{"id":20551,"date":"2023-04-14T10:39:57","date_gmt":"2023-04-14T03:39:57","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=20551"},"modified":"2023-04-14T18:22:48","modified_gmt":"2023-04-14T11:22:48","slug":"chan-doan-benh-ly-chen-ep-khoang-duoi-mom-cung-vai","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/chan-doan-benh-ly-chen-ep-khoang-duoi-mom-cung-vai\/","title":{"rendered":"Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai"},"content":{"rendered":"<p><strong>B\u1ec7nh l\u00fd ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p g\u00e2y ra \u0111au vai. T\u1ef7 l\u1ec7 b\u1ecb \u0111au v\u00f9ng vai n\u00f3i chung \u1edf Ch\u00e2u \u00c2u l\u00e0 24 b\u1ec7nh nh\u00e2n trong s\u1ed1 m\u1ed7i 1000 b\u1ec7nh nh\u00e2n t\u1edbi kh\u00e1m, t\u1ef7 l\u1ec7 l\u01b0u h\u00e0nh c\u1ee7a b\u1ec7nh t\u00ednh b\u00ecnh qu\u00e2n kho\u1ea3ng 35 b\u1ec7nh nh\u00e2n trong s\u00f4 1000 b\u1ec7nh nh\u00e2n m\u1ed7i n\u0103m. Trong l\u1ee9a tu\u1ed5i tr\u00ean 20 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf n\u1eef nhi\u1ec1u h\u01a1n nam, t\u1ef7 l\u1ec7 b\u1ecb b\u1ec7nh t\u0103ng l\u00ean trong \u0111\u1ed9 tu\u1ed5i kho\u1ea3ng t\u1eeb 50-59 v\u00e0 sau \u0111\u1ea5y gi\u1ea3m d\u1ea7n. <\/strong><strong>Th\u00f4ng qua b\u00e0i vi\u1ebft, ch\u00fang t\u00f4i s\u1ebd tr\u00ecnh b\u00e0y v\u1ec1 c\u00e1ch ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai d\u1ef1a v\u00e0o b\u1ec7nh s\u1eed, l\u00e2m s\u00e0ng, c\u00e1c nghi\u1ec7p ph\u00e1p nh\u01b0 Neer test, Hawkin test, c\u00e1c c\u1eadn l\u00e2m s\u00e0ng th\u1ef1c hi\u1ec7n<\/strong><\/p>\n<p><strong>Nh\u00f3m t\u00e1c gi\u1ea3:<\/strong> PGS. TS \u0110inh Ng\u1ecdc S\u01a1n, BS CKII V\u0169 Tr\u01b0\u1eddng Th\u1ecbnh<\/p>\n<p><strong>Ng\u00e0y ph\u00e1t h\u00e0nh<\/strong>: 30\/03\/2022<\/p>\n<h2><strong>1.B\u1ec7nh s\u1eed<\/strong><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n l\u1ee9a tu\u1ed5i trung ni\u00ean.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n c\u00f3 th\u1ebf b\u1ecb ch\u1ea5n th\u01b0\u01a1ng kh\u1edbp vai, nh\u01b0ng \u0111a s\u1ed5 c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n xu\u1ea5t hi\u1ec7n c\u01a1n \u0111au v\u00f9ng vai sau c\u00e1c ho\u1ea1t \u0111\u1ed9ng l\u1eb7p \u0111i l\u1eb7p l\u1ea1i.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Li\u00ean quan \u0111\u1ebfn c\u00e1c ho\u1ea1t \u0111\u1ed9ng l\u1eb7p \u0111i l\u1eb7p l\u1ea1i \u1edf t\u1ea7m cao h\u01a1n \u0111\u1ea7u<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u01a1n \u0111au m\u1eb7t ngo\u00e0i kh\u1edbp vai lan xu\u1ed1ng c\u00e1nh tay nh\u01b0ng kh\u00f4ng qu\u00e1 khu\u1ef7u, \u0111au lan l\u00ean c\u1ed1 v\u00e0 g\u00e2y ch\u1ea9n \u0111o\u00e1n nh\u1ea7m v\u1edbi b\u1ec7nh l\u00fd c\u1ed9t s\u1ed1ng c\u1ed5. \u0110au nhi\u1ec1u v\u1ec1 \u0111\u00eam l\u00fac g\u1ea7n s\u00e1ng khi\u1ebfn b\u1ec7nh nh\u00e2n m\u1ea5t ng\u1ee7, \u0111au khi\u1ebfn b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 n\u1eb1m nghi\u00eang b\u00ean vai b\u1ecb b\u1ec7nh. C\u1ea3m gi\u00e1c y\u1ebfu, m\u1ecfi c\u00e1nh tay khi nh\u1ea5c tay v\u00e0 khi l\u00e0m vi\u1ec7c v\u1edbi c\u00e1nh tay t\u01b0 th\u1ebf gi\u1ea1ng.<\/span><\/li>\n<\/ul>\n<h2><strong>2. L\u00e2m s\u00e0ng<\/strong><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nh\u00ecn xem c\u00f3 hay kh\u00f4ng c\u00f3 teo c\u00e1c c\u01a1 ch\u00f3p xoay, v\u00e0 t\u00ecm xem c\u00f3 c\u00e1c \u0111i\u1ec3m \u0111au khu tr\u00fa v\u00f9ng vai kh\u00f4ng (\u00edt khi th\u1ea5y).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au l\u00e0 tri\u1ec7u ch\u00fang th\u01b0\u1eddng g\u1eb7p nh\u1ea5t c\u1ee7a h\u1ed9i ch\u1ee9ng c\u1ee7a h\u1eb9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai th\u01b0\u1eddng di\u1ec5n ra khi gi\u1ea1ng c\u00e1nh tay t\u1eeb 70 \u0111\u1ebfn 120 \u0111\u1ed9. Khu v\u1ef1c n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201ccung \u0111au<\/span><\/li>\n<\/ul>\n<h2><strong>3. C\u00e1c nghi\u1ec7m ph\u00e1p ch\u1ea9n \u0111o\u00e1n<\/strong><\/h2>\n<p><strong>D\u1ea5u hi\u1ec7u ch\u00e8n \u00e9p<\/strong><\/p>\n<p><strong>3.1 Neer test<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">D\u1ea5u hi\u1ec7u ch\u00e8n \u00e9p theo m\u00f4 t\u1ea3 c\u1ee7a Neer \u0111\u01b0\u1ee3c suy ra b\u1eb1ng c\u00e1ch th\u1ef1c hi\u1ec7n g\u1ea5p <\/span>vai th\u1ee5 \u0111\u1ed9ng trong khi ng\u0103n ch\u1eb7n s\u1ef1 <span style=\"font-weight: 400;\">xoay x\u01b0\u01a1ng b\u1ea3 vai bang c\u00e1ch \u00e9p b\u00e0n tay tr\u00ean m\u1ecfm c\u00f9ng vai.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u1ed9 nh\u1ea1y trung b\u00ecnh (v\u00e0 \u0111\u1ed9 l\u1ec7ch chu\u1ea9n) c\u1ee7a d\u1ea5u hi\u1ec7u Neer l\u00e0 76 \u00b1 11%, trong khi \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u trung b\u00ecnh l\u00e0 36 \u00b1 22%.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_20553\" aria-describedby=\"caption-attachment-20553\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-20553\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.09.38-300x135.png\" alt=\"D\u1ea5u hi\u1ec7u Neer\" width=\"300\" height=\"135\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.09.38-300x135.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.09.38-1024x462.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.09.38-768x347.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.09.38.png 1028w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-20553\" class=\"wp-caption-text\">D\u1ea5u hi\u1ec7u Neer<\/figcaption><\/figure>\n<p><strong>3.2 Hawkin test<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Test n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u00e0ng c\u00e1ch xoay \u0111\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay khi c\u00e1nh tay n\u00e2ng cao 90\u00b0 ra ph\u00eda tr\u01b0\u1edbc b\u00ean v\u00e0 g\u1ea5p\u00a0<\/span><span style=\"font-weight: 400;\">kh\u1ee7y tay.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_20554\" aria-describedby=\"caption-attachment-20554\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-20554\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.10.42-300x219.png\" alt=\"D\u1ea5u hi\u1ec7u Hawkin\" width=\"300\" height=\"219\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.10.42-300x219.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.10.42.png 670w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-20554\" class=\"wp-caption-text\">D\u1ea5u hi\u1ec7u Hawkin<\/figcaption><\/figure>\n<p><b>3.3 Impingement test<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Th\u01b0\u1eddng l\u00e0m sau d\u1ea5u hi\u1ec7u ch\u00e8n \u00e9p. Nghi\u1ec7m ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u1eb1m lo\u1ea1i tr\u1eeb c\u00e1c b\u1ec7nh l\u00fd \u1edd v\u00f9ng c\u1ed5 g\u00e2y \u0111au \u1edf kh\u1edbp vai: Ti\u00eam m\u1ed9t l\u01b0\u1ee3ng thu\u1ed1c t\u00ea nh\u1ea5t \u0111\u1ecbnh (5-10 ml xylocain) v\u00e0o khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng. \u0110i\u1ec1u n\u00e0y l\u00e0m gi\u1ea3m c\u00e1c c\u01a1n \u0111au khi c\u00e1c d\u1ea5u hi\u1ec7u ch\u00e8n \u00e9p \u0111\u01b0\u1ee3c l\u1eb7p \u0111i l\u1eb7p l\u1ea1i \u0111i\u1ec1u n\u00e0y cho th\u1ea5y nguy\u00ean nh\u00e2n g\u00e2y \u0111au vai l\u00e0 do h\u1ed9i ch\u1ee9ng ch\u00e8n \u00e9p d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai.<\/span><\/p>\n<figure id=\"attachment_20555\" aria-describedby=\"caption-attachment-20555\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-20555\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.11.40-300x191.png\" alt=\"Minh h\u1ecda Impingement test\" width=\"300\" height=\"191\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.11.40-300x191.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.11.40-768x488.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.11.40.png 884w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-20555\" class=\"wp-caption-text\">Minh h\u1ecda Impingement test<\/figcaption><\/figure>\n<h2><b>4. Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh<\/b><\/h2>\n<p><b><i>4.1 Ch\u1ee5p X-quang<\/i><\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u01b0 th\u1ebf Neer (Outlet view)<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">D\u1ef1a tr\u00ean phim n\u00e0y \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 h\u00ecnh \u1ea3nh c\u00e1c ch\u1ed3i x\u01b0\u01a1ng m\u1eb7t d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai v\u00e0 calci h\u00f3a g\u00e2n ch\u00f3p xoay.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_20556\" aria-describedby=\"caption-attachment-20556\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-20556\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.14.46-300x226.png\" alt=\"H\u00ecnh \u1ea3nh ch\u1ed5i x\u01b0\u01a1ng m\u1eb7t d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai tr\u00ean phim XQ kh\u1edbp vai ph\u01b0\u01a1ng ph\u00e1p Neer \" width=\"300\" height=\"226\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.14.46-300x226.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.14.46.png 714w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-20556\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh ch\u1ed5i x\u01b0\u01a1ng m\u1eb7t d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai tr\u00ean phim XQ kh\u1edbp vai ph\u01b0\u01a1ng ph\u00e1p Neer<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">D\u1ef1a tr\u00ean phim n\u00e0y c\u0169ng c\u00f3 th\u1ebf \u0111\u00e1nh gi\u00e1 h\u00ecnh d\u1ea1ng m\u1ecfm c\u00f9ng vai. Theo ph\u00e2n lo\u1ea1i c\u1ee7a Bigliani v\u00e0 Morrisonchia th\u00ec m\u1ecfm c\u00f9ng vai <\/span><\/span>g\u1ed3m 3 typ l\u00e0 typ I d\u1ea1ng ph\u1eb3ng, typ II d\u1ea1ng cong, typ III d\u1ea1ng m\u00f3c, <span style=\"font-weight: 400;\">h\u1eb9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai hay g\u1eb7p \u1edf typ 2 v\u00e0 typ 3<\/span><\/p>\n<figure id=\"attachment_20557\" aria-describedby=\"caption-attachment-20557\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-20557\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.16.31-300x113.png\" alt=\"Ph\u00e2n lo\u1ea1i m\u1ecfm c\u00f9ng vai theo Bigliani\" width=\"300\" height=\"113\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.16.31-300x113.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.16.31-1024x386.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.16.31-768x290.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.16.31.png 1378w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-20557\" class=\"wp-caption-text\">Ph\u00e2n lo\u1ea1i m\u1ecfm c\u00f9ng vai theo Bigliani<\/figcaption><\/figure>\n<p><b><i>4.2 Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI)<\/i><\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI) cho th\u1ea5y kh\u1ea3 n\u0103ng c\u00e1c v\u1ecb tr\u00ed c\u1ee7a h\u1eb9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng th\u00f4ng qua ch\u1ed7 tho\u00e1t g\u00e2n c\u01a1 tr\u00ean gai.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Tr\u00ean c\u00e1c m\u1eb7t ph\u1eb3ng c\u1eaft ta c\u00f3 th\u1ec3 th\u1ea5y v\u00e0 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c s\u1ef1 c\u1ed1t ho\u00e1 c<\/span><\/span>\u1ee7a d\u00e2y ch\u1eb1ng c\u00f9ng vai-qu\u1ea1 ho\u1eb7c s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a m\u1ed9t ch\u1ed3i x\u01b0\u01a1ng d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai. D\u1ea5u hi\u1ec7u c\u1ee7a vi\u00eam t\u00fai ho\u1ea1t d\u1ecbch d\u01b0\u1edbi c\u01a1 denta v\u00e0 d\u1ecbch trong khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai.<\/li>\n<\/ul>\n<figure id=\"attachment_20558\" aria-describedby=\"caption-attachment-20558\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-20558\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.18.16-300x143.png\" alt=\"H\u00ecnh \u1ea3nh d\u1ecbch trong v\u00e0 ch\u1ed3i x\u01b0\u01a1ng m\u1eb7t d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai\" width=\"300\" height=\"143\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.18.16-300x143.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.18.16-1024x488.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.18.16-768x366.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.18.16.png 1082w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-20558\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh d\u1ecbch trong v\u00e0 ch\u1ed3i x\u01b0\u01a1ng m\u1eb7t d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai<\/figcaption><\/figure>\n<ul>\n<li><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Phim c\u1ed9ng h\u01b0\u1edfng t\u1eeb c\u0169ng cho th\u1ea5y c\u00e1c h\u00ecnh \u1ea3nh b\u1ec7nh l\u00fd c\u1ee7a ch\u00f3p xoay: Vi\u00eam ch\u00f3p xoay, r\u00e1ch b\u00e1n ph\u1ea7n ho\u1eb7c to\u00e0n ph\u1ea7n ch\u00f3p xoay, n\u00f3 c\u00f3 \u0111\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u l\u1edbn h\u01a1n 90% \u0111\u1eb7c bi\u1ec7t khi c\u00f3 ti\u00eam thu\u1ed1c t\u01b0\u01a1ng ph\u1ea3n t\u1eeb.<\/span><\/span>\n<p><figure id=\"attachment_20559\" aria-describedby=\"caption-attachment-20559\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-20559\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.19.42-300x258.png\" alt=\"H\u00ecnh \u1ea3nh ch\u1ed3i x\u01b0\u01a1ng, d\u1ecbch trong khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng v\u00e0r\u00e1ch ch\u00f3p xoay \" width=\"300\" height=\"258\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.19.42-300x258.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.19.42.png 600w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-20559\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh ch\u1ed3i x\u01b0\u01a1ng, d\u1ecbch trong khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng v\u00e0 r\u00e1ch ch\u00f3p xoay<\/figcaption><\/figure><\/li>\n<\/ul>\n<p><strong>\u00a04.3 <i><\/i><i>Si\u00eau \u00e2m<\/i><\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00f3 \u0111\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u l\u1edbn.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00f3 h\u00ecnh \u1ea3nh d\u1ecbch trong khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai, vi\u00eam ph\u00f9 n\u1ec1 g\u00e2n ch\u00f3p xoay ho\u1eb7c h\u1ec9nh \u1ea3nh r\u00e1ch ch\u00f3p xoay n\u1ebfu \u1edf giai \u0111o\u1ea1n mu\u1ed9n c\u1ee7a h\u1ed9i ch\u1ee9ng.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm cung c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c quan s\u00e1t b\u1eb1ng c\u00e1ch \u0111\u00e1nh gi\u00e1 \u0111\u1ed9ng. <\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Hai \u0111\u1ed9ng t\u00e1c c\u1ee7a h\u1eb9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng, Neer\u2019s v\u00e0 Hawkin\u2019s tests, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1.<\/span><\/p>\n<h2><b>5. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">C\u00f3 ba th\u1ef1c th\u1ec3 l\u00e2m s\u00e0ng ph\u1ed5 bi\u1ebfn c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n sai l\u1ea7m c\u1ea9n ph\u00e2n bi\u1ec7t l\u00e0:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">S\u1ef1 b\u1ea5t \u1ed5n \u0111\u1ecbnh c\u1ee7a kh\u1edbp <\/span><span style=\"font-weight: 400;\">0<\/span><span style=\"font-weight: 400;\"> ch\u1ea3o x\u01b0\u01a1ng c\u00e1nh tay.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vi\u00eam d\u00ednh bao kh\u1edbp<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u0110au do t\u1ed5n th\u01b0\u01a1ng ch\u00e8n \u00e9p th\u1ea7n kinh tr\u00ean b\u1ea3 vai (g\u00e2y ra b\u01a1i k\u00e9n nam ph\u00eda khuy\u1ebft c\u1ee7a x\u01b0\u01a1ng b\u1ea3 vai ho\u1eb7c trong khu v\u1ef1c d\u00e0y ch\u1eb3ng gai vai &#8211; \u1ed5<\/span><span style=\"font-weight: 400;\"> ch\u1ea3o)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh l\u00fd ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p g\u00e2y ra \u0111au v\u00f9ng vai, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh kh\u00f4ng qu\u00e1 ph\u1ee9c t\u1ea1p tuy nhi\u00ean ph\u1ea3i n\u1eafm r\u00f5 quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh c\u0169ng nh\u01b0 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a can thi\u1ec7p ngo\u1ea1i khoa<\/span><\/p>\n<p>\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0<b class=\"link-in-body\">HOTLINE<\/b>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<b class=\"link-in-body\">T\u1ea0I \u0110\u00c2Y<\/b>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0<a class=\"link-in-body\" href=\"https:\/\/vinmec.com\/myvinmec\/\" target=\"_blank\" rel=\"noopener\">\u1ee9ng d\u1ee5ng MyVinmec<\/a>\u00a0\u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh l\u00fd ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p g\u00e2y ra \u0111au vai. T\u1ef7 l\u1ec7 b\u1ecb \u0111au v\u00f9ng vai n\u00f3i chung \u1edf Ch\u00e2u \u00c2u l\u00e0 24 b\u1ec7nh nh\u00e2n trong s\u1ed1 m\u1ed7i 1000 b\u1ec7nh nh\u00e2n t\u1edbi kh\u00e1m, t\u1ef7 l\u1ec7 l\u01b0u h\u00e0nh c\u1ee7a b\u1ec7nh t\u00ednh b\u00ecnh qu\u00e2n kho\u1ea3ng 35 b\u1ec7nh nh\u00e2n trong [&hellip;]<\/p>\n","protected":false},"author":49,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75,40],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00e1ch ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai d\u1ef1a v\u00e0o b\u1ec7nh s\u1eed, l\u00e2m s\u00e0ng, c\u00e1c nghi\u1ec7p ph\u00e1p nh\u01b0 Neer test, Hawkin test,..\" \/>\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=\"Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai - 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