Development of selective articular capsular stretching with cartilage protection

我们阐明了关节韧带的功能和关节囊的结构，为发展具有软骨保护的选择性拉伸奠定了基础。我们的研究表明：我们提出了一种有效的伸展方法，用于治疗关节后囊挛缩伴撞击的患者。臂丛在最大外展+外旋状态下受到明显的压缩。在完全伸展的位置，腕长伸肌和腕短伸肌对肘关节的外上髁有明显的压缩作用。旋前和内翻。60°和90°屈曲时，尺远端关节活动有效。髂股韧带上、下束可选择性伸展。背屈受限的患者，下胫腓关节活动有效。远端下胫腓关节功能障碍导致多向不稳定。距下不稳定采用踝关节支架内翻固定，内旋不能。每个关节都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。我们的结果可能是有效的伸展方法与软骨保护的基础。

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.