{"id":26793,"date":"2023-05-03T22:30:15","date_gmt":"2023-05-03T15:30:15","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26793"},"modified":"2023-05-03T22:30:15","modified_gmt":"2023-05-03T15:30:15","slug":"ca-benh-lam-sang-trat-khop-hang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/ca-benh-lam-sang-trat-khop-hang\/","title":{"rendered":"Ca b\u1ec7nh l\u00e2m s\u00e0ng: tr\u1eadt kh\u1edbp h\u00e1ng"},"content":{"rendered":"

Tr\u1eadt kh\u1edbp h\u00e1ng do ch\u1ea5n th\u01b0\u01a1ng th\u1ec3 thao chi\u1ebfm 2-5% trong c\u00e1c l\u00fd do g\u00e2y ra tr\u1eadt kh\u1edbp h\u00e1ng. Sau \u0111\u00e2y l\u00e0 m\u1ed9t b\u00e1o c\u00e1o ca b\u1ec7nh tr\u1eadt kh\u1edbp h\u00e1ng c\u1ee7a m\u1ed9t b\u1ec7nh nh\u00e2n 38 tu\u1ed5i. B\u1ec7nh nh\u00e2n n\u00e0y b\u1ecb tr\u1eadt kh\u1edbp h\u00e1ng khi ch\u01a1i th\u1ec3 thao.
\n<\/strong><\/p>\n

1. T\u1ed5ng quan v\u1ec1 tr\u1eadt kh\u1edbp h\u00e1ng do tai n\u1ea1n th\u1ec3 thao<\/h2>\n

Tr\u1eadt kh\u1edbp h\u00e1ng trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao ch\u1ec9 chi\u1ebfm 2% – 5% trong t\u1ed5ng s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p tr\u1eadt kh\u1edbp [1]. H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p tr\u1eadt kh\u1edbp h\u00e1ng \u0111\u1ec1u l\u00e0 tr\u1eadt ph\u00eda sau. Tr\u1eadt kh\u1edbp h\u00e1ng v\u1ec1 ph\u00eda tr\u01b0\u1edbc \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n v\u00e0 chia th\u00e0nh hai lo\u1ea1i ch\u00ednh: tr\u1eadt kh\u1edbp h\u00e1ng v\u1ec1 ph\u00eda tr\u01b0\u1edbc, khi \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i b\u1ecb d\u1ecbch chuy\u1ec3n v\u00e0o v\u00f9ng kh\u1edbp mu ho\u1eb7c v\u00f9ng x\u01b0\u01a1ng ch\u1eadu, v\u00e0 tr\u1eadt xu\u1ed1ng ph\u00eda d\u01b0\u1edbi, khi \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i n\u1eb1m trong v\u00f9ng c\u01a1 b\u1ecbt [2].<\/p>\n

Sau \u0111\u00e2y l\u00e0 b\u00e1o c\u00e1o v\u1ec1 tr\u01b0\u1eddng h\u1ee3p c\u1ee7a m\u1ed9t b\u1ec7nh nh\u00e2n 38 tu\u1ed5i b\u1ecb tr\u1eadt kh\u1edbp h\u00e1ng trong khi \u0111ang ch\u01a1i b\u00f3ng \u0111\u00e1.<\/p>\n

2. Ca b\u1ec7nh tr\u1eadt kh\u1edbp h\u00e1ng<\/h2>\n

2.1. B\u1ec7nh s\u1eed<\/h3>\n

B\u1ec7nh nh\u00e2n nam 38 tu\u1ed5i ti\u1ec1n s\u1eed kh\u1ecfe m\u1ea1nh b\u1ecb tr\u1eadt kh\u1edbp h\u00e1ng (ph\u1ea3i) v\u1ec1 ph\u00eda tr\u01b0\u1edbc. Tai n\u1ea1n x\u1ea3y ra sau khi b\u1ec7nh nh\u00e2n s\u00fat b\u00f3ng b\u1eb1ng ch\u00e2n ph\u1ea3i, trong t\u01b0 th\u1ebf kh\u1edbp h\u00e1ng ph\u1ea3i xoay ngo\u00e0i. Anh ta c\u1ea3m th\u1ea5y ti\u1ebfng “pop” v\u00e0 ng\u00e3 s\u1ea5p. Sau tai n\u1ea1n ch\u00e2n ph\u1ea3i kh\u00f4ng th\u1ec3 ch\u1ecbu l\u1ef1c. B\u1ec7nh nh\u00e2n khai kh\u00f4ng c\u00f3 va ch\u1ea1m v\u1edbi c\u1ea7u th\u1ee7 kh\u00e1c. Kh\u00e1m l\u00e2m s\u00e0ng th\u1ea5y ch\u00e2n ph\u1ea3i xoay ngo\u00e0i, kh\u00f4ng c\u00f3 \u0111i\u1ec3m \u0111au ch\u00f3i. X-quang x\u01b0\u01a1ng ch\u1eadu (th\u1eb3ng) cho th\u1ea5y tr\u1eadt kh\u1edbp h\u00e1ng ph\u1ea3i (H\u00ecnh 1).<\/p>\n

\"h\u00ecnh
H\u00ecnh 1: Ch\u1ee5p X quang x\u01b0\u01a1ng ch\u1eadu th\u1eb3ng cho th\u1ea5y h\u00ecnh \u1ea3nh tr\u1eadt kh\u1edbp h\u00e1ng (Ph\u1ea3i)<\/figcaption><\/figure>\n

2.2. Th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt<\/h3>\n

Th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt n\u1eafn ch\u1ec9nh kh\u1edbp h\u00e1ng. Ph\u01b0\u01a1ng ph\u00e1p v\u00f4 c\u1ea3m l\u00e0 g\u00e2y m\u00ea to\u00e0n th\u00e2n. To\u00e0n b\u1ed9 qu\u00e1 tr\u00ecnh \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n 2 gi\u1edd sau tai n\u1ea1n. B\u1ec7nh nh\u00e2n n\u1eb1m ng\u1eeda. X\u01b0\u01a1ng ch\u1eadu b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh b\u1edfi m\u1ed9t b\u00e1c s\u0129. \u0110\u1ed3ng th\u1eddi m\u1ed9t b\u00e1c s\u0129 kh\u00e1c th\u1ef1c hi\u1ec7n n\u1eafn k\u00e9o li\u00ean t\u1ee5c ch\u00e2n ph\u1ea3i \u0111\u1ebfn khi ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i n\u1eb1m \u1edf ph\u00eda trong \u1ed5 c\u1ed1i. K\u1ebft qu\u1ea3 \u0111\u01b0\u1ee3c ki\u1ec3m tra b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ch\u1ee5p X-quang t\u1ea1i ch\u1ed7. Kh\u1edbp h\u00e1ng \u0111\u01b0\u1ee3c g\u1eadp v\u00e0 xoay v\u1ec1 ph\u00eda trong. Khi th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt n\u00e0y s\u1ebd nghe th\u1ea5y ti\u1ebfng “c\u1ea1ch”, cho th\u1ea5y kh\u1edbp h\u00e1ng \u0111\u00e3 v\u1ec1 v\u1ecb tr\u00ed.<\/p>\n

\"n\u1eafn<\/a>
N\u1eafn ch\u1ec9nh kh\u1edbp h\u00e1ng<\/figcaption><\/figure>\n

 <\/p>\n

2.3. Theo d\u00f5i sau th\u1ee7 thu\u1eadt<\/h3>\n

Ch\u1ee5p X-quang t\u1ea1i ch\u1ed7 cho th\u1ea5y kh\u1edbp h\u00f4ng \u0111\u00e3 tr\u1edf v\u1ec1 \u0111\u00fang v\u1ecb tr\u00ed. Qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt kh\u00f4ng g\u1eb7p kh\u00f3 kh\u0103n. X-quang \u0111\u01b0\u1ee3c ch\u1ee5p m\u1ed9t tu\u1ea7n sau th\u1ee7 thu\u1eadt cho th\u1ea5y kh\u1edbp h\u00e1ng ph\u1ea3i \u0111\u00fang v\u1ecb tr\u00ed v\u00e0 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u g\u00e3y x\u01b0\u01a1ng (H\u00ecnh 2). MRI \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n m\u1ed9t tu\u1ea7n sau \u0111\u00f3 cho th\u1ea5y kh\u00f4ng c\u00f3 tr\u00e0n d\u1ecbch kh\u1edbp h\u00e1ng ph\u1ea3i nh\u01b0ng c\u00f3 r\u00e1ch d\u00e2y ch\u1eb1ng tr\u00f2n v\u00e0 tr\u00e0n d\u1ecbch kh\u1edbp h\u00e1ng. Kh\u00f4ng th\u1ec3 ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng s\u1ee5n vi\u1ec1n (H\u00ecnh 3).<\/p>\n

\"\"<\/a>
H\u00ecnh 2: Ch\u1ee5p X quang kh\u1edbp h\u00e1ng sau 1 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb<\/figcaption><\/figure>\n
\"\"<\/a>
H\u00ecnh 3: H\u00ecnh \u1ea3nh MRI kh\u1edbp h\u00e1ng hai b\u00ean. C\u00f3 h\u00ecnh \u1ea3nh s\u01b0ng n\u1ec1 c\u00e1c c\u01a1 ch\u1eadu b\u00ean ph\u1ea3i<\/figcaption><\/figure>\n

2.4. Ph\u1ee5c h\u1ed3i v\u00e0 k\u1ebft qu\u1ea3<\/h3>\n

Sau ph\u1eabu thu\u1eadt b\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i b\u00ecnh th\u01b0\u1eddng, t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng trong 6 tu\u1ea7n. Sau 6 th\u00e1ng, b\u1ec7nh nh\u00e2n kh\u00f4ng xu\u1ea5t hi\u1ec7n th\u00eam tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng, kh\u1edbp h\u00e1ng ph\u1ea3i di \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng. X-quang th\u1eb3ng nghi\u00eang cho th\u1ea5y kh\u1edbp h\u00e1ng b\u00ean ph\u1ea3i \u0111\u00fang v\u1ecb tr\u00ed m\u00e0 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u ho\u1ea1i t\u1eed ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i hay tho\u00e1i h\u00f3a kh\u1edbp (H\u00ecnh 4).<\/p>\n

\"\"<\/a>
H\u00ecnh 4: X quang kh\u1edbp h\u00e1ng ph\u1ea3i kh\u00f4ng c\u00f3 h\u00ecnh \u1ea3nh ho\u1ea1i t\u1eed ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i<\/figcaption><\/figure>\n

B\u1ec7nh nh\u00e2n t\u1eeb ch\u1ed1i l\u00e0m th\u00eam MRI do c\u1ea3m th\u1ea5y kh\u00f4ng c\u00f2n kh\u00f3 ch\u1ecbu. B\u1ec7nh nh\u00e2n ch\u01a1i b\u00f3ng \u0111\u00e1 sau 6 th\u00e1ng k\u1ec3 t\u1eeb khi b\u1ecb ch\u1ea5n th\u01b0\u01a1ng.<\/p>\n

3. T\u1ed5ng k\u1ebft<\/h2>\n

Nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 y t\u1ebf ph\u1ea3i quen thu\u1ed9c v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p t\u1ed1t nh\u1ea5t \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb cho c\u00e1c b\u1ec7nh nh\u00e2n n\u00e0y. B\u1ec7nh nh\u00e2n b\u1ecb tr\u1eadt kh\u1edbp h\u00e1ng c\u1ea7n thay kh\u1edbp h\u00e1ng c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n c\u1ea9n th\u1eadn, v\u00e0 b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ph\u1ea3i th\u00e0nh th\u1ea1o c\u00e1c c\u00e1ch \u0111i\u1ec1u tr\u1ecb ch\u1ea5n th\u01b0\u01a1ng v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 c\u00f3. \u0110\u00e1nh gi\u00e1 v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, bao g\u1ed3m nh\u1eadn ra c\u00e1c bi\u1ebfn ch\u1ee9ng ti\u1ec1m n\u0103ng, l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o k\u1ebft qu\u1ea3 t\u1ed1t nh\u1ea5t cho b\u1ec7nh nh\u00e2n.<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/strong><\/p>\n

[1] E. Giza, K. Mith\u00f6fer, H. Matthews, and M. Vrahas, \u201cHip fracture-dislocation in football: a report of two cases and review of the literature,\u201d British Journal of Sports Medicine<\/i>, vol. 38, no. 4, article e17, 2004.<\/p>\n

[2] S. J. Croft, J. Brenchley, S. P. Badhe, and T. R. Cresswell, \u201cAn unusual rugby injury,\u201d Emergency Medicine Journal<\/i>, vol. 23, no. 6, article e40, 2006.<\/p>\n

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

Tr\u1eadt kh\u1edbp h\u00e1ng do ch\u1ea5n th\u01b0\u01a1ng th\u1ec3 thao chi\u1ebfm 2-5% trong c\u00e1c l\u00fd do g\u00e2y ra tr\u1eadt kh\u1edbp h\u00e1ng. Sau \u0111\u00e2y l\u00e0 m\u1ed9t b\u00e1o c\u00e1o ca b\u1ec7nh tr\u1eadt kh\u1edbp h\u00e1ng c\u1ee7a m\u1ed9t b\u1ec7nh nh\u00e2n 38 tu\u1ed5i. B\u1ec7nh nh\u00e2n n\u00e0y b\u1ecb tr\u1eadt kh\u1edbp h\u00e1ng khi ch\u01a1i th\u1ec3 thao. 1. T\u1ed5ng quan v\u1ec1 tr\u1eadt kh\u1edbp h\u00e1ng do […]<\/p>\n","protected":false},"author":50,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75],"tags":[87],"yoast_head":"\nCa b\u1ec7nh l\u00e2m s\u00e0ng: tr\u1eadt kh\u1edbp h\u00e1ng - Vinmec<\/title>\n<meta name=\"description\" content=\"D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t b\u00e1o c\u00e1o v\u1ec1 ca b\u1ec7nh tr\u1eadt kh\u1edbp h\u00e1ng c\u1ee7a b\u1ec7nh nh\u00e2n 38 tu\u1ed5i, x\u1ea3y ra ngay sau khi ch\u01a1i th\u1ec3 thao.\" \/>\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=\"Ca b\u1ec7nh l\u00e2m s\u00e0ng: tr\u1eadt kh\u1edbp h\u00e1ng - Vinmec\" \/>\n<meta property=\"og:description\" content=\"D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t b\u00e1o c\u00e1o v\u1ec1 ca b\u1ec7nh tr\u1eadt kh\u1edbp h\u00e1ng c\u1ee7a b\u1ec7nh nh\u00e2n 38 tu\u1ed5i, x\u1ea3y ra ngay sau khi ch\u01a1i th\u1ec3 thao.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/ca-benh-lam-sang-trat-khop-hang\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-03T15:30:15+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/static.hindawi.com\/articles\/crim\/volume-2009\/363461\/figures\/363461.fig.001.jpg\" \/>\n<meta name=\"author\" content=\"Thai Hoang An\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Thai Hoang An\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/ca-benh-lam-sang-trat-khop-hang\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/ca-benh-lam-sang-trat-khop-hang\/\",\"name\":\"Ca b\u1ec7nh l\u00e2m s\u00e0ng: tr\u1eadt kh\u1edbp h\u00e1ng - 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