Puncturing Taunt can be used on enemies pushing your turret to make them attack you and causing the turret to attack them. It can also be used to take the focus off more squishy allies, allowing them to deal more damage than they would have had they been the focused target.
Puncturing Taunt can also be used to "pull" enemies towards your team as an enemy will be forced to get into attack range to hit you. This is more effective with melee champions whose attack range is shorter than ranged ones.
When using Tremors, you can use all your spells to keep enemies in range of this spell in order to maximize damage. This is possible because the ultimate is not channeled.
Tremors affects turrets, making Rammus a very good pusher, especially lategame when he can tank the turret for his team.
Backdooring is a simple matter because you can easily use Powerball to run away before enemies catch up.
Rammus can use Tremors while using Powerball, making it very useful for destroying towers or champions that are low on health and escaping.
Building armor is necessary to put Spiked Shell to good use. Having a lot of armor will still result in a large amount of damage. However, do not disregard building magic resistance, as your high armor stat means nothing to the enemy team's APmages.
Rammus is a strong jungler, with exceptional ganks. Powerball allows him to initiate ganks suddenly, and Puncturing Taunt is a strong CC ability with a fairly long duration.
Note that 拉莫斯的Powerball, whilst it still does damage, it has no crowd control effect on Baron Nashor or the 20pxDragon. Also note that Puncturing Taunt now has absolutely no effect on Baron or Dragon (it will not reduce armor or force either to attack you). Both skills will still affect all other neutral creeps as normal.