{"id":1962,"date":"2023-06-29T07:00:03","date_gmt":"2023-06-29T00:00:03","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=bai-giang&#038;p=1962"},"modified":"2023-07-31T18:01:19","modified_gmt":"2023-07-31T11:01:19","slug":"keo-lien-tuc-trong-chan-thuong","status":"publish","type":"bai-giang","link":"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/keo-lien-tuc-trong-chan-thuong\/","title":{"rendered":"Continuous pulling in injury"},"content":{"rendered":"<h2><strong>1. GI\u1edaI THI\u1ec6U<\/strong><\/h2>\n<p>K\u00e9o li\u00ean t\u1ee5c l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">g\u00e3y x\u01b0\u01a1ng<\/a> l\u00e2u \u0111\u1eddi nh\u1ea5t. C\u00e1c nghi\u00ean c\u1ee9u ghi nh\u1eadn, k\u00e9o li\u00ean t\u1ee5c \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb \u1edf Ai C\u1eadp c\u1ed5 \u0111\u1ea1i c\u00e1ch \u0111\u00e2y 3.000 n\u0103m. B\u00ean c\u1ea1nh \u0111\u00f3, c\u00e1c b\u1ea3n th\u1ea3o c\u1ee7a Hippocrates c\u0169ng c\u00f3 th\u1ea3o lu\u1eadn v\u1ec1 l\u1ef1c k\u00e9o gi\u00e3n, ph\u1ea3n l\u1ef1c, l\u1ef1c k\u00e9o trong k\u00e9o li\u00ean t\u1ee5c.<\/p>\n<p>Tuy nhi\u00ean, khi y h\u1ecdc ng\u00e0y c\u00e0ng ph\u00e1t tri\u1ec3n v\u1edbi nhi\u1ec1u ph\u01b0\u01a1ng ti\u1ec7n \u0111i\u1ec1u tr\u1ecb hi\u1ec7n \u0111\u1ea1i, cho ph\u00e9p n\u1eafn ch\u1ec9nh, c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng t\u1ed1t, gi\u1ea3m th\u1eddi gian n\u1eb1m vi\u1ec7n. Ph\u01b0\u01a1ng ph\u00e1p k\u00e9o li\u00ean t\u1ee5c \u00edt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, ch\u1ee7 y\u1ebfu \u00e1p d\u1ee5ng \u0111\u1ec3 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/so-cuu-bat-dong-gay-xuong\/\">b\u1ea5t \u0111\u1ed9ng<\/a> \u1ed5 g\u00e3y, k\u00e9o gi\u00e3n c\u01a1, gi\u1ea3m \u0111au tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng c\u00e1c h\u00ecnh th\u1ee9c b\u1ea5t \u0111\u1ed9ng v\u1eefng ch\u1eafc kh\u00e1c.<\/p>\n<h2><strong>2. NGUY\u00caN L\u00dd<\/strong><\/h2>\n<p><a href=\"https:\/\/bsvothanhtoan.com\/\">K\u00e9o li\u00ean t\u1ee5c l\u00e0 ph\u01b0\u01a1ng ph\u00e1p<\/a> d\u1ef1a tr\u00ean tr\u1ecdng l\u1ef1c c\u1ee7a t\u1ea1 k\u00e9o l\u00e0m m\u1ecfi c\u01a1, ki\u1ec3m so\u00e1t c\u01a1n \u0111au do co th\u1eaft c\u01a1, n\u1eafn m\u1ed9t ph\u1ea7n di l\u1ec7ch v\u00e0 b\u1ea5t \u0111\u1ed9ng \u1ed5 g\u00e3y.<\/p>\n<p>\u0110\u1ec3 m\u1ed9t l\u1ef1c k\u00e9o hi\u1ec7u qu\u1ea3 l\u00ean c\u01a1 th\u1ec3 c\u1ea7n \u0111\u1ea3m b\u1ea3o l\u1ef1c b\u00e1m v\u00e0o chi b\u1ecb th\u01b0\u01a1ng \u0111\u1ea7y \u0111\u1ee7 v\u00e0 ch\u1eafc ch\u1eafn. L\u1ef1c k\u00e9o v\u00e0 l\u1ef1c c\u1ea3n ph\u1ea3i ng\u01b0\u1ee3c chi\u1ec1u nhau. N\u1eb9p v\u00e0 d\u00e2y treo ph\u1ea3i \u0111\u01b0\u1ee3c treo m\u00e0 kh\u00f4ng b\u1ecb c\u1ea3n tr\u1edf, d\u00e2y ph\u1ea3i tr\u01b0\u1ee3t t\u1ef1 do qua m\u1ed7i r\u00f2ng r\u1ecdc, ph\u01b0\u01a1ng v\u00e0 c\u01b0\u1eddng \u0111\u1ed9 c\u1ee7a l\u1ef1c k\u00e9o ph\u1ea3i th\u1eb3ng h\u00e0ng. T\u1ea1 c\u00f3 tr\u1ecdng l\u01b0\u1ee3ng ch\u00ednh x\u00e1c v\u00e0 \u0111\u01b0\u1ee3c treo t\u1ef1 do.<\/p>\n<p>K\u00e9o li\u00ean t\u1ee5c s\u1eed d\u1ee5ng th\u1eddi gian ng\u1eafn tr\u01b0\u1edbc khi b\u1ea5t \u0111\u1ed9ng b\u1eb1ng c\u00e1c h\u00ecnh th\u1ee9c kh\u00e1c.<\/p>\n<h2><strong>3. \u01afU \u0110I\u1ec2M, NH\u01af\u1ee2C \u0110I\u1ec2M<\/strong><\/h2>\n<h3><strong>3.1 \u01afu \u0111i\u1ec3m<\/strong><\/h3>\n<ul>\n<li>Cho ph\u00e9p n\u1eafn ch\u1ec9nh x\u01b0\u01a1ng, gi\u1eef chi\u1ec1u d\u00e0i v\u00e0 tr\u1ee5c c\u1ee7a chi t\u1ed5n th\u01b0\u01a1ng<\/li>\n<li>Hi\u1ec7u qu\u1ea3 t\u1ed1t trong vi\u1ec7c gi\u1ea3m \u0111au, gi\u1ea3m co th\u1eaft c\u01a1<\/li>\n<li>Cho ph\u00e9p b\u1ea5t \u0111\u1ed9ng t\u1ed1t ch\u1edd t\u1ed5n th\u01b0\u01a1ng h\u1ed3i ph\u1ee5c<\/li>\n<li>B\u1ec7nh nh\u00e2n c\u00f3 th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng kh\u00e1c<\/li>\n<li>Ph\u00f2ng tr\u00e1nh c\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u1ee9 ph\u00e1t kh\u00e1c do g\u00e3y x\u01b0\u01a1ng g\u00e2y ra nh\u01b0 x\u01b0\u01a1ng ch\u1ecdc ra da, t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u, th\u1ea7n kinh.<\/li>\n<\/ul>\n<h3><strong>3.2 Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/strong><\/h3>\n<ul>\n<li>Nguy c\u01a1 nhi\u1ec5m tr\u00f9ng ch\u00e2n \u0111inh, <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/viem-xuong-tuy\/\">vi\u00eam x\u01b0\u01a1ng<\/a><\/li>\n<li>Bi\u1ebfn d\u1ea1ng chi do b\u1ea5t \u0111\u1ed9ng k\u00e9o d\u00e0i<\/li>\n<li>C\u00e1c bi\u1ebfn ch\u1ee9ng do b\u1ec7nh nh\u00e2n n\u1eb1m l\u00e2u nh\u01b0 huy\u1ebft kh\u1ed1i, vi\u00eam ph\u1ed5i, nhi\u1ec5m tr\u00f9ng ng\u01b0\u1ee3c d\u00f2ng<\/li>\n<li>T\u0103ng chi ph\u00ed n\u1eb1m vi\u1ec7n<\/li>\n<li>Y\u00eau c\u1ea7u ph\u1ea3i c\u00f3 nh\u00e2n vi\u00ean y t\u1ebf ch\u0103m s\u00f3c t\u1ec9 m\u1ec9.<\/li>\n<\/ul>\n<h2><strong>4. PH\u00c2N LO\u1ea0I<\/strong><\/h2>\n<ul>\n<li>K\u00e9o li\u00ean t\u1ee5c b\u1eb1ng tay: s\u1eed d\u1ee5ng l\u1ef1c k\u00e9o th\u1ee7 c\u00f4ng b\u1eb1ng tay<\/li>\n<li>K\u00e9o li\u00ean t\u1ee5c qua da: \u00e1p d\u1ee5ng \u1edf v\u00f9ng da, m\u00f4 m\u1ec1m l\u1edbn \u0111\u1ec3 truy\u1ec1n l\u1ef1c k\u00e9o \u0111\u1ebfn x\u01b0\u01a1ng<\/li>\n<li style=\"list-style-type: none;\">\u00a0<\/li>\n<\/ul>\n<p>+ L\u1ef1c k\u00e9o h\u1ea1n ch\u1ebf, th\u1ea5p h\u01a1n k\u00e9o tr\u1ef1c ti\u1ebfp qua x\u01b0\u01a1ng<\/p>\n<p>+ Th\u01b0\u1eddng s\u1eed d\u1ee5ng trong nhi khoa<\/p>\n<p>+ Hi\u1ec7u qu\u1ea3 kh\u00f4ng cao khi s\u1eed d\u1ee5ng trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt \u0111\u1ec3 ki\u1ec3m so\u00e1t di l\u1ec7ch ch\u1ed3ng ng\u1eafn, xoay<\/p>\n<p>+ C\u00f3 th\u1ec3 g\u00e2y <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/ton-thuong-kin-mo-mem\/\">t\u1ed5n th\u01b0\u01a1ng m\u00f4 m\u1ec1m<\/a>, \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng \u1edf ng\u01b0\u1eddi cao tu\u1ed5i.<\/p>\n<ul>\n<li>K\u00e9o li\u00ean t\u1ee5c qua x\u01b0\u01a1ng:<\/li>\n<\/ul>\n<p>+ L\u1ef1c t\u00e1c d\u1ee5ng tr\u1ef1c ti\u1ebfp v\u00e0o x\u01b0\u01a1ng th\u00f4ng qua \u0111inh (pin) xuy\u00ean qua x\u01b0\u01a1ng<\/p>\n<p>+ L\u1ef1c k\u00e9o l\u00ean chi t\u1ed1t h\u01a1n k\u00e9o qua da. C\u00f3 th\u1ec3 l\u00ean \u0111\u1ebfn 20% tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3<\/p>\n<p>+ Ph\u00f9 h\u1ee3p trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng \u0111\u00f9i, g\u00e3y th\u00e0nh \u1ed5 c\u1ed1i <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/trat-khop-vai-khuyu-hang\/\">kh\u1edbp h\u00e1ng<\/a>, g\u00e3y m\u1ea5t v\u1eefng khung ch\u1eadu.<\/p>\n<h2><strong>5. NGUY\u00caN T\u1eaeC \u0110\u1eb6T K\u00c9O LI\u00caN T\u1ee4C<\/strong><\/h2>\n<h3><strong>5.1 Nguy\u00ean t\u1eafc chung<\/strong><\/h3>\n<ul>\n<li>Qu\u00e1 tr\u00ecnh xuy\u00ean \u0111inh qua x\u01b0\u01a1ng c\u1ea7n ph\u1ea3i th\u1ef1c hi\u1ec7n v\u00f4 tr\u00f9ng<\/li>\n<li>B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c g\u00e2y t\u00ea t\u1ea1i ch\u1ed7, c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p th\u00eam thu\u1ed1c an th\u1ea7n<\/li>\n<li>Xuy\u00ean \u0111inh t\u1eeb b\u00ean \u00edt an to\u00e0n (c\u00f3 th\u1ea7n kinh, m\u1ea1ch m\u00e1u) \u0111\u1ebfn n\u01a1i an to\u00e0n h\u01a1n<\/li>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\u00a0<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>+ \u0110\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i: t\u1eeb trong ra ngo\u00e0i + \u0110\u1ea7u tr\u00ean x\u01b0\u01a1ng ch\u00e0y: t\u1eeb ngo\u00e0i v\u00e0o trong + X\u01b0\u01a1ng g\u00f3t: t\u1eeb trong ra ngo\u00e0i.<\/p>\n<ul>\n<li>T\u1ea1 \u0111\u01b0\u1ee3c treo t\u1ef1 do, ch\u1ecdn l\u1ef1a tr\u1ecdng l\u01b0\u1ee3ng t\u1ea1 k\u00e9o t\u00f9y theo lo\u1ea1i g\u00e3y x\u01b0\u01a1ng, v\u1ecb tr\u00ed k\u00e9o li\u00ean t\u1ee5c, kh\u1ed1i l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh nh\u00e2n. Theo d\u00f5i di l\u1ec7ch c\u1ee7a x\u01b0\u01a1ng g\u00e3y, m\u1ee9c \u0111\u1ed9 co r\u00fat c\u01a1, kh\u1ea3 n\u0103ng ch\u1ecbu \u0111\u1ef1ng c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh kh\u1ed1i l\u01b0\u1ee3ng t\u1ea1 \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ee5c ti\u00eau k\u00e9o.<\/li>\n<li>Qu\u1ea5n g\u1ea1c v\u00f4 tr\u00f9ng t\u1ea9m povidin quanh v\u1ecb tr\u00ed xuy\u00ean, che \u0111\u1eady \u0111\u1ea7u s\u1eafc nh\u1ecdn c\u1ee7a \u0111inh.<\/li>\n<\/ul>\n<h2><strong>5.2 K\u00e9o li\u00ean t\u1ee5c t\u1ea1i \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i<\/strong><\/h2>\n<h4>5.2.1. K\u00e9o li\u00ean t\u1ee5c qua da<\/h4>\n<p>\u0110\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 c\u1ed1 \u0111\u1ecbnh t\u1ea1m th\u1eddi \u1edf tr\u1ebb em g\u00e3y c\u1ed5, <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-chi-duoi\/\">th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i<\/a>, tr\u1eadt kh\u1edbp h\u00e1ng.<\/p>\n<p>L\u1ef1c k\u00e9o t\u00e1c \u0111\u1ed9ng m\u1ea1nh quanh v\u00f9ng b\u1ecb k\u00e9o, v\u00ec v\u1eady, c\u1ea7n \u0111\u1ea3m b\u1ea3o \u0111\u1ec7m l\u00f3t t\u1ed1t c\u00e1c v\u00f9ng n\u00e0y \u0111\u1ec3 tr\u00e1nh lo\u00e9t. Tr\u1ecdng l\u01b0\u1ee3ng k\u00e9o \u0111i\u1ec1u ch\u1ec9nh theo \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ee5c ti\u00eau n\u1eafn ch\u1ec9nh m\u1ed9t ph\u1ea7n di l\u1ec7ch v\u00e0 b\u1ea5t \u0111\u1ed9ng t\u1ed1t \u1ed5 g\u00e3y, th\u01b0\u1eddng kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 4,5 kg.<\/p>\n<p>N\u1eb9p Thomas \u0111\u1eb7t theo t\u00ean t\u00e1c gi\u1ea3<a href=\"https:\/\/en.wikipedia.org\/wiki\/Hugh_Owen_Thomas\" target=\"_blank\" rel=\"noopener\"> Hugh Owen Thomas<\/a> (1834 \u2013 1891), s\u1eed d\u1ee5ng theo nguy\u00ean l\u00fd k\u00e9o li\u00ean t\u1ee5c qua da. N\u1eb9p \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng nhi\u1ec1u trong th\u1ebf chi\u1ebfn I, c\u1ee9u s\u1ed1ng nhi\u1ec1u b\u1ec7nh nh\u00e2n g\u00e3y x\u01b0\u01a1ng \u0111\u00f9i. N\u1eb9p d\u00e0i v\u1edbi ph\u1ea7n k\u00e9o d\u00e0i t\u1eeb b\u1eb9n ra ngo\u00e0i b\u00e0n ch\u00e2n. Chi\u1ec1u d\u00e0i c\u1ee7a n\u1eb9p c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh 15 \u2013 20 cm.<\/p>\n<figure id=\"attachment_1965\" aria-describedby=\"caption-attachment-1965\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-medium wp-image-1965\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture7-300x134.jpg\" alt=\"Picture7\" width=\"300\" height=\"134\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture7-300x134.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture7-18x8.jpg 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture7.jpg 343w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1965\" class=\"wp-caption-text\"><strong>H\u00ecnh 13.1. <\/strong>N\u1eb9p Thomas [1]<\/figcaption><\/figure>\n<p>Ph\u01b0\u01a1ng ph\u00e1p Bryant\u2019s \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng \u0111\u00f9i \u1edf tr\u1ebb d\u01b0\u1edbi 18 th\u00e1ng tu\u1ed5i. L\u1ef1c k\u00e9o \u1edf hai ch\u00e2n \u1edf t\u01b0 th\u1ebf du\u1ed7i t\u1ed1i \u0111a, h\u00e1ng g\u1eadp 90<sup>o<\/sup>, m\u00f4ng tr\u1ebb \u0111\u01b0\u1ee3c n\u00e2ng nh\u1eb9 l\u00ean kh\u1ecfi n\u1ec7m v\u1eeba \u0111\u1ee7 m\u1ed9t b\u00e0n tay \u0111\u1eb7t d\u01b0\u1edbi m\u00f4ng tr\u1ebb. Tr\u1ecdng l\u01b0\u1ee3ng t\u1ea1 k\u00e9o \u0111\u01b0\u1ee3c t\u00ednh: 450 g \u00d7 s\u1ed1 tu\u1ed5i tr\u1ebb. K\u00e9o li\u00ean t\u1ee5c ba tu\u1ea7n, sau \u0111\u00f3 tr\u1ebb \u0111\u01b0\u1ee3c <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/bo-bot\/\">b\u00f3 b\u1ed9t<\/a> ch\u1eadu \u2013 l\u01b0ng \u2013 ch\u00e2n, g\u1ed1i g\u1eadp 10 \u2013 15<sup>o<\/sup>, b\u00e0n ch\u00e2n t\u01b0 th\u1ebf trung t\u00ednh. Cho tr\u1ebb t\u1eadp \u0111i sau 6 tu\u1ea7n b\u00f3 b\u1ed9t<\/p>\n<figure id=\"attachment_1966\" aria-describedby=\"caption-attachment-1966\" style=\"width: 257px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-full wp-image-1966\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture8-1.jpg\" alt=\"Picture8\" width=\"257\" height=\"242\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture8-1.jpg 257w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture8-1-13x12.jpg 13w\" sizes=\"(max-width: 257px) 100vw, 257px\" \/><figcaption id=\"caption-attachment-1966\" class=\"wp-caption-text\"><strong>H\u00ecnh 13.2.<\/strong> Ph\u01b0\u01a1ng ph\u00e1p Bryant\u2019s [4]<\/figcaption><\/figure>\n<h4>5.2.2. K\u00e9o li\u00ean t\u1ee5c qua x\u01b0\u01a1ng<\/h4>\n<p>L\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c \u01b0u ti\u00ean \u1edf b\u1ec7nh nh\u00e2n tr\u1eadt kh\u1edbp h\u00e1ng, g\u00e3y tr\u1ea7n \u1ed5 c\u1ed1i, <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-khung-chau\/\">g\u00e3y khung ch\u1eadu<\/a> m\u1ea5t v\u1eefng, g\u00e3y \u0111\u1ea7u tr\u00ean, 1\/3 tr\u00ean, 1\/3 gi\u1eefa th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i.<\/p>\n<p>Xuy\u00ean \u0111inh t\u1eeb trong ra ngo\u00e0i, t\u1ea1i v\u1ecb tr\u00ed. X\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed xuy\u00ean b\u1eb1ng c\u00e1ch v\u1ebd m\u1ed9t \u0111\u01b0\u1eddng ngang c\u00e1ch c\u1ef1c tr\u00ean <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/trat-xuong-banh-che\/\">x\u01b0\u01a1ng b\u00e1nh ch\u00e8<\/a> 2 \u2013 3 cm, t\u1eeb \u0111i\u1ec3m gi\u1eefa \u0111\u01b0\u1eddng n\u00e0y \u0111\u1eb7t 2 \u2013 3 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-ban-ngon-tay-gay-xuong-ban-tay\/\">ng\u00f3n tay<\/a> v\u1ec1 ph\u00eda b\u00ean trong, v\u1ecb tr\u00ed n\u00e0y g\u1ea7n v\u1edbi l\u1ed3i c\u1ee7 c\u01a1 kh\u00e9p \u0111\u00f9i (v\u00f2ng tr\u00f2n).<\/p>\n<p>B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c g\u00e2y t\u00ea t\u1ea1i ch\u1ed7 v\u00e0 t\u00ea s\u00e2u v\u00e0o m\u00e0ng x\u01b0\u01a1ng. R\u1ea1ch da v\u00e0 b\u00f3c t\u00e1ch b\u1eb1ng \u0111\u1ea7u k\u00ecm kelly t\u1edbi x\u01b0\u01a1ng \u0111\u1ec3 tr\u00e1nh t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u th\u1ea7n kinh. \u0110inh \u0111\u01b0\u1ee3c xuy\u00ean \u1edf t\u01b0 th\u1ebf g\u1ea5p g\u1ed1i, vu\u00f4ng g\u00f3c v\u1edbi tr\u1ee5c chi v\u00e0 song song v\u1edbi \u0111\u01b0\u1eddng \u0111\u00e1nh d\u1ea5u tr\u00ean x\u01b0\u01a1ng b\u00e1nh ch\u00e8. G\u00e2y t\u00ea \u0111i\u1ec3m ra ph\u00eda b\u00ean ngo\u00e0i, g\u1eafn khung ch\u1eef U. Ch\u1ecdn t\u1ea1 k\u00e9o b\u1eb1ng t\u1ea1 t\u1eeb 1\/10 \u2013 1\/8 kh\u1ed1i l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n \u0111\u1ec3 \u0111\u1ea1t m\u1ee5c ti\u00eau k\u00e9o. Theo d\u00f5i m\u1ee9c \u0111\u1ed9 di l\u1ec7ch \u1ed5 g\u00e3y, co r\u00fat c\u01a1, ch\u1ee5p <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/x-quang-trong-chan-thuong-chinh-hinh\/\">X-quang<\/a> ki\u1ec3m tra \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh t\u1ea1 k\u00e9o ph\u00f9 h\u1ee3p.<\/p>\n<figure id=\"attachment_1967\" aria-describedby=\"caption-attachment-1967\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-medium wp-image-1967\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9-300x151.jpg\" alt=\"Picture9\" width=\"300\" height=\"151\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9-300x151.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9-18x9.jpg 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9.jpg 391w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1967\" class=\"wp-caption-text\"><strong>H\u00ecnh 13.3. <\/strong>V\u1ecb tr\u00ed xuy\u00ean \u0111inh \u1edf l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i [3]. <em>Ch\u00fa th\u00edch: <\/em><strong>P<\/strong><em>: x\u01b0\u01a1ng b\u00e1nh ch\u00e8; <\/em><strong>O<\/strong><em>: l\u1ed3i c\u1ee7 c\u01a1 kh\u00e9p \u0111\u00f9i; <\/em><strong>+<\/strong><em>: v\u1ecb tr\u00ed xuy\u00ean \u0111inh<\/em><\/figcaption><\/figure>\n<p><strong>5.3. K\u00e9o li\u00ean t\u1ee5c t\u1ea1i \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng ch\u00e0y<\/strong><\/p>\n<p>\u0110\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y 1\/3 d\u01b0\u1edbi th\u00e2n x\u01b0\u01a1ng v\u00e0 \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i. V\u1ecb tr\u00ed xuy\u00ean \u0111inh \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh t\u1eeb l\u1ed3i c\u1ee7 ch\u00e0y xu\u1ed1ng d\u01b0\u1edbi, ra ngo\u00e0i kho\u1ea3ng 2 \u2013 3 cm ho\u1eb7c hai \u0111\u1ed1t ng\u00f3n tay. Xuy\u00ean \u0111inh theo chi\u1ec1u t\u1eeb ngo\u00e0i v\u00e0o trong, tr\u00e1nh t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh m\u00e1c chung. Ch\u00e2n \u0111\u01b0\u1ee3c k\u00ea l\u00ean khung \u0111\u1ec3 tr\u00e1nh di l\u1ec7ch \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i do c\u01a1 b\u1ee5ng ch\u00e2n co k\u00e9o. Tr\u1ecdng l\u01b0\u1ee3ng t\u1ea1 k\u00e9o t\u1eeb 1\/10 \u2013 1\/8 kh\u1ed1i l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n, \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ec3 n\u1eafn ch\u1ec9nh h\u1ebft di l\u1ec7ch ch\u1ed3ng ng\u1eafn v\u00e0 b\u1ea5t \u0111\u1ed9ng t\u1ed1t \u1ed5 g\u00e3y.<\/p>\n<p>Kh\u00f4ng khuy\u1ebfn c\u00e1o xuy\u00ean \u0111inh k\u00e9o li\u00ean t\u1ee5c \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng ch\u00e0y \u1edf tr\u1ebb em v\u00ec nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng s\u1ee5n ti\u1ebfp h\u1ee3p.<\/p>\n<p>h<\/p>\n<h3><strong>5.4. K\u00e9o li\u00ean t\u1ee5c t\u1ea1i \u0111\u1ea7u d\u01b0\u1edbi c\u1eb3ng ch\u00e2n<\/strong><\/h3>\n<p>\u0110\u01b0\u1ee3c \u00e1p d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y m\u00e2m ch\u00e0y, 1\/3 tr\u00ean, 1\/3 gi\u1eefa th\u00e2n x\u01b0\u01a1ng ch\u00e0y.<\/p>\n<p>V\u1ecb tr\u00ed xuy\u00ean c\u00e1ch kh\u1edbp c\u1ed5 ch\u00e2n 5 cm. \u0110inh \u0111\u01b0\u1ee3c xuy\u00ean t\u1eeb ngo\u00e0i v\u00e0o trong, qua c\u1ea3 hai x\u01b0\u01a1ng. Tr\u00e1nh t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh m\u00e1c n\u00f4ng v\u00e0 tr\u00e1nh xuy\u00ean v\u00e0o trong kh\u1edbp. Tr\u1ecdng l\u01b0\u1ee3ng t\u1ea1 k\u00e9o \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ec3 n\u1eafn h\u1ebft di l\u1ec7ch ch\u1ed3ng ng\u1eafn, b\u1ea5t \u0111\u1ed9ng t\u1ed1t \u1ed5 g\u00e3y.<\/p>\n<figure id=\"attachment_1968\" aria-describedby=\"caption-attachment-1968\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1968\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture10-300x174.jpg\" alt=\"Picture10\" width=\"300\" height=\"174\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture10-300x174.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture10-18x10.jpg 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture10.jpg 385w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1968\" class=\"wp-caption-text\"><strong>H\u00ecnh 13.5.<\/strong> V\u1ecb tr\u00ed xuy\u00ean \u0111inh \u1edf \u0111\u1ea7u d\u01b0\u1edbi c\u1eb3ng ch\u00e2n [3]. Ch\u00fa th\u00edch: P: x\u01b0\u01a1ng b\u00e1nh ch\u00e8; X: v\u1ecb tr\u00ed xuy\u00ean \u0111inh<\/figcaption><\/figure>\n<h3>5.5 K\u00e9o li\u00ean t\u1ee5c qua x\u01b0\u01a1ng g\u00f3t<\/h3>\n<p>\u0110\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y th\u00e2n x\u01b0\u01a1ng ch\u00e0y, tr\u1ea7n ch\u00e0y.<\/p>\n<p>\u0110inh \u0111\u01b0\u1ee3c xuy\u00ean t\u1eeb trong ra ngo\u00e0i nh\u1eb1m tr\u00e1nh t\u1ed5n th\u01b0\u01a1ng b\u00f3 m\u1ea1ch th\u1ea7n kinh ch\u00e0y sau. V\u1ecb tr\u00ed xuy\u00ean t\u1ea1i 2\/3 \u0111i\u1ec3m n\u1ed1i t\u1eeb m\u1eaft c\u00e1 trong \u0111\u1ebfn \u0111\u1ec9nh x\u01b0\u01a1ng g\u00f3t. \u0110i\u1ec1u ch\u1ec9nh tr\u1ecdng l\u01b0\u1ee3ng t\u1ea1 k\u00e9o \u0111\u1ec3 n\u1eafn h\u1ebft di l\u1ec7ch ch\u1ed3ng ng\u1eafn v\u00e0 b\u1ea5t \u0111\u1ed9ng \u1ed5 g\u00e3y.<\/p>\n<p>Hi\u1ec7n nay \u00edt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng do t\u1ec9 l\u1ec7 nhi\u1ec5m tr\u00f9ng ch\u00e2n \u0111inh, vi\u00eam x\u01b0\u01a1ng g\u00f3t cao.<\/p>\n<figure id=\"attachment_1969\" aria-describedby=\"caption-attachment-1969\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1969\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11-300x151.jpg\" alt=\"Picture11\" width=\"300\" height=\"151\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11-300x151.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11-18x9.jpg 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11.jpg 315w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1969\" class=\"wp-caption-text\"><strong>H\u00ecnh 13.6. <\/strong>V\u1ecb tr\u00ed xuy\u00ean \u0111inh \u1edf x\u01b0\u01a1ng g\u00f3t [3]. <em>Ch\u00fa th\u00edch: <strong>M<\/strong>: m\u1eaft c\u00e1 trong; <strong>X<\/strong>: v\u1ecb tr\u00ed xuy\u00ean \u0111inh<\/em><\/figcaption><\/figure>\n<h3><strong>5.6. K\u00e9o li\u00ean t\u1ee5c t\u1ea1i m\u1ecfm khu\u1ef7u<\/strong><\/h3>\n<p>Hi\u1ec7n nay \u00edt \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng. \u0110\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y th\u00e2n, \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng c\u00e1nh tay. V\u1ecb tr\u00ed xuy\u00ean c\u00e1ch \u0111\u1ec9nh m\u1ecfm khu\u1ef7u 3 cm. \u0110inh \u0111\u01b0\u1ee3c xuy\u00ean vu\u00f4ng g\u00f3c v\u1edbi tr\u1ee5c x\u01b0\u01a1ng tr\u1ee5 t\u1eeb b\u00ean trong ra ngo\u00e0i nh\u1eb1m tr\u00e1nh t\u1ed5n th\u01b0\u01a1ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/di-chung-ton-thuong-than-kinh-ngoai-bien-liet-than-kinh-quay-giua-tru\/\">th\u1ea7n kinh tr\u1ee5<\/a>. Khu\u1ef7u tay g\u1eadp 90<sup>o<\/sup>, c\u00e1nh tay \u0111\u01b0\u1ee3c treo h\u1ed7 tr\u1ee3 b\u1eb1ng khung.<\/p>\n<figure id=\"attachment_1970\" aria-describedby=\"caption-attachment-1970\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1970\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture12-300x238.png\" alt=\"Picture12\" width=\"300\" height=\"238\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture12-300x238.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture12-768x610.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture12-15x12.png 15w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture12.png 959w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1970\" class=\"wp-caption-text\"><strong>H\u00ecnh 13.7.<\/strong> K\u00e9o li\u00ean t\u1ee5c t\u1ea1i m\u1ecfm khu\u1ef7u [8]<\/figcaption><\/figure>\n<h3><strong>5.7. K\u00e9o li\u00ean t\u1ee5c t\u1ea1i x\u01b0\u01a1ng b\u00e0n ng\u00f3n tay<\/strong><\/h3>\n<h4>5.7.1 K\u00e9o li\u00ean t\u1ee5c qua da t\u1ea1i \u0111\u1ea7u ng\u00f3n tay<\/h4>\n<p>\u0110\u01b0\u1ee3c Caldwell m\u00f4 t\u1ea3 l\u1ea7n \u0111\u1ea7u ti\u00ean n\u0103m 1931, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng c\u1eb3ng tay. Hi\u1ec7n nay n\u00f3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 h\u1ed7 tr\u1ee3 trong b\u00f3 b\u1ed9t g\u00e3y x\u01b0\u01a1ng c\u1eb3ng tay. B\u1ec7nh nh\u00e2n n\u1eb1m, khu\u1ef7u g\u1eadp 90<sup>o<\/sup>, c\u00e1c \u0111\u1ea7u ng\u00f3n tay \u0111\u01b0\u1ee3c treo b\u1eb1ng c\u00e1c b\u1eaby ng\u00f3n. T\u1ea1 \u0111\u01b0\u1ee3c treo \u1edf c\u00e1nh tay, \u0111i\u1ec1u ch\u1ec9nh l\u1ef1c k\u00e9o b\u1eb1ng c\u00e1ch t\u0103ng ho\u1eb7c gi\u1ea3m t\u1ea1 k\u00e9o \u0111\u1ec3 n\u1eafn ch\u1ec9nh c\u00e1c di l\u1ec7ch x\u01b0\u01a1ng.\u00a0<\/p>\n<figure id=\"attachment_1971\" aria-describedby=\"caption-attachment-1971\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1971\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture13-300x290.png\" alt=\"Picture13\" width=\"300\" height=\"290\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture13-300x290.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture13-768x743.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture13-12x12.png 12w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture13.png 967w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1971\" class=\"wp-caption-text\"><strong>H\u00ecnh 13.8.<\/strong> K\u00e9o li\u00ean t\u1ee5c qua da t\u1ea1i \u0111\u1ea7u ng\u00f3n tay [5]<\/figcaption><\/figure>\n<h4>5.7.2. K\u00e9o li\u00ean t\u1ee5c qua x\u01b0\u01a1ng t\u1ea1i x\u01b0\u01a1ng b\u00e0n ng\u00f3n tay<\/h4>\n<p>Hi\u1ec7n nay \u00edt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong l\u00e2m s\u00e0ng. \u0110\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay, g\u00e3y x\u01b0\u01a1ng c\u1eb3ng tay ph\u1ee9c t\u1ea1p. V\u1ecb tr\u00ed xuy\u00ean \u0111inh c\u00e1ch ch\u1ecfm x\u01b0\u01a1ng b\u00e0n II kho\u1ea3ng 2 \u2013 2,5 cm. \u0110inh \u0111\u01b0\u1ee3c xuy\u00ean vu\u00f4ng g\u00f3c v\u1edbi tr\u1ee5c x\u01b0\u01a1ng quay, \u0111i qua x\u01b0\u01a1ng b\u00e0n II v\u00e0 III. T\u1ea1 \u0111\u01b0\u1ee3c treo \u1edf c\u00e1nh tay, \u0111i\u1ec1u ch\u1ec9nh l\u1ef1c k\u00e9o b\u1eb1ng c\u00e1ch t\u0103ng ho\u1eb7c gi\u1ea3m t\u1ea1 k\u00e9o \u0111\u1ec3 n\u1eafn ch\u1ec9nh c\u00e1c di l\u1ec7ch x\u01b0\u01a1ng.<\/p>\n<figure id=\"attachment_1972\" aria-describedby=\"caption-attachment-1972\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1972\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture14-300x219.png\" alt=\"Picture14\" width=\"300\" height=\"219\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture14-300x219.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture14-1024x748.png 1024w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture14-768x561.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture14-16x12.png 16w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture14.png 1038w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1972\" class=\"wp-caption-text\"><strong>H\u00ecnh 13.9.<\/strong> K\u00e9o li\u00ean t\u1ee5c qua x\u01b0\u01a1ng b\u00e0n ng\u00f3n tay [2]<\/figcaption><\/figure>\n<p><strong>5.8. K\u00e9o li\u00ean t\u1ee5c t\u1ea1i <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/chan-thuong-cot-song-co\/\">c\u1ed9t s\u1ed1ng c\u1ed5<\/a><\/strong><\/p>\n<p>K\u00e9o li\u00ean t\u1ee5c t\u1ea1i c\u1ed9t s\u1ed1ng c\u1ed5 hi\u1ec7n nay r\u1ea5t \u00edt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh t\u1ea1m th\u1eddi khi b\u1ec7nh nh\u00e2n ch\u01b0a th\u1ec3 g\u00e2y m\u00ea \u0111\u1ec3 ph\u1eabu thu\u1eadt ho\u1eb7c kh\u00f4ng c\u00f3 ph\u01b0\u01a1ng ti\u1ec7n c\u1ed1 \u0111\u1ecbnh kh\u00e1c. K\u00e9o li\u00ean t\u1ee5c cho ph\u00e9p b\u1ea5t \u0111\u1ed9ng kh\u00e1 t\u1ed1t c\u00e1c di l\u1ec7ch trong <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/chan-thuong-cot-song-co\/\">ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng c\u1ed5<\/a>.<\/p>\n<p><strong><em>Ph\u01b0\u01a1ng ph\u00e1p Halter\u2019s<\/em>:<\/strong> \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb x\u01a1 c\u1ee9ng c\u1ed9t s\u1ed1ng c\u1ed5, v\u1eb9o c\u1ed9t s\u1ed1ng c\u1ed5. D\u1ee5ng c\u1ee5 \u0111\u01b0\u1ee3c g\u1eafn v\u00f2ng qua x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi v\u00e0 \u0111\u01b0\u1ee3c k\u00e9o b\u1edfi tr\u1ecdng l\u01b0\u1ee3ng t\u1ea1 t\u1eeb 1,4 kg, t\u0103ng d\u1ea7n theo kh\u1ea3 n\u0103ng ch\u1ecbu \u0111\u1ef1ng c\u1ee7a b\u1ec7nh nh\u00e2n, tuy nhi\u00ean, kh\u00f4ng n\u00ean v\u01b0\u1ee3t qu\u00e1 2,3 kg. Bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/hoai-tu-vo-mach-chom-xuong-dui\/\">ho\u1ea1i t\u1eed<\/a> da t\u1ea1i g\u00f3c h\u00e0m do l\u1ef1c k\u00e9o t\u00e1c \u0111\u1ed9ng.<\/p>\n<p><strong><em>Ph\u01b0\u01a1ng ph\u00e1p Gardner-Wells Tongs<\/em>:<\/strong> \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ea5n th\u01b0\u01a1ng, tr\u1eadt c\u1ed9t s\u1ed1ng c\u1ed5. D\u1ee5ng c\u1ee5 \u0111\u01b0\u1ee3c \u0111\u1eb7t ph\u00eda sau ngo\u00e0i \u1ed1ng tai, xuy\u00ean \u0111\u1ebfn x\u01b0\u01a1ng s\u1ecd. L\u1ef1c k\u00e9o t\u00e1c \u0111\u1ed9ng l\u00ean c\u1ed9t s\u1ed1ng c\u1ed5 4,5 kg, t\u0103ng tu\u1ea7n t\u1ef1 m\u1ed7i 5 \u2013 10 ph\u00fat d\u1ef1a tr\u00ean kh\u00e1m l\u00e2m s\u00e0ng, X-quang c\u1ed9t s\u1ed1ng c\u1ed5 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ch\u00e8n \u00e9p c\u1ed9t s\u1ed1ng c\u1ed5.<\/p>\n<p><figure id=\"attachment_1973\" aria-describedby=\"caption-attachment-1973\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1973\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture15-300x183.png\" alt=\"Picture15\" width=\"300\" height=\"183\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture15-300x183.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture15-1024x626.png 1024w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture15-768x470.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture15-18x12.png 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture15.png 1122w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1973\" class=\"wp-caption-text\"><strong>H\u00ecnh 13.10.<\/strong> Ph\u01b0\u01a1ng ph\u00e1p Halter\u2019s [7]<\/figcaption><\/figure> <figure id=\"attachment_1974\" aria-describedby=\"caption-attachment-1974\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1974\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture16-300x206.png\" alt=\"Picture16\" width=\"300\" height=\"206\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture16-300x206.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture16-1024x702.png 1024w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture16-768x526.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture16-18x12.png 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture16.png 1170w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1974\" class=\"wp-caption-text\"><strong>H\u00ecnh 13.11.<\/strong> Ph\u01b0\u01a1ng ph\u00e1p Gardner-Wells Tongs [10]<\/figcaption><\/figure> <figure id=\"attachment_1975\" aria-describedby=\"caption-attachment-1975\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1975\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture17-300x170.png\" alt=\"Picture17\" width=\"300\" height=\"170\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture17-300x170.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture17-768x436.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture17-18x10.png 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture17.png 958w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1975\" class=\"wp-caption-text\"><strong>H\u00ecnh 13.11.<\/strong> (ti\u1ebfp theo) Ph\u01b0\u01a1ng ph\u00e1p Gardner-Wells Tongs [10]<\/figcaption><\/figure><\/p>\n<p><em><strong>Ph\u01b0\u01a1ng ph\u00e1p Halo<\/strong>: <\/em>ph\u01b0\u01a1ng ph\u00e1p k\u00e9o li\u00ean t\u1ee5c qua x\u01b0\u01a1ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng c\u1ed5 cao. D\u1ee5ng c\u1ee5 cao g\u1ed3m m\u1ed9t v\u00f2ng quanh \u0111\u1ea7u, \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh b\u1eb1ng \u0111inh v\u00e0o h\u1ed9p s\u1ecd. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y cho ph\u00e9p b\u1ec7nh nh\u00e2n v\u1eeba h\u1ed3i ph\u1ee5c t\u1ed5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng c\u1ed5 v\u1eeba c\u00f3 th\u1ec3 ng\u1ed3i, \u0111\u1ee9ng, n\u1eb1m. Khung c\u1ed1 \u0111\u1ecbnh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u00e1o sau kho\u1ea3ng 3 th\u00e1ng, b\u1ec7nh nh\u00e2n sau \u0111\u00f3 \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 b\u1edfi n\u1eb9p c\u1ed5. Bi\u1ebfn ch\u1ee9ng c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o kho\u1ea3ng 68% c\u00e1c tr\u01b0\u1eddng h\u1ee3p, bao g\u1ed3m l\u1ecfng \u0111inh, nhi\u1ec5m tr\u00f9ng ch\u00e2n \u0111inh, h\u1ea1n ch\u1ebf h\u00f4 h\u1ea5p.<\/p>\n<figure id=\"attachment_1976\" aria-describedby=\"caption-attachment-1976\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1976\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture18-300x181.png\" alt=\"Picture18\" width=\"300\" height=\"181\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture18-300x181.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture18-1024x618.png 1024w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture18-768x464.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture18-18x12.png 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture18.png 1156w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1976\" class=\"wp-caption-text\"><strong>H\u00ecnh 13.12.<\/strong> Ph\u01b0\u01a1ng ph\u00e1p Halo [10]<\/figcaption><\/figure>\n<h2><strong>6. QU\u1ea2N L\u00dd V\u00c0 THEO D\u00d5I B\u1ec6NH NH\u00c2N<\/strong><\/h2>\n<p>B\u1ec7nh nh\u00e2n b\u1ea5t \u0111\u1ed9ng b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p k\u00e9o li\u00ean t\u1ee5c c\u1ea7n c\u00f3 m\u1ed9t chi\u1ebfn l\u01b0\u1ee3c ch\u0103m s\u00f3c, qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n c\u1ee5 th\u1ec3 \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 mong mu\u1ed1n, ph\u00f2ng tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng.<\/p>\n<p>X-quang c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ee5p ki\u1ec3m tra th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 theo d\u00f5i t\u1ed5n th\u01b0\u01a1ng, hi\u1ec7u qu\u1ea3 c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p k\u00e9o li\u00ean t\u1ee5c. Th\u00f4ng th\u01b0\u1eddng, X-quang \u0111\u01b0\u1ee3c ch\u1ee5p 2 \u2013 3 l\u1ea7n trong tu\u1ea7n \u0111\u1ea7u ti\u00ean, sau \u0111\u00f3 m\u1ed9t l\u1ea7n m\u1ed9t tu\u1ea7n. Ngo\u00e0i ra, c\u1ea7n ch\u1ee5p ki\u1ec3m tra m\u1ed7i khi n\u1eafn ch\u1ec9nh ho\u1eb7c \u0111i\u1ec1u ch\u1ec9nh t\u1ea1 k\u00e9o. B\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c s\u1edbm chuy\u1ec3n \u0111\u1ed5i t\u1eeb ph\u01b0\u01a1ng ph\u00e1p k\u00e9o li\u00ean t\u1ee5c sang h\u00ecnh th\u1ee9c b\u1ea5t \u0111\u1ed9ng v\u1eefng ch\u1eafc h\u01a1n.<\/p>\n<h2><strong>7. K\u1ebeT LU\u1eacN<\/strong><\/h2>\n<p>K\u00e9o li\u00ean t\u1ee5c l\u00e0 ph\u01b0\u01a1ng ph\u00e1p b\u1ea5t \u0111\u1ed9ng t\u1ed5n th\u01b0\u01a1ng t\u1ed1t, gi\u00fap b\u1ec7nh nh\u00e2n gi\u1ea3m \u0111au, ph\u00f2ng tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng do g\u00e3y x\u01b0\u01a1ng trong th\u1eddi gian ch\u1edd ph\u1eabu thu\u1eadt k\u1ebft h\u1ee3p x\u01b0\u01a1ng b\u00ean trong.<\/p>\n","protected":false},"featured_media":2262,"comment_status":"open","ping_status":"closed","template":"","tags":[139,219,168],"chuyen-muc":[58],"class_list":["post-1962","bai-giang","type-bai-giang","status-publish","has-post-thumbnail","hentry","tag-chan-thuong","tag-keo-lien-tuc","tag-keo-lien-tuc-trong-chan-thuong","chuyen-muc-dieu-tri-co-ban-trong-chan-thuong-chinh-hinh"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/1962","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=1962"}],"version-history":[{"count":0,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/1962\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/2262"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=1962"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=1962"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=1962"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}