{"id":17644,"date":"2023-04-10T16:33:20","date_gmt":"2023-04-10T09:33:20","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=17644"},"modified":"2023-04-10T18:03:01","modified_gmt":"2023-04-10T11:03:01","slug":"dai-cuong-va-phan-loai-gay-tren-loi-cau-xuong-canh-tay-o-tre-em","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/dai-cuong-va-phan-loai-gay-tren-loi-cau-xuong-canh-tay-o-tre-em\/","title":{"rendered":"\u0110\u1ea1i c\u01b0\u01a1ng v\u00e0 ph\u00e2n lo\u1ea1i g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay \u1edf tr\u1ebb em"},"content":{"rendered":"<p><strong>G\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng r\u1ea5t th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em. Do \u0111\u00f3, vi\u1ec7c n\u1eafm r\u00f5 \u0111\u01b0\u1ee3c c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu v\u00f9ng khu\u1ef7u tay, c\u01a1 ch\u1ebf v\u00e0 c\u00e1c c\u00e1ch ph\u00e2n lo\u1ea1i ch\u1ea5n th\u01b0\u01a1ng l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft \u0111\u1ec3 ph\u1eabu thu\u1eadt vi\u00ean c\u00f3 \u0111\u1ecbnh h\u01b0\u1edbng ch\u00ednh x\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt s\u1ebd s\u1eed d\u1ee5ng. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 ph\u1ea7n m\u00f4 t\u1ea3 v\u1ec1 c\u00e1c c\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng th\u01b0\u1eddng g\u1eb7p v\u00e0 c\u00e1c ph\u00e2n lo\u1ea1i trong g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay \u1edf tr\u1ebb em.<\/strong><\/p>\n<h2>1. \u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay \u1edf tr\u1ebb em<\/h2>\n<h3>1.1 D\u1ecbch t\u1ec5 h\u1ecdc<\/h3>\n<p>G\u00e2y tr\u00ean l\u1ed3i c\u1ea9u x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 chi\u1ebfm kho\u1ea3ng 3% trong t\u1ed5ng s\u1ed1 c\u00e1c lo\u1ea1i g\u00e3y x\u01b0\u01a1ng v\u00e0 kho\u1ea3ng 60% c\u00e1c g\u00e3y x\u01b0\u01a1ng v\u00f9ng khu\u1ef7u ch\u1ea5n th\u01b0\u01a1ng khu\u1ef7u.<br \/>\n\u0110\u1ed9 tu\u1ed5i hay g\u1eb7p l\u00e0 5-6 tu\u1ed5i.Tay tr\u00e1i hay tay kh\u00f4ng thu\u1eadn th\u01b0\u1eddng b\u1ecb t\u1ed5n th\u01b0\u01a1ng nhi\u1ec1u h\u01a1n.T\u1ef7 l\u1ec7 lo\u1ea1i g\u00e3y x\u01b0\u01a1ng n\u00e0y \u1edf nam v\u00e0 n\u1eef g\u1ea7n nh\u01b0 b\u1eb1ng nhau<br \/>\nTrong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ea5p t\u00ednh, nh\u01b0 bi\u1ebfn ch\u1ee9ng th\u1ea7n kinh (theo Skaggs_2010, kho\u1ea3ng 7,7%), t\u1ed3n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u (10%). Trong s\u1ed1 \u0111\u00f3 TK quay l\u00e0 b\u1ecb t\u1ed3n th\u01b0\u01a1ng nhi\u1ec1u nh\u1ea5t<\/p>\n<h3>1.2 C\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng<\/h3>\n<p>\u1ede tr\u1ebb em, c\u01a1 ch\u1ebf th\u01b0\u1eddng g\u1eb7p l\u00e0 ch\u1ea5n th\u01b0\u01a1ng gi\u00e1n ti\u1ebfp. C\u00f3 hai lo\u1ea1i c\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng trong g\u00e3y tr\u00ean l\u1ed5i c\u00e1u x\u01b0\u01a1ng c\u00e1nh tay tr\u1ebb em<br \/>\n<strong>G\u00e3y du\u1ed7i<\/strong> (chi\u1ebfm 97% \u0111\u1ebfn 99%): tr\u1ebb ng\u00e3 ch\u1ed1ng tay, khu\u1ef7u du\u1ed7i ho\u00e0n to\u00e0n, \u0111\u01b0\u1eddng g\u00e3y t\u1eeb tr\u01b0\u1edbc d\u01b0\u1edbi \u0111\u1ebfn sau tr\u00ean, \u0111\u1ea7u g\u00e3y c\u1ee7a \u0111o\u1ea1n trung t\u00e2m nh\u1ecdn, di l\u1ec7ch ra tr\u01b0\u1edbc nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng b\u00f3 m\u1ea1ch v\u00e0 th\u1ea7n kinh c\u00e1nh tay; \u0111\u1ea7u ngo\u1ea1i vi di l\u1ec7ch ra sau.<\/p>\n<figure id=\"attachment_17649\" aria-describedby=\"caption-attachment-17649\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-17649\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Co-che-gay-duoi-trong-gay-tren-loi-cau-xuong-canh-tay-tre-em-300x150.png\" alt=\"C\u01a1 ch\u1ebf g\u00e3y du\u1ed7i trong g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay tr\u1ebb em\" width=\"300\" height=\"150\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Co-che-gay-duoi-trong-gay-tren-loi-cau-xuong-canh-tay-tre-em-300x150.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Co-che-gay-duoi-trong-gay-tren-loi-cau-xuong-canh-tay-tre-em.png 708w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17649\" class=\"wp-caption-text\">C\u01a1 ch\u1ebf g\u00e3y du\u1ed7i trong g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay tr\u1ebb em<\/figcaption><\/figure>\n<p><strong>G\u00e3y g\u1ea5p<\/strong> (\u00edt g\u1eb7p): tr\u1ebb ng\u00e3 ch\u1ed1ng khu\u1ef7u, khu\u1ef7u g\u1ea5p, \u0111\u01b0\u1eddng g\u00e3y t\u1eeb sau d\u01b0\u1edbi \u0111\u1ebfn tr\u01b0\u1edbc tr\u00ean, \u0111\u1ea7u g\u00e3y c\u1ee7a \u0111o\u1ea1n trung t\u00e2m nh\u1ecdn di l\u1ec7ch ra sau, c\u00f3 th\u1ec3 ch\u1ecdc th\u1ee7ng g\u00e2n c\u01a1 tam \u0111\u1ea7u g\u00e2y g\u00e3y h\u1edf.<\/p>\n<figure id=\"attachment_17651\" aria-describedby=\"caption-attachment-17651\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-17651\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Co-che-gay-gap-trong-gay-tren-loi-cau-xuong-canh-tay-300x132.png\" alt=\"C\u01a1 ch\u1ebf g\u00e3y g\u1ea5p trong g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay\" width=\"300\" height=\"132\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Co-che-gay-gap-trong-gay-tren-loi-cau-xuong-canh-tay-300x132.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Co-che-gay-gap-trong-gay-tren-loi-cau-xuong-canh-tay.png 742w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17651\" class=\"wp-caption-text\">C\u01a1 ch\u1ebf g\u00e3y g\u1ea5p trong g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay<\/figcaption><\/figure>\n<h3>1.3 \u0110\u1eb7c \u0111i\u1ec3m th\u01b0\u01a1ng t\u1ed5n<\/h3>\n<p>Trong g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay tr\u1ebb em c\u00f3 m\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng l\u00e0 c\u01a1 ch\u1ebf v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m t\u1ed5n th\u01b0\u01a1ng m\u00e0ng x\u01b0\u01a1ng. \u0110i\u1ec1u n\u00e0y gi\u00fap l\u00fd gi\u1ea3i c\u00e1c m\u1ee9c \u0111\u1ed9 g\u00e3y c\u0169ng nh\u01b0 t\u01b0\u01a1ng \u1ee9ng v\u1edbi n\u00f3 l\u00e0 ph\u00e2n lo\u1ea1i g\u00e3y x\u01b0\u01a1ng.<\/p>\n<p><strong>Abraham v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 m\u00f4 t\u1ea3 t\u1ed5n th\u01b0\u01a1ng m\u00e0ng x\u01b0\u01a1ng di\u1ec5n ra ba giai \u0111o\u1ea1n:<\/strong><\/p>\n<ul>\n<li>Giai \u0111o\u1ea1n m\u1ed9t: \u1ed5 g\u00e3y di l\u1ec7ch t\u1ed1i thi\u1ec3u, m\u00e0ng x\u01b0\u01a1ng c\u00f2n nguy\u00ean v\u1eb9n nh\u01b0ng b\u1ecb c\u0103ng \u1edf ph\u00eda tr\u01b0\u1edbc \u1ed5 g\u00e3y v\u00e0 b\u1ecb t\u00e1ch kh\u1ecfi m\u1eb7t tr\u01b0\u1edbc x\u01b0\u01a1ng c\u00e1nh tay m\u1ed9t kho\u1ea3ng \u0111\u00e1ng k\u1ec3.<\/li>\n<li>Giai \u0111o\u1ea1n hai: \u1ed5 g\u00e3y di l\u1ec7ch nhi\u1ec1u h\u01a1n, m\u00e0ng x\u01b0\u01a1ng bong ra s\u1ebd t\u00e1ch khi b\u1ecb k\u00e9o v\u1ec1 ph\u00eda d\u01b0\u1edbi, ngang qua b\u1edd s\u1eafc b\u00e9n c\u1ee7a \u0111\u1ea7u g\u00e3y trung t\u00e2m.<\/li>\n<li>Giai \u0111o\u1ea1n ba: \u1ed5 g\u00e3y di l\u1ec7ch ho\u00e0n to\u00e0n, m\u00e0ng x\u01b0\u01a1ng b\u1ecb x\u00e9 r\u00e1ch ho\u00e0n to\u00e0n \u1edf ph\u00eda tr\u01b0\u1edbc. M\u00e0ng x\u01b0\u01a1ng c\u00f2n nguy\u00ean v\u1eb9n \u1edf ph\u00eda sau, c\u00f2n nguy\u00ean m\u1ed9t ph\u1ea9n \u1edf ph\u00eda trong v\u00e0 ph\u00eda ngo\u00e0i. \u0110\u1ea7u g\u00e3y trung t\u00e2m di l\u1ec7ch ra sau v\u00e0 l\u00ean tr\u00ean. Ph\u1ea7n m\u00e0ng x\u01b0\u01a1ng c\u00f3 th\u1ec3 k\u1eb9t v\u00e0o \u1ed5 g\u00e3y, g\u00e2y kh\u00f3 kh\u0103n trong qu\u00e1 tr\u00ecnh n\u1eafn ch\u1ec9nh.<\/li>\n<\/ul>\n<figure id=\"attachment_17656\" aria-describedby=\"caption-attachment-17656\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-17656\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Mang-xuong-bi-keo-dan-nhung-con-nguyen-ven-Mang-xuong-bi-keo-rach-mot-phan-khi-bi-keo-cang-Mang-xuong-bi-rach-hoan-toan-phia-truoc-300x151.png\" alt=\"A. M\u00e0ng x\u01b0\u01a1ng b\u1ecb k\u00e9o d\u00e3n nh\u01b0ng c\u00f2n nguy\u00ean v\u1eb9n; B. M\u00e0ng x\u01b0\u01a1ng b\u1ecb k\u00e9o r\u00e1ch m\u1ed9t ph\u1ea7n khi b\u1ecb k\u00e9o c\u0103ng; C. M\u00e0ng x\u01b0\u01a1ng b\u1ecb r\u00e1ch ho\u00e0n to\u00e0n ph\u00eda tr\u01b0\u1edbc\" width=\"300\" height=\"151\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Mang-xuong-bi-keo-dan-nhung-con-nguyen-ven-Mang-xuong-bi-keo-rach-mot-phan-khi-bi-keo-cang-Mang-xuong-bi-rach-hoan-toan-phia-truoc-300x151.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Mang-xuong-bi-keo-dan-nhung-con-nguyen-ven-Mang-xuong-bi-keo-rach-mot-phan-khi-bi-keo-cang-Mang-xuong-bi-rach-hoan-toan-phia-truoc.png 561w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17656\" class=\"wp-caption-text\">A. M\u00e0ng x\u01b0\u01a1ng b\u1ecb k\u00e9o d\u00e3n nh\u01b0ng c\u00f2n nguy\u00ean v\u1eb9n; B. M\u00e0ng x\u01b0\u01a1ng b\u1ecb k\u00e9o r\u00e1ch m\u1ed9t ph\u1ea7n khi b\u1ecb k\u00e9o c\u0103ng; C. M\u00e0ng x\u01b0\u01a1ng b\u1ecb r\u00e1ch ho\u00e0n to\u00e0n ph\u00eda tr\u01b0\u1edbc<\/figcaption><\/figure>\n<h2>2. L\u00e2m s\u00e0ng v\u1ec1 g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay \u1edf tr\u1ebb em<\/h2>\n<ul>\n<li>Tr\u1ebb <strong>v\u00e0o vi\u1ec7n<\/strong> sau m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng v\u1edbi c\u01a1 ch\u1ebf \u0111i\u1ec3n h\u00ecnh l\u00e0 ng\u00e3 ch\u1ed1ng tay.<\/li>\n<li><strong>Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng<\/strong>: \u0111au nhi\u1ec1u v\u00f9ng khu\u1ef7u, m\u1ea5t v\u1eadn \u0111\u1ed9ng kh\u1edbp khu\u1ef7u.<\/li>\n<li><strong>Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3<\/strong>: s\u01b0ng n\u1ec1 v\u00f9ng khu\u1ef7u, sau v\u00e0i gi\u1edd c\u00f3 th\u1ec3 s\u01b0ng n\u1ec1 g\u1ea5p hai l\u00fac th\u01b0\u1eddng. C\u00f3 th\u1ec3 b\u1ea7m t\u00edm v\u00f9ng tr\u01b0\u1edbc khu\u1ef7u (b\u1ea7m t\u00edm \u0111\u1eb7c hi\u1ec7u Kirmisson). Nh\u00ecn nghi\u00eang: d\u1ea5u hi\u1ec7u &#8220;nh\u00e1t r\u00ecu&#8221; ph\u00eda sau khu\u1ef7u. S\u1edd n\u1eafn th\u1ea5y \u0111au ch\u00f3i tr\u00ean l\u1ed3i c\u1ea9u v\u00e0 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n ti\u1ebfng l\u1ea1o x\u1ea1o, c\u1eed \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng khi l\u00e0m \u0111\u1ed9ng t\u00e1c gi\u1ea1ng, kh\u00e9p.<\/li>\n<li>C\u00e1c m\u1ed1c gi\u1ea3i ph\u1eabu b\u00ecnh th\u01b0\u1eddng, &#8220;tam gi\u00e1c khu\u1ef7u&#8221; b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<figure id=\"attachment_17657\" aria-describedby=\"caption-attachment-17657\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-17657\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Dau-hieu-bam-tim-Kirmisson-300x185.png\" alt=\"D\u1ea5u hi\u1ec7u b\u1ea7m t\u00edm Kirmisson\" width=\"300\" height=\"185\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Dau-hieu-bam-tim-Kirmisson-300x185.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Dau-hieu-bam-tim-Kirmisson-768x473.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Dau-hieu-bam-tim-Kirmisson.png 991w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17657\" class=\"wp-caption-text\">D\u1ea5u hi\u1ec7u b\u1ea7m t\u00edm Kirmisson<\/figcaption><\/figure>\n<h2>3. Ph\u00e2n lo\u1ea1i g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay \u1edf tr\u1ebb em<\/h2>\n<p>Vi\u1ec7c ph\u00e2n lo\u1ea1i l\u00fac \u0111\u1ea7u d\u1ef1a v\u00e0o v\u1ecb tr\u00ed \u0111\u01b0\u1eddng g\u00e3y v\u00e0 m\u1ee9c \u0111\u1ed9 di l\u1ec7ch tr\u00ean phim XQ khu\u1ef7u t\u01b0 th\u1ebf th\u1eb3ng v\u00e0 nghi\u00eang. X\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 di l\u1ec7ch s\u1ebd gi\u00fap \u00edch trong vi\u1ec7c n\u1eafn ch\u1ec9nh \u1ed5 g\u00e3y<br \/>\nN\u0103m 1959, Gartland \u0111\u00e3 m\u00f4 t\u1ea3 ba lo\u1ea1i g\u00e3y d\u1ef1a tr\u00ean m\u1ee9c \u0111\u1ed9 di l\u1ec7ch: kh\u00f4ng di l\u1ec7ch, di l\u1ec7ch v\u1eeba v\u00e0 di l\u1ec7ch ho\u00e0n to\u00e0n.<br \/>\nN\u0103m 1990, Wilkins c\u1ea3i bi\u00ean ph\u00e2n lo\u1ea1i g\u1ed1c c\u1ee7a Gartland, trong \u0111\u00f3 lo\u1ea1i III \u0111\u01b0\u1ee3c chia th\u00e0nh IIIA v\u00e0 IIIB t\u00f9y theo \u0111\u1ea9u g\u00e3\u1ef5 ngo\u1ea1i vi di l\u1ec7ch sau trong ho\u1eb7c sau ngo\u00e0i \u0111\u1ec3 gi\u00fap ti\u00ean l\u01b0\u1ee3ng c\u00e1c c\u1ea5u tr\u00fac m\u1ea1ch m\u00e1u th\u1ea7n kinh n\u00e0o d\u1ec5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/p>\n<p>Hi\u1ec7n nay, <strong>ph\u00e2n lo\u1ea1i Gartland c\u1ea3i bi\u00ean<\/strong> \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u00e0 ch\u1ea5p nh\u1eadn r\u1ed9ng r\u00e3i nh\u1ea5t:<\/p>\n<figure id=\"attachment_17658\" aria-describedby=\"caption-attachment-17658\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-17658\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-anh-phan-loai-gay-tren-loi-cau-xuong-canh-tay-theo-Gartland-va-Gartland-cai-bien-300x187.png\" alt=\"H\u00ecnh \u1ea3nh ph\u00e2n lo\u1ea1i g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay theo Gartland v\u00e0 Gartland c\u1ea3i bi\u00ean\" width=\"300\" height=\"187\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-anh-phan-loai-gay-tren-loi-cau-xuong-canh-tay-theo-Gartland-va-Gartland-cai-bien-300x187.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-anh-phan-loai-gay-tren-loi-cau-xuong-canh-tay-theo-Gartland-va-Gartland-cai-bien.png 618w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17658\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh ph\u00e2n lo\u1ea1i g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay theo Gartland v\u00e0 Gartland c\u1ea3i bi\u00ean<\/figcaption><\/figure>\n<p><strong>Lo\u1ea1i I<\/strong>: g\u00e3y kh\u00f4ng di l\u1ec7ch ho\u1eb7c di l\u1ec7ch t\u1ed1i thi\u1ec3u (&lt; 2 mm). \u0110\u00f4i khi tr\u00ean phim XQ t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng kh\u00f3 x\u00e1c \u0111\u1ecbnh v\u00e0 d\u1ea5u hi\u1ec7u m\u1ee1 ph\u00eda sau (Posterior fat pad sign) l\u00e0 d\u1ea5u hi\u1ec7u duy nh\u1ea5t ch\u1ee9ng t\u1ecf c\u00f3 t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng. \u0110\u00e2y l\u00e0 d\u1ea1ng g\u00e3y v\u1eefng.<\/p>\n<figure id=\"attachment_17659\" aria-describedby=\"caption-attachment-17659\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-17659\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Dau-hieu-mo-phia-sau-trong-gay-tren-loi-cau-xuong-canh-tay-Gartland-I-300x214.png\" alt=\"D\u1ea5u hi\u1ec7u m\u1ee1 ph\u00eda sau trong g\u00e3y tr\u00ean l\u00f4i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay Gartland I\" width=\"300\" height=\"214\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Dau-hieu-mo-phia-sau-trong-gay-tren-loi-cau-xuong-canh-tay-Gartland-I-300x214.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Dau-hieu-mo-phia-sau-trong-gay-tren-loi-cau-xuong-canh-tay-Gartland-I.png 480w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17659\" class=\"wp-caption-text\">D\u1ea5u hi\u1ec7u m\u1ee1 ph\u00eda sau trong g\u00e3y tr\u00ean l\u00f4i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay Gartland I<\/figcaption><\/figure>\n<p><strong>Lo\u1ea1i II<\/strong>: g\u00e3y di l\u1ec7ch &gt; 2mm, b\u1edd x\u01b0\u01a1ng ph\u00eda sau c\u00f2n nguy\u00ean. Tr\u00ean phim XQ khu\u1ef7u nghi\u00eang, \u0111\u01b0\u1eddng c\u00e1nh tay tr\u01b0\u1edbc kh\u00f4ng \u0111i qua 1\/3 c\u1ee7a ch\u1ecfm con. Tr\u00ean phim XQ khu\u1ef7u th\u1eb3ng, kh\u00f4ng th\u1ea5y di l\u1ec7ch xoay do b\u1edd x\u01b0\u01a1ng ph\u00eda sau c\u00f2n nguy\u00ean.<br \/>\n<strong>Lo\u1ea1i III<\/strong>: g\u00e3y di l\u1ec7ch ho\u00e0n to\u00e0n kh\u00f4ng c\u00f2n ti\u1ebfp x\u00fac v\u1ecf x\u01b0\u01a1ng. M\u1ea3nh g\u00e2y di l\u1ec7ch ra sau tr\u00ean phim nghi\u00eang v\u00e0 xoay tr\u00ean phim th\u1eb3ng. \u0110\u00e2y l\u00e0 d\u1ea1ng g\u00e3y kh\u00f4ng v\u1eefng. Wilkins chia th\u00e0nh IIIA (di l\u1ec7ch sau trong) v\u00e0 IIIB (di l\u1ec7ch sau ngo\u00e0i) gi\u00fap ti\u00ean l\u01b0\u1ee3ng t\u1ed5n th\u01b0\u01a1ng k\u00e8m theo v\u00e0 x\u00e1c \u0111\u1ecbnh b\u00ean n\u00ean xuy\u00ean \u0111inh tr\u01b0\u1edbc.<\/p>\n<p><strong>Ph\u00e2n lo\u1ea1i theo Lagrange and Rigault:<\/strong><br \/>\n\u0110\u1ed9 I: g\u00e3y m\u1ed9t b\u00ean v\u1ecf x\u01b0\u01a1ng.<br \/>\n\u0110\u1ed9 II: g\u00e3y c\u1ea3 hai l\u1edbp v\u1ecf x\u01b0\u01a1ng, kh\u00f4ng di l\u1ec7ch ho\u1eb7c di l\u1ec7ch kh\u00f4ng \u0111\u00e1ng k\u1ec3.<br \/>\n\u0110\u1ed9 III: g\u00e3y di l\u1ec7ch nh\u01b0ng c\u00e1c \u0111\u1ea7u g\u00e3y c\u00f2n ti\u1ebfp x\u00fac v\u1edbi nhau.<br \/>\n\u0110\u1ed9 IV: g\u00e3y v\u1edbi c\u00e1c \u0111\u1ea7u g\u00e3y di l\u1ec7ch xa nhau.<br \/>\n\u0110\u1ed9 V: \u0111\u01b0\u1eddng g\u00e3y \u0111i v\u00e0o ph\u1ea7n s\u1ee5n ph\u00e1t tri\u1ec3n.<\/p>\n<figure id=\"attachment_17660\" aria-describedby=\"caption-attachment-17660\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-17660\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Phan-loai-gay-tren-loi-cau-xuong-canh-tay-tre-em-theo-Lagrange-and-Rigault-300x186.png\" alt=\"Ph\u00e2n lo\u1ea1i g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay tr\u1ebb em theo Lagrange and Rigault\" width=\"300\" height=\"186\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Phan-loai-gay-tren-loi-cau-xuong-canh-tay-tre-em-theo-Lagrange-and-Rigault-300x186.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Phan-loai-gay-tren-loi-cau-xuong-canh-tay-tre-em-theo-Lagrange-and-Rigault-768x477.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Phan-loai-gay-tren-loi-cau-xuong-canh-tay-tre-em-theo-Lagrange-and-Rigault.png 837w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17660\" class=\"wp-caption-text\">Ph\u00e2n lo\u1ea1i g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay tr\u1ebb em theo Lagrange and Rigault<\/figcaption><\/figure>\n<p>Xem th\u00eam: <a href=\"https:\/\/vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/phuc-hoi-chuc-nang-gay-tren-loi-cau-xuong-canh-tay\/\">Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay<\/a><\/p>\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/strong><\/p>\n<ol>\n<li>Campbell&#8217;s Operative Orthopaedics. Canale ST, Beaty JH. Eleventh edition. Mosby Elsevier.<\/li>\n<li>Rockwood &amp; Green&#8217;s Fractures in Children, 7<sup>th<\/sup> Edition<\/li>\n<li>Handbook of Fracture, 5E (2014), Pediatric Elbow<\/li>\n<li>Practical Procedures in Orthopaedic Trauma Surgery<\/li>\n<li>MasterTechniques in Orthopaedic Surgery Relevant Surgical Exposures<\/li>\n<li>AO Principles of Fracture Management<\/li>\n<li>OperativeTechniquesin Pediatric Orthopaedics, Chapter2: Open Reduction of Supracondylar Fractures of the Humerus<\/li>\n<\/ol>\n<ol start=\"8\">\n<li>Tachdjian&#8217;s Pediatric Orthopaedics, 5<sup>th<\/sup> Edition, John A.Herring, Chapter 33: upper Extremity Injuries<\/li>\n<li>Gray&#8217;s Anatomy, 40<sup>th<\/sup> Edition<\/li>\n<li>Atlas gi\u1ea3i ph\u1eabu ng\u01b0\u1eddi, Frank H.Netter, 2013 Edition<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>G\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng r\u1ea5t th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em. Do \u0111\u00f3, vi\u1ec7c n\u1eafm r\u00f5 \u0111\u01b0\u1ee3c c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu v\u00f9ng khu\u1ef7u tay, c\u01a1 ch\u1ebf v\u00e0 c\u00e1c c\u00e1ch ph\u00e2n lo\u1ea1i ch\u1ea5n th\u01b0\u01a1ng l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft \u0111\u1ec3 ph\u1eabu thu\u1eadt vi\u00ean c\u00f3 \u0111\u1ecbnh h\u01b0\u1edbng ch\u00ednh x\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu [&hellip;]<\/p>\n","protected":false},"author":26,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[40],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0110\u1ea1i c\u01b0\u01a1ng v\u00e0 ph\u00e2n lo\u1ea1i g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay \u1edf tr\u1ebb em<\/title>\n<meta name=\"description\" content=\"N\u1eafm r\u00f5 c\u01a1 ch\u1ebf v\u00e0 c\u00e1ch ph\u00e2n lo\u1ea1i 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