{"id":2558,"date":"2023-04-09T13:05:49","date_gmt":"2023-04-09T06:05:49","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=2558"},"modified":"2023-04-14T18:23:56","modified_gmt":"2023-04-14T11:23:56","slug":"lich-su-cua-noi-soi-khop-vai","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/lich-su-cua-noi-soi-khop-vai\/","title":{"rendered":"L\u1ecbch s\u1eed c\u1ee7a n\u1ed9i soi kh\u1edbp vai"},"content":{"rendered":"

Ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp l\u00e0 m\u1ed9t trong nh\u1eefng ti\u1ebfn b\u1ed9 l\u1edbn nh\u1ea5t c\u1ee7a chuy\u00ean ng\u00e0nh ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u1ec9nh th\u1ebf k\u1ef7 tr\u01b0\u1edbc.\u00a0 So v\u1edbi n\u1ed9i soi kh\u1edbp g\u1ed1i th\u00ec ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai kh\u1edbi \u0111i\u1ec3m ph\u00e1t tri\u1ec3n ch\u1eadm h\u01a1n. Th\u00f4ng qua b\u00e0i vi\u1ebft, ch\u00fang t\u00f4i s\u1ebd tr\u00ecnh b\u00e0y v\u1ec1 l\u1ecbch s\u1eed n\u1ed9i soi c\u1ee7a kh\u1edbp vai<\/strong><\/p>\n

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

Ng\u00e0y ph\u00e1t h\u00e0nh<\/strong>: 30\/03\/2022<\/p>\n

1. Nh\u1eefng ca n\u1ed9i soi \u0111\u1ea7u ti\u00ean<\/h2>\n

N\u0103m 1919 gi\u00e1o s\u01b0 ng\u01b0\u1eddi Nh\u1eadt Kenji Takagi \u0111\u00e0 th\u1ef1c hi\u1ec7n ca n\u1ed9i soi kh\u1edbp g\u1ed1i \u0111\u1ea7u ti\u00ean. So v\u1edbi n\u1ed9i soi kh\u1edbp g\u1ed1i th\u00ec ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai kh\u1edbi \u0111i\u1ec3m ph\u00e1t tri\u1ec3n ch\u1eadm h\u01a1n<\/strong> khi n\u0103m 1931 sau khi th\u0103m kh\u00e1m b\u1eb1ng n\u1ed9i soi 25 kh\u1edbp vai t\u1eed thi, Burman – Ph\u1eabu thu\u1eadt vi\u00ean ng\u01b0\u1eddi M\u1ef9 \u0111\u00e3 c\u00f3 nh\u1eefng b\u00e1o c\u00e1o \u0111\u1ea7u ti\u00ean v\u1ec1 n\u1ed9i soi kh\u1edbp vai.<\/span><\/p>\n

\"Ph\u1eabu
Ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai<\/figcaption><\/figure>\n

2. Ca l\u00e2m s\u00e0ng ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai \u0111\u1ea7u ti\u00ean<\/h2>\n

M\u00e3i \u0111\u1ebfn 35 n\u0103m sau, ca l\u00e2m s\u00e0ng \u0111\u1ea7u ti\u00ean c\u1ee7a ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai m\u1edbi \u0111\u01b0\u1ee3c m\u00f4 <\/span>t\u1ea3 b\u1edfi Andren v\u00e0 \u0111\u1ed3ng nghi\u1ec7p v\u00e0o n\u0103m 1965, sau \u0111\u00f3 l\u00e0 Conti n\u0103m 1979, c\u0169ng nh\u01b0 Wiley v\u00e0 Order n\u0103m 1980 sau khi n\u1ed9i soi kh\u1edbp vai c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb \u0111\u00f4ng c\u1ee9ng kh\u1edbp vai v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n kh\u00e1c.<\/span><\/p>\n

Watanabe v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 m\u00f4 t\u1ea3 chi ti\u1ebft v\u1ecb tr\u00ed v\u00e0 c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c ng\u00f5 tr\u01b0\u1edbc v\u00e0 sau, \u0111\u1ed3ng th\u1eddi c\u00f4ng b\u1ed1 c\u00e1c b\u00e1o c\u00e1o \u0111\u1ea7u ti\u00ean n\u1ed9i soi ch\u1ea9n \u0111o\u00e1n v\u1ec1 g\u00e3y x\u01b0\u01a1ng s\u1ee5n, x\u00e1c \u0111\u1ecbnh v\u00e0 gi\u1ea3i quy\u1ebft v\u1ea5n \u0111\u1ec1 l\u1ecfng kh\u1edbp, \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed1n th\u01b0\u01a1ng c\u1ee7a vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, x\u00e1c \u0111\u1ecbnh t\u1ed5n th\u01b0\u01a1ng g\u00e2n nh\u1ecb \u0111\u1ea7u v\u00e0 s\u1ee5n vi\u1ec1n \u1ed5 ch\u1ea3o.<\/span><\/p>\n

3. Nh\u1eefng ti\u1ebfn b\u1ed9 trong ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai<\/h2>\n

T\u1eeb n\u0103m 1980 c\u00f3 s\u1ef1 gia t\u0103ng nghi\u00ean c\u1eedu v\u00e0 \u1ee9ng d\u1ee5ng l\u00e2m s\u00e0ng<\/span> n\u00ean c\u00f3 h\u00e0ng lo\u1ea1t th\u00f4ng b\u00e1o v\u1edbi theo d\u00f5i l\u00e2m s\u00e0ng ng\u00e0y c\u00e0ng d\u00e0i trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u0169ng nh\u01b0 \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3. S\u1ef1 hi\u1ebfu bi\u1ebft v\u1ec1 nh\u1eefng r\u1ed1i lo\u1ea1n c\u1ee7a kh\u1edbp vai c\u0169ng nh\u01b0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb ch\u00fang \u0111\u00e3 c\u00f3 nh\u1eefng ti\u1ebfn b\u1ed9 \u0111\u00e1ng k\u1ec3 trong v\u00e0i th\u1eadp k\u1ef7 qua nh\u1edd k\u1ebft qu\u1ea3 ph\u00e1t tri\u1ec3n nhanh ch\u00f3ng t\u1eeb ch\u00e2n \u0111o\u00e1n \u0111\u1ebfn d\u1ee5ng c\u1ee5 phau thu\u1eadt v\u00e0 b\u00e2y gi\u1edd l\u00e0 k\u1ef9 thu\u1eadt can thi\u1ec7p t\u00e1i t\u1ea1o. <\/span><\/p>\n

N\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u00e2n \u0111o\u00e1n v\u00e0 x\u1eed l\u00fd tr\u1eadt kh\u1edbp vai t\u00e1i di\u1ec5n, h\u1ed9i ch\u1ee9ng h\u1eb9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai, b\u1ec7nh c\u1ee7a ch\u00f3p xoay, tr\u1eadt kh\u1edbp c\u00f9ng \u0111\u00f2n, vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n, r\u00e1ch g\u00e2n nh\u1ecb \u0111\u1ea7u v\u00e0 s\u1ee5n vi\u1ec1n, t\u00e1i t\u1ea1o d\u00e2y ch\u1eb3ng qu\u1ea1 \u0111\u00f2n, g\u00e3y x\u01b0\u01a1ng v\u00e0 ch\u1ea5n th\u01b0\u01a1ng m\u00f4 m\u1ec1m kh\u00e1c v\u00f9ng kh\u1edbp vai, c\u0169ng nh\u01b0 m\u1ed9t lo\u1ea1t c\u00e1c ph\u1eabu thu\u1eadt cho kh\u1edbp vai m\u1ea5t v\u1eefng, s\u1eeda ch\u1eefa Bankart, s\u1eeda ch\u1eefa bao kh\u1edbp, <\/span>v\u00e0 c\u00e1c th\u1ee7 thu\u1eadt Latarjet c\u00f3 th\u1ebf \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi n\u1ed9i soi. <\/span><\/p>\n

V\u1edbi kh\u1edbp vai m\u1ea5t v\u1eefng, th\u01b0\u1eddng do r\u00e1ch bao kh\u1edbp v\u00e0 s\u1ee5n vi\u1ec1n, ho\u1eb7c bao kh\u1edbp b\u1ecb gi\u00e3n qu\u00e1 m\u1ee9c c\u0169ng c\u00f3 th\u1ec3 ph\u1ee5c h\u1ed3i b\u1eb1ng n\u1ed9i soi kh\u1edbp. V\u1edbi ph\u1eabu thu\u1eadt m\u1ed5 m\u1edf, s\u1ef1 c\u0103ng gi\u00e3n c\u1ee7a bao kh\u1edbp kh\u00f4ng th\u1ebf \u0111i\u1ec1u ch\u1ec9nh ch\u00ednh x\u00e1c \u0111\u01b0\u1ee3c. <\/span><\/p>\n

C\u00e1c k\u1ef9 thu\u1eadt n\u1ed9i soi m\u1edbi h\u01a1n nh\u1eb1m lo\u1ea1i b\u1ecf s\u1ef1 gi\u00e3n qu\u00e1 m\u1ee9c c\u1ee7a bao kh\u1edbp b\u1eb1ng kh\u00e2u g\u1ea5p n\u1ebfp bao kh\u1edbp<\/strong>, ho\u1eb7c l\u00e0m co r\u00fat bao kh\u1edbp do t\u00e1c d\u1ee5ng c\u1ee7a nhi\u1ec7t ho\u1eb7c laser.<\/span><\/p>\n

Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt gi\u1ea3i ph\u00f3ng ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi Harvard Ellman n\u0103m 1985 m\u00e0 hi\u1ec7n nay \u0111\u01b0\u1ee3c coi l\u00e0 ph\u1eabu thu\u1eadt n\u1ed9i soi th\u01b0\u1eddng quy. T\u1ed5n th\u01b0\u01a1ng m\u1edbi m\u00e0 tr\u01b0\u1edbc \u0111\u00e2y ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u0111\u00e3 \u0111\u01b0\u1ee3c chi ti\u1ebft h\u00f3a v\u00e0 ph\u00e2n lo\u1ea1i r\u00f5 r\u00e0ng gi\u00fap m\u1edf r\u1ed9ng ch\u1ea9n \u0111o\u00e1n <\/span>ph\u00e2n bi\u1ec7t tr\u01b0\u1edbc m\u1ed9t t\u00ecnh tr\u1ea1ng \u0111au c\u1ee7a kh\u1edbp vai. <\/span><\/p>\n

M\u1ed9t v\u00ed d\u1ee5 l\u00e0 t\u1ed5n th\u01b0\u01a1ng SLAP (r\u00e1ch s\u1ee5n vi\u1ec1n tr\u00ean ph\u00eda tr\u01b0\u1edbc v\u00e0 sau) \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 b\u1edfi Steve Snyder trong c\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean th\u1ec3 thao, hay s\u1ef1 c\u1ecd x\u00e1t c\u1ee7a n\u1ed9i b\u1ed9 ch\u00f3p xoay ch\u1ed1ng l\u1ea1i m\u1eb7t sau tr\u00ean c\u1ee7a s\u1ee5n vi\u1ec1n khi vai d\u1ea1ng v\u00e0 xoay ngo\u00e0i, m\u1ed9t hi\u1ec7n t\u01b0\u1ee3ng \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 b\u1edfi Walchetai. v\u00e0o n\u0103m 1991. Nhi\u1ec1u bi\u1ec3n th\u1ec3 nh\u01b0 ph\u1ee9c h\u1ee3p Buford v\u00e0 bi\u00ean th\u1ec3 c\u1ee7a g\u00e2n nh\u1ecb \u0111\u1ea7u c\u00f9ng \u0111\u00e3 \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn l\u00e0 m\u1ed9t th\u1ef1c th\u1ebf gi\u1ea3i ph\u1eabu.<\/span><\/p>\n

Ph\u1eabu thu\u1eadt n\u1ed9i soi Weaver-Dunn, gh\u00e9p x\u01b0\u01a1ng v\u00e0 c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng g\u00e3y v\u00f9ng vai c\u00f3 n\u1ed9i soi h\u1ed7 tr\u1ee3 \u0111\u00e0 \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n g\u1ea7n \u0111\u00e2y. <\/span><\/p>\n

Tuy nhi\u00ean b\u1ea5t l\u1ee3i l\u00e0 t\u00fd l\u1ec7 bi\u1ebfn ch\u1ee9ng cao h\u01a1n trong khi ph\u1eabu thu\u1eadt th\u1ef1c hi\u1ec7n ph\u00fac t\u1ea1p h\u01a1n n\u00ean kh\u00f4ng \u0111\u01b0\u1ee3c pho bi\u1ebfn.<\/span><\/p>\n

\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0HOTLINE<\/strong>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0T\u1ea0I \u0110\u00c2Y<\/strong>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0\u1ee9ng d\u1ee5ng MyVinmec<\/a> \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":"

Ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp l\u00e0 m\u1ed9t trong nh\u1eefng ti\u1ebfn b\u1ed9 l\u1edbn nh\u1ea5t c\u1ee7a chuy\u00ean ng\u00e0nh ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u1ec9nh th\u1ebf k\u1ef7 tr\u01b0\u1edbc.\u00a0 So v\u1edbi n\u1ed9i soi kh\u1edbp g\u1ed1i th\u00ec ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai kh\u1edbi \u0111i\u1ec3m ph\u00e1t tri\u1ec3n ch\u1eadm h\u01a1n. Th\u00f4ng qua b\u00e0i vi\u1ebft, ch\u00fang t\u00f4i s\u1ebd tr\u00ecnh b\u00e0y v\u1ec1 l\u1ecbch s\u1eed n\u1ed9i […]<\/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":"\nL\u1ecbch s\u1eed c\u1ee7a n\u1ed9i soi kh\u1edbp vai - Vinmec<\/title>\n<meta name=\"description\" content=\"Ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai l\u00e0 m\u1ed9t trong nh\u1eefng ti\u1ebfn b\u1ed9 l\u1edbn nh\u1ea5t c\u1ee7a chuy\u00ean ng\u00e0nh ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u1ec9nh th\u1ebf k\u1ef7 tr\u01b0\u1edbc.\" \/>\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=\"L\u1ecbch s\u1eed c\u1ee7a n\u1ed9i soi kh\u1edbp vai - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai l\u00e0 m\u1ed9t trong nh\u1eefng ti\u1ebfn b\u1ed9 l\u1edbn nh\u1ea5t c\u1ee7a chuy\u00ean ng\u00e0nh ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u1ec9nh th\u1ebf k\u1ef7 tr\u01b0\u1edbc.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/lich-su-cua-noi-soi-khop-vai\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-09T06:05:49+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-14T11:23:56+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-11-300x300.png\" \/>\n<meta name=\"author\" content=\"Yen Cao Thi\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Yen Cao Thi\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/lich-su-cua-noi-soi-khop-vai\/\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/lich-su-cua-noi-soi-khop-vai\/\",\"name\":\"L\u1ecbch s\u1eed c\u1ee7a n\u1ed9i soi kh\u1edbp vai - 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