{"id":2809,"date":"2023-04-09T19:28:53","date_gmt":"2023-04-09T12:28:53","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=2809"},"modified":"2023-04-11T10:42:12","modified_gmt":"2023-04-11T03:42:12","slug":"phau-thuat-noi-soi-khop-vai-tu-the-va-duong-vao","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/phau-thuat-noi-soi-khop-vai-tu-the-va-duong-vao\/","title":{"rendered":"Ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai – T\u01b0 th\u1ebf v\u00e0 \u0111\u01b0\u1eddng v\u00e0o"},"content":{"rendered":"

C\u00f9ng v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n nhanh ch\u00f3ng c\u1ee7a ng\u00e0nh ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh, s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a n\u1ed9i soi kh\u1edbp vai c\u00f3 nh\u1eefng b\u01b0\u1edbc ti\u1ebfn v\u01b0\u1ee3t b\u1eadc t\u1eeb \u0111\u00f3 gi\u00fap cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00e1c t\u1ed5n th\u01b0\u01a1ng hi\u1ec7u qu\u1ea3, \u0111\u1ea3m b\u1ea3o ch\u1ee9c n\u0103ng v\u00e0 th\u1ea9m m\u1ef9 cho b\u1ec7nh nh\u00e2n. Ph\u1ea7n \u0111\u1ea1i c\u01b0\u01a1ng v\u00e0 l\u1ecbch s\u1eed v\u1ec1 n\u1ed9i soi kh\u1edbp<\/a> gi\u00fap ch\u00fang ta c\u00f3 m\u1ed9t c\u00e1i nh\u00ecn bao qu\u00e1t.<\/strong><\/p>\n

1. T\u01b0 th\u1ebf ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai<\/h2>\n

Ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai an to\u00e0n v\u00e0 d\u1ec5 d\u00e0ng li\u00ean quan m\u1eadt thi\u1ebft t\u1edbi vi\u1ec7c \u0111\u1eb7t t\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n v\u00e0 x\u00e1c \u0111\u1ecbnh ng\u00f5 v\u00e0o th\u1eadt ch\u00ednh x\u00e1c. C\u00f3 m\u1ed9t v\u00e0i bi\u1ec3n th\u1ec3 nh\u01b0ng h\u1ea7u h\u1ebft c\u00e1c ph\u1eabu thu\u1eadt vi\u00ean \u0111\u1ec1u ch\u1ecdn m\u1ed9t trong hai t\u01b0 th\u1ebf l\u00e0 n\u1eb1m nghi\u00eang k\u00e9o tay ho\u1eb7c t\u01b0 th\u1ebf \u201cgh\u1ebf ng\u1ed3i b\u00e3i bi\u1ec3n\u201d. Vi\u1ec7c l\u1ef1a ch\u1ecdn t\u01b0 th\u1ebf n\u00e0o b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi th\u00f3i quen c\u1ee7a ph\u1eabu thu\u1eadt vi\u00ean trong qu\u00e1 tr\u00ecnh \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o n\u1ed9i soi vai, ti\u00ean l\u01b0\u1ee3ng kh\u1ea3 n\u0103ng ph\u1ea3i chuy\u1ec3n sang m\u1ed5 m\u1edf, ngu\u1ed3n nh\u00e2n l\u1ef1c ph\u1ee5 gi\u00fap ph\u1eabu thu\u1eadt v\u00e0 c\u00e1c trang thi\u1ebft b\u1ecb h\u1ed7 tr\u1ee3 c\u1ecf s\u1eb5n thu\u1eadn l\u1ee3i cho vi\u1ec7c ch\u1ecdn m\u1ed9t trong hai t\u01b0 th\u1ebf nh\u01b0 khung treo tay, b\u00e0n m\u1ed5 linh \u0111\u1ed9ng…<\/span><\/p>\n

1.1. N\u1eb1m nghi\u00eang k\u00e9o tay (Lateral Decubitus Position)<\/h3>\n

1.1.1. K\u00ea t\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n\u00a0<\/em><\/h4>\n
    \n
  • B\u1ec7nh nh\u00e2n n\u1eb1m ng\u1eeda \u0111\u1ec3 th\u1ef1c hi\u1ec7n qu\u00e1 tr\u00ecnh g\u00e2y m\u00ea.<\/span><\/li>\n<\/ul>\n
      \n
    • Ph\u1ed1i h\u1ee3p ph\u1eabu thu\u1eadt vi\u00ean, ph\u1ee5 ph\u1eabu thu\u1eadt v\u00e0 g\u00e2y m\u00ea \u0111\u1ea3m b\u00e1o hai nh\u00e2n vi\u00ean g\u00e2y m\u00ea \u1edf \u0111\u1ea7u b\u1ec7nh nh\u00e2n (m\u1ed9t ng\u01b0\u1eddi gi\u1eef \u0111\u1ea7u b\u1ec7nh nh\u00e2n xoay theo t\u01b0 th\u1ebf, m\u1ed9t ng\u01b0\u1eddi ki\u1ec3m so\u00e1t \u1ed1ng th\u1edf, \u0111\u01b0\u1eddng truy\u1ec1n d\u1ecbch…), m\u1ed9t ng\u01b0\u1eddi \u1edf vai, m\u1ed9t ng\u01b0\u1eddi \u1edd h\u00f4ng, m\u1ed9t ng\u01b0\u1eddi \u1edf ch\u00e2n, xoay b\u1ec7nh nh\u00e2n \u0111\u1ed3ng th\u1eddi theo hi\u1ec7u l\u1ec7nh.<\/span><\/li>\n<\/ul>\n
        \n
      • B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c n\u1eb1m nghi\u00eang ng\u1ea3 sau kho\u1ea3ng 25-30 \u0111\u1ec3 \u1ed5 ch\u1ea3o song song v\u1edbi m\u1eb7t \u0111\u1ea5t.<\/span><\/li>\n<\/ul>\n
          \n
        • \u0110\u1ea7u n\u1eb1m tr\u00ean v\u00f2ng g\u1ed1i m\u1ec1m, c\u1ed1 \u0111\u1ecbnh an to\u00e0n v\u00e0o b\u00e0n m\u1ed5. C\u00e1c d\u00e2y theo d\u00f5i, \u1ed1ng th\u1edf, d\u1ecbch truy\u1ec1n \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh an to\u00e0n v\u00e0 kh\u00f4ng g\u00e2y c\u1ea3n tr\u1edf ph\u1eabu tr\u01b0\u1eddng<\/span><\/li>\n<\/ul>\n
            \n
          • Tay ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c b\u1ecdc trong bao k\u00e9o tay sao cho c\u00e1nh tay d\u1ea1ng kho\u1ea3ng 25-35 \u0111\u1ed9 v\u00e0 nghi\u00eang v\u1ec1 ph\u00eda tr\u01b0\u1edbc kho\u1ea3ng 15 \u0111\u1ed9 r\u1ed3i treo tr\u00ean khung k\u00e9o, \u0111\u1ed3ng th\u1eddi k\u00e9o kho\u1ea3ng 3-5 kg t\u00f9y c\u00e2n n\u1eb7ng b\u1ec7nh nh\u00e2n.<\/span><\/li>\n<\/ul>\n
              \n
            • Hai c\u1ee5c k\u00ea m\u1ec1m \u0111\u1eb7t \u0111\u00fang v\u1ecb tr\u00ed: Ph\u00eda tr\u01b0\u1edbc t\u00ec v\u00e0o gai ch\u1eadu tr\u01b0\u1edbc, ph\u00eda sau t\u00ec v\u00e0o v\u00f9ng th\u1eaft l\u01b0ng ch\u1eadu, c\u1ed1 \u0111\u1ecbnh v\u1eefng ch\u1eafc.<\/span><\/li>\n<\/ul>\n
                \n
              • Ch\u00e2n d\u01b0\u1edbi co, ch\u00e2n tr\u00ean du\u1ed7i, k\u00ea g\u1ed1i gi\u1eefa hai ch\u00e2n.<\/span><\/li>\n<\/ul>\n
                  \n
                • C\u1ed5 \u0111\u1ecbnh th\u00e2n b\u1ec7nh nh\u00e2n an to\u00e0n v\u00e0o b\u00e0n m\u1ed5.<\/span><\/li>\n<\/ul>\n
                    \n
                  • \u0110\u1ec7m l\u00f3t b\u1eb1ng v\u1ea3i m\u1ec1m c\u00e1c v\u00f9ng nh\u00f4 x\u01b0\u01a1ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u1edbi b\u00e0n m\u1ed5 nh\u01b0 tay kh\u00f4ng ph\u1eabu thu\u1eadt, n\u00e1ch, gai ch\u1eadu, g\u1ed1i, m\u1eaft c\u00e1 ch\u00e2n.<\/span><\/li>\n<\/ul>\n

                     <\/p>\n

                    \"\"
                    H\u00ecnh 1. T\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n n\u1eb1m nghi\u00eang k\u00e9o tay<\/figcaption><\/figure>\n

                    1.1.2. Uu<\/i> \u0111i\u1ec3m<\/i><\/b><\/h4>\n
                      \n
                    • T\u1ea1o l\u1ed1i v\u00e0o ph\u00eda sau d\u1ec5 d\u00e0ng.<\/span><\/li>\n<\/ul>\n
                        \n
                      • C\u1ed1 \u0111\u1ecbnh tay b\u1eb1ng d\u1ee5ng c\u1ee5 treo n\u00ean kh\u00f4ng c\u1ea7n nhi\u1ec1u ph\u1ee5 m\u1ed5, \u0111\u1ed3ng th\u1eddi l\u1ef1c k\u00e9o l\u00e0m t\u0103ng kho\u1ea3ng kh\u00f4ng gian trong kh\u1edbp vai, d\u1ec5 b\u1ed9c l\u1ed9 t\u1ed5n th\u01b0\u01a1ng r\u00e1ch s\u1ee5n vi\u1ec1n.<\/span><\/li>\n<\/ul>\n
                          \n
                        • Kh\u00f4ng l\u00e0m t\u0103ng nguy c\u01a1 h\u1ea1 \u00e1p v\u00e0 nh\u1ecbp tim ch\u1eadm.<\/span><\/li>\n<\/ul>\n
                            \n
                          • T\u01b0\u1edbi m\u00e1u n\u00e3o t\u1ed1t h\u01a1n.<\/span><\/li>\n<\/ul>\n
                              \n
                            • Thu\u1eadn l\u1ee3i khi c\u1ea7n m\u1ed5 m\u1edf can thi\u1ec7p v\u00e0o khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai.<\/span><\/li>\n<\/ul>\n
                                \n
                              • Quan s\u00e1t t\u1ed1t kho\u1ea3ng kh\u00f4ng gian trong kh\u1edbp v\u00e0 khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai.<\/span><\/li>\n<\/ul>\n

                                1.1.3. Nh\u01b0\u1ee3c<\/i> \u0111i\u1ec3m<\/i><\/b><\/h4>\n
                                  \n
                                • C\u1ea7n d\u1ee5ng c\u1ee5 n\u00e2ng tay.<\/span><\/li>\n<\/ul>\n
                                    \n
                                  • B\u1ec7nh nh\u00e2n ph\u1ea3i n\u1eb1m nghi\u00eang v\u00e0 k\u00e9o tay nguy c\u01a1 gi\u00e3n qu\u00e1 m\u1ee9c kh\u1edbp vai v\u00e0 ti\u1ec1m t\u00e0ng nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh v\u00e0 m\u00f4 m\u1ec1m.<\/span><\/li>\n<\/ul>\n
                                      \n
                                    • Kh\u00f3 kh\u0103n khi can thi\u1ec7p v\u00e0o v\u00f9ng tr\u01b0\u1edbc vai v\u00e0 c\u1ea7n ph\u1ea3i k\u00ea l\u1ea1i t\u01b0 th\u1ebf, tr\u1ea3i l\u1ea1i cho b\u1ec7nh nh\u00e2n khi c\u00e0n ph\u1ea3i chuy\u1ec3n sang m\u1ed5 m\u1edf c\u1ea7n thi\u1ec7p v\u00e0o kh\u1edbp vai.<\/span><\/li>\n<\/ul>\n
                                        \n
                                      • T\u0103ng nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh n\u00e1ch v\u00e0 th\u1ea7n kinh c\u01a1 b\u00ec khi v\u00e0o ng\u00f5 tr\u01b0\u1edbc d\u01b0\u1edbi.<\/span><\/li>\n<\/ul>\n
                                          \n
                                        • Tay lu\u00f4n c\u00f3 xu h\u01b0\u1edbng xoay trong n\u00ean ti\u1ec1m t\u00e0ng nguy c\u01a1 h\u1ea1n ch\u1ebf xoay ngo\u00e0i,<\/span><\/li>\n<\/ul>\n

                                          1.2. T\u01b0 th\u1ebf Gh\u1ebf ng\u1ed3i b\u00e3i bi\u1ec3n (Beach <\/b>chair)<\/b><\/h3>\n

                                          1.2.1. K\u00ea<\/i> t\u01b0 th\u1ebf<\/i><\/b><\/h4>\n
                                            \n
                                          • B\u1ec7nh nh\u00e2n n\u1eb1m ng\u1eeda tr\u00ean b\u00e0n m\u1ed5, ra s\u00e1t c\u1ea1nh ngo\u00e0i c\u1ee7a b\u00e0n b\u00ean v\u00e0 t\u1ed5n th\u01b0\u01a1ng sao cho kh\u1edbp c\u00f9ng ch\u1eadu t\u01b0\u01a1ng \u1ee9ng v\u1edbi kh\u1edbp n\u1ed1i c\u1ee7a b\u00e0n m\u1ed5.<\/span><\/li>\n<\/ul>\n
                                              \n
                                            • C\u1ed1 \u0111\u1ecbnh \u0111\u1ea7u b\u1ec7nh nh\u00e2n sao cho c\u1ed9t s\u1ed1ng c\u1ed5 th\u1eb3ng.<\/span><\/li>\n<\/ul>\n
                                                \n
                                              • K\u00ea m\u1ed9t g\u1ed1i d\u01b0\u1edbi khoeo c\u1ee7a b\u1ec7nh nh\u00e2n sao cho c\u1eb3ng ch\u00e2n h\u1ee3p v\u1edbi \u0111\u00f9i m\u1ed9t g\u00f3c kho\u1ea3ng 30 \u0111\u1ed9.<\/span><\/li>\n<\/ul>\n
                                                  \n
                                                • T\u1eeb t\u1eeb n\u00e2ng ph\u1ea7n \u0111\u1ea7u b\u00e0n m\u1ed5 l\u00ean cao sao cho hai \u0111\u00f9i h\u1ee3p v\u1edbi th\u00e2n m\u00ecnh m\u1ed9t g\u00f3c kho\u1ea3ng 70-80 \u0111\u1ed9.<\/span><\/li>\n<\/ul>\n
                                                    \n
                                                  • C\u1ed1 \u0111\u1ecbnh v\u1eefng th\u00e2n b\u1ec7nh nh\u00e2n v\u00e0o b\u00e0n m\u1ed5.<\/span><\/li>\n<\/ul>\n
                                                      \n
                                                    • \u0110\u1ec7m l\u00f3t b\u1eb1ng v\u1ea3i m\u1ec1m v\u00e0o c\u00e1c v\u00f9ng t\u00ec \u0111\u00e8.<\/span><\/li>\n<\/ul>\n
                                                        \n
                                                      • C\u1ed1 \u0111\u1ecbnh \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n \u0111\u1ea3m b\u1ea3o an to\u00e0n.<\/span><\/li>\n<\/ul>\n
                                                        \"T\u01b0
                                                        H\u00ecnh 2. T\u01b0 th\u1ebf Beach chair<\/figcaption><\/figure>\n

                                                        1.2.2. \u01afu<\/i> \u0111i\u1ec3m<\/i><\/b><\/h4>\n
                                                          \n
                                                        • Nhanh, d\u1ec5 th\u1ef1c hi\u1ec7n, ti\u1ebft ki\u1ec7m do <\/span>kh\u00f4ng c\u1ea7n khung treo tay.<\/li>\n<\/ul>\n
                                                            \n
                                                          • Thu\u1eadn l\u1ee3i cho g\u00e2y m\u00ea.<\/span><\/li>\n<\/ul>\n
                                                              \n
                                                            • Kh\u00e1m v\u00e0 n\u00e2ng kh\u1edbp vai d\u1ec5 d\u00e1ng d\u01b0\u1edbi g\u00e2y m\u00ea<\/span><\/li>\n<\/ul>\n
                                                                \n
                                                              • Chuy\u1ec3n \u0111\u1ed5i sang m\u1ed5 <\/span>m\u1edf <\/span>d\u1ec5 d\u00e0ng kh\u00f4ng c\u1ea7n xoay tr\u1edf t\u01b0 th\u1ebf, kh\u00f4ng c\u1ea7n tr\u1ea3i toan l\u1ea1i.<\/span><\/li>\n<\/ul>\n
                                                                  \n
                                                                • S\u1edd c\u00e1c m\u1ed1c x\u01b0\u01a1ng d\u1ec5 <\/span>d\u00e0ng, t\u1ea1o ng\u00f5 v\u00e0o d\u1ec5.<\/span><\/li>\n<\/ul>\n
                                                                    \n
                                                                  • Tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng do co k\u00e9o: \u0110\u00e1m r\u1ed1i c\u00e1nh tay, th\u1ea7n kinh b\u00ec…<\/span><\/li>\n<\/ul>\n
                                                                      \n
                                                                    • Quan s\u00e1t c\u1ea5u tr\u00fac gi\u00e1i ph\u1eabu t\u1ef1 nhi\u00ean.<\/span><\/li>\n<\/ul>\n
                                                                        \n
                                                                      • Ti\u1ebfp c\u1eadn ph\u00eda tr\u01b0\u1edbc d\u1ec5 h\u01a1n.<\/span><\/li>\n<\/ul>\n

                                                                        1.2.3. Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/i><\/b><\/h4>\n
                                                                          \n
                                                                        • Nguy c\u01a1 h\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf v\u00e0 ch\u1eadm nh\u1ecbp tim<\/span><\/li>\n<\/ul>\n
                                                                            \n
                                                                          • D\u1ec5 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh v\u00f9ng m\u1eb7t v\u00e0 c\u1ed9t s\u1ed5ng c\u1ed1 do \u0111\u1ec7m l\u00f3t khi c\u1ed1 \u0111\u1ecbnh \u0111\u1ea7u b\u1ec7nh nh\u00e2n kh\u00f4ng t\u1ed1t.<\/span><\/li>\n<\/ul>\n

                                                                            2. Ng\u00f5 v\u00e0o ch\u00ednh trong n\u1ed9i soi kh\u1edbp vai<\/h2>\n

                                                                            Ch\u1ecdn ng\u00f5 v\u00e0o ch\u00ednh x\u00e1c l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 c\u00f3 th\u1ec3 quan s\u00e1t t\u1ed1i \u01b0u trong n\u1ed9i soi kh\u1edbp vai, \u0111ua d\u1ee5ng c\u1ee5 v\u00e0o \u0111\u00fang v\u1ecb tr\u00ed mong mu\u1ed1n. Vi\u1ec7c x\u00e1c \u0111\u1ecbnh c\u00e1c ng\u00f5 v\u00e0o \u0111\u01b0\u1ee3c tr\u1ee3 gi\u00fap b\u1edfi c\u00e1c m\u1ed1c x\u01b0\u01a1ng d\u01b0\u1edbi da c\u00f3 th\u1ec3 s\u1edd th\u1ea5y \u0111\u01b0\u1ee3c v\u00e0 \u0111\u01b0\u1ee3c \u0111\u00e1nh d\u1ea5u tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt.<\/span><\/p>\n

                                                                            C\u00e1c m\u1ed1c gi\u1ea3i ph\u1eabu hay d\u00f9ng l\u00e0: <\/span><\/p>\n

                                                                              \n
                                                                            • \u0110\u1ea7u ngo\u00e0i x\u01b0\u01a1ng \u0111\u00f2n.<\/span><\/li>\n
                                                                            • Kh\u1edbp c\u00f9ng vai \u0111\u00f2n.<\/span><\/li>\n
                                                                            • M\u1ecfm c\u00f9ng vai, \u0111\u1eb7c bi\u1ec7t l\u00e0 g\u00f3c sau ngo\u00e0i.<\/span><\/li>\n
                                                                            • M\u1ecfm qu\u1ea1.<\/span><\/li>\n
                                                                            • Gai vai.<\/span><\/li>\n<\/ul>\n

                                                                              \u0110i\u1ec3m \u0111\u00e1nh d\u1ea5u m\u1ed1c x\u01b0\u01a1ng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh c\u1ea9n th\u1eadn b\u1eb1ng s\u1edd v\u00e0 \u0111\u00e1nh d\u1ea5u tr\u00ean b\u1ec1 m\u1eb7t da b\u1eb1ng b\u00fat kh\u00f4ng x\u00f3a tr\u01b0\u1edbc m\u1ed5. V\u1ecb tr\u00ed ng\u00f5 v\u00e0o d\u1ef1 ki\u1ebfn \u0111\u01b0\u1ee3c tham chi\u1ebfu t\u1eeb c\u00e1c \u0111i\u1ec3m \u0111\u00e1nh d\u1ea5u m\u1ed1c x\u01b0\u01a1ng n\u00e0y v\u00e0 \u0111\u01b0\u1ee3c v\u1ebd l\u00ean b\u1ec1 m\u1eb7t da sau \u0111\u00f3 t\u1eeb \u0111i\u1ec3m \u0111\u00e1nh d\u1ea5u tr\u00ean b\u1ec1 m\u1eb7t da n\u00e0y d\u00f9ng tr\u1ee3 c\u1ee5 ph\u1eabu thu\u1eadt nh\u01b0 kim t\u1ee7y s\u1ed1ng v\u00e0 camera soi trong kh\u1edbp \u0111i qua ng\u00f5 sau \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ng\u00f5 v\u00e0o kh\u1edbp.<\/span><\/p>\n

                                                                              2.1. Ng\u00f5 v\u00e0o n\u1ed9i soi kh\u1edbp vai<\/h3>\n

                                                                              2.1.1. Ng\u00f5 sau<\/h4>\n
                                                                                \n
                                                                              • Ng\u00f5 v\u00e0o ch\u00ednh, s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i nh\u1ea5t trong n\u1ed9i soi kh\u1edbp vai, lu\u00f4n lu\u00f4n <\/span>\u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh \u0111\u1ea7u ti\u00ean l\u00e0m ti\u1ec1n \u0111\u1ec1 \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c ng\u00f5 v\u00e0o kh\u00e1c.<\/li>\n<\/ul>\n
                                                                                  \n
                                                                                • Cho ph\u00e9p quan s\u00e1t g\u1ea7n nh\u01b0 to\u00e0n b\u1ed9 kh\u1edbp vai: s\u1ee5n vi\u1ec1n \u1ed5<\/span> ch\u1ea3o, bao kh\u1edbp ph\u00eda sau v\u00e0 ph\u00eda tr\u01b0\u1edbc, m\u1eadt kh\u1edbp c\u1ee7a g\u00e2n c\u01a1 ch\u00f3p xoay, ph\u00eda sau tr\u00ean c\u1ee7a ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay, g\u00e2n nh\u1ecb \u0111\u1ea7u, d\u00e2y ch\u1eb1ng \u1ed5<\/span>\u00a0ch\u1ea3o c\u00e1nh tay…<\/span><\/li>\n<\/ul>\n
                                                                                    \n
                                                                                  • \u0110i\u1ec3m ngo\u00e0i da \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1eb1ng \u0111i\u1ec3m n\u1eb1m d\u01b0\u1edbi 2 cm v\u00e0 v\u00e0o trong 1 cm so v\u1edbi g\u00f3c sau ngo\u00e0i m\u1ecfm c\u00f9ng vai, qua m\u1ed9t \u0111i\u1ec3m m\u1ec1m c\u00f3 th\u1ec3 s\u1edd n\u1eafn ph\u00eda sau kh\u1edbp, n\u01a1i ng\u0103n c\u00e1ch c\u01a1 d\u01b0\u1edbi gai v\u00e0 c\u01a1 tr\u00f2n b\u00e9.<\/span><\/li>\n<\/ul>\n
                                                                                      \n
                                                                                    • \u00a0Sau khi r\u1ea1ch da nh\u1ecf t\u1eeb \u0111i\u1ec3m tr\u00ean, ch\u1ecdc trocar h\u01b0\u1edbng v\u1ec1 ph\u00eda m\u1ecfm qu\u1ea1 qua bao kh\u1edbp vai ph\u00eda sau v\u00e0o trong kh\u1edbp.<\/span><\/li>\n<\/ul>\n
                                                                                      \"\"
                                                                                      H\u00ecnh 3. Kh\u1edbp vai P t\u01b0 th\u1ebf n\u1eb1m nghi\u00eang v\u1edbi \u1ed1ng soi qua ng\u00f5 sau nh\u00ecn v\u1ec1 ph\u00eda tr\u01b0\u1edbc; B: \u0111\u1ea7u d\u00e0i g\u00e2n nh\u1ecb \u0111\u1ea7u, HH: ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay, MGHL: d\u00e2y ch\u1eb1ng \u1ed5 ch\u1ea3o c\u00e1nh tay gi\u1eefa, SS: Bao kh\u1edbp ph\u00eda sau<\/figcaption><\/figure>\n

                                                                                      <\/b>Vi\u1ec7c \u0111\u1eb7t sai v\u1ecb tr\u00ed ho\u1eb7c l\u1ec7ch h\u01b0\u1edbng ti\u1ec1m \u1ea9n nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay, \u1ed5<\/span> ch\u1ea3o, th\u1ea7n kinh n\u00e1ch, th\u1ea7n kinh tr\u00ean vai, \u0111\u1ed9ng m\u1ea1ch m\u0169<\/span>\u00a0c\u00e1nh tay sau, m\u00f4 m\u1ec1m xung quanh. \u0110\u1ed3ng th\u1eddi t\u1ea1o kh\u00f3 kh\u0103n cho vi\u1ec7c x\u00e1c \u0111\u1ecbnh c\u00e1c ng\u00f5 v\u00e0o kh\u00e1c.<\/span><\/p>\n

                                                                                      2.1.2. Ng\u00f5<\/i> tr\u01b0<\/i>\u1edbc<\/i><\/h4>\n
                                                                                        \n
                                                                                      • T\u1eeb \u0111i\u1ec3m ngo\u00e0i da n\u1eb1m gi\u1eefa m\u1ecfm qu\u1ea1 v\u00e0 m\u1ecfm c\u00f9ng vai ch\u1ecdc kim h\u01b0\u1edbng v\u00e0o kh\u1edbp vai xuy\u00ean qua kho\u1ea3ng gian ch\u00f3p xoay d\u01b0\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a camera qua ng\u00f5 sau.<\/span><\/li>\n<\/ul>\n
                                                                                          \n
                                                                                        • Qua ng\u00f5 n\u00e0y, v\u1edbi camera quan s\u00e1t t\u1eeb ng\u00f5 sau ch\u00fang ta c\u00f3 th\u1ec3 can thi\u1ec7p v\u00e0o g\u00e2n nh\u1ecb \u0111\u1ea7u, s\u1ee5n vi\u1ec1n tr\u01b0\u1edbc, g\u1edd \u1ed5 ch\u1ea3o, bao kh\u1edbp tr\u01b0\u1edbc tr\u00ean, m\u1eb7t kh\u1edbp g\u00e2n ch\u00f3p xoay.<\/span><\/li>\n<\/ul>\n
                                                                                            \n
                                                                                          • N\u1ebfu \u0111\u01b0a camera qua ng\u00f5 n\u00e0y ch\u00fang ta s\u1ebd th\u1ea5y s\u1ee5n vi\u1ec1n \u1ed5 ch\u1ea3o ph\u00eda sau, ph\u00eda tr\u01b0\u1edbc tr\u00ean ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay, m\u1eb7t kh\u1edbp g\u00e2n d\u01b0\u1edbi gai, bao kh\u1edbp sau v\u00e0 \u0111i\u1ec3m b\u00e1m t\u1eadn c\u1ee7a g\u00e2n nh\u1ecb \u0111\u1ea7u.<\/span><\/li>\n<\/ul>\n
                                                                                              \n
                                                                                            • Nguy hi\u1ec3m: TK c\u01a1 b\u00ec v\u00e0 t\u0129nh m\u1ea1ch \u0111\u1ea7u<\/span><\/li>\n<\/ul>\n

                                                                                              2.1.3. Ng\u00f5 tr\u01b0\u1edbc d\u01b0\u1edbi (Midanterior –<\/i>MA)<\/i><\/h4>\n
                                                                                                \n
                                                                                              • Ng\u00f5 n\u00e0y th\u00edch h\u1ee3p \u0111\u1ec3 \u0111\u01b0a d\u1ee5ng c\u1ee5 nh\u01b0 m\u0169i khoan v\u00e0 ch\u1ec9 neo v\u00e0o g\u1edd \u00f4 ch\u1ea3o ph\u00eda tr\u01b0\u1edbc \u0111\u1ec3 s\u1eeda ch\u1eefa t\u1ed5n th\u01b0\u01a1ng Bankart, c\u0169ng nh\u01b0 \u0111\u1ec3 kh\u00e2u bao kh\u1edbp ph\u00eda tr\u01b0\u1edbc v\u00e0 tr\u01b0\u1edbc d\u01b0\u1edbi.<\/span><\/li>\n<\/ul>\n
                                                                                                  \n
                                                                                                • \u0110i\u1ec3m v\u00e0o \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u00ean ngo\u00e0i 1,5 cm v\u00e0 xu\u1ed1ng d\u01b0\u1edbi 1,5 cm so v\u1edbi m\u1ecfm qu\u1ea1.<\/span><\/li>\n<\/ul>\n

                                                                                                  2.1.4. Ng\u00f5 tr\u01b0\u1edbc tr\u00ean (Anteriorsuperior<\/i>-AS)<\/i><\/h4>\n
                                                                                                    \n
                                                                                                  • Gi\u00fap quan s\u00e1t g\u1edd v\u00e0 c\u1ed5 \u1ed5 ch\u1ea3o ph\u00eda tr\u01b0\u1edbc (S\u1eeda ch\u1eefa t\u1ed5n th\u01b0\u01a1ng Bankart), b\u1edd tr\u00ean g\u00e2n c\u01a1 d\u01b0\u1edbi vai n\u01a1i b\u00e1m v\u00e0o c\u1ee7 b\u00e9, bao kh\u1edbp sau tr\u00ean, s\u1ee5n vi\u1ec1n, v\u00e0 \u1ed5<\/span>\u00a0ch\u1ea3o.<\/span><\/li>\n<\/ul>\n
                                                                                                      \n
                                                                                                    • Ng\u00f5 n\u00e0y n\u1eb1m b\u00ean ngo\u00e0i g\u00f3c tr\u01b0\u1edbc ngo\u00e0i m\u1ecfm c\u00f9ng vai 1 cm.<\/span><\/li>\n<\/ul>\n

                                                                                                      2.1.5. Ng\u00f5 tr\u01b0\u1edbc ngo\u00e0i (Anteriorlateral<\/i>-AL)<\/i><\/h4>\n
                                                                                                        \n
                                                                                                      • Gi\u00fap \u0111\u01b0a d\u1ee5ng c\u1ee5 v\u00e0o ph\u00eda sau m\u1ecfm qu\u1ea1 v\u00e0 ph\u00eda tr\u01b0\u1edbc, sau, tr\u00ean c\u1ee7a g\u00e2n d\u01b0\u1edbi vai \u0111\u1ec3 gi\u1ea3i ph\u00f3ng g\u00e2n d\u01b0\u1edbi vai.<\/span><\/li>\n<\/ul>\n
                                                                                                          \n
                                                                                                        • V\u1ecb tr\u00ed v\u00e0o \u1edf ph\u00eda tr\u01b0\u1edbc lcm v\u00e0 ra ngo\u00e0i 1-1,5 cm so v\u1edbi g\u00f3c tr\u01b0\u1edbc ngo\u00e0i c\u1ee7a m\u1ecfm c\u00f9ng vai.<\/span><\/li>\n<\/ul>\n

                                                                                                          2.1.6. Ng\u00f5 ngo\u00e0i m\u1ecfm qu\u1ea1 (Lateral <\/i>coracoids – LC)<\/i><\/h4>\n
                                                                                                            \n
                                                                                                          • Cho ph\u00e9p \u0111\u01b0a d\u1ee5ng c\u1ee5 v\u00e0o c\u1ee7 nh\u1ecf x\u01b0\u01a1ng c\u00e1nh tay \u0111\u1ec3 s\u1eeda ch\u1eefa th\u01b0\u01a1ng t\u1ed5n c\u1ee7a g\u00e2n d\u01b0\u1edbi vai.<\/span><\/li>\n<\/ul>\n
                                                                                                              \n
                                                                                                            • B\u00ean ngo\u00e0i \u0111\u1ec9nh m\u1ecfm qu\u1ea1 1-1,5 cm v\u00e0 \u0111\u01b0a d\u1ee5ng c\u1ee5 h\u01b0\u1edbng v\u00e0o ph\u00eda c\u1ee7 nh\u1ecf x\u01b0\u01a1ng c\u00e1nh tay.<\/span><\/li>\n<\/ul>\n

                                                                                                              2.1.7. Ng\u00f5 sau ngo\u00e0i (Posteriorlateral –<\/i>PL hay Port of Wimington)<\/i><\/h4>\n
                                                                                                                \n
                                                                                                              • T\u1ea1o \u0111i\u1ec1u ki\u1ec7n \u0111\u01b0a neo v\u00e0o vi\u1ec1n sau tr\u00ean \u1ed5<\/span>\u00a0ch\u1ea3o s\u1eeda ch\u1eefa s\u1ee5n vi\u1ec1n.<\/span><\/li>\n<\/ul>\n
                                                                                                                  \n
                                                                                                                • Ng\u00f5 n\u00e0y c\u00f3 th\u1ec3 \u0111i qua g\u00e2n d\u01b0\u1edbi gai.<\/span><\/li>\n<\/ul>\n
                                                                                                                    \n
                                                                                                                  • T\u1ea1i v\u1ecb tr\u00ed c\u00e1ch 1,5 cm tr\u01b0\u1edbc v\u00e0 ra ngo\u00e0i 1,5 cm so v\u1edbi g\u00f3c sau ngo\u00e0i c\u1ee7a m\u1ecfm c\u00f9ng vai.<\/span><\/li>\n<\/ul>\n

                                                                                                                    2.1.8. Ng\u00f5 sau d\u01b0\u1edbi (Posteriorinferior<\/i>-PI)<\/i><\/h4>\n
                                                                                                                      \n
                                                                                                                    • Gi\u00fap \u0111\u01b0a d\u1ee5ng c\u1ee5 v\u00e0o x\u1eed l\u00fd bao kh\u1edbp ph\u00eda sau.<\/span><\/li>\n<\/ul>\n
                                                                                                                        \n
                                                                                                                      • V\u1ecb tr\u00ed c\u00e1ch 2cm ph\u00eda d\u01b0\u1edbi v\u00e0 ra ngo\u00e0i 1 cm so v\u1edbi ng\u00f5 sau.<\/span><\/li>\n
                                                                                                                      • Nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh n\u00e1ch.<\/span>
                                                                                                                        \n<\/span><\/li>\n<\/ul>\n

                                                                                                                        2.2. C\u00e1c ng\u00f5 v\u00e0o khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai<\/h3>\n

                                                                                                                        \"\"<\/p>\n

                                                                                                                        H\u00ecnh 4. Kh\u1edbp vai P c\u1ee7a b\u1ec7nh nh\u00e2n n\u1eb1m \u1edf t\u01b0 th\u1ebf LDP v\u1edbi c\u00e1c ng\u00f5 v\u00e0o khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai<\/p>\n

                                                                                                                        MA Midanterior; AL: anterolateral ; AS Anteriorsuperior; PL: posterolateral; PI Posteriorinferior P: <\/span><\/i>Posterior; <\/i><\/b>A: Anterior; LC Lateral coracoids<\/span><\/i><\/p>\n

                                                                                                                        2.2.1. Ng\u00f5 sau (Posterior – P)<\/i><\/h4>\n
                                                                                                                          \n
                                                                                                                        • Ng\u00f5 quan tr\u1ecdng gi\u00fap \u0111\u01b0a d\u1ee5ng c\u1ee5 v\u00e0o x\u1eed l\u00fd m\u00e0ng ho\u1ea1t d\u1ecbch ph\u00eda sau, ch\u00f3p xoay, m\u1ecfm c\u00f9ng vai v\u00e0 c\u1ee7 l\u1edbn x\u01b0\u01a1ng c\u00e1nh tay<\/span><\/li>\n<\/ul>\n
                                                                                                                            \n
                                                                                                                          • V\u1ecb tr\u00ed tr\u00ean da t\u01b0\u01a1ng \u1ee9ng v\u1ecb tr\u00ed ng\u00f5 sau v\u00e0o kh\u1edbp vai.<\/span><\/li>\n<\/ul>\n
                                                                                                                              \n
                                                                                                                            • Sau khi qua da \u0111\u01b0a trocar h\u01b0\u1edbng v\u1ec1 ph\u00eda khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai.<\/span><\/li>\n<\/ul>\n
                                                                                                                                \n
                                                                                                                              • Qua \u0111\u00f3 ch\u00fang ta c\u00f3 th\u1ec3 quan s\u00e1t \u0111\u01b0\u1ee3c to\u00e0n b\u1ed9 kh\u00f4ng gian d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai, kh\u1edbp c\u00f9ng \u0111\u00f2n, d\u00e2y ch\u1eb1ng qu\u1ea1 \u0111\u00f2n, g\u00e2n nh\u1ecb \u0111\u1ea7u \u1edf ngo\u00e0i kh\u1edbp…<\/span><\/li>\n<\/ul>\n

                                                                                                                                2.2.2. Ng\u00f5 ngo\u00e0i khoang d\u01b0\u1edbi m\u1ecfm <\/i>c\u00f9ng (Lateral Subacromial (LSA))<\/i><\/h4>\n
                                                                                                                                  \n
                                                                                                                                • Quan s\u00e1t th\u1ea5y g\u00e2n tr\u00ean gai v\u00e0 d\u01b0\u1edbi gai h\u00f2a nh\u1eadp v\u00e0o nhau v\u00e0 b\u00e1m v\u00e0o c\u1ee7 l\u1edbn x\u01b0\u01a1ng c\u00e1nh tay, kh\u1edbp c\u00f9ng \u0111\u00f2n, ph\u00eda tr\u01b0\u1edbc m\u1ecfm c\u00f9ng vai v\u00e0 m\u00e0ng ho\u1ea1t d\u1ecbch ph\u00eda sau.<\/span><\/li>\n<\/ul>\n
                                                                                                                                    \n
                                                                                                                                  • V\u1ecb tr\u00ed \u1edd ngo\u00e0i 2,5 -3 cm v\u00e0 ra sau 0-1 cm so v\u1edbi g\u00f3c tr\u01b0\u1edbc ngo\u00e0i c\u1ee7a m\u1ecfm c\u00f9ng vai.<\/span><\/li>\n<\/ul>\n

                                                                                                                                    2.2.3. Ng\u00f5 tr\u01b0\u1edbc ngo\u00e0i khoang d\u01b0\u1edbi <\/i>m\u1ecfm c\u00f9ng (Anterolateral Subacromial (ALSA))<\/i><\/h4>\n
                                                                                                                                      \n
                                                                                                                                    • V\u1ecb tr\u00ed x\u00e1c \u0111\u1ecbnh t\u01b0\u01a1ng t\u1ef1 nh\u01b0 ng\u00f5 AL v\u00e0o kh\u1edbp vai nh\u01b0ng h\u01b0\u1edbng v\u1ec1 ph\u00eda khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai.<\/span><\/li>\n<\/ul>\n
                                                                                                                                        \n
                                                                                                                                      • Khi \u1edf ph\u00eda tr\u01b0\u1edbc khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai gi\u00fap ch\u00fang ta quan s\u00e1t g\u00e2n nh\u1ecb \u0111\u1ea7u \u1edf ngo\u00e0i kh\u1edbp, m\u1eb7t ho\u1ea1t d\u1ecbch g\u00e2n d\u01b0\u1edbi vai v\u00e0 c\u00fa b\u00e9<\/span><\/li>\n<\/ul>\n
                                                                                                                                          \n
                                                                                                                                        • \u0110\u01b0a d\u1ee5ng c\u1ee5 v\u00e0o c\u00f3 th\u1ec3 gi\u1ea3i ph\u00f3ng hay kh\u00e2u g\u00e2n d\u01b0\u1edbi vai, t\u1ea1o h\u00ecnh m\u1ecfm qu\u1ea1…<\/span><\/li>\n<\/ul>\n
                                                                                                                                            \n
                                                                                                                                          • V\u1ecb tr\u00ed \u1edf kho\u1ea3ng 1 <\/span>cm ph\u00eda <\/span>tr\u01b0\u1edbc v\u00e0 ra ngo\u00e0i 1-1,5 cm so v\u1edbi g\u00f3c tr\u01b0\u1edbc ngo\u00e0i c\u1ee7a m\u1ecfm c\u00f9ng vai.<\/span><\/li>\n<\/ul>\n

                                                                                                                                            2.2.4. Ng\u00f5 tr\u01b0\u1edbc khoang d\u01b0\u1edbi m\u1ecfm <\/i>c\u00f9ng (Anterior Subacromial-ASA)<\/i><\/h4>\n
                                                                                                                                              \n
                                                                                                                                            • \u0110i\u1ec3m v\u00e0o t\u01b0\u01a1ng t\u1ef1 nh\u01b0 ng\u00f5 tr\u01b0\u1edbc v\u00e0o kh\u1edbp vai nh\u01b0ng h\u01b0\u1edbng v\u1ec1 khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai.<\/span><\/li>\n<\/ul>\n
                                                                                                                                                \n
                                                                                                                                              • Gi\u00fap quan s\u00e1t khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai nh\u01b0ng th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 ki\u1ebfm so\u00e1t qu\u00e1 tr\u00ecnh kh\u00e2u.<\/span><\/li>\n<\/ul>\n

                                                                                                                                                2.2.5. Ng\u00f5 sau ngo\u00e0i khoang <\/i>d\u01b0\u1edbi m\u1ecfm c\u00f9ng (Posterolateral <\/i>Subacromial (PLSA))<\/i><\/h4>\n
                                                                                                                                                  \n
                                                                                                                                                • Ng\u00f5 ch\u00ednh \u0111\u1ec3 x\u1eed l\u00fd b\u1ec7nh l\u00fd r\u00e1ch ch\u00f3p xoay<\/span><\/li>\n<\/ul>\n
                                                                                                                                                    \n
                                                                                                                                                  • Nh\u00ecn th\u1ea5y kho\u1ea3ng kh\u00f4ng gian d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai v\u00e0 m\u1eb7t ho\u1ea1t d\u1ecbch g\u00e2n ch\u00f3p xoay<\/span><\/li>\n<\/ul>\n
                                                                                                                                                      \n
                                                                                                                                                    • V\u1ecb tr\u00ed v\u00e0o kho\u1ea3ng 1 cm ph\u00eda tr\u01b0\u1edbc v\u00e0 ra ngo\u00e0i lcm so v\u1edbi g\u00f3c sau ngo\u00e0i c\u1ee7a m\u1ecfm c\u00f9ng vai<\/span><\/li>\n<\/ul>\n

                                                                                                                                                      2.2.6.N<\/i>g\u00f5<\/i> ngo\u00e0i khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng (Lateral acromial (LA))<\/i><\/b><\/h4>\n
                                                                                                                                                        \n
                                                                                                                                                      • Ng\u00f5 ch\u00ednh gi\u00fap \u0111\u01b0a d\u1ee5ng c\u1ee5 v\u00e0o ti\u1ebfp c\u1eadn c\u1ee7 l\u1edbn x\u01b0\u01a1ng c\u00e1nh tay gi\u00fap khoan, t\u1ea1o Microfracture, hay \u0111\u1eb7t neo ch\u1ec9 c\u1ed1 \u0111\u1ecbnh g\u00e2n ch\u00f3p xoay.<\/span><\/li>\n<\/ul>\n
                                                                                                                                                          \n
                                                                                                                                                        • V\u1ecb tr\u00ed v\u00e0o \u1edf ch\u00ednh gi\u1eefa b\u1edd ngo\u00e0i c\u1ee7a m\u1ecfm c\u00f9ng vai h\u01b0\u1edbng v\u00e0o khoang d\u01b0\u1edbi m\u1ecfm.<\/span><\/li>\n<\/ul>\n

                                                                                                                                                          2.2.7. Ng\u00f5<\/i><\/b> tr<\/i>\u00ean<\/i> trong (Superomedial (SM)) hay ng\u00f5 Neviaser)<\/i><\/b><\/h4>\n
                                                                                                                                                            \n
                                                                                                                                                          • D\u00f9ng \u0111\u1ec3 \u0111\u01b0a ch\u1ec9 kh\u00e2u ho\u1eb7c d\u1ee5ng c\u1ee5 s\u1eeda ch\u1eefa t\u1ed5n th\u01b0\u01a1ng ch\u00f3p xoay.<\/span><\/li>\n<\/ul>\n
                                                                                                                                                              \n
                                                                                                                                                            • V\u1ecb tr\u00ed \u1edf trong 1 cm so v\u1edbi b\u1edd sau c\u1ee7a kh\u1edbp c\u00f9ng vai \u0111\u00f2n.<\/span><\/li>\n<\/ul>\n

                                                                                                                                                              2.2.8. Ng\u00f5 tr\u01b0\u1edbc<\/i><\/b> kh<\/i>\u1edbp<\/i> c\u00f9ng \u0111\u00f2n <\/i><\/b>(Anterior acromiaclavicular (AAC))<\/i><\/b><\/h4>\n
                                                                                                                                                                \n
                                                                                                                                                              • T\u1ea1o ra \u0111\u01b0\u1eddng v\u00e0o ph\u00eda tr\u01b0\u1edbc \u0111\u1ec3 c\u1eaft b\u1ecf \u0111\u1ea7u xa x\u01b0\u01a1ng \u0111\u00f2n<\/span><\/li>\n
                                                                                                                                                              • \u1ede 2 cm ph\u00eda tr\u01b0\u1edbc d\u01b0\u1edbi kh\u1edbp c\u00f9ng vai \u0111\u00f2n.<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

                                                                                                                                                                C\u00f9ng v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n nhanh ch\u00f3ng c\u1ee7a ng\u00e0nh ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh, s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a n\u1ed9i soi kh\u1edbp vai c\u00f3 nh\u1eefng b\u01b0\u1edbc ti\u1ebfn v\u01b0\u1ee3t b\u1eadc t\u1eeb \u0111\u00f3 gi\u00fap cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00e1c t\u1ed5n th\u01b0\u01a1ng hi\u1ec7u qu\u1ea3, \u0111\u1ea3m b\u1ea3o ch\u1ee9c n\u0103ng v\u00e0 th\u1ea9m m\u1ef9 cho b\u1ec7nh nh\u00e2n. Ph\u1ea7n \u0111\u1ea1i c\u01b0\u01a1ng v\u00e0 l\u1ecbch s\u1eed […]<\/p>\n","protected":false},"author":15,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[40],"tags":[3],"yoast_head":"\nPh\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai - T\u01b0 th\u1ebf v\u00e0 \u0111\u01b0\u1eddng v\u00e0o - Vinmec<\/title>\n<meta name=\"description\" content=\"Ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai l\u00e0 m\u1ed9t ph\u1eabu thu\u1eadt x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u, gi\u00fap \u0111i\u1ec1u tr\u1ecb ch\u00ednh x\u00e1c, hi\u1ec7u qu\u1ea3 v\u00e0 x\u1eed l\u00ed \u0111\u01b0\u1ee3c nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p kh\u00f3.\" \/>\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=\"Ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai - 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