Julliard R
J Chir (Paris). 1982 Mar;119(3):169-75.
The classical X-Ray exploration of the patellar instability is done through incidences performed with knees in a 30 degrees flexion and a 0 degrees rotation. To this basic investigation the authors propose to add original, more physiological incidences performed with knees in external rotation. Because of their extreme sensitiveness, these incidences with a 30 degrees external rotation allow a more accurate diagnosis of the patellar instability (and thereby a better breaking up of the still too nebulous chapter of patellar chrondropathies) and a more critical checking of the surgical centering of the patella. Technically easy to perform they should enter into the usual practice of X-Ray exploration of any mechanical knee.
髌骨不稳定的传统X线检查是在膝关节屈曲30度、旋转0度时进行投照。针对这项基本检查,作者建议增加一些原始的、更符合生理状态的投照,即膝关节处于外旋位时的投照。由于其极高的敏感性,这些外旋30度的投照能更准确地诊断髌骨不稳定(从而更好地梳理目前仍较为模糊的髌骨软骨病章节),并能更严格地检查髌骨手术复位情况。它们在技术上易于操作,应纳入任何膝关节机械性病变X线检查的常规操作中。