{"id":17967,"date":"2023-04-10T22:49:10","date_gmt":"2023-04-10T15:49:10","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=17967"},"modified":"2023-04-11T11:25:29","modified_gmt":"2023-04-11T04:25:29","slug":"gay-hai-xuong-cang-tay-chan-doan-va-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/gay-hai-xuong-cang-tay-chan-doan-va-dieu-tri\/","title":{"rendered":"G\u00e3y hai x\u01b0\u01a1ng c\u1eb3ng tay: ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

G\u00e3y hai x\u01b0\u01a1ng c\u1eb3ng tay<\/a> chi\u1ebfm 15-20% c\u00e1c g\u00e3y x\u01b0\u01a1ng \u1edf v\u00f9ng c\u1eb3ng tay. G\u1eb7p \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i. L\u00e0 lo\u1ea1i g\u00e3y x\u01b0\u01a1ng c\u00f3 di l\u1ec7ch t\u01b0\u01a1ng \u0111\u1ed1i ph\u1ee9c t\u1ea1p, nh\u1ea5t l\u00e0 g\u00e3y 1 \/3 tr\u00ean, n\u1eafn ch\u1ec9nh h\u00ecnh kh\u00f3 kh\u0103n.\u0110i\u1ec3u tr\u1ecb \u0111a ph\u1ea7n l\u00e0 m\u1ed5 n\u1eafn ch\u1ec9nh k\u1ebft h\u1ee3p x\u01b0\u01a1ng. T\u01b0\u01a1ng \u1ee9ng v\u1edbi v\u1ecb tr\u00ed x\u01b0\u01a1ng g\u00e2y n\u00ean ch\u1ecdn \u0111\u01b0\u1eddng m\u1ed5 h\u1ee3p l\u00fd \u0111\u1ec3 thu\u1eadn ti\u1ec7n cho ph\u1eabu thu\u1eadt v\u00e0 tr\u00e1nh t\u1ea1o th\u00eam th\u01b0\u01a1ng t\u1ed5n.<\/strong><\/p>\n

Nh\u00f3m t\u00e1c gi\u1ea3 : ThS.Bs Nguy\u1ec5n Trung Tuy\u00ean , ThS.Bs Nguy\u1ec5n H\u1eefu M\u1ea1nh, Bs Nguy\u1ec5n \u0110\u1ee9c Phong\u00a0<\/span><\/p>\n

Ng\u00e0y ph\u00e1t h\u00e0nh :<\/span><\/p>\n

1. Gi\u1ea3i ph\u1eabu x\u01b0\u01a1ng c\u1eb3ng tay <\/strong>\u00a0 \u00a0 \u00a0<\/strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/span><\/h1>\n

C\u1eb3ng tay c\u00f3 20 c\u01a1 (k\u1ec3 c\u1ea3 c\u01a1 khu\u1ef7u) \u0111\u01b0\u1ee3c c\u00e1c t\u00e1c gi\u1ea3 Ph\u00e1p v\u00e0 Nga chia l\u00e0m 3 v\u00f9ng: tr\u01b0\u1edbc (8 c\u01a1), sau (8 c\u01a1), ngo\u00e0i (4 c\u01a1)<\/span><\/p>\n

Tuy nhi\u00ean c\u00e1c t\u00e1c gi\u1ea3 M\u1ef9 v\u00e0 Anh chia l\u1ea1i th\u00e0nh 2 v\u00f9ng \u0111\u1ecbnh khu l\u00e0 v\u00f9ng c\u1eb3ng tay tr\u01b0\u1edbc v\u00e0 v\u00f9ng c\u1eb3ng tay sau t\u01b0\u01a1ng \u1ee9ng v\u1edbi 2 \u00f4 c\u01a1 l\u00e0 \u00f4 c\u01a1 c\u1eb3ng tay tr\u01b0\u1edbc hay \u00f4 g\u1ea5p, v\u00e0 \u00f4 c\u1eb3ng tay sau hay \u00f4 du\u1ed7i ng\u0103n c\u00e1ch nhau b\u1edfi x\u01b0\u01a1ng quay, x\u01b0\u01a1ng tr\u1ee5, m\u00e0ng gian c\u1ed1t v\u00e0 hai v\u00e1ch gian c\u01a1 trong v\u00e0 ngo\u00e0i.<\/span><\/p>\n

1.1 C\u00e1c c\u01a1 \u1edf v\u00f9ng c\u1eb3ng tay tr\u01b0\u1edbc\u00a0<\/b><\/h2>\n

V\u00f9ng c\u1eb3ng tay tr\u01b0\u1edbc t\u01b0\u01a1ng \u1ee9ng v\u1edbi \u00f4 c\u01a1 c\u1eb3ng tay tr\u01b0\u1edbc, c\u00f3 8 c\u01a1 x\u1ebfp th\u00e0nh 4 l\u1edbp:<\/b><\/p>\n

    \n
  • L\u1edbp n\u00f4ng c\u00f3 4 c\u01a1: C\u01a1 s\u1ea5p tr\u00f2n: c\u01a1 g\u1ea5p c\u1ed5 tay quay, c\u01a1 gan tay d\u00e0i, c\u01a1 g\u1ea5p c\u1ed5 tay tr\u1ee5<\/span><\/li>\n
  • L\u1edbp gi\u1eefa c\u00f3 1 c\u01a1: c\u01a1 g\u1ea5p n\u00f4ng c\u00e1c ng\u00f3n tay.<\/span><\/li>\n
  • L\u1edbp s\u00e2u c\u00f3 2 c\u01a1: c\u01a1 g\u1ea5p s\u00e2u c\u00e1c ng\u00f3n tay, c\u01a1\u00a0 g\u1ea5p d\u00e0i ng\u00f3n c\u00e1i.<\/span><\/li>\n
  • L\u1edbp s\u00e1t x\u01b0\u01a1ng c\u00f3 1 c\u01a1: c\u01a1 s\u1ea5p vu\u00f4ng.\u00a0 \u00a0<\/span>\"\"<\/li>\n<\/ul>\n

    1.2 C\u00e1c c\u01a1 v\u00f9ng c\u1eb3ng tay sau<\/b><\/h2>\n

    V\u00f9ng c\u1eb3ng tay sau chia th\u00e0nh 12 c\u01a1 x\u1ebfp th\u00e0nh 2 l\u1edbp: l\u1edbp n\u00f4ng v\u00e0 l\u1edbp s\u00e2u.<\/span><\/p>\n

    \u00a0L\u1edbp n\u00f4ng c\u00f3 7 <\/b>c\u01a1,<\/i><\/b> ph\u1ea7n l\u1edbn \u0111i t\u1eeb l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay xu\u00f4ng, chia th\u00e0nh 2 nh\u00f3m:<\/b><\/p>\n

    Nh\u00f3m ngo\u00e0i g\u1ed3m 3 c\u01a1:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n

    \u00a0o C\u01a1 c\u00e1nh tay quay.\u00a0<\/span><\/p>\n

    o C\u01a1 du\u1ed7i c\u1ed5 tay quay d\u00e0i. o C\u01a1 du\u1ed7i c\u1ed5 tay quay ng\u1eafn.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n

    Nh\u00f3m trong g\u1ed3m 4 c\u01a1 th\u1ef1c s\u1ef1 thu\u1ed9c c\u1eb3ng tay sau:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n

    \u00a0C\u01a1 du\u1ed7i c\u00e1c ng\u00f3n tay\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \"\"<\/span><\/p>\n

    \u00a0c\u01a1 du\u1ed7i ng\u00f3n \u00fat\u00a0<\/span><\/p>\n

    c\u01a1 du\u1ed7i c\u1ed5 tay tr\u1ee5\u00a0 \u00a0<\/span><\/p>\n

    c\u01a1 khu\u1ef7u<\/p>\n

    \u00a0L\u1edbp s\u00e2u: c\u00f3 5 nh\u00f3m c\u01a1 \u0111\u01b0\u1ee3c c\u00e1c t\u00e1c gi\u1ea3 Ph\u00e1p\u00a0<\/span><\/p>\n

    x\u1ebfp v\u00e0o c\u1eb3ng tay ngo\u00e0i\u00a0<\/span><\/p>\n

    \u00a0c\u01a1 d\u1ea1ng ng\u00f3n c\u00e1i d\u00e0i\u00a0<\/span><\/p>\n

    \u00a0c\u01a1 du\u1ed7i ng\u1eafn ng\u00f3n c\u00e1i\u00a0<\/span><\/p>\n

    \u00a0c\u01a1 du\u1ed7i d\u00e0i c\u00e1c ng\u00f3n\u00a0\u00a0<\/span><\/p>\n

    \u00a0c\u01a1 du\u1ed7i ng\u00f3n tr\u1ecf\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n

    \u00a0c\u01a1 ng\u1eeda\u00a0<\/span><\/p>\n

    2. C\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng x\u01b0\u01a1ng c\u1eb3ng tay\u00a0<\/strong><\/h1>\n

    C\u01a1 ch\u1ebf tr\u1ef1c ti\u1ebfp: ng\u00e3 d\u1eadp c\u1eb3ng tay xu\u1ed1ng n\u1ebfn \u0111\u1ea5t c\u1ee9ng, gi\u01a1 tay \u0111\u1ee1 \u0111\u00f2n khi b\u1ecb \u0111\u00e1nh… x\u01b0\u01a1ng th\u01b0\u1eddng g\u00e3y ngang c\u1ea3 2 x\u01b0\u01a1ng \u1edf c\u00f9ng v\u1ecb tr\u00ed.<\/span><\/p>\n

    C\u01a1 ch\u1ebf gi\u00e1n ti\u1ebfp: ng\u00e3 ch\u1ed1ng tay khu\u1ef7u du\u1ed7i l\u00e0m 2 x\u01b0\u01a1ng g\u00e2y n\u00ean g\u00e3y ch\u00e9o xo\u1eafn, g\u00e3y b\u1eadc thang. Hai x\u01b0\u01a1ng th\u01b0\u1eddng g\u00e3y \u1edf hai v\u1ecb tr\u00ed kh\u00e1c nhau, x\u01b0\u01a1ng tr\u1ee5 g\u00e3y th\u1ea5p, x\u01b0\u01a1ng quay g\u00e3y cao.<\/span><\/p>\n

    C\u01a1 ch\u1ebf h\u1ed7n h\u1ee3p: v\u1eeba tr\u1ef1c ti\u1ebfp v\u1eeba gi\u00e1n ti\u1ebfp, g\u00e2y ra c\u00e1c ki\u1ec3u g\u00e3y ph\u1ee9c t\u1ea1p: g\u00e3y 2 t\u1ea9ng, g\u00e3y c\u00f3 m\u1ea3nh th\u1ee9 3\u2026..<\/span><\/p>\n

    3. L\u00e2m s\u00e0ng\u00a0<\/strong><\/h1>\n

    B\u1ec7nh nh\u00e2n \u0111\u1ebfn v\u1edbi t\u00ecnh tr\u1ea1ng \u0111au, tay l\u00e0nh \u0111\u1ee1 tay \u0111au ho\u1eb7c \u0111\u01b0\u1ee3c s\u01a1 c\u1ee9u n\u1eb9p c\u1ed1 \u0111\u1ecbnh ho\u1eb7c \u0111\u01b0\u1ee3c treo tay<\/span><\/p>\n

    C\u1eb3ng tay s\u01b0ng n\u1ec1, bi\u1ebfn d\u1ea1ng, c\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p k\u00e8m theo c\u00f3 v\u1ebft th\u01b0\u01a1ng v\u00f9ng x\u01b0\u01a1ng g\u00e3y ho\u1eb7c \u0111\u1ea9u x\u01b0\u01a1ng g\u00e3y l\u1ed9 ra ngo\u00e0i.<\/span><\/p>\n

    C\u00f3 d\u1ea5u hi\u1ec7u l\u1ea1o x\u1ea1o x\u01b0\u01a1ng (+), m\u1ea5t <\/span>c\u00e1c <\/b>m\u1ed1c gi\u1ea3i ph\u1eabu.<\/span><\/p>\n

    Chi l\u00e0nh ng\u1eafn h\u01a1n chi t\u1ed5n th\u01b0\u01a1ng do m\u1ea5t chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i v\u00e0 tuy\u1ec7t \u0111\u1ed1i.<\/span><\/p>\n

    V\u1eadn \u0111\u1ed9ng:<\/span><\/p>\n

    + H\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng c\u00e1c \u0111\u1ed9ng t\u00e1c \u1edf c\u1eb3ng tay.<\/span><\/p>\n

    + Tim c\u00e1c d\u1ea5u hi\u1ec7u t\u1ed5n th\u01b0\u01a1ng kh\u00e1c nh\u01b0 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh m\u1ea1ch m\u00e1u<\/span><\/p>\n

    4. C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/h1>\n

    Ch\u1ee5p X-quang: \u0111\u00e1nh gi\u00e1 tr\u00ean 2 phim th\u1eb3ng v\u00e0 nghi\u00eang. C\u1ea3 2 \u0111\u1ec1u \u0111\u1ec3 c\u1eb3ng tay \u1edf t\u01b0 th\u1ebf ng\u1eeda v\u00e0 l\u1ea5y \u0111\u1ee7 c\u00e1c kh\u1edbp hai \u0111\u1ea7u.<\/span><\/p>\n

    ‘ Phim X-quang cho bi\u1ebft ch\u00ednh x\u00e1c v\u1ecb tr\u00ed g\u00e3y, \u0111\u01b0\u1eddng g\u00e3y v\u00e0 di l\u1ec7ch. Tr\u00ean c\u01a1 s\u1edf \u0111\u00f3 ta c\u00f3 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb.\u00a0<\/span>\"\"<\/p>\n

    5. Ph\u00e2n lo\u1ea1i<\/strong><\/h1>\n

    C\u00f3 nhi\u1ec1u c\u00e1ch ph\u00e2n lo\u1ea1i d\u1ef1a tr\u00ean:<\/span><\/p>\n

      \n
    • G\u00e3y k\u00edn hay g\u00e3y h\u1edf.<\/span><\/li>\n
    • V\u1ecb tr\u00ed g\u00e3y: 1 \/3 tr\u00ean, 1 \/3 gi\u1eefa, 1 \/3 d\u01b0\u1edbi.<\/span><\/li>\n
    • \u00a0Da v\u00f9ng g\u00e3y x\u00e2y x\u00e1t, \u1ed5 g\u00e3y ph\u1ee9c t\u1ea1p nhi\u1ec1u t\u1ea7ng hay nhi\u1ec1u m\u1ea3nh r\u1eddi.<\/span><\/li>\n
    • \u00a0<\/span>C\u00f3 <\/b>di l\u1ec7ch ch\u1ed3ng ho\u1eb7c di l\u1ec7ch g\u1eadp g\u00f3c hay kh\u00f4ng<\/span><\/li>\n<\/ul>\n

      5.1\u00a0 Ph\u00e2n lo\u1ea1i theo OTA<\/strong><\/h2>\n

      Type I: g\u00e3y kh\u00f4ng di l\u1ec7ch x\u01b0\u01a1ng tr\u1ee5 \u0111\u01a1n thu\u1ea7n (A1), x\u01b0\u01a1ng quay (A2) ho\u1eb7c c\u1ea3 2\u00a0 (A3).<\/span><\/p>\n

      Type <\/span>II: <\/b>g\u00e3y di l\u1ec7ch x\u01b0\u01a1ng tr\u1ee5 (B1), x\u01b0\u01a1ng quay (B2), ho\u1eb7c c\u1ea3 2 (B3).<\/span><\/p>\n

      Type III: (C1) G\u00e3y ph\u1ee9c t\u1ea1p x\u01b0\u01a1ng tr\u1ee5, g\u00e3y \u0111\u01a1n gi\u1ea3n x\u01b0\u01a1ng quay, (C2) G\u00e3y ph\u1ee9c <\/span> t\u1ea1p x\u01b0\u01a1ng<\/span><\/p>\n

      quay, g\u00e3y \u0111\u01a1n gi\u1ea3n x\u01b0\u01a1ng tr\u1ee5, (C3) G\u00e3y ph\u1ee9c t\u1ea1p c\u1ea3 2 x\u01b0\u01a1ng<\/span><\/p>\n

      5.2 Ph\u00e2n lo\u1ea1i AO\u00a0<\/strong><\/h2>\n
        \n
      • G\u00e3y \u0111\u01a1n gi\u1ea3n ( A1) g\u00e3y x\u01b0\u01a1ng tr\u1ee5 , x\u01b0\u01a1ng quay kh\u00f4ng g\u00e3y , ( A2 ) g\u00e3y x\u01b0\u01a1ng quay , x\u01b0\u01a1ng tr\u1ee5 kh\u00f4ng g\u00e3y , ( A3) g\u00e3y c\u1ea3 2 x\u01b0\u01a1ng\u00a0<\/span><\/li>\n
      • g\u00e3y c\u00f3 m\u1ea3nh r\u1eddi : ( B1 ) g\u00e3y c\u00f3 m\u1ea3nh r\u1eddi x\u01b0\u01a1ng tr\u1ee5 , x\u01b0\u01a1ng quay kh\u00f4ng g\u00e3y , ( B2 ) G\u00e3y c\u00f3 m\u1ea3nh r\u1eddi x\u01b0\u01a1ng quay, x\u01b0\u01a1ng tr\u1ee5 kh\u00f4ng g\u00e3y , ( B3 ) m\u1ed9t x\u01b0\u01a1ng g\u00e3y c\u00f3 m\u1ea3nh r\u1eddi , x\u01b0\u01a1ng c\u00f2n l\u1ea1i g\u00e3y \u0111\u01a1n gi\u1ea3n<\/span><\/li>\n
      • g\u00e3y ph\u1ee9c t\u1ea1p: ( C3 ) X\u01b0\u01a1ng tr\u1ee5 g\u00e3y ph\u1ee9c t\u1ea1p x\u01b0\u01a1ng quay g\u00e3y \u0111\u01a1n gi\u1ea3n , ( C2 ) x\u01b0\u01a1ng quay g\u00e3y ph\u1ee9c t\u1ea1p, x\u01b0\u01a1ng tr\u1ee5 g\u00e3y \u0111\u01a1n gi\u1ea3n , ( C3 ) g\u00e3y c\u1ea3 2 x\u01b0\u01a1ng ph\u1ee9c t\u1ea1p\u00a0\u00a0<\/span><\/li>\n<\/ul>\n

        5.3 M\u1ed9t s\u1ed1 h\u00ecnh th\u00e1i g\u00e3y 2 x\u01b0\u01a1ng c\u1eb3ng tay \u0111\u1eb7c bi\u1ec7t<\/strong>\u00a0<\/span><\/h2>\n
          \n
        • G\u00e3y tr\u1eadt Monteggia: g\u00e3y 1\/3 tr\u00ean x\u01b0\u01a1ng tr\u1ee5 k\u00e8m tr\u1eadt kh\u1edbp quay tr\u1ee5 tr\u00ean.<\/span><\/li>\n<\/ul>\n

          \"\"<\/p>\n

          G\u00e3y Galeazzi :g\u00e3y <\/b>1\/3 d\u01b0\u1edbi x\u01b0\u01a1ng quay k\u00e8m tr\u1eadt kh\u1edbp quay tr\u1ee5 d\u01b0\u1edbi.\"\"<\/span><\/p>\n

          6. \u0110i\u1ec1u tr\u1ecb\u00a0<\/strong><\/h1>\n

          6.1\u00a0 \u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n\u00a0<\/strong><\/h2>\n

          6.1.1 ch\u1ec9 \u0111\u1ecbnh\u00a0<\/strong><\/h3>\n

          N\u1eafn k\u00edn v\u00e0 b\u00f3 b\u1ed9t c\u00e1nh-c\u1eb3ng-b\u00e0n tay \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y kh\u00f4ng di l\u1ec7ch.<\/span><\/p>\n

          6.1.2 Ph\u01b0\u01a1ng ph\u00e1p n\u1eafn b\u1ed9t<\/strong><\/h3>\n

          T\u01b0 th\u00ea c\u1eb3ng tay:<\/span><\/p>\n

            \n
          • G\u00e3y 1 \/3 tr\u00ean c\u1eb3ng tay \u0111\u1ec3 ng\u1eeda ho\u00e0n to\u00e0n.<\/span><\/li>\n
          • G\u00e3y 2\/3 d\u01b0\u1edbi c\u1eb3ng tay \u0111\u1ec3 ng\u1eeda nh\u1eb9 (t\u01b0 th\u1ebf trung gian).<\/span><\/li>\n<\/ul>\n

            6.1.3\u00a0 Ph\u01b0\u01a1ng ph\u00e1p n\u1eafn<\/strong><\/h3>\n
              \n
            • K\u00e9o d\u1ecdc theo tr\u1ee5c c\u1eb3ng tay v\u1edbi l\u1ef1c k\u00e9o li\u00ean t\u1ee5c v\u00e0 t\u0103ng d\u1ea7n, \u0111\u1ebfn khi h\u1ebft di l\u1ec7ch ch\u1ed3ng th\u00ec n\u1eafn c\u00e1c di l\u1ec7ch b\u00ean, g\u1eadp g\u00f3c c\u00f2n l\u1ea1i. Di l\u1ec7ch xoay \u0111\u00e3 \u0111\u01b0\u1ee3c n\u1eafn khi \u0111\u1eb7t t\u01b0 th\u1ebf.<\/span><\/li>\n<\/ul>\n

              Ch\u1ee5p X-quang ki\u1ec3m tra sau khi b\u00f3 b\u1ed9t. N\u1ebfu n\u1eafn t\u1ed1t (di l\u1ec7ch \u0111\u00e3 n\u1eafn\u00a0 h\u1ebft ho\u1eb7c c\u00f2n nh\u1eefng di<\/span> l\u1ec7ch ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c) c\u00f3 th\u1ec3 cho b\u1ec7nh nh\u00e2n v\u1ec1, h\u01b0\u1edbng d\u1eabn\u00a0 b\u1ec7nh nh\u00e2n t\u1eadp v\u1eadn \u0111\u1ed9ng c\u1eed \u0111\u1ed9ng c\u00e1c ng\u00f3n tay, vai, k\u00ea cao chi v\u00e0 t\u00e1i kh\u00e1m b\u1ed9t theo th\u1eddi gian quy \u0111\u1ecbnh, N\u1ebfu n\u1eafn ch\u01b0a t\u1ed1t, c\u00f3 th\u1ec3 m\u1edf ra n\u1eafn l\u1ea1i l\u1ea7n th\u1ee9 hai<\/span><\/p>\n

              6.1.4 B\u1ea5t \u0111\u1ed9ng\u00a0<\/strong><\/h3>\n
                \n
              • B\u00f3 b\u1ed9t c\u00e1nh-c\u1eb3ng-b\u00e0n tay khu\u1ef7u g\u1eadp 90\u00b0.<\/span><\/li>\n
              • Trong l\u00fac b\u00f3 b\u1ed9t v\u1eabn ph\u1ea3i duy tr\u00ec l\u1ef1c k\u00e9o.<\/span><\/li>\n
              • B\u1ed9t \u1edf t\u01b0 th\u1ebf trung gian (n\u1eeda s\u1ea5p, n\u1eeda ng\u1eeda)<\/span><\/li>\n
              • Giai \u0111o\u1ea1n \u0111\u1ea7u sau ch\u1ea5n th\u01b0\u01a1ng c\u01a1 xung quanh \u1ed5 g\u00e3y s\u01b0ng n\u1ec1 nhi\u1ec1u, n\u00ean b\u00f3 b\u1ed9t r\u1ea1ch d\u1ecdc ho\u1eb7c r\u1ea1ch d\u1ecdc m\u1edf c\u1eeda s\u1ed5 n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 v\u1ebft x\u00e2y x\u00e1t, \u0111\u1ec3 b\u1ed9t trong kho\u1ea3ng 1 tu\u1ea7n \u0111\u1ea5u.<\/span><\/li>\n
              • Tu\u1ea7n th\u1ee9 2 khi ph\u1ea7n m\u1ec1m \u1ed5n \u0111\u1ecbnh, b\u1ed9t l\u1ecfng kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng gi\u1eef \u1ed5 g\u00e3y v\u1eefng ch\u1eafc n\u00ean b\u00f3 b\u1ed9t tr\u00f2n k\u00edn \u0111\u1ec3 gi\u1eef \u1ed5 g\u00e3y, tr\u00e1nh di l\u1ec7ch th\u1ee9 ph\u00e1t.<\/span><\/li>\n
              • H\u1eb9n b\u1ec7nh nh\u00e2n kh\u00e1m l\u1ea1i nhi\u1ec1u l\u1ea7n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng li\u1ec1n x\u01b0\u01a1ng v\u00e0 cho b\u1ec7nh nh\u00e2n t\u1eadp v\u1eadn \u0111\u1ed9ng s\u1edbm tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0 c\u1ee9ng kh\u1edbp, h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng khi b\u1ea5t \u0111\u1ed9ng l\u00e2u ng\u00e0y.<\/span>Sau hai l\u1ea7n n\u1eafn m\u00e0 v\u1eabn kh\u00f4ng \u0111\u1ea1t y\u00eau c\u1ea7u n\u00ean chuy\u1ec3n ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c (m\u1ed5 k\u1ebft h\u1ee3p x\u01b0\u01a1ng).<\/span><\/span>\u00a0 \u00a0 \u00a0<\/span> \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/span><\/li>\n<\/ul>\n

                \u00a0<\/span><\/p>\n

                \"\"<\/p>\n

                \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Minh h\u1ecda t\u01b0 th\u1ebf n\u1eafn ch\u1ec9nh c\u00f3 khung\u00a0<\/span>
                \n<\/span><\/span><\/p>\n

                  \n
                • \u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n th\u01b0\u1eddng c\u00f3 k\u1ebft qu\u1ea3 t\u1ed1t \u1edf c\u00e1c g\u00e3y x\u01b0\u01a1ng \u00edt di l\u1ec7ch, g\u00e3y 1 \/3 d\u01b0\u1edbi, g\u00e3y x\u01b0\u01a1ng tr\u1ebb em\u00a0<\/span><\/li>\n<\/ul>\n

                  \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0 \"\"\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \"\"<\/span><\/p>\n

                  6.2 \u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt<\/h2>\n

                  6.2.1. Ch\u1ec9 \u0111\u1ecbnh<\/h3>\n
                    \n
                  • G\u00e3y k\u00edn \u1ed5 g\u00e3y di l\u1ec7ch l\u1edbn kh\u00f4ng th\u1ec3 n\u1eafn<\/span> ch\u1ec9nh \u0111\u01b0\u1ee3c<\/span><\/li>\n
                  • G\u00e3y h\u1edf th\u00e2n 2 x\u01b0\u01a1ng c\u1eb3ng tay.<\/span><\/li>\n
                  • G\u00e3y Monteggia.<\/span><\/li>\n
                  • G\u00e3y Galeazzi.<\/span><\/li>\n<\/ul>\n

                    6.2.2 \u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3<\/b><\/h3>\n

                    G\u00e3y th\u00e2n 2 x\u01b0\u01a1ng c\u1eb3ng tay<\/span><\/p>\n

                    M\u1ee5c \u0111\u00edch<\/b><\/p>\n

                      \n
                    • Ph\u1eabu thu\u1eadt nh\u1eb1m m\u1ee5c \u0111\u00edch n\u1eafn ch\u1ec9nh l\u1ea1i ch\u00ednh x\u00e1c v\u00e0 d\u00f9ng d\u1ee5ng c\u1ee5 KHX (nh\u01b0 \u0111inh, n\u1eb9p v\u00edt) \u0111\u1ec3 c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng g\u00e3y.<\/span><\/li>\n
                    • Th\u01b0\u1eddng ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y c\u00f3 di l\u1ec7ch.<\/span><\/li>\n<\/ul>\n

                      Ph\u01b0\u01a1ng ph\u00e1p k\u1ebft h\u1ee3p x\u01b0\u01a1ng th\u01b0\u1eddng d\u00f9ng l\u00e0:<\/b><\/p>\n

                        \n
                      • N\u1eb9p v\u00edt cho x\u01b0\u01a1ng quay v\u00e0 x\u01b0\u01a1ng tr\u1ee5.<\/span><\/li>\n<\/ul>\n
                          \n
                        • \n
                            \n
                          • N\u1eb9p v\u00edt cho x\u01b0\u01a1ng quay, \u0111inh n\u1ed9i t\u1ee7y cho<\/span> x\u01b0\u01a1ng tr\u1ee5.<\/span><\/li>\n
                          • \u00a0\u0110inh metaizeau ho\u1eb7c \u0111inh n\u1ed9i t\u1ee7y c\u1ea3 hai x\u01b0\u01a1ng.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
                              \n
                            • \u0110\u01b0\u1eddng m\u1ed5<\/b><\/li>\n<\/ul>\n

                              \u0110\u01b0\u1eddng m\u1ed5 x\u01b0\u01a1ng quay:<\/i><\/b><\/p>\n

                              + T\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n + G\u00e3y 1\/3 tr\u00ean:<\/span><\/p>\n

                              R\u1ea1ch \u0111\u01b0\u1eddng tr\u01b0\u1edbc ngo\u00e0i (Henry).<\/span><\/p>\n

                              B\u1ed9c l\u1ed9 v\u00e0o ph\u1ea7n gi\u1eefa c\u01a1 ng\u1eeda d\u00e0i v\u00e0 kh\u1ed1i c\u01a1 c\u00e1nh tay quay, tr\u00e1nh l\u00e0m th\u01b0\u01a1ng t\u1ed5n b\u00f3 m\u1ea1ch th\u1ea7n kinh quay.<\/span><\/p>\n

                              + G\u00e3y 1\/3 gi\u1eefa: c\u00f3 th\u1ec3 d\u00f9ng \u0111\u01b0\u1eddng r\u1ea1ch sau ngo\u00e0i (Thompson) ho\u1eb7c \u0111\u01b0\u1eddng Henry, khi b\u1ed9c l\u1ed9 x\u01b0\u01a1ng h\u01b0\u1edbng ra tr\u01b0\u1edbc tr\u00e1nh g\u00e2y t\u1ee5 m\u00e1u.T\u00e1ch g\u00e2n c\u01a1 gan tay l\u1edbn v\u00e0 g\u00e2n g\u1ea5p ri\u00eang ng\u00f3n c\u00e1i.<\/span><\/p>\n

                              + G\u00e3y 1\/3 d\u01b0\u1edbi: hai \u0111\u01b0\u1eddng r\u1ea1ch th\u01b0\u1eddng s\u1eed d\u1ee5ng l\u00e0 \u0111\u01b0\u1eddng Henry v\u00e0 \u0111\u01b0\u1eddng ph\u00eda sau ngo\u00e0i.<\/span><\/p>\n

                               <\/p>\n

                              \"\"<\/p>\n

                              \u00a0<\/b>\u0110\u01b0\u1eddng m\u1ed5 Henry v\u00e0 ph\u1eabu t\u00edch s\u00e2u<\/span><\/p>\n

                              \"\"<\/p>\n

                              \u0110\u01b0\u1eddng m\u1ed5 x\u01b0\u01a1ng tr\u1ee5\u00a0<\/b><\/p>\n

                                \n
                              • \u0111\u01b0\u1eddng m\u1ed5 \u0111i ph\u00eda sau theo h\u01b0\u1edbng t\u1eeb m\u1ecfm khu\u1ef7u t\u1eeb m\u1ecfm tr\u00e2m tr\u1ee5\u00a0<\/span><\/li>\n
                              • b\u00f3c t\u00e1ch c\u00e2n\u00a0<\/span><\/li>\n
                              • t\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n n\u1eb1m ng\u1eeda , tay \u0111\u1ec3 ngang tr\u01b0\u1edbc ng\u1ef1c co nh\u1eb9 nh\u00e0ng\u00a0<\/span><\/li>\n<\/ul>\n

                                \"\"<\/p>\n

                                 <\/p>\n

                                Ch\u00fa \u00dd:<\/b><\/p>\n

                                C\u00e1c lo\u1ea1i \u0111inh th\u01b0\u1eddng c\u1ed1 \u0111\u1ecbnh kh\u00f4ng v\u1eefng ch\u1eafc do \u0111\u00f3 c\u1ea7n b\u00f3 b\u1ed9t t\u0103ng c\u01b0\u1eddng 1 th\u00e1ng.<\/span><\/p>\n

                                Trong c\u00e1c g\u00e3y x\u01b0\u01a1ng h\u1edf, ph\u1eabu thu\u1eadt ch\u00fa \u00fd l\u00e0 c\u1eaft l\u1ecdc v\u1ebft th\u01b0\u01a1ng, c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng g\u00e3y th\u01b0\u1eddng d\u00f9ng b\u00f3 b\u1ed9t, c\u1ed1 \u0111\u1ecbnh ngo\u00e0i ho\u1eb7c ch\u1ec9 n\u00ean k\u1ebft h\u1ee3p x\u01b0\u01a1ng t\u1ed1i thi\u1ec3u \u0111\u1ec3 gi\u1eef tr\u1ee5c x\u01b0\u01a1ng \u0111\u1ed5ng th\u1eddi b\u00f3 b\u1ed9t t\u0103ng c\u01b0\u1eddng. H\u1ea1n ch\u1ebf d\u00f9ng k\u1ebft h\u1ee3p x\u01b0\u01a1ng ph\u1ee9c t\u1ea1p b\u00ean trong.<\/span><\/p>\n

                                \"\"<\/p>\n","protected":false},"excerpt":{"rendered":"

                                G\u00e3y hai x\u01b0\u01a1ng c\u1eb3ng tay chi\u1ebfm 15-20% c\u00e1c g\u00e3y x\u01b0\u01a1ng \u1edf v\u00f9ng c\u1eb3ng tay. G\u1eb7p \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i. L\u00e0 lo\u1ea1i g\u00e3y x\u01b0\u01a1ng c\u00f3 di l\u1ec7ch t\u01b0\u01a1ng \u0111\u1ed1i ph\u1ee9c t\u1ea1p, nh\u1ea5t l\u00e0 g\u00e3y 1 \/3 tr\u00ean, n\u1eafn ch\u1ec9nh h\u00ecnh kh\u00f3 kh\u0103n.\u0110i\u1ec3u tr\u1ecb \u0111a ph\u1ea7n l\u00e0 m\u1ed5 n\u1eafn ch\u1ec9nh k\u1ebft h\u1ee3p x\u01b0\u01a1ng. T\u01b0\u01a1ng \u1ee9ng v\u1edbi v\u1ecb […]<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[40],"tags":[3],"yoast_head":"\nG\u00e3y hai x\u01b0\u01a1ng c\u1eb3ng tay: ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"G\u00e3y th\u01b0\u1eddng g\u1eb7p \u1edf v\u00f9ng c\u1eb3ng tay , g\u00e3y x\u01b0\u01a1ng c\u00f3 di l\u1ec7ch t\u01b0\u01a1ng \u0111\u1ed1i ph\u1ee9c t\u1ea1p, n\u1eafn ch\u1ec9nh kh\u00f3 kh\u0103n. \u0110i\u1ec3u tr\u1ecb \u0111a ph\u1ea7n l\u00e0 m\u1ed5 n\u1eafn ch\u1ec9nh k\u1ebft h\u1ee3p x\u01b0\u01a1ng\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"G\u00e3y hai x\u01b0\u01a1ng c\u1eb3ng tay: ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - 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