{"id":17778,"date":"2023-04-10T19:16:45","date_gmt":"2023-04-10T12:16:45","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=17778"},"modified":"2023-04-11T11:21:08","modified_gmt":"2023-04-11T04:21:08","slug":"giai-phau-trieu-chung-xq-gay-dau-duoi-xuong-quay","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/giai-phau-trieu-chung-xq-gay-dau-duoi-xuong-quay\/","title":{"rendered":"G\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay: Gi\u1ea3i ph\u1eabu, tri\u1ec7u ch\u1ee9ng, X-Quang"},"content":{"rendered":"<p><strong>\u0110\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay l\u00e0 m\u1ed9t b\u1ed9 ph\u1eadn quan tr\u1ecdng c\u1ee7a h\u1ec7 th\u1ed1ng c\u01a1 x\u01b0\u01a1ng v\u00e0 c\u00f3 nhi\u1ec7m v\u1ee5 h\u1ed7 tr\u1ee3 cho c\u00e1c ho\u1ea1t \u0111\u1ed9ng v\u1eadn \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3. Hi\u1ec7n t\u01b0\u1ee3ng g\u00e3y th\u01b0\u1eddng x\u1ea3y ra do c\u00e1c va ch\u1ea1m m\u1ea1nh ho\u1eb7c c\u00e1c tai n\u1ea1n giao th\u00f4ng. Tri\u1ec7u ch\u1ee9ng bao g\u1ed3m \u0111au, s\u01b0ng, kh\u00f3 kh\u0103n trong vi\u1ec7c di chuy\u1ec3n v\u00e0 xoay \u0111\u1ea7u. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u00ecnh \u1ea3nh nh\u01b0 ch\u1ee5p X-quang ho\u1eb7c CT scan. Vi\u1ec7c x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c v\u1ecb tr\u00ed v\u00e0 m\u1ee9c \u0111\u1ed9 g\u00e3y s\u1ebd gi\u00fap c\u00e1c b\u00e1c s\u0129 l\u00ean ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/strong><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Nh\u00f3m t\u00e1c gi\u1ea3:<\/strong> PGS.TS. Tr\u1ea7n Trung D\u0169ng, ThS.BS. Nguy\u1ec5n Trung Tuy\u1ebfn, Th.S.BS. Nguy\u1ec5n H\u1eefu M\u1ea1nh, BS. Nguy\u1ec5n \u0110\u1ee9c Phong.<\/span><\/p>\n<h2><strong>1. \u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\"><a href=\"https:\/\/orthoinfo.aaos.org\/\">G\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay<\/a> r\u1ea5t ph\u1ed5 bi\u1ebfn, chi\u1ebfm 16% t\u1ea5t c\u1ea3 g\u00e3y x\u01b0\u01a1ng \u0111i\u1ec1u tr\u1ecb \u1edf ph\u00f2ng c\u1ea5p c\u1ee9u v\u00e0 chi\u1ebfm 75% t\u1ea5t c\u1ea3 g\u00e3y x\u01b0\u01a1ng c\u1eb3ng tay.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u1ede Anh, M\u1ef9, t\u1ef7 l\u1ec7 l\u00e0 1\/5000 b\u1ec7nh nh\u00e2n m\u1ed7i n\u0103m. C\u00f3 2 l\u1ee9a tu\u1ed5i hay b\u1ecb l\u00e0 tr\u1ebb m\u1edbi l\u1edbn v\u00e0 tu\u1ed5i h\u01a1n 70. \u1ede ng\u01b0\u1eddi gi\u00e0 th\u00ec n\u1eef chi\u1ebfm 79,5%.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">G\u1ea7n \u0111\u00e2y, nh\u1eefng v\u1ea5n \u0111\u1ec1 \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ki\u1ec3u g\u00e3y cho \u0111\u00fang v\u00e0 \u0111i\u1ec1u tr\u1ecb theo t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3 nh\u1eb1m h\u1ed3i ph\u1ee5c gi\u1ea3i ph\u1eabu v\u00e0 m\u1eb7t kh\u1edbp, th\u00ec k\u1ebft qu\u1ea3 kh\u00e1 h\u01a1n.<\/span><\/li>\n<\/ul>\n<h2>2. Gi\u1ea3i Ph\u1eabu v\u00e0 li\u00ean quan \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay<\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\">\u0110\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay l\u00e0 1 v\u00f9ng x\u01b0\u01a1ng x\u1ed1p, n\u1eb1m trong gi\u1edbi h\u1ea1n m\u1ed9t \u0111o\u1ea1n 2-2,5 cm t\u00ednh t\u1eeb m\u1eb7t kh\u1edbp c\u1ed5 tay, g\u1ed3m x\u01b0\u01a1ng x\u1ed1p v\u1edbi c\u00e1c b\u00e8 x\u01b0\u01a1ng x\u1ebfp theo h\u01b0\u1edbng vu\u00f4ng g\u00f3c v\u1edbi m\u1eb7t kh\u1edbp. \u0110i\u1ec3u n\u00e0y c\u00f3 th\u1ec3 th\u1ea5y r\u00f5 tr\u00ean phim X-quang, \u0111\u1eb7c bi\u1ec7t l\u00e0 m\u1eb7t l\u00f2ng.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">C\u00e1c b\u00e8 x\u01b0\u01a1ng \u0111\u1eb7c n\u00e0y x\u1ebfp th\u00e0nh h\u00e0ng t\u1eeb ph\u1ea9n v\u1ecf x\u01b0\u01a1ng tr\u01b0\u1edbc \u0111\u1ebfn m\u1eb7t kh\u1edbp t\u1ea1o n\u00ean c\u00e1c tam gi\u00e1c. V\u1ecf x\u01b0\u01a1ng \u0111\u1eb7c quanh \u1ed1ng t\u1ee7y ch\u1ec9 c\u00f3 \u1edf 3\/4 h\u00e0nh x\u01b0\u01a1ng. L\u1edbp x\u01b0\u01a1ng m\u1ecfng m\u1eb7t l\u01b0ng k\u00e9o d\u00e0i h\u01a1n ph\u00eda tr\u01b0\u1edbc. \u0110i\u1ec1u n\u00e0y gi\u1ea3i th\u00edch l\u00fd do \u0111\u01b0\u1eddng g\u00e3y \u1edf m\u1eb7t l\u01b0ng nhi\u1ec1u h\u01a1n.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">M\u1eb7t tr\u01b0\u1edbc li\u00ean t\u1ee5c v\u1edbi th\u00e2n x\u01b0\u01a1ng quay, cong l\u00f5m v\u00e0 nh\u1eb5n, c\u00f3 c\u01a1 s\u1ea5p vu\u00f4ng b\u00e1m t\u1edbi 0,5 cm, ph\u00eda tr\u00ean b\u1edd kh\u1edbp tr\u01b0\u1edbc. L\u00e0 n\u01a1i b\u00e1m c\u1ee7a 3 d\u00e2y ch\u1eb1ng m\u1eb7t g\u00e2n c\u1ed5 tay: d\u00e2y ch\u1eb1ng b\u00ean c\u1ed5 tay quay, d\u00e2y ch\u1eb1ng quay c\u1ea3 v\u00e0 d\u00e2y ch\u1eb1ng quay th\u00e1p.\u00a0<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_17801\" aria-describedby=\"caption-attachment-17801\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-17801\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Dau-duoi-xuong-quay-mat-gan-tay-300x221.png\" alt=\"Dau-duoi-xuong-quay-mat-gan-tay\" width=\"300\" height=\"221\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Dau-duoi-xuong-quay-mat-gan-tay-300x221.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Dau-duoi-xuong-quay-mat-gan-tay.png 396w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17801\" class=\"wp-caption-text\">M\u1eb7t gan tay<\/figcaption><\/figure>\n<ul>\n<li><span style=\"font-weight: 400;\">M\u1eb7t sau kh\u00f4ng \u0111\u1ec1u, c\u00f3 nh\u1eefng g\u1edd v\u00e0 r\u00e3nh cho c\u00e1c g\u00e2n du\u1ed7i d\u1ea1ng qua. L\u1ed3i c\u1ee7 Lister nh\u00f4 cao nh\u1ea5t l\u00e0 \u0111i\u1ec3m t\u1ef1a cho g\u00e2n du\u1ed7i d\u00e0i ng\u00f3n khoang g\u00e2n ri\u00eang bi\u1ec7t che ph\u1ee7 m\u1eb7t sau \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay v\u00e0 x\u01b0\u01a1ng tr\u1ee5.\u00a0<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_17802\" aria-describedby=\"caption-attachment-17802\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-17802\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Dau-duoi-xuong-quay-mat-mu-300x231.png\" alt=\"Dau-duoi-xuong-quay-mat-mu\" width=\"300\" height=\"231\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Dau-duoi-xuong-quay-mat-mu-300x231.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Dau-duoi-xuong-quay-mat-mu.png 390w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17802\" class=\"wp-caption-text\">M\u1eb7t mu<\/figcaption><\/figure>\n<ul>\n<li><span style=\"font-weight: 400;\">M\u1eb7t ngo\u00e0i s\u1edd ngay \u0111\u01b0\u1ee3c d\u01b0\u1edbi da, \u0111\u1ec9nh l\u00e0 m\u1ecfm tr\u00e2m quay, gi\u1edbi h\u1ea1n ph\u00eda sau l\u00e0 l\u1ed3i c\u1ee7 Lister.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">M\u1eb7t trong c\u00f3 h\u00ecnh tam gi\u00e1c, \u1edf \u0111\u00e1y c\u00f3 h\u1ed1 sigma kh\u1edbp v\u1edbi \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng tr\u1ee5.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">M\u1eb7t kh\u1edbp c\u00f3 2 ph\u1ea7n: H\u1ed1 thuy\u1ec1n v\u00e0 h\u1ed1 nguy\u1ec7t. H\u1ed1 thuy\u1ec1n \u1edf ngo\u00e0i h\u00ecnh tam gi\u00e1c v\u00e0 h\u1ed1 nguy\u1ec7t \u1edf trong h\u00ecnh t\u1ee9 gi\u00e1c. T\u1ea5t c\u1ea3 \u0111\u01b0\u1ee3c ph\u1ee7 k\u00edn b\u1edfi s\u1ee5n kh\u1edbp.\u00a0<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_17803\" aria-describedby=\"caption-attachment-17803\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-17803\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Mat-khop-xuong-quay-xuong-tru-300x185.png\" alt=\"Mat-khop-xuong-quay-xuong-tru\" width=\"300\" height=\"185\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Mat-khop-xuong-quay-xuong-tru-300x185.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Mat-khop-xuong-quay-xuong-tru.png 312w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17803\" class=\"wp-caption-text\">M\u1eb7t kh\u1edbp x\u01b0\u01a1ng quay, x\u01b0\u01a1ng tr\u1ee5<\/figcaption><\/figure>\n<h3><strong>\u2756 Li\u00ean quan<\/strong><\/h3>\n<h4><strong>* D\u00e2y ch\u1eb1ng v\u00e0 bao kh\u1edbp<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">\u0110\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay c\u00f3 2 kh\u1edbp: kh\u1edbp quay-tr\u1ee5 d\u01b0\u1edbi, v\u00e0 kh\u1edbp quay -c\u1ed5 tay.<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Kh\u1edbp quay-tr\u1ee5 d\u01b0\u1edbi:<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">+<\/span> <span style=\"font-weight: 400;\">M\u1eb7t kh\u1edbp: t\u1ea1o b\u1edfi ch\u1ecfm x\u01b0\u01a1ng tr\u1ee5 v\u00e0 h\u1ed1 sigma c\u1ee7a x\u01b0\u01a1ng quay.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+<\/span> <span style=\"font-weight: 400;\">Bao kh\u1edbp: b\u00e1m v\u00e0o b\u1edd tr\u01b0\u1edbc, b\u1edd sau c\u1ee7a d\u00e2y ch\u1eb1ng tam gi\u00e1c v\u00e0 d\u00e2y ch\u1eb1ng<\/span> <span style=\"font-weight: 400;\">c\u1ee7a<\/span> <span style=\"font-weight: 400;\">quanh kh\u1edbp quay tr\u1ee5 d\u01b0\u1edbi, quan tr\u1ecdng nh\u1ea5t l\u00e0 ph\u1ee9c h\u1ee3p s\u1ee5n s\u1ee3i tam gi\u00e1c. Ph\u1ee9c h\u1ee3p<\/span> <span style=\"font-weight: 400;\">n\u00e0y<\/span> <span style=\"font-weight: 400;\">l\u00e0<\/span> <span style=\"font-weight: 400;\">1<\/span> <span style=\"font-weight: 400;\">s\u1ee5n<\/span> <span style=\"font-weight: 400;\">\u0111\u0129a kh\u1edbp d\u00e0y 1 &#8211; 2 mm xu\u1ea5t ph\u00e1t t\u1eeb b\u1edd d\u01b0\u1edbi khuy\u1ebft sigma, d\u1ecdc theo b\u1edd tr\u1ee5 c\u1ee7a \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay n\u1ed1i v\u00e0o n\u1ec1n m\u1ecfm tr\u00e2m tr\u1ee5 k\u1ebft v\u00e0o x\u01b0\u01a1ng nguy\u1ec7t, x\u01b0\u01a1ng th\u00e1p, x\u01b0\u01a1ng m\u00f3c v\u00e0 cu\u1ed1i c\u00f9ng l\u00e0 n\u1ec1n x\u01b0\u01a1ng \u0111\u1ed1t b\u00e0n V.<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Kh\u1edbp quay-c\u1ed5 tay.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">+<\/span> <span style=\"font-weight: 400;\">M\u1eb7t kh\u1edbp: \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay v\u00e0 x\u01b0\u01a1ng x\u01b0\u01a1ng thuy\u1ec1n, x\u01b0\u01a1ng nguy\u1ec7t.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+<\/span> <span style=\"font-weight: 400;\">Bao kh\u1edbp: d\u00e0y \u1edf tr\u01b0\u1edbc, m\u1ecfng \u1edf sau v\u00e0 r\u1ea5t ch\u1eafc \u1edf 2 b\u00ean.<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">D\u00e2y ch\u1eb1ng g\u1ed3m: d\u00e2y ch\u1eb1ng b\u00ean c\u1ed5 tay-quay, b\u00ean c\u1ed5 tay tr\u1ee5, quay c\u1ed5 tay gan tay, quay-c\u1ed5 tay <\/span><span style=\"font-weight: 400;\">v\u00e0 mu tay.\u00a0<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_17804\" aria-describedby=\"caption-attachment-17804\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-17804\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Day-chang-vung-dau-duoi-xuong-quay-300x197.png\" alt=\"Day-chang-vung-dau-duoi-xuong-quay\" width=\"300\" height=\"197\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Day-chang-vung-dau-duoi-xuong-quay-300x197.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Day-chang-vung-dau-duoi-xuong-quay.png 532w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17804\" class=\"wp-caption-text\">D\u00e2y ch\u1eb1ng v\u00f9ng \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay<\/figcaption><\/figure>\n<h4><strong>*Th\u1ea7n kinh<\/strong><\/h4>\n<ul>\n<li><span style=\"font-weight: 400;\">Th\u1ea7n kinh gi\u1eefa: l\u00e0 th\u00e0nh ph\u1ea7n m\u1ec1m nh\u1ea5t, n\u00f4ng nh\u1ea5t v\u00e0 ngo\u00e0i nh\u1ea5t n\u1eb1m trong \u1ed1ng c\u1ed5 tay. Chi ph\u1ed1i c\u1ea3m gi\u00e1c cho ng\u00f3n I, II, III, \u00bd ng\u00f3n IV v\u00e0 v\u1eadn \u0111\u1ed9ng cho 5 c\u01a1: d\u1ea1ng ng\u1eafn ng\u00f3n c\u00e1i, g\u1ea5p ng\u1eafn ng\u00f3n c\u00e1i, \u0111\u1ed1i chi\u1ebfu ng\u00f3n c\u00e1i, c\u01a1 giun 1,2.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Th\u1ea7n kinh tr\u1ee5: n\u1eb1m trong \u1ed1ng Guyon, chi ph\u1ed1i c\u1ea3m gi\u00e1c ng\u00f3n V, \u00bd ng\u00f3n IV v\u00e0 v\u1eadn \u0111\u1ed9ng cho c\u00e1c c\u01a1 u mu \u00fat, c\u01a1 gian c\u1ed1t, c\u01a1 kh\u00e9p ng\u00f3n c\u00e1i, c\u01a1 giun ng\u00f3n 3,4.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Nh\u00e1nh c\u1ea3m gi\u00e1c th\u1ea7n kinh quay: ngay g\u1ea7n t\u1eadn c\u00f9ng \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay, nh\u00e1nh c\u1ea3m gi\u00e1c th\u1ea7n kinh chia 3 nh\u00e1nh t\u1eadn: ngo\u00e0i, gi\u1eefa, trong. N\u00f3 ch\u1ea1y ngo\u00e0i \u0111\u1ed9ng m\u1ea1ch quay, tr\u01b0\u1edbc g\u00e2n c\u01a1 d\u1ea1ng ng\u00f3n c\u00e1i d\u00e0i v\u00e0 du\u1ed7i ng\u1eafn ng\u00f3n c\u00e1i.<\/span><\/li>\n<\/ul>\n<h4><strong>*M\u1ea1ch m\u00e1u<\/strong><\/h4>\n<ul>\n<li><span style=\"font-weight: 400;\">Ngu\u1ed3n c\u1ea5p m\u00e1u ch\u00ednh cho \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay t\u1eeb \u0111\u1ed9ng m\u1ea1ch gian c\u1ed1t tr\u01b0\u1edbc v\u00e0 \u0111\u1ed9ng m\u1ea1ch quay.\u00a0<\/span><\/li>\n<\/ul>\n<h2><strong>3. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng <\/strong>g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay<\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\">\u0110au, b\u1ea5t l\u1ef1c v\u1eadn \u0111\u1ed9ng c\u1ed5 tay.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Nh\u00ecn th\u1ea5y c\u1ed5 tay bi\u1ebfn d\u1ea1ng, sung n\u1ec1 (n\u1ebfu g\u00e3y pouteau-Colies Th\u00ec c\u1ed5 tay nh\u00ecn nh\u01b0 h\u00ecnh th\u00eca \u00fap)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u1ea4n c\u00f3 \u0111au ch\u00f3i, l\u1ea1o x\u1ea1o x\u01b0\u01a1ng<\/span><\/li>\n<li><span style=\"font-weight: 400;\">XQ: h\u00ecnh \u1ea3nh g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay.<\/span><\/li>\n<\/ul>\n<h2>4. XQ c\u1ee7a g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay<\/h2>\n<h3><strong>*Tr\u00ean phim th\u1eb3ng<\/strong><\/h3>\n<ul>\n<li><span style=\"font-weight: 400;\">T\u01b0 Th\u1ebf: phim th\u1eb3ng, c\u1ed5 tay t\u01b0 th\u1ebf trung t\u00ednh, khu\u1ef7u tay g\u1eadp 90\u00b0, vai d\u1ea1ng 90\u00b0, c\u1ed5 tay, khu\u1ef7u, vai \u1edf tr\u00ean m\u1eb7t ph\u1eb3ng ngang v\u00e0 vu\u00f4ng g\u00f3c v\u1edbi tia XQ.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Chi\u1ec1u cao m\u1eb7t kh\u1edbp (RL:Radial length): kho\u1ea3ng c\u00e1ch gi\u1eefa 2 \u0111\u01b0\u1eddng th\u1eb3ng vu\u00f4ng g\u00f3c v\u1edbi tr\u1ee5c x\u01b0\u01a1ng: 1 \u0111\u01b0\u1eddng \u0111i qua m\u1ecfm tr\u00e2m quay, 1 \u0111\u01b0\u1eddng \u0111i qua m\u1eb7t kh\u1edbp \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng tr\u1ee5. Gi\u00e1 tr\u1ecb trung b\u00ecnh 11-12m.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">G\u00f3c nghi\u00eang tr\u1ee5 (UA: Ulnar tilt angle): g\u00f3c t\u1ea1o b\u1edfi \u0111\u01b0\u1eddng th\u1eb3ng qua \u0111\u1ec9nh m\u1ecfm tr\u00e2m quay v\u00e0 g\u00f3c trong c\u1ee7a h\u1ed1 nguy\u1ec7t v\u1edbi \u0111\u01b0\u1eddng th\u1eb3ng vu\u00f4ng g\u00f3c v\u1edbi tr\u1ee5c c\u1ee7a x\u01b0\u01a1ng quay, trung b\u00ecnh 22-23\u00b0.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u0110\u1ed9 ch\u00eanh quay tr\u1ee5 (UV: Ulnar variance): l\u00e0 kho\u1ea3ng c\u00e1ch gi\u1eefa 2 \u0111\u01b0\u1eddng th\u1eb3ng vu\u00f4ng g\u00f3c v\u1edbi tr\u1ee5c d\u1ecdc x\u01b0\u01a1ng quay: m\u1ed9t \u0111\u01b0\u1eddng qua g\u00f3c trong c\u1ee7a h\u1ed1 nguy\u1ec7t, \u0111\u01b0\u1eddng c\u00f2n l\u1ea1i qua m\u1eb7t kh\u1edbp \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng tr\u1ee5.Trung b\u00ecnh -2-0mm. N\u1ebfu ch\u1ec9 s\u1ed1 n\u00e0y d\u01b0\u01a1ng ch\u1ee9ng t\u1ecf \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay di l\u1ec7ch ch\u1ed3ng ng\u1eafn. Ch\u1ec9 s\u1ed1 n\u00e0y \u0111\u00e1nh gi\u00e1 s\u1ef1 ng\u1eafn c\u1ee7a x\u01b0\u01a1ng quay ch\u00ednh x\u00e1c h\u01a1n l\u00e0 chi\u1ec1u cao m\u1eb7t kh\u1edbp.<\/span><\/li>\n<\/ul>\n<h3><strong>*Phim nghi\u00eang.<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">G\u00f3c nghi\u00eang l\u00f2ng (VA: Volar tilt angle): l\u00e0 g\u00f3c h\u1ee3p b\u1edfi \u0111\u01b0\u1eddng th\u1eb3ng qua m\u1eb7t m\u1eb7t kh\u1edbp d\u01b0\u1edbi x\u01b0\u01a1ng quay v\u1edbi \u0111\u01b0\u1eddng th\u1eb3ng vu\u00f4ng g\u00f3c v\u1edbi tr\u1ecb c\u1ee7a x\u01b0\u01a1ng quay, gi\u00e1 tr\u1ecb b\u00ecnh th\u01b0\u1eddng kho\u1ea3ng 11-12\u00b0.\u00a0<\/span><\/p>\n<figure id=\"attachment_17805\" aria-describedby=\"caption-attachment-17805\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-17805\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-minh-hoa-300x289.png\" alt=\"Hinh-minh-hoa\" width=\"300\" height=\"289\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-minh-hoa-300x289.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-minh-hoa.png 393w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17805\" class=\"wp-caption-text\">H\u00ecnh minh h\u1ecda<\/figcaption><\/figure>\n<p style=\"text-align: center;\"><span style=\"font-weight: 400;\"><strong>RA(Radial Angulation)<\/strong>: g\u00f3c nghi\u00eang quay = g\u00f3c DEG. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-weight: 400;\"><strong>RA(Radial Length)<\/strong>: chi\u1ec3u cao m\u1eb7t kh\u1edbp quay = chi\u1ebfu d\u00e0i FG. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-weight: 400;\"><strong>DA (Dorsal Angulation)<\/strong>: \u0111\u1ed9 nghi\u00eang l\u01b0ng = g\u00f3c BCa. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-weight: 400;\"><strong>UV(Ulnar Variance)<\/strong>: \u0111\u1ed9 ch\u00eanh quay tr\u1ee5 HI.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-weight: 400;\"><strong> RDRU(length of the Radial part of Distal Radio-Ulnar joint)<\/strong>: chi\u1ec1u cao m\u1eb7t kh\u1edbp quay c\u1ee7a KQTD = chi\u1ec1u d\u00e0i JK.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-weight: 400;\"><strong>URDU (length of the Ulnar part of Distal Radio-Ulnar joint)<\/strong>: chi\u1ec1u cao m\u1eb7t kh\u1edbp b\u00ean tr\u1ee5 c\u1ee7a KQTD= chi\u1ec1u d\u00e0i ML.<\/span><\/p>\n<p style=\"text-align: center;\">Ngu\u1ed3n t\u00e1c gi\u1ea3<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay l\u00e0 m\u1ed9t b\u1ed9 ph\u1eadn quan tr\u1ecdng c\u1ee7a h\u1ec7 th\u1ed1ng c\u01a1 x\u01b0\u01a1ng v\u00e0 c\u00f3 nhi\u1ec7m v\u1ee5 h\u1ed7 tr\u1ee3 cho c\u00e1c ho\u1ea1t \u0111\u1ed9ng v\u1eadn \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3. Hi\u1ec7n t\u01b0\u1ee3ng g\u00e3y th\u01b0\u1eddng x\u1ea3y ra do c\u00e1c va ch\u1ea1m m\u1ea1nh ho\u1eb7c c\u00e1c tai n\u1ea1n giao th\u00f4ng. Tri\u1ec7u ch\u1ee9ng bao g\u1ed3m \u0111au, s\u01b0ng, kh\u00f3 kh\u0103n [&hellip;]<\/p>\n","protected":false},"author":53,"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>G\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay: Gi\u1ea3i ph\u1eabu, tri\u1ec7u ch\u1ee9ng, X-Quang<\/title>\n<meta name=\"description\" content=\"\u0110\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay l\u00e0 m\u1ed9t b\u1ed9 ph\u1eadn quan tr\u1ecdng c\u1ee7a h\u1ec7 th\u1ed1ng c\u01a1 x\u01b0\u01a1ng v\u00e0 c\u00f3 nhi\u1ec7m v\u1ee5 h\u1ed7 tr\u1ee3 cho c\u00e1c ho\u1ea1t \u0111\u1ed9ng v\u1eadn \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3. 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