Weh L, Eickhoff W, Müller U, Dangelat D
Zentralbl Chir. 1983;108(19):1204-10.
Observations of nerve root lesions in spontaneous peripatellar pain led to new aspects concerning the etiology of periarticular pain and chondromalacia patellae. We regard the spontaneous peripatellar pain as an enthesiopathia resulting from an innervation disorder. We believe that also chondromalacia can be caused by nerve root lesions. As a consequence, a change in conservative and operative management is necessary. The aim is a balanced gliding and rotational stability of the patella. This means a muscular compensation of the weakened muscle part and stabilisation of the lumbar and hip region. Surgical techniques should only be applied to normalize the gliding of the patella. There is no indication for ventralisation of tuberositas tibiae.
对自发性髌周疼痛中神经根病变的观察，引发了关于关节周围疼痛和髌骨软化症病因的新观点。我们认为自发性髌周疼痛是一种由神经支配紊乱导致的附着点病。我们相信髌骨软化症也可能由神经根病变引起。因此，保守治疗和手术治疗的方式需要改变。目标是实现髌骨平衡的滑动和旋转稳定性。这意味着对弱化的肌肉部分进行肌肉代偿，并稳定腰椎和髋关节区域。手术技术仅应用于使髌骨滑动正常化。没有迹象表明需要进行胫骨结节前移术。
