Bijl D, Dekker J, van Baar M E, Oostendorp R A, Lemmens A M, Bijlsma J W, Voorn T B
Netherlands Institute of Primary Health Care, Utrecht.
Scand J Rheumatol. 1998;27(5):347-51. doi: 10.1080/03009749850154366.
To analyse the validity of Cyriax's concept of the "capsular pattern" in the diagnosis of osteoarthritis (OA) of hip and knee, data on 200 patients were analysed. The capsular pattern with limitations of medial rotation, flexion, and abduction, was not present as a distinct pattern in patients with OA of the hip. In patients with OA of the knee, an indication of the existence of a capsular pattern of the knee, with limited ranges of motion for both flexion and extension was found in subgroups of patients. It is concluded that the capsular pattern cannot be regarded as a valid test for the diagnosis of OA of the hip or knee. Further investigations in subgroups of patients are recommended.
为分析西里克斯（Cyriax）的“关节囊模式”概念在髋和膝骨关节炎（OA）诊断中的有效性，对200例患者的数据进行了分析。在内旋、屈曲和外展受限的关节囊模式，在髋OA患者中并非作为一种独特模式出现。在膝OA患者中，在部分患者亚组中发现了膝关节存在关节囊模式的迹象，即屈伸活动范围均受限。得出的结论是，关节囊模式不能被视为诊断髋或膝OA的有效检测方法。建议对患者亚组进行进一步研究。
