Development of selective articular capsular stretching with cartilage protection

阐明关节韧带的功能和关节囊的结构，为开展有软骨保护的选择性拉伸奠定基础。我们的研究提出了以下事实：我们开发了有效的拉伸方法，用于盂肱关节后囊挛缩和撞击患者，臂丛在最大外展+外旋时明显受压。肘关节外侧上髁在完全伸展、旋前和内翻位置受到桡侧腕长短伸肌的明显压迫。60°和90°屈曲时，远端尺桡关节的活动是有效的。髂股韧带上、下束可选择性拉伸。对背屈受限的患者进行远端胫腓骨关节的活动是有效的。胫腓骨远端关节功能障碍带来多向失稳。距下不稳定在内翻时用踝关节支架固定，而在内旋转时不用；每个关节有单独的韧带和关节囊；这些结构引发了各种损伤和功能障碍。我们的结果可能是基础有效的拉伸方法与软骨保护。

We clarified function of the articular ligaments and structure of articular capsule for development of selective stretching with cartilage protection. Our studies are suggested follows facts :We developed effective stretching method for the patients of the contracture and impingement in the posterior capsule of the glenohumeral jointBrachial plexus was significantly compressed in maximum abduction + external rotation.The lateral epicondyle of the elbow joint was significantly compressed by M. extensor carpi radialis longus and brevis in the position of full extension, pronation and varus.The mobilization of distal radioulnar joint was effective in 60° and 90° flexion.The superior and inferior bundles in the iliofemoral ligament were possible to selective stretching.The mobilization of the distal tibiofibular joint was effective the patients having limitation of dorsiflexion.The dysfunction of distal tibiofibular joint was brought multidirectional instrability.Subtalar instability was fixed by ankle brace in inversion but not for internal rotation Each joint has individual ligaments and articular capsule ; these structure set off various injury and dysfunction. Our results might be fundamental to the effective stretching method with cartilage protection.