{"id":18429,"date":"2023-04-11T21:44:46","date_gmt":"2023-04-11T14:44:46","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18429"},"modified":"2023-04-12T10:25:04","modified_gmt":"2023-04-12T03:25:04","slug":"chan-doan-dieu-tri-kieu-gay-dac-biet-xuong-cang-tay","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/11\/chan-doan-dieu-tri-kieu-gay-dac-biet-xuong-cang-tay\/","title":{"rendered":"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb g\u00e3y \u0111\u1eb7c bi\u1ec7t x\u01b0\u01a1ng c\u1eb3ng tay"},"content":{"rendered":"

G\u00e3y Monteggia l\u00e0 g\u00e3y 1\/3 x\u01b0\u01a1ng tr\u1ee5 k\u00e8m g\u00e3y tr\u1eadt kh\u1edbp quay -tr\u1ee5 tr\u00ean , th\u01b0\u1eddng g\u1eb7p khi t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp v\u00e0o c\u1eb3ng tay ho\u1eb7c t\u00e9 ng\u00e3 \u0111\u1eadp v\u00e0i c\u1eb3ng tay \u1edf t\u01b0 th\u1ebf g\u1eadp khu\u1ef7u ,\u00a0 n\u1ebfu \u0111i\u1ec1u tr\u1ecb \u0111\u1ebfn mu\u1ed9n th\u01b0\u1eddng kh\u00f3 kh\u0103n g\u1eb7p nhi\u1ec1u v\u00e0 g\u1eb7p c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0 c\u1ee9ng kh\u1edbp khu\u1ef7u , kh\u1edbp gi\u1ea3i x\u01b0\u01a1ng tr\u1ee5… G\u00e3y Galeazzi l\u00e0 lo\u1ea1i g\u00e3y 1 \/3 d\u01b0\u1edbi x\u01b0\u01a1ng quay k\u00e8m tr\u1eadt kh\u1edbp quay tr\u1ee5 d\u01b0\u1edbi, th\u01b0\u1eddng do ng\u00e3 ch\u1ed1ng tay c\u1ed5 tay du\u1ed7i ho\u1eb7c g\u1eadp. G\u00e3y Monteggia v\u00e0 Galeazzi l\u00e0 2 lo\u1ea1i g\u00e3y \u0111\u1eb7c bi\u1ec7t c\u1ee7a x\u01b0\u01a1ng v\u00f9ng c\u1eb3ng tay<\/a>.<\/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.G\u00e3y Monteggia<\/strong><\/h1>\n

G\u00e3y 1\/3 tr\u00ean x\u01b0\u01a1ng tr\u1ee5 k\u00e8m tr\u1eadt kh\u1edbp quay-tr\u1ee5 tr\u00ean<\/span><\/p>\n

1.1 \u0110\u1eb7c \u0111i\u1ec3m<\/b><\/h2>\n

\u0110\u01b0\u1ee3c Monteggia gi\u1edbi thi\u1ec7u l\u1ea7n \u0111\u1ea7u ti\u00ean t\u1ea1i Milan v\u00e0o 1814. Trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb n\u1ebfu \u0111\u1ebfn mu\u1ed9n th\u01b0\u1eddng kh\u00f3 n\u1eafn. B\u00f3 b\u1ed9t l\u00e2u ng\u00e0y th\u01b0\u1eddng b\u1ecb c\u1ee9ng kh\u1edbp khu\u1ef7u, n\u1ebfu c\u1ed1 \u0111\u1ecbnh kh\u00f4ng v\u1eefng ch\u1eafc, cho t\u1eadp s\u1edbm kh\u1edbp d\u1ec5 b\u1ecb tr\u1eadt l\u1ea1i v\u00e0 c\u00f3 nhi\u1ec1u nguy c\u01a1 kh\u1edbp gi\u1ea3 x\u01b0\u01a1ng tr\u1ee5.<\/span><\/p>\n

1.2 Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebb<\/b><\/h2>\n
    \n
  • C\u01a1 ch\u1ebf v\u1eeba tr\u1ef1c ti\u1ebfp v\u1eeba gi\u00e1n ti\u1ebfp.<\/span><\/li>\n
  • X\u01b0\u01a1ng tr\u1ee5 g\u00e3y do l\u1ef1c t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp, x\u01b0\u01a1ng quay tr\u1eadt do l\u1ef1c gi\u00e1n ti\u1ebfp.<\/span><\/li>\n
  • Nguy\u00ean nh\u00e2n th\u01b0\u1eddng th\u1ea5y do b\u1ec7nh nh\u00e2n b\u1ecb \u0111\u00e1nh tr\u1ef1c ti\u1ebfp v\u00e0o c\u1eb3ng tay v\u00e0 \u0111\u01b0a tay l\u00ean \u0111\u1ee1.<\/span><\/li>\n
  • T\u01b0\u01a1ng t\u1ef1 c\u0169ng c\u00f3 th\u1ec3 do ng\u00e3 \u0111\u1eadp c\u1eb3ng tay v\u00e0o <\/span>n\u1ec1n\u00a0 \u0111\u1ea5t c\u1ee9ng \u1edf t\u01b0 th\u1ebf g\u1eadp khu\u1ef7u.<\/li>\n<\/ul>\n

    \u00a0 \u00a0 1.3 Ph\u00e2n lo\u1ea1i<\/b><\/h2>\n

    Ph\u00e2n \u0111\u1ed9 c\u1ee7a Bado g\u1ed3m 4 type:<\/i><\/b><\/p>\n

    Type I (h\u00ecnh A): ch\u1ecfm quay tr\u1eadt ra tr\u01b0\u1edbc, x\u01b0\u01a1ng tr\u1ee5 <\/span>g\u00e3y g\u1eadp g\u00f3c ra tr\u01b0\u1edbc, chi\u1ebfm 60% tr\u01b0\u1eddng h\u1ee3p.<\/span>
    \n<\/span><\/p>\n

    Type II (h\u00ecnh B): ch\u1ecfm quay tr\u1eadt ra sau ho\u1eb7c sau ngo\u00e0i, x\u01b0\u01a1ng tr\u1ee5 g\u00e3y g\u1eadp g\u00f3c ra sau chi\u1ebfm 15%.<\/span><\/p>\n

    Type III (h\u00ecnh C): ch\u1ecfm quay tr\u1eadt ra ngo\u00e0i ho\u1eb7c tr\u01b0\u1edbc ngo\u00e0i, g\u00e3y v\u00f9ng h\u00e0nh x\u01b0\u01a1ng \u1edf \u0111\u1ea7u tr\u00ean c\u1ee7a x\u01b0\u01a1ng tr\u1ee5 chi\u1ebfm 20%.<\/span><\/p>\n

    Type IV (h\u00ecnh D): Ch\u1ecfm quay tr\u1eadt ra tr\u01b0\u1edbc k\u00e8m g\u00e3y th\u00e2n c\u1ea3 hai x\u01b0\u01a1ng quay v\u00e0 tr<\/span>\u1ee5.<\/p>\n

     <\/p>\n

    \"\"\"\"\"\"<\/p>\n

    \u00a0Ho\u1eb7c c\u00f3 th\u1ec3 chia g\u00e3y Monteggia th\u00e0nh 2 th\u1ec3:<\/i><\/b><\/p>\n

    +<\/span><\/i> Th\u1ec3 \u01b0\u1ee1n: ch\u1ecfm x\u01b0\u01a1ng quay tr\u1eadt ra tr\u01b0\u1edbc, x\u01b0\u01a1ng tr\u1ee5 g\u00e3y g\u1eadp g\u00f3c m\u1edf ra sau. (hay g\u1eb7p).<\/span><\/p>\n

    + Th\u1ec3 g\u1ea5p: ch\u1ecfm x\u01b0\u01a1ng quay tr\u1eadt ra sau, x\u01b0\u01a1ng tr\u1ee5 g\u00e3y g\u1eadp g\u00f3c m\u1edf ra tr\u01b0\u1edbc. (\u00edt g\u1eb7p).<\/span><\/p>\n

    1.4 Ch\u1ea9n \u0111o\u00e1n<\/b><\/h2>\n

    Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng:<\/i><\/b><\/p>\n

    S\u01b0ng \u0111au 1\/3 tr\u00ean x\u01b0\u01a1ng tr\u1ee5.<\/span><\/p>\n

    Bi\u1ebfn d\u1ea1ng g\u1eadp g\u00f3c m\u1edf ra sau (th\u1ec3 \u01b0\u1ee1n) ho\u1eb7c m\u1edf ra tr\u01b0\u1edbc (th\u1ec3 g\u1eadp) \u0111\u00f4i khi ch\u1ec9 th\u1ea5y bi\u1ebfn d\u1ea1ng khi s\u1edd d\u1ecdc 1 \/3 tr\u00ean x\u01b0\u01a1ng tr\u1ee5.<\/span><\/p>\n

    D\u1ea5u hi\u1ec7u tr\u1eadt kh\u1edbp quay-tr\u1ee5 tr\u00ean: th\u1ec3 hi\u1ec7n qua tr\u1eadt kh\u1edbp c\u00e1nh tay-quay hay tr\u1eadt ch\u1ecfm quay: Ch\u1ecfm quay kh\u00f4ng c\u00f2n \u1edf v\u1ecb tr\u00ed b\u00ecnh th\u01b0\u1eddng (\u1edf tr\u01b0\u1edbc m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u khi khu\u1ef7u g\u1eadp v\u00e0 d\u01b0\u1edbi m\u1ecfm n\u00e0y khi khu\u1ef7u du\u1ed7i). B\u1ec7nh nh\u00e2n b\u1ecb h\u1ea1n ch\u1ebf s\u1ea5p ng\u1eeda c\u1eb3ng tay.<\/span><\/p>\n

    X-Quang<\/i><\/b><\/p>\n

    Phim X-quang x\u00e1c \u0111\u1ecbnh c\u00f3 g\u00e3y x\u01b0\u01a1ng tr\u1ee5 1\/3 tr\u00ean v\u00e0 tr\u1eadt kh\u1edbp quay tr\u1ee5 tr\u00ean<\/span><\/p>\n

    1.5 \u0110i\u1ec1u tr\u1ecb<\/b><\/h2>\n

    R\u1ea1ch da theo \u0111\u01b0\u1eddng m\u1ed5 ph\u00eda sau, h\u01b0\u1edbng t\u1eeb m\u1ecfm khu\u1ef7u \u0111\u1ebfn m\u1ecfm tr\u00e2m tr\u1ee5<\/span><\/p>\n

    S\u1eed d\u1ee5ng n\u1eb9p v\u00edt 3.5mm \u0111\u1ec3 k\u1ebft h\u1ee3p x\u01b0\u01a1ng tr\u1ee5, sau n\u1eafn ch\u1ec9nh v\u00e0 k\u1ebft h\u1ee3p x\u01b0\u01a1ng tr\u1ee5 ph\u1ea3i ki\u1ec3m tra kh\u1edbp quay tr\u1ee5 tr\u00ean, n\u1ebfu v\u1ec1 \u0111\u01b0\u1ee3c v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu d\u01b0\u1edbi C-arm th\u00ec l\u00e0 k\u1ebft qu\u1ea3 t\u1ed1t, n\u1ebfu kh\u1edbp quay tr\u1ee5 tr\u00ean ch\u01b0a v\u1ec1 \u0111\u01b0\u1ee3c c\u00f3 th\u1ec3 g\u0103m kim kirschner d\u01b0\u1edbi C-arm \u0111\u1ec3 gi\u1eef kh\u1edbp quay tr\u1ee5 tr\u00ean v\u1edbi x\u01b0\u01a1ng tr\u1ee5.Ch\u1ecfm quay n\u1eafn v\u00e0o n\u1ebfu d\u1ec5 b\u1ecb tr\u1eadt l\u1ea1i c\u1ea9n t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng v\u00f2ng.<\/span><\/p>\n

    Tr\u01b0\u1eddng h\u1ee3p \u0111\u1ebfn mu\u1ed9n, ch\u1ecfm quay kh\u00f3 n\u1eafn v\u00e0o (n\u1ebfu n\u1eafn\u00a0 v\u00e0o c\u0169ng d\u1ec5 g\u00e2y c\u1ee9ng kh\u1edbp v\u1ec1\u00a0 sau),n\u00ean c\u1eaft b\u1ecf ch\u1ecfm.<\/span><\/p>\n

    N\u1ebfu ch\u1ecfm quay kh\u00f4ng d\u1ec5 b\u1ecb tr\u1eadt l\u1ea1i th\u00ec sau m\u1ed5 n\u00ean cho b\u1ec7nh nh\u00e2n t\u1eadp v\u1eadn \u0111\u1ed9ng s\u1edbm \u0111\u1ec3 tr\u00e1nh h\u1ea1n ch\u1ebf s\u1ea5p ng\u1eeda.<\/span><\/p>\n

    \"\"<\/p>\n

    1.6 Bi\u1ebfn ch\u1ee9ng<\/b><\/h2>\n

    Can\u00a0 l\u1ec7ch, kh\u1edbp gi\u1ea3 x\u01b0\u01a1ng tr\u1ee5.<\/span><\/p>\n

    Ch\u1ecfm x\u01b0\u01a1ng quay c\u00f2n di l\u1ec7ch, b\u1ec7nh nh\u00e2n b\u1ecb m\u1ea5t ch\u1ee9c n\u0103ng s\u1ea5p ng\u1eeda c\u1eb3ng tay v\u00e0 kh\u00f4ng g\u1eadp khu\u1ef7u t\u1ed1i \u0111a \u0111\u01b0\u1ee3c.<\/span><\/p>\n

    C\u1ee9ng kh\u1edbp khu\u1ef7u; do nhi\u1ec1u nguy\u00ean nh\u00e2n l\u00e0m c\u1ed1t h\u00f3a quanh kh\u1edbp nh\u01b0 n\u1eafn th\u00f4 b\u1ea1o, \u0111\u1eafp thu\u1ed1c…<\/span><\/p>\n

    2. G\u00e3y Galeazzi<\/strong><\/h1>\n

    L\u00e0 lo\u1ea1i g\u00e3y 1 \/3 d\u01b0\u1edbi x\u01b0\u01a1ng quay k\u00e8m tr\u1eadt kh\u1edbp quay tr\u1ee5 d\u01b0\u1edbi<\/span><\/p>\n

    2.1 Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf<\/b><\/h2>\n

    Th\u01b0\u1eddng do ng\u00e3 ch\u1ed1ng tay c\u1ed5 tay du\u1ed7i ho\u1eb7c g\u1eadp.<\/span><\/p>\n

    \"\"\"\"<\/p>\n

    H\u00ecnh 14.20. Type\u00a0 A: Du\u1ed7i c\u1ed5 tay v\u00ea’ ph\u00eda tr\u01b0\u1edbc g\u00e3y x\u01b0\u01a1ng quay di l\u1ec7ch ph\u00eda sau Type\u00a0 B: G\u1eadp c\u1ed5 tay v\u1ec1 ph\u00eda sau g\u00e3y x\u01b0\u01a1ng quay di l\u1ec7ch ph\u00eda tr\u01b0\u1edbc.<\/p>\n

    2.2 T\u1ed5n th\u01b0\u01a1ng gi\u1ea3i ph\u1eabu<\/b><\/h2>\n

    G\u1ed3m c\u00f3:<\/span><\/p>\n

      \n
    • G\u00e3y 1\/3 d\u01b0\u1edbi x\u01b0\u01a1ng quay.<\/span><\/li>\n
    • R\u00e1ch m\u00e0ng li\u00ean c\u1ed1t.<\/span><\/li>\n
    • Tr\u1eadt kh\u1edbp quay tr\u1ee5 d\u01b0\u1edbi, \u0111\u1ee9t d\u00e2y ch\u1eb1ng tam gi\u00e1c ho\u1eb7c g\u00e3y m\u1ecfm tr\u00e2m x\u01b0\u01a1ng tr\u1ee5.<\/span><\/li>\n<\/ul>\n

      2.3 Ch\u1ea9n \u0111o\u00e1n<\/b><\/h2>\n

      D\u1ef1a v\u00e0o tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 X-quang.<\/span><\/p>\n

      Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng:<\/i><\/b><\/p>\n

        \n
      • S\u01b0ng, \u0111au v\u00e0 bi\u1ebfn d\u1ea1ng 1\/3 d\u01b0\u1edbi x\u01b0\u01a1ng quay, Bi\u1ebfn d\u1ea1ng r\u1ea5t \u0111i\u1ec3n h\u00ecnh: c\u1eb3ng tay g\u1eadp g\u00f3c m\u1edf ra ngo\u00e0i, c\u1ed5 tay l\u1eadt s\u1ea5p v\u1ec1 ph\u00eda x\u01b0\u01a1ng quay. M\u1ecfm tr\u00e2m quay l\u00ean cao h\u01a1n m\u1ecfm tr\u00e2m tr\u1ee5.<\/span><\/li>\n<\/ul>\n

        \u00a0X -quang:<\/i><\/b> ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh c\u00e1c t\u1ed5n th\u01b0\u01a1ng k\u1ec3 tr\u00ean<\/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\u00a0H\u00ecnh 14.21.<\/b>Minh h\u1ecda g\u00e3y Galeazzi<\/span><\/p>\n

        2.4 \u0110i\u1ec1u Tr\u1ecb<\/b><\/h2>\n

        S\u01a1 c\u1ee9u<\/i><\/b><\/p>\n

        \u0110\u1eb7t n\u1eb9p c\u1ed1 \u0111\u1ecbnh: N\u1eb9p g\u1ed7, n\u1eb9p Cramer, N\u00ean \u0111\u1ec3 c\u1eb3ng tay ng\u1eeda khi \u0111\u1eb7t n\u1eb9p (\u0111\u1ec3 khi ch\u1ee5p X-quang kh\u00f4ng ph\u1ea3i th\u00e1o n\u1eb9p).<\/span><\/p>\n

        \u0110i\u1ec1u tr\u1ecb th\u1ef1c th\u1ee5<\/b><\/p>\n

        \u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt: Ph\u1eabu thu\u1eadt nh\u1eb1m m\u1ee5c \u0111\u00edch n\u1eafn l\u1ea1i ch\u00ednh x\u00e1c v\u00e0 d\u00f9ng d\u1ee5ng c\u1ee5 k\u1ebft h\u1ee3p x\u01b0\u01a1ng (nh\u01b0 \u0111inh, n\u1eb9p, v\u00edt) \u0111\u1ec3 c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng g\u00e3y. Ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y c\u00f3 di l\u1ec7ch.<\/span><\/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 \"\"<\/p>\n

        \u0111\u01b0\u1eddng m\u1ed5 henry\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 \u0111\u01b0\u1eddng m\u1ed5 thompson<\/p>\n

          \n
        • \u0110\u01b0\u1eddng m\u1ed5 v\u00e0o x\u01b0\u01a1ng quay c\u00f3 2 \u0111\u01b0\u1eddng c\u01a1 b\u1ea3n l\u00e0: Henry v\u00e0 \u0111\u01b0\u1eddng Thompson<\/i><\/b><\/li>\n<\/ul>\n

          \u01afU \u0111i\u1ec3m:<\/i><\/b><\/p>\n

          N\u1eafn x\u01b0\u01a1ng \u0111\u01b0\u1ee3c ch\u00ednh x\u00e1c, ph\u1ee5c h\u1ed3i h\u00ecnh d\u00e1ng gi\u1ea3i ph\u1eabu ban \u0111\u1ea9u.<\/span><\/p>\n

          \u00a0C\u00f3 th\u1ec3 c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng g\u00e3y v\u1eefng ch\u1eafc (d\u00f9ng n\u1eb9p AO) tr\u00e1nh \u0111\u01b0\u1ee3c b\u1ea5t \u0111\u1ed9ng c\u00e1c kh\u1edbp, gi\u00fap b\u1ec7nh nh\u00e2n t\u1eadp v\u1eadn \u0111\u1ed9ng, s\u1edbm mau ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng\u00a0<\/span>
          \n<\/span><\/p>\n

          Nh\u01b0\u1ee3c \u0111i\u1ec3m:<\/b><\/p>\n

          C\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m tr\u00f9ng, vi\u00eam x\u01b0\u01a1ng.<\/span><\/p>\n

          C\u00f3 th\u1ec3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng th\u00eam v\u1ec1 gi\u1ea3i ph\u1eabu v\u00e0 \u0111\u1ec3 l\u1ea1i s\u1eb9o \u1edf tay.<\/span><\/p>\n

          C\u00f3 th\u1ec3 c\u00f3 tai bi\u1ebfn g\u00e2y m\u00ea, g\u00e2y t\u00ea.<\/span><\/p>\n

          C\u1ea9n nhi\u1ec1u trang thi\u1ebft b\u1ecb t\u1ed1t: ph\u00f2ng m\u1ed5 v\u00f4 tr\u00f9ng, d\u1ee5ng c\u1ee5 KHX ch\u1eafc ch\u1eafn v\u00e0 kh\u00f4ng g\u00e2y d\u1ecb \u1ee9ng ph\u1eabu thu\u1eadt vi\u00ean c\u00f3 kinh nghi\u1ec7m gi\u1ecfi.<\/span><\/p>\n

          Ch\u00fa \u00fd:<\/i><\/b><\/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

          \u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

          G\u00e3y Monteggia l\u00e0 g\u00e3y 1\/3 x\u01b0\u01a1ng tr\u1ee5 k\u00e8m g\u00e3y tr\u1eadt kh\u1edbp quay -tr\u1ee5 tr\u00ean , th\u01b0\u1eddng g\u1eb7p khi t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp v\u00e0o c\u1eb3ng tay ho\u1eb7c t\u00e9 ng\u00e3 \u0111\u1eadp v\u00e0i c\u1eb3ng tay \u1edf t\u01b0 th\u1ebf g\u1eadp khu\u1ef7u ,\u00a0 n\u1ebfu \u0111i\u1ec1u tr\u1ecb \u0111\u1ebfn mu\u1ed9n th\u01b0\u1eddng kh\u00f3 kh\u0103n g\u1eb7p nhi\u1ec1u v\u00e0 g\u1eb7p c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0 c\u1ee9ng […]<\/p>\n","protected":false},"author":9,"featured_media":18784,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[40],"tags":[3],"yoast_head":"\nCh\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb g\u00e3y \u0111\u1eb7c bi\u1ec7t x\u01b0\u01a1ng c\u1eb3ng tay - Vinmec<\/title>\n<meta name=\"description\" content=\"Monteggia g\u00e3y 1\/3 x\u01b0\u01a1ng tr\u1ee5 k\u00e8m g\u00e3y tr\u1eadt kh\u1edbp quay -tr\u1ee5 tr\u00ean. 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