Development of selective articular capsular stretching with cartilage protection

阐明了关节韧带的功能和关节囊的结构，为发展保护软骨的选择性牵张术奠定了基础。本研究结果表明：对盂肱关节后囊挛缩和撞击症患者，我们制定了有效的牵张方法，最大外展+外旋时臂丛神经明显受压，M.桡侧腕长伸肌和桡侧腕短伸肌处于完全伸展位置，结论：1.下胫腓关节松动术能有效地解除关节内翻和内翻，下尺桡关节松动术在60°和90°屈曲时有效，髂股韧带的上级和下束可选择性牵拉，下胫腓关节松动术对背屈受限患者有效，下胫腓关节功能障碍可多方位进行距下不稳可用踝关节内翻支具固定，但不能用于内旋。每个关节都有独立的韧带和关节囊，这些结构引起各种损伤和功能障碍。我们的研究结果可能是有效的拉伸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.