{"id":1120,"date":"2023-04-06T12:00:39","date_gmt":"2023-04-06T05:00:39","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=bai-giang&#038;p=1120"},"modified":"2023-04-11T21:54:33","modified_gmt":"2023-04-11T14:54:33","slug":"ton-thuong-day-chang-cheo","status":"publish","type":"bai-giang","link":"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/ton-thuong-day-chang-cheo\/","title":{"rendered":"Cruciate Ligament Injury"},"content":{"rendered":"<h2>\u0110\u1eb6C \u0110I\u1ec2M CHUNG<\/h2>\n<p>H\u1ec7 th\u1ed1ng d\u00e2y ch\u1eb1ng ch\u00e9o g\u1ed3m hai d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc v\u00e0 ch\u00e9o sau n\u1eb1m theo tr\u1ee5c d\u1ecdc c\u1ee7a kh\u1edbp, b\u1eaft ch\u00e9o nhau theo c\u1ea3 m\u1eb7t ph\u1eb3ng \u0111\u1ee9ng d\u1ecdc v\u00e0 \u0111\u1ee9ng ngang \u1edf ngay gi\u1eefa trung t\u00e2m c\u1ee7a <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/khai-thac-benh-su-va-tien-can-benh-ly-ngoai-chan-thuong\/\">kh\u1edbp g\u1ed1i<\/a>.<\/p>\n<p>V\u1ec1 ph\u01b0\u01a1ng di\u1ec7n gi\u1ea3i ph\u1eabu hai d\u00e2y ch\u1eb1ng ch\u00e9o n\u1eb1m trong bao kh\u1edbp v\u00e0 n\u1eb1m ngo\u00e0i bao d\u1ecbch kh\u1edbp g\u1ed1i.<\/p>\n<p><figure id=\"attachment_1121\" aria-describedby=\"caption-attachment-1121\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-medium wp-image-1121\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Giai-phau-day-chang-cheo-truoc-1-300x125.jpg\" alt=\"Gi\u1ea3i Ph\u1eabu D\u00e2y Ch\u1eb1ng Ch\u00e9o Tr\u01b0\u1edbc [1]\" width=\"300\" height=\"125\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Giai-phau-day-chang-cheo-truoc-1-300x125.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Giai-phau-day-chang-cheo-truoc-1-18x8.jpg 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Giai-phau-day-chang-cheo-truoc-1.jpg 427w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1121\" class=\"wp-caption-text\"><strong>H\u00ecnh 25.1. <\/strong>Gi\u1ea3i Ph\u1eabu D\u00e2y Ch\u1eb1ng Ch\u00e9o Tr\u01b0\u1edbc<\/figcaption><\/figure> <figure id=\"attachment_1122\" aria-describedby=\"caption-attachment-1122\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-medium wp-image-1122\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Giai-phau-day-chang-cheo-sau-1-300x91.jpg\" alt=\"Gi\u1ea3i Ph\u1eabu D\u00e2y Ch\u1eb1ng Ch\u00e9o Sau [1]\" width=\"300\" height=\"91\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Giai-phau-day-chang-cheo-sau-1-300x91.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Giai-phau-day-chang-cheo-sau-1-18x5.jpg 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Giai-phau-day-chang-cheo-sau-1.jpg 460w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1122\" class=\"wp-caption-text\"><strong>H\u00ecnh 25.2. <\/strong>Gi\u1ea3i Ph\u1eabu D\u00e2y Ch\u1eb1ng Ch\u00e9o Sau<\/figcaption><\/figure><\/p>\n<p><a href=\"https:\/\/vi.wikipedia.org\/wiki\/D%C3%A2y_ch%E1%BA%B1ng\" target=\"_blank\" rel=\"noopener\">D\u00e2y ch\u1eb1ng<\/a> ch\u00e9o tr\u01b0\u1edbc ngo\u00e0i l\u00e0 m\u1ed9t d\u1ea3i s\u1ee3i d\u00e0y ch\u1eafc r\u1ed9ng trung b\u00ecnh 1,2 cm; d\u00e0i trung b\u00ecnh 3,5 cm \u0111i t\u1eeb m\u1eb7t trong l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng \u0111\u00f9i t\u1edbi di\u1ec7n tr\u01b0\u1edbc gai m\u00e2m ch\u00e0y, ph\u00eda sau s\u1eebng tr\u01b0\u1edbc c\u1ee7a <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/ton-thuong-sun-chem-khop-goi\/\">s\u1ee5n ch\u00eam<\/a> trong, c\u00f3 t\u00e1c d\u1ee5ng gi\u1eef cho m\u00e2m ch\u00e0y kh\u00f4ng b\u1ecb tr\u01b0\u1ee3t ra tr\u01b0\u1edbc.<\/p>\n<p>D\u00e2y ch\u1eb1ng ch\u00e9o sau trong g\u1ed3m c\u00e1c b\u00f3 s\u1ee3i r\u1ed9ng kho\u1ea3ng 1,3 cm v\u00e0 d\u00e0i kho\u1ea3ng 3,3 cm \u0111i t\u1eeb m\u1eb7t ngo\u00e0i l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i t\u1edbi b\u1edd sau m\u00e2m ch\u00e0y, gi\u1eef cho m\u00e2m ch\u00e0y kh\u00f4ng b\u1ecb tr\u01b0\u1ee3t ra sau.<\/p>\n<p>C\u00e1c th\u01b0\u01a1ng t\u1ed5n \u0111\u1ee9t ho\u1eb7c bong \u0111i\u1ec3m b\u00e1m d\u00e2y ch\u1eb1ng ch\u00e9o c\u00f3 th\u1ec3 k\u00e8m theo <a href=\"https:\/\/bsvothanhtoan.com\/en\/chuyen-de\/lam-sang-rach-sun-chem\/\">r\u00e1ch s\u1ee5n ch\u00eam<\/a>, \u0111\u1ee9t <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/ton-thuong-day-chang-ben\/\">d\u00e2y ch\u1eb1ng b\u00ean<\/a>. Th\u1ef1c t\u1ebf c\u1ea7n ph\u1ea3i ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, \u0111\u00fang ph\u01b0\u01a1ng ph\u00e1p m\u1edbi tr\u00e1nh \u0111\u01b0\u1ee3c nh\u1eefng bi\u1ebfn ch\u1ee9ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111\u1ed9 v\u1eefng ch\u1eafc c\u1ee7a kh\u1edbp g\u1ed1i sau n\u00e0y.<\/p>\n<h2>NGUY\u00caN NH\u00c2N V\u00c0 C\u01a0 CH\u1ebe<\/h2>\n<ul>\n<li>Ch\u1ea5n th\u01b0\u01a1ng tr\u1ef1c ti\u1ebfp:<\/li>\n<\/ul>\n<p>+ L\u1ef1c ch\u1ea5n th\u01b0\u01a1ng t\u00e1c \u0111\u1ed9ng t\u1eeb ph\u00eda tr\u01b0\u1edbc, \u0111\u1ea9y l\u00f9i ra sau, khi g\u1ed1i \u1edf t\u01b0 th\u1ebf du\u1ed7i s\u1ebd l\u00e0m \u0111\u1ee9t d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc, c\u01a1 ch\u1ebf n\u00e0y g\u1eb7p trong \u0111\u00e1 b\u00f3ng.<\/p>\n<p><figure id=\"attachment_1123\" aria-describedby=\"caption-attachment-1123\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-medium wp-image-1123\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Co-che-dut-day-chang-cheo-truoc-300x223.jpg\" alt=\"C\u01a1 Ch\u1ebf \u0111\u1ee9t D\u00e2y Ch\u1eb1ng Ch\u00e9o Tr\u01b0\u1edbc\" width=\"300\" height=\"223\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Co-che-dut-day-chang-cheo-truoc-300x223.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Co-che-dut-day-chang-cheo-truoc-16x12.jpg 16w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Co-che-dut-day-chang-cheo-truoc.jpg 366w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1123\" class=\"wp-caption-text\"><strong>H\u00ecnh 25.3. <\/strong>C\u01a1 Ch\u1ebf \u0111\u1ee9t D\u00e2y Ch\u1eb1ng Ch\u00e9o Tr\u01b0\u1edbc [1]<\/figcaption><\/figure> <figure id=\"attachment_1124\" aria-describedby=\"caption-attachment-1124\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1124\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Co-che-dut-day-chang-cheo-sau-4-300x194.jpg\" alt=\"C\u01a1 Ch\u1ebf \u0111\u1ee9t D\u00e2y Ch\u1eb1ng Ch\u00e9o Sau [4]\" width=\"300\" height=\"194\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Co-che-dut-day-chang-cheo-sau-4-300x194.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Co-che-dut-day-chang-cheo-sau-4-18x12.jpg 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Co-che-dut-day-chang-cheo-sau-4.jpg 557w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1124\" class=\"wp-caption-text\"><strong>H\u00ecnh 25.4.<\/strong>C\u01a1 Ch\u1ebf \u0111\u1ee9t D\u00e2y Ch\u1eb1ng Ch\u00e9o Sau<\/figcaption><\/figure><\/p>\n<p>+ Khi l\u1ef1c ch\u1ea5n th\u01b0\u01a1ng t\u00e1c \u0111\u1ed9ng v\u00e0o \u0111\u1ea7u tr\u00ean hai x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n theo h\u01b0\u1edbng t\u1eeb tr\u01b0\u1edbc ra sau, trong t\u01b0 th\u1ebf g\u1ed1i g\u1ea5p, \u0111\u00f9i b\u1ecb x\u00f4 ra tr\u01b0\u1edbc l\u00e0m cho d\u00e2y ch\u1eb1ng ch\u00e9o sau b\u1ecb \u0111\u1ee9t, c\u01a1 ch\u1ebf n\u00e0y g\u1eb7p trong tai n\u1ea1n \u0111i xe m\u00e1y \u0111\u1eadp c\u1eb3ng ch\u00e2n v\u00e0o c\u1ed9t m\u1ed1c b\u00ean \u0111\u01b0\u1eddng.<\/p>\n<p>+ Khi l\u1ef1c ch\u1ea5n th\u01b0\u01a1ng r\u1ea5t m\u1ea1nh \u0111\u1eadp tr\u1ef1c ti\u1ebfp v\u00e0o kh\u1edbp g\u1ed1i c\u00f3 th\u1ec3 l\u00e0m to\u00e0n b\u1ed9 kh\u1edbp g\u1ed1i b\u1ecb th\u01b0\u01a1ng t\u1ed5n nh\u01b0 sai kh\u1edbp g\u1ed1i, v\u1ee1 m\u00e2m ch\u00e0y v\u00e0 k\u00e8m theo \u0111\u1ee9t c\u00e1c d\u00e2y ch\u1eb1ng ch\u00e9o.<\/p>\n<p>&#8211; Ch\u1ea5n th\u01b0\u01a1ng gi\u00e1n ti\u1ebfp c\u00f3 c\u00f9ng nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf v\u1edbi r\u00e1ch s\u1ee5n ch\u00eam v\u00e0 t\u1ed5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng b\u00ean.<\/p>\n<h2>M\u00d4 B\u1ec6NH H\u1eccC<\/h2>\n<ul>\n<li>V\u1ecb tr\u00ed: \u0111\u1ed1i v\u1edbi d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc c\u00f3 th\u1ec3 bong \u1edf ch\u1ed7 b\u00e1m t\u1eadn v\u00e0o gai ch\u00e0y ho\u1eb7c \u0111\u1ee9t ph\u1ea7n th\u00e2n d\u00e2y ch\u1eb1ng. \u0110\u1ed1i v\u1edbi d\u00e2y ch\u1eb1ng ch\u00e9o sau trong th\u01b0\u1eddng \u0111\u1ee9t \u1edf ph\u1ea7n tr\u00ean ch\u1ed7 b\u00e1m t\u1eadn nh\u01b0ng c\u0169ng g\u1eb7p kh\u00e1 nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p bong \u0111i\u1ec3m b\u00e1m d\u00e2y ch\u1eb1ng ch\u00e9o \u1edf m\u00e2m ch\u00e0y.<\/li>\n<li>H\u00ecnh th\u00e1i t\u1ed5n th\u01b0\u01a1ng c\u00e1c d\u00e2y ch\u1eb1ng ch\u00e9o: c\u00e1c d\u00e2y ch\u1eb1ng ch\u00e9o c\u00f3 th\u1ec3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng \u0111\u01a1n thu\u1ea7n m\u1ed9t d\u00e2y ch\u1eb1ng nh\u01b0ng c\u0169ng c\u00f3 khi t\u1ed5n th\u01b0\u01a1ng c\u1ea3 hai d\u00e2y ch\u1eb1ng c\u00f9ng l\u00fac v\u00e0 c\u00f3 th\u1ec3 k\u00e8m theo c\u00e1c t\u1ed5n th\u01b0\u01a1ng kh\u00e1c. C\u00e1c d\u00e2y ch\u1eb1ng c\u00f3 th\u1ec3 ch\u1ec9 b\u1ecb c\u0103ng gi\u00e3n, \u0111\u1ee9t m\u1ed9t ph\u1ea7n, b\u1ecb bong \u0111i\u1ec3m b\u00e1m t\u1eadn v\u00e0 nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p \u0111\u1ee9t \u0111o\u1ea1n ho\u00e0n to\u00e0n d\u00e2y ch\u1eb1ng.<\/li>\n<\/ul>\n<h2>TRI\u1ec6U CH\u1ee8NG L\u00c2M S\u00c0NG V\u00c0 H\u00ccNH \u1ea2NH X-QUANG<\/h2>\n<h3>Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/h3>\n<p>&#8211; Tri\u1ec7u ch\u1ee9ng ch\u1ee7 quan: sau m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng v\u00f9ng kh\u1edbp g\u1ed1i b\u1ec7nh nh\u00e2n th\u1ea5y:<\/p>\n<p>+ Kh\u1edbp g\u1ed1i s\u01b0ng n\u1ec1 to<\/p>\n<p>+ Gi\u1ea3m ho\u1eb7c m\u1ea5t g\u1ea7n ho\u00e0n to\u00e0n c\u01a1 n\u0103ng kh\u1edbp g\u1ed1i<\/p>\n<p>+ \u0110au trong kh\u1edbp, nh\u1ea5t l\u00e0 khi l\u00e0m \u0111\u1ed9ng t\u00e1c g\u1ea5p, du\u1ed7i v\u00e0 xoay c\u1eb3ng ch\u00e2n.<\/p>\n<p>&#8211; Tri\u1ec7u ch\u1ee9ng kh\u00e1ch quan:<\/p>\n<p>+ Kh\u1edbp g\u1ed1i c\u00f3 tr\u00e0n d\u1ecbch m\u00e1u, ch\u1ecdc h\u00fat kh\u1edbp g\u1ed1i c\u00f3 m\u00e1u t\u1ee5. C\u00e1c tr\u01b0\u1eddng h\u1ee3p bong \u0111i\u1ec3m b\u00e1m t\u1eadn th\u00ec ch\u1ecdc h\u00fat c\u00f3 nhi\u1ec1u d\u1ecbch m\u00e1u l\u1eabn v\u00e1ng m\u1ee1<\/p>\n<p>+ D\u1ea5u hi\u1ec7u ng\u0103n k\u00e9o: b\u1ec7nh nh\u00e2n n\u1eb1m ng\u1eeda, g\u1ed1i g\u1ea5p 90<sup>o<\/sup>, h\u00e1ng g\u1ea5p 45<sup>o<\/sup>, c\u1ed1 \u0111\u1ecbnh b\u00e0n ch\u00e2n b\u1ec7nh nh\u00e2n b\u1eb1ng c\u00e1ch ng\u1ed3i, \u0111\u00e8 l\u00ean ph\u1ea7n tr\u01b0\u1edbc b\u00e0n ch\u00e2n. Hai b\u00e0n tay ng\u01b0\u1eddi kh\u00e1m v\u00f2ng ra ph\u00eda sau c\u1eb3ng ch\u00e2n, \u00f4m l\u1ea5y \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng ch\u00e0y v\u00e0 k\u00e9o ra tr\u01b0\u1edbc ho\u1eb7c \u0111\u1ea9y ra sau.<\/p>\n<p>D\u1ea5u hi\u1ec7u ng\u0103n k\u00e9o d\u01b0\u01a1ng t\u00ednh khi m\u00e2m ch\u00e0y d\u1ecbch chuy\u1ec3n ra tr\u01b0\u1edbc ho\u1eb7c ra sau l\u1edbn h\u01a1n 5 mm so v\u1edbi b\u00ean l\u00e0nh. M\u00e2m ch\u00e0y d\u1ecbch chuy\u1ec3n ra tr\u01b0\u1edbc l\u00e0 \u0111\u1ee9t d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc v\u00e0 d\u1ecbch chuy\u1ec3n ra sau l\u00e0 \u0111\u1ee9t d\u00e2y ch\u1eb1ng ch\u00e9o sau. N\u1ebfu di \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng c\u1ea3 ra ph\u00eda tr\u01b0\u1edbc v\u00e0 ph\u00eda sau l\u00e0 \u0111\u1ee9t c\u1ea3 hai d\u00e2y ch\u1eb1ng<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1125 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Kham-tim-dau-hieu-ngan-keo-ra-truoc-ra-sau-de-phat-hien-ton-thuong-day-chang-cheo-truoc-va-day-chang-cheo-sau-3-249x300.png\" alt=\"Kh\u00e1m T\u00ecm D\u1ea5u Hi\u1ec7u Ng\u0103n K\u00e9o Ra Tr\u01b0\u1edbc, Ra Sau \u0111\u1ec3 Ph\u00e1t Hi\u1ec7n T\u1ed5n Th\u01b0\u01a1ng D\u00e2y Ch\u1eb1ng Ch\u00e9o Tr\u01b0\u1edbc V\u00e0 D\u00e2y Ch\u1eb1ng Ch\u00e9o Sau [3]\" width=\"249\" height=\"300\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Kham-tim-dau-hieu-ngan-keo-ra-truoc-ra-sau-de-phat-hien-ton-thuong-day-chang-cheo-truoc-va-day-chang-cheo-sau-3-249x300.png 249w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Kham-tim-dau-hieu-ngan-keo-ra-truoc-ra-sau-de-phat-hien-ton-thuong-day-chang-cheo-truoc-va-day-chang-cheo-sau-3-852x1024.png 852w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Kham-tim-dau-hieu-ngan-keo-ra-truoc-ra-sau-de-phat-hien-ton-thuong-day-chang-cheo-truoc-va-day-chang-cheo-sau-3-768x923.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Kham-tim-dau-hieu-ngan-keo-ra-truoc-ra-sau-de-phat-hien-ton-thuong-day-chang-cheo-truoc-va-day-chang-cheo-sau-3-10x12.png 10w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Kham-tim-dau-hieu-ngan-keo-ra-truoc-ra-sau-de-phat-hien-ton-thuong-day-chang-cheo-truoc-va-day-chang-cheo-sau-3.png 1052w\" sizes=\"(max-width: 249px) 100vw, 249px\" \/><\/p>\n<figure id=\"attachment_1126\" aria-describedby=\"caption-attachment-1126\" style=\"width: 221px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1126\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Kham-tim-dau-hieu-ngan-keo-ra-truoc-ra-sau-de-phat-hien-ton-thuong-day-chang-cheo-truoc-va-day-chang-cheo-sau-221x300.jpg\" alt=\"Kh\u00e1m T\u00ecm D\u1ea5u Hi\u1ec7u Ng\u0103n K\u00e9o Ra Tr\u01b0\u1edbc, Ra Sau \u0111\u1ec3 Ph\u00e1t Hi\u1ec7n T\u1ed5n Th\u01b0\u01a1ng D\u00e2y Ch\u1eb1ng Ch\u00e9o Tr\u01b0\u1edbc V\u00e0 D\u00e2y Ch\u1eb1ng Ch\u00e9o Sau\" width=\"221\" height=\"300\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Kham-tim-dau-hieu-ngan-keo-ra-truoc-ra-sau-de-phat-hien-ton-thuong-day-chang-cheo-truoc-va-day-chang-cheo-sau-221x300.jpg 221w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Kham-tim-dau-hieu-ngan-keo-ra-truoc-ra-sau-de-phat-hien-ton-thuong-day-chang-cheo-truoc-va-day-chang-cheo-sau-9x12.jpg 9w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Kham-tim-dau-hieu-ngan-keo-ra-truoc-ra-sau-de-phat-hien-ton-thuong-day-chang-cheo-truoc-va-day-chang-cheo-sau.jpg 232w\" sizes=\"(max-width: 221px) 100vw, 221px\" \/><figcaption id=\"caption-attachment-1126\" class=\"wp-caption-text\"><strong>H\u00ecnh 25.5.<\/strong>Kh\u00e1m T\u00ecm D\u1ea5u Hi\u1ec7u Ng\u0103n K\u00e9o Ra Tr\u01b0\u1edbc, Ra Sau \u0111\u1ec3 Ph\u00e1t Hi\u1ec7n T\u1ed5n Th\u01b0\u01a1ng D\u00e2y Ch\u1eb1ng Ch\u00e9o Tr\u01b0\u1edbc V\u00e0 D\u00e2y Ch\u1eb1ng Ch\u00e9o Sau<\/figcaption><\/figure>\n<p>D\u1ea5u hi\u1ec7u Lachmann: b\u1ec7nh nh\u00e2n n\u1eb1m ng\u1eeda, g\u1ed1i g\u1ea5p 20 \u2013 30<sup>o<\/sup>, ng\u01b0\u1eddi kh\u00e1m d\u00f9ng tay tr\u00e1i c\u1ed1 \u0111\u1ecbnh \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i, tay ph\u1ea3i n\u1eafm l\u1ea5y \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng ch\u00e0y \u0111\u01b0a ra tr\u01b0\u1edbc ho\u1eb7c ra sau. D\u1ea5u hi\u1ec7u n\u00e0y d\u01b0\u01a1ng t\u00ednh khi th\u1ea5y m\u00e2m ch\u00e0y di chuy\u1ec3n ra tr\u01b0\u1edbc ho\u1eb7c ra sau nhi\u1ec1u h\u01a1n so v\u1edbi b\u00ean l\u00e0nh, g\u00e2n b\u00e1nh ch\u00e8 n\u1ed5i l\u00ean v\u00e0 c\u00f3 c\u1ea3m gi\u00e1c g\u1ed1i b\u1ecb l\u1ecfng l\u1ebbo. \u1ede c\u00e1c b\u1ec7nh nh\u00e2n b\u00e9o ph\u00ec ho\u1eb7c m\u1edbi b\u1ecb ch\u1ea5n th\u01b0\u01a1ng, kh\u00e1m t\u00ecm d\u1ea5u hi\u1ec7u n\u00e0y kh\u00f3 kh\u0103n.<\/p>\n<h3>Ch\u1ee5p X-quang<\/h3>\n<p>Ch\u1ee5p <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/x-quang-trong-chan-thuong-chinh-hinh\/\">X-quang<\/a> kh\u1edbp g\u1ed1i hai t\u01b0 th\u1ebf th\u1eb3ng, nghi\u00eang; t\u01b0 th\u1ebf nghi\u00eang v\u1edbi g\u1ed1i g\u1ea5p 45O; c\u00f3 l\u00e0m d\u1ea5u hi\u1ec7u ng\u0103n k\u00e9o \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 di l\u1ec7ch c\u1ee7a m\u00e2m ch\u00e0y.<\/p>\n<h2>CH\u1ea8N \u0110O\u00c1N X\u00c1C \u0110\u1ecaNH V\u00c0 CH\u1ea8N \u0110O\u00c1N PH\u00c2N BI\u1ec6T<\/h2>\n<ul>\n<li>Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh: th\u01b0\u1eddng ch\u1ec9 c\u1ea7n d\u1ef1a v\u00e0o tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 d\u1ea5u hi\u1ec7u ng\u0103n k\u00e9o c\u0169ng \u0111\u1ee7 \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh l\u00e0 \u0111\u1ee9t d\u00e2y ch\u1eb1ng ch\u00e9o. Tuy nhi\u00ean trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p d\u1ea5u hi\u1ec7u ng\u0103n k\u00e9o v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p th\u0103m kh\u00e1m kh\u00e1c cho k\u1ebft qu\u1ea3 kh\u00f4ng r\u00f5 r\u00e0ng th\u00ec ch\u1ea9n \u0111o\u00e1n b\u1eb1ng n\u1ed9i soi l\u00e0 c\u1ea7n thi\u1ebft.<\/li>\n<li>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t: v\u1edbi c\u00e1c ch\u1ea5n th\u01b0\u01a1ng kh\u1edbp g\u1ed1i kh\u00e1c<\/li>\n<\/ul>\n<p>+ \u0110\u1ee9t d\u00e2y ch\u1eb1ng b\u00ean: d\u1ea5u hi\u1ec7u h\u00e1 kh\u1edbp d\u01b0\u01a1ng t\u00ednh r\u1ea5t r\u00f5<\/p>\n<p>+ T\u1ed5n th\u01b0\u01a1ng s\u1ee5n ch\u00eam: d\u1ea5u hi\u1ec7u k\u1eb9t kh\u1edbp d\u01b0\u01a1ng t\u00ednh v\u00e0 n\u1ebfu c\u1ea7n th\u00ec <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/noi-soi-khop-co-ban\/\">n\u1ed9i soi kh\u1edbp<\/a> g\u1ed1i \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh.<\/p>\n<h2>TI\u1ebeN TRI\u1ec2N V\u00c0 BI\u1ebeN CH\u1ee8NG<\/h2>\n<h3>Ti\u1ebfn tri\u1ec3n b\u00ecnh th\u01b0\u1eddng<\/h3>\n<p>\u0110\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1ee9t m\u1ed9t ph\u1ea7n d\u00e2y ch\u1eb1ng ch\u00e9o ho\u1eb7c bong \u0111i\u1ec3m b\u00e1m c\u1ee7a d\u00e2y ch\u1eb1ng, n\u1ebfu \u0111i\u1ec1u tr\u1ecb s\u1edbm v\u00e0 \u0111\u00fang ph\u01b0\u01a1ng ph\u00e1p s\u1ebd <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/phuc-hoi-chuc-nang-benh-nhan-cut-chi\/\">ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/a> ho\u00e0n to\u00e0n.<\/p>\n<p>\u0110\u1ee9t ho\u00e0n to\u00e0n d\u00e2y ch\u1eb1ng ch\u00e9o kh\u00f4ng th\u1ec3 t\u1ef1 li\u1ec1n \u0111\u01b0\u1ee3c m\u00e0 ph\u1ea3i ph\u1eabu thu\u1eadt t\u00e1i t\u1ea1o l\u1ea1i d\u00e2y ch\u1eb1ng ch\u00e9o ho\u1eb7c kh\u00e2u l\u1ea1i d\u00e2y ch\u1eb1ng ch\u00e9o b\u1eb1ng k\u1ef9 thu\u1eadt n\u1ed9i soi, n\u1ebfu l\u00e0m s\u1edbm s\u1ebd mang l\u1ea1i k\u1ebft qu\u1ea3.<\/p>\n<h3>Bi\u1ebfn ch\u1ee9ng<\/h3>\n<p>N\u1ebfu \u0111\u1ee9t c\u00e1c d\u00e2y ch\u1eb1ng ch\u00e9o m\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ebb d\u1eabn \u0111\u1ebfn:<\/p>\n<ul>\n<li>L\u1ecfng l\u1ebbo kh\u1edbp g\u1ed1i, \u0111\u1ec3 l\u00e2u g\u00e2y vi\u00eam v\u00e0 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/thoai-hoa-khop\/\">tho\u00e1i h\u00f3a kh\u1edbp<\/a> g\u1ed1i<\/li>\n<li>H\u1ea1n ch\u1ebf ch\u1ee9c n\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a kh\u1edbp g\u1ed1i.<\/li>\n<\/ul>\n<h2>\u0110I\u1ec0U TR\u1eca<\/h2>\n<h3>S\u01a1 c\u1ee9u<\/h3>\n<p>Khi \u0111\u00e3 ch\u1ea9n \u0111o\u00e1n l\u00e0 t\u1ed5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng ch\u00e9o th\u00ec c\u1ea7n ph\u1ea3i <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/so-cuu-bat-dong-gay-xuong\/\">b\u1ea5t \u0111\u1ed9ng<\/a> kh\u1edbp g\u1ed1i b\u1eb1ng n\u1eb9p \u0111\u00f9i \u2013 b\u00e0n ch\u00e2n ho\u1eb7c m\u00e1ng b\u1ed9t n\u00f4ng \u0111\u00f9i \u2013 c\u1ed5 ch\u00e2n, sau \u0111\u00f3 chuy\u1ec3n ngay v\u1ec1 tuy\u1ebfn sau \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n<h3>\u0110i\u1ec1u tr\u1ecb th\u1ef1c th\u1ee5<\/h3>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n:\n<ul>\n<li>+ Ch\u1ec9 \u0111\u1ecbnh cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1ee9t kh\u00f4ng ho\u00e0n to\u00e0n d\u00e2y ch\u1eb1ng ch\u00e9o, tr\u01b0\u1eddng h\u1ee3p bong \u0111i\u1ec3m b\u00e1m d\u00e2y ch\u1eb1ng ch\u00e9o \u0111\u1ed9 1, \u0111\u1ed9 2 do ch\u1ea5n th\u01b0\u01a1ng (\u0111\u1ed9 1: m\u1ea3nh x\u01b0\u01a1ng g\u1ed1c d\u00e2y ch\u1eb1ng ch\u00e9o m\u1edbi ch\u1ec9 bong ch\u01b0a di l\u1ec7ch, \u0111\u1ed9 2: d\u00e2y ch\u1eb1ng ch\u00e9o b\u1ecb nh\u1ed5 l\u00ean kh\u00f4ng ho\u00e0n to\u00e0n).<\/li>\n<li>+ C\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0y \u0111i\u1ec1u tr\u1ecb c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t, \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ch\u1ecdc h\u00fat m\u00e1u trong kh\u1edbp g\u1ed1i n\u1ebfu c\u00f3, <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/bo-bot\/\">b\u00f3 b\u1ed9t<\/a> \u0111\u00f9i \u2013 c\u1ed5 ch\u00e2n g\u1ed1i g\u1ea5p 10O\u00a0\u00a0trong 6 \u2013 8 tu\u1ea7n.<\/li>\n<\/ul>\n<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt: m\u1ed5 t\u00e1i t\u1ea1o l\u1ea1i d\u00e2y ch\u1eb1ng ch\u00e9o theo nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p.\n<ul>\n<li>+ Phu\u01a1ng ph\u00e1p t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o b\u1eb1ng g\u00e2n c\u01a1 m\u00e1c d\u00e0i, b\u1eb1ng c\u00e2n c\u01a1 c\u0103ng c\u00e2n \u0111\u00f9i c\u1ee7a Hey \u2013 Grove; d\u00f9ng g\u00e2n c\u01a1 t\u1ee9 \u0111\u1ea7u \u0111\u00f9i c\u1ee7a H. Bruckner; d\u00f9ng d\u1ea3i g\u00e2n b\u00e1nh ch\u00e8 c\u1ee7a Kennet \u2013 John, g\u00e2n c\u01a1 b\u00e1n g\u00e2n, c\u01a1 sinh \u0111\u00f4i.<\/li>\n<li>+ N\u1ebfu \u0111\u1ee9t c\u1ea3 hai d\u00e2y ch\u1eb1ng ch\u00e9o th\u00ec c\u00f3 th\u1ec3 t\u00e1i t\u1ea1o \u0111\u1ed3ng th\u1eddi hai d\u00e2y ch\u1eb1ng ch\u00e9o.<\/li>\n<li>+ Tr\u01b0\u1eddng h\u1ee3p nh\u1ed5 \u0111i\u1ec3m b\u00e1m ch\u00e0y c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc c\u00f3 th\u1ec3 kh\u00e2u c\u1ed1 \u0111\u1ecbnh l\u1ea1i ch\u1ed7 b\u00e1m c\u1ee7a d\u00e2y ch\u1eb1ng qua ph\u1eabu thu\u1eadt n\u1ed9i soi<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1127 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Picture11-300x232.jpg\" alt=\"Picture11\" width=\"300\" height=\"232\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Picture11-300x232.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Picture11-16x12.jpg 16w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Picture11.jpg 567w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"featured_media":1306,"comment_status":"open","ping_status":"closed","template":"","tags":[117,116,93,118,94,30],"chuyen-muc":[58],"class_list":["post-1120","bai-giang","type-bai-giang","status-publish","has-post-thumbnail","hentry","tag-cheo-sau","tag-cheo-truoc","tag-day-chang-cheo","tag-sun-chem","tag-sun-chem-khop-goi","tag-ton-thuong-sun-chem","chuyen-muc-dieu-tri-co-ban-trong-chan-thuong-chinh-hinh"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/1120","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang"}],"about":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/types\/bai-giang"}],"replies":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/comments?post=1120"}],"version-history":[{"count":0,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/1120\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/1306"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=1120"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=1120"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=1120"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}