basis of our observations we suggest that the diagnosis "chondromalacia of the patella" should be reserved for patients with asymptomatic or transiently symptomatic fibrillation of the articular cartilage of the central medial patellar facet. Those patients with persistent patellofemoral pain should be considered to have some other syndrome.
在尸检时对100个膝关节的髌骨关节软骨进行了研究。在其中21个膝关节中，软骨变化与下方骨骼的小梁结构有关。似乎软骨损伤的起始、位置及其进展速度和程度与下方松质骨的相对硬度有关。根据我们的观察，我们建议“髌骨软骨软化症”这一诊断应仅用于髌骨中央内侧小关节面关节软骨无症状或有短暂症状性纤维化的患者。那些持续存在髌股关节疼痛的患者应被认为患有其他某种综合征。
