{"id":2037,"date":"2023-07-02T19:00:04","date_gmt":"2023-07-02T12:00:04","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=bai-giang&#038;p=2037"},"modified":"2023-07-31T18:13:38","modified_gmt":"2023-07-31T11:13:38","slug":"gay-xuong-ban-ngon-tay-gay-xuong-ban-tay","status":"publish","type":"bai-giang","link":"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-ban-ngon-tay-gay-xuong-ban-tay\/","title":{"rendered":"G\u00e3y x\u01b0\u01a1ng b\u00e0n &#8211; ng\u00f3n tay, G\u00e3y x\u01b0\u01a1ng b\u00e0n tay"},"content":{"rendered":"<h2><strong>T\u1ed4NG QUAN<\/strong><\/h2>\n<p><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">G\u00e3y x\u01b0\u01a1ng<\/a> b\u00e0n tay chi\u1ebfm kho\u1ea3ng 35,5% c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u1ea5p c\u1ee9u h\u00e0ng ng\u00e0y, ph\u1ea7n l\u1edbn l\u00e0 do tai n\u1ea1n giao th\u00f4ng \u0111\u01b0\u1eddng ng\u00e3 ho\u1eb7c b\u1ecb b\u1ea1o l\u1ef1c. Vi\u1ec7c ph\u00e2n lo\u1ea1i d\u1ef1a tr\u00ean v\u1ecb tr\u00ed v\u00e0 ki\u1ec3u g\u00e3y. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn bi\u1ebfn d\u1ea1ng c\u1ea5u tr\u00fac v\u00e0 d\u1eabn \u0111\u1ebfn c\u1ee9ng kh\u1edbp. Th\u1ee9 t\u1ef1 \u01b0u ti\u00ean trong \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng b\u00e0n tay l\u00e0: ng\u00f3n I (\u0111\u1ea3m nhi\u1ec7m 50% ch\u1ee9c n\u0103ng b\u00e0n tay), ng\u00f3n II (\u0111\u1ea3m nhi\u1ec7m 20% ch\u1ee9c n\u0103ng b\u00e0n tay), ng\u00f3n V, ng\u00f3n III, cu\u1ed1i c\u00f9ng l\u00e0 ng\u00f3n IV [1] [2,3].<\/p>\n<p>G\u00e3y x\u01b0\u01a1ng b\u00e0n V l\u00e0 lo\u1ea1i g\u00e3y ph\u1ed5 bi\u1ebfn nh\u1ea5t trong s\u1ed1 g\u00e3y x\u01b0\u01a1ng b\u00e0n tay. C\u00e1c m\u1ee5c ti\u00eau ch\u00ednh c\u1ee7a \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng b\u00e0n tay l\u00e0 \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 li\u00ean k\u1ebft c\u00f3 th\u1ec3 ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c, \u1ed5n \u0111\u1ecbnh, k\u1ebft h\u1ee3p x\u01b0\u01a1ng v\u1eefng ch\u1eafc v\u00e0 chuy\u1ec3n \u0111\u1ed9ng kh\u00f4ng h\u1ea1n ch\u1ebf. C\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u1eafn k\u00edn v\u00e0 n\u1eb9p ng\u00f3n. \u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt khi c\u00f3 s\u1ef1 di l\u1ec7ch ch\u1ed3ng ng\u1eafn, xoay v\u00e0 g\u1eadp g\u00f3c d\u01b0\u1edbi c\u00e1c b\u00ecnh di\u1ec7n kh\u00e1c nhau. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt n\u1eafn k\u00edn c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng b\u00ean trong b\u1eb1ng kim Kirschner ho\u1eb7c \u0111inh n\u1ed9i t\u1ee7y qua da hay m\u1ed5 m\u1edf v\u00e0 c\u1ed1 \u0111\u1ecbnh b\u1eb1ng n\u1eb9p v\u00edt (n\u00e9n hay kh\u00f3a), \u0111\u00f4i khi c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng b\u1ed9 c\u1ed1 \u0111\u1ecbnh b\u00ean ngo\u00e0i [2,3].<\/p>\n<h2><strong>NGUY\u00caN NH\u00c2N, C\u01a0 CH\u1ebe CH\u1ea4N TH\u01af\u01a0NG<\/strong><\/h2>\n<ul>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/\">Nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t<\/a> l\u00e0 tai n\u1ea1n giao th\u00f4ng, sau \u0111\u00f3 l\u00e0 ng\u00e3 v\u00e0 b\u1ecb b\u1ea1o l\u1ef1c. V\u1ecb tr\u00ed ti\u1ebfp x\u00fac \u0111\u1ea7u ti\u00ean th\u01b0\u1eddng l\u00e0 c\u1ea1nh c\u1ee7a x\u01b0\u01a1ng b\u00e0n V, ch\u00ednh v\u00ec th\u1ebf th\u01b0\u01a1ng t\u1ed5n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 g\u00e3y x\u01b0\u01a1ng b\u00e0n V.<\/li>\n<li>X\u01b0\u01a1ng g\u00e3y c\u00e1c th\u00e2n x\u01b0\u01a1ng b\u00e0n, g\u1eadp g\u00f3c ra tr\u01b0\u1edbc do c\u00e1c c\u01a1 giun co k\u00e9o<\/li>\n<li>Th\u00e2n x\u01b0\u01a1ng b\u00e0n g\u1eadp g\u00f3c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c b\u00f9 tr\u1eeb b\u1eb1ng v\u1eadn \u0111\u1ed9ng qu\u00e1 du\u1ed7i c\u1ee7a kh\u1edbp b\u00e0n ng\u00f3n (MCP \u2013 Metacarpalphalangeal) v\u00e0 kh\u1edbp c\u1ed5 tay b\u00e0n tay (CMC \u2013 Carpometacarpal).<\/li>\n<li>Bi\u1ebfn d\u1ea1ng xoay l\u1edbn h\u01a1n 5<sup>o <\/sup>ng\u00f3n tay t\u1ed5n th\u01b0\u01a1ng s\u1ebd v\u01b0\u1edbng ng\u00f3n k\u1ec1 c\u1eadn.<\/li>\n<\/ul>\n<figure id=\"attachment_2038\" aria-describedby=\"caption-attachment-2038\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-medium wp-image-2038\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture6-2-300x195.png\" alt=\"Picture6\" width=\"300\" height=\"195\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture6-2-300x195.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture6-2-1024x665.png 1024w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture6-2-768x499.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture6-2-18x12.png 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture6-2.png 1156w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2038\" class=\"wp-caption-text\"><strong>H\u00ecnh 19.1.<\/strong> G\u00e3y x\u01b0\u01a1ng b\u00e0n tay c\u00f3 di l\u1ec7ch xoay g\u1eadp g\u00f3c g\u00e2y v\u01b0\u1edbng ng\u00f3n k\u1ec1 c\u1eadn [3]<\/figcaption><\/figure>\n<h2><strong>L\u00c2M S\u00c0NG, C\u1eacN L\u00c2M S\u00c0NG<\/strong><\/h2>\n<h3><strong>L\u00e2m s\u00e0ng<\/strong><\/h3>\n<p>Th\u00f4ng th\u01b0\u1eddng, b\u1ec7nh nh\u00e2n \u0111\u1ebfn kh\u00e1m c\u00f3 t\u1ed5n th\u01b0\u01a1ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-ho\/\">g\u00e3y h\u1edf<\/a> x\u01b0\u01a1ng b\u00e0n tay ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng k\u00edn s\u01b0ng n\u1ec1, \u0111au nhi\u1ec1u b\u00e0n tay k\u00e8m h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng c\u1ea7m n\u1eafm. Khi th\u0103m kh\u00e1m l\u00e2m s\u00e0ng c\u00f3:<\/p>\n<ul>\n<li>D\u1ea5u hi\u1ec7u kh\u00f4ng ch\u1eafc ch\u1eafn: s\u01b0ng, \u0111au, b\u1ea7m t\u00edm, m\u1ea5t c\u01a1 n\u0103ng<\/li>\n<li>D\u1ea5u hi\u1ec7u ch\u1eafc ch\u1eafn: bi\u1ebfn d\u1ea1ng, c\u1eed \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng, ti\u1ebfng l\u1ea1o x\u1ea1o x\u01b0\u01a1ng.<\/li>\n<\/ul>\n<h3><strong>C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/h3>\n<p>B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ee5p <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/x-quang-trong-chan-thuong-chinh-hinh\/\">X-quang<\/a> hai b\u00ecnh di\u1ec7n th\u1eb3ng nghi\u00eang \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed, \u0111\u01b0\u1eddng g\u00e3y v\u00e0 m\u1ee9c \u0111\u1ed9 di l\u1ec7ch.<\/p>\n<p><figure id=\"attachment_2039\" aria-describedby=\"caption-attachment-2039\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-medium wp-image-2039\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture7-1-300x238.jpg\" alt=\"Picture7\" width=\"300\" height=\"238\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture7-1-300x238.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture7-1-15x12.jpg 15w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture7-1.jpg 307w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2039\" class=\"wp-caption-text\"><strong>H\u00ecnh 19.2. <\/strong>X-quang hai b\u00ecnh di\u1ec7n th\u1eb3ng nghi\u00eang, c\u00f3 g\u00e3y x\u01b0\u01a1ng b\u00e0n V [3]<\/figcaption><\/figure> <figure id=\"attachment_2040\" aria-describedby=\"caption-attachment-2040\" style=\"width: 298px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-full wp-image-2040\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture8-2.jpg\" alt=\"Picture8\" width=\"298\" height=\"234\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture8-2.jpg 298w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture8-2-15x12.jpg 15w\" sizes=\"(max-width: 298px) 100vw, 298px\" \/><figcaption id=\"caption-attachment-2040\" class=\"wp-caption-text\"><strong>H\u00ecnh 19.3. <\/strong><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/doc-x-quang-gay-xuong\/\">X-quang g\u00e3y x\u01b0\u01a1ng<\/a> b\u00e0n m\u1ed9t (g\u00e3y <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-bennett\/\">Bennett<\/a>) [3]<\/figcaption><\/figure><\/p>\n<h2><strong>\u0110I\u1ec0U TR\u1eca<\/strong><\/h2>\n<p>Ph\u1ea7n ch\u1ecfm v\u00e0 ph\u1ea7n n\u1ec1n c\u1ee7a x\u01b0\u01a1ng b\u00e0n tay ch\u1ee7 y\u1ebfu l\u00e0 x\u01b0\u01a1ng x\u1ed1p, th\u00e2n x\u01b0\u01a1ng b\u00e0n tay l\u00e0 x\u01b0\u01a1ng c\u1ee9ng [4]. M\u1ea1ch m\u00e1u nu\u00f4i x\u01b0\u01a1ng v\u00f9ng b\u00e0n tay r\u1ea5t phong ph\u00fa cho ph\u00e9p ph\u1ee5c h\u1ed3i, ch\u1eefa <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/cham-lanh-xuong-va-khong-lanh-xuong\/\">l\u00e0nh x\u01b0\u01a1ng<\/a> t\u1ed1t sau khi b\u1ecb g\u00e3y x\u01b0\u01a1ng. T\u1ed1c \u0111\u1ed9 l\u00e0nh x\u01b0\u01a1ng nhanh h\u01a1n \u1edf ph\u1ea7n x\u01b0\u01a1ng x\u1ed1p c\u1ee7a n\u1ec1n v\u00e0 ch\u1ecfm x\u01b0\u01a1ng b\u00e0n tay so v\u1edbi g\u00e3y th\u00e2n x\u01b0\u01a1ng c\u1ee9ng [4]. X\u01b0\u01a1ng b\u00e0n tay \u0111\u01b0\u1ee3c li\u00ean k\u1ebft v\u00e0o x\u01b0\u01a1ng <a href=\"https:\/\/vi.wikipedia.org\/wiki\/C%E1%BB%95_tay\" target=\"_blank\" rel=\"noopener\">c\u1ed5 tay<\/a> \u1edf c\u00e1c g\u1ed1c c\u1ee7a ch\u00fang t\u1ea1o th\u00e0nh kh\u1edbp c\u1ed5 b\u00e0n tay (CMCJ \u2013 Carpometacarpal joint). Kh\u1edbp c\u1ed5 b\u00e0n tay c\u1ee7a x\u01b0\u01a1ng b\u00e0n I v\u00e0 II t\u01b0\u01a1ng \u0111\u1ed1i c\u1ee9ng v\u00e0 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/so-cuu-bat-dong-gay-xuong\/\">b\u1ea5t \u0111\u1ed9ng<\/a> h\u01a1n so v\u1edbi kh\u1edbp c\u1ed5 b\u00e0n tay c\u1ee7a x\u01b0\u01a1ng b\u00e0n IV v\u00e0 V [5]. C\u00e1c x\u01b0\u01a1ng b\u00e0n tay \u0111\u01b0\u1ee3c \u1ed5n \u0111\u1ecbnh b\u1edfi nhi\u1ec1u c\u1ea5u tr\u00fac g\u00e2n v\u00e0 d\u00e2y ch\u1eb1ng, \u0111i\u1ec1u n\u00e0y ph\u1ea3i \u0111\u01b0\u1ee3c l\u01b0u \u00fd khi th\u1ef1c hi\u1ec7n c\u1ed1 \u0111\u1ecbnh g\u00e3y x\u01b0\u01a1ng b\u00e0n tay.<\/p>\n<p>Ph\u1ea7n l\u1edbn c\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y nh\u1eefng ch\u1ed7 g\u00e3y x\u01b0\u01a1ng nghi\u00eang tr\u1ee5 ho\u1eb7c nghi\u00eang quay <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/ton-thuong-kin-mo-mem\/\">t\u1ed5n th\u01b0\u01a1ng m\u00f4 m\u1ec1m<\/a> t\u1ed1i thi\u1ec3u ho\u1eb7c kh\u00f4ng t\u1ed5n th\u01b0\u01a1ng m\u00f4 m\u1ec1m c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng ph\u1eabu thu\u1eadt nh\u01b0 n\u1eafn k\u00edn v\u00e0 b\u1ea5t \u0111\u1ed9ng n\u1eb9p [4,6]. G\u00e3y n\u1ec1n x\u01b0\u01a1ng b\u00e0n l\u00e0 ph\u1ed5 bi\u1ebfn nh\u1ea5t v\u00e0 c\u00f3 th\u1ec3 n\u1eafn k\u00edn, \u0111\u1ed1i v\u1edbi g\u00e3y n\u1ec1n x\u01b0\u01a1ng b\u00e0n V, vi\u1ec7c n\u1eafn ch\u1ec9nh k\u00edn c\u00f3 th\u1ec3 ph\u1ee5c h\u1ed3i gi\u1ea3i ph\u1eabu t\u1ed1t khi n\u1eafn ch\u1ec9nh kh\u00e9o l\u00e9o. \u0110\u1ed1i v\u1edbi g\u00e3y th\u00e2n x\u01b0\u01a1ng b\u00e0n tay, c\u0169ng c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p n\u1eafn k\u00edn v\u00e0 b\u1ea5t \u0111\u1ed9ng. G\u00e3y n\u1ec1n x\u01b0\u01a1ng b\u00e0n tay c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed kh\u00f4ng c\u1ea7n ph\u1eabu thu\u1eadt n\u1ebfu m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng kh\u1edbp d\u01b0\u1edbi 20%. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c b\u1ea5t \u0111\u1ed9ng t\u1eeb ba \u0111\u1ebfn b\u1ed1n tu\u1ea7n b\u1eb1ng m\u1ed9t thanh n\u1eb9p \u0111\u1ec3 duy tr\u00ec \u0111\u1ed9 u\u1ed1n c\u1ee7a kh\u1edbp b\u00e0n ng\u00f3n. N\u1ebfu \u0111\u01b0\u1eddng g\u00e3y kh\u00f4ng \u0111\u1ee7 v\u1eefng ch\u1eafc, c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt c\u1ed1 \u0111\u1ecbnh b\u1eb1ng kim Kirschner ghim qua da [7].<\/p>\n<p><figure id=\"attachment_2041\" aria-describedby=\"caption-attachment-2041\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2041\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9-2-300x181.png\" alt=\"Picture9\" width=\"300\" height=\"181\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9-2-300x181.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9-2-1024x618.png 1024w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9-2-768x463.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9-2-1536x927.png 1536w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9-2-18x12.png 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9-2.png 1782w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2041\" class=\"wp-caption-text\"><strong>H\u00ecnh 19.4.<\/strong> X-quang g\u00e3y x\u01b0\u01a1ng b\u00e0n III, IV [8]<\/figcaption><\/figure> <figure id=\"attachment_2042\" aria-describedby=\"caption-attachment-2042\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2042\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture10-1-300x174.jpg\" alt=\"Picture10\" width=\"300\" height=\"174\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture10-1-300x174.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture10-1-18x10.jpg 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture10-1.jpg 593w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2042\" class=\"wp-caption-text\"><strong>H\u00ecnh 19.5.<\/strong> X-quang sau m\u1ed5 k\u1ebft h\u1ee3p x\u01b0\u01a1ng x\u01b0\u01a1ng b\u00e0n IV, V b\u1eb1ng kim Kirschner [8]<\/figcaption><\/figure><\/p>\n<h3><strong>Ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n<\/strong><\/h3>\n<ul>\n<li>\u0110\u01b0\u1eddng g\u00e3y v\u1eefng, kh\u00f4ng di l\u1ec7ch<\/li>\n<li>Kh\u00f4ng c\u00f3 bi\u1ebfn d\u1ea1ng xoay<\/li>\n<li>G\u1eadp g\u00f3c v\u00e0 ch\u1ed3ng ng\u1eafn trong gi\u1edbi h\u1ea1n cho ph\u00e9p (xem <strong>B\u1ea3ng 19.1<\/strong>).<\/li>\n<\/ul>\n<p><strong>B\u1ea3ng 19.1. <\/strong>Gi\u1edbi h\u1ea1n cho ph\u00e9p g\u1eadp g\u00f3c v\u00e0 ch\u1ed3ng ng\u1eafn trong g\u00e3y x\u01b0\u01a1ng b\u00e0n tay [3]<\/p>\n<table width=\"593\">\n<tbody>\n<tr>\n<td width=\"177\">\n<p><strong>Ph\u00e2n lo\u1ea1i<\/strong><\/p>\n<\/td>\n<td width=\"132\">\n<p><strong>G\u1eadp g\u00f3c th\u00e2n (\u0111\u1ed9)<\/strong><\/p>\n<\/td>\n<td width=\"149\">\n<p><strong>Ch\u1ed3ng ng\u1eafn (mm)<\/strong><\/p>\n<\/td>\n<td width=\"135\">\n<p><strong>G\u1eadp g\u00f3c n\u1ec1n (\u0111\u1ed9)<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"177\">\n<p>X\u01b0\u01a1ng b\u00e0n I v\u00e0 II<\/p>\n<\/td>\n<td width=\"132\">\n<p>10 \u2013 20<\/p>\n<\/td>\n<td width=\"149\">\n<p>2 \u2013 5<\/p>\n<\/td>\n<td width=\"135\">\n<p>10 \u2013 15<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"177\">\n<p>X\u01b0\u01a1ng b\u00e0n IV<\/p>\n<\/td>\n<td width=\"132\">\n<p>30<\/p>\n<\/td>\n<td width=\"149\">\n<p>2 \u2013 5<\/p>\n<\/td>\n<td width=\"135\">\n<p>30 \u2013 40<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"177\">\n<p>X\u01b0\u01a1ng b\u00e0n V<\/p>\n<\/td>\n<td width=\"132\">\n<p>40<\/p>\n<\/td>\n<td width=\"149\">\n<p>2 \u2013 5<\/p>\n<\/td>\n<td width=\"135\">\n<p>50 \u2013 60<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<figure id=\"attachment_2043\" aria-describedby=\"caption-attachment-2043\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2043\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11-2-300x209.png\" alt=\"Picture11\" width=\"300\" height=\"209\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11-2-300x209.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11-2-1024x715.png 1024w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11-2-768x536.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11-2-1536x1072.png 1536w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11-2-18x12.png 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11-2.png 1896w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2043\" class=\"wp-caption-text\"><strong>H\u00ecnh 19.6.<\/strong> C\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng \u0111\u01b0\u1eddng g\u00e3y v\u1eefng, di l\u1ec7ch \u00edt [9]<\/figcaption><\/figure>\n<h3><strong>Ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt g\u00e3y x\u01b0\u01a1ng b\u00e0n<\/strong><\/h3>\n<ul>\n<li>G\u00e3y h\u1edf, g\u00e3y x\u01b0\u01a1ng m\u1ea5t \u0111o\u1ea1n<\/li>\n<li>G\u00e3y x\u01b0\u01a1ng kh\u00f4ng v\u1eefng (g\u1eadp g\u00f3c, ch\u1ed3ng ng\u1eafn qu\u00e1 gi\u1edbi h\u1ea1n ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c)<\/li>\n<li>G\u00e3y nhi\u1ec1u x\u01b0\u01a1ng b\u00e0n<\/li>\n<li>G\u00e3y x\u01b0\u01a1ng th\u1ea5u kh\u1edbp (&gt; 25% b\u1ec1 m\u1eb7t kh\u1edbp) &#8211; Kh\u00f4ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/cham-lanh-xuong-va-khong-lanh-xuong\/\">li\u1ec1n x\u01b0\u01a1ng<\/a> khi \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n.<\/li>\n<\/ul>\n<h3><strong>Ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt g\u00e3y ch\u1ecfm x\u01b0\u01a1ng b\u00e0n<\/strong><\/h3>\n<ul>\n<li>K\u1ebft h\u1ee3p x\u01b0\u01a1ng b\u00ean trong: m\u1ee9c \u0111\u1ed9 di l\u1ec7ch v\u00e0 t\u1ed5n th\u01b0\u01a1ng kh\u1edbp kh\u00f4ng ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c ho\u1eb7c \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u ph\u1eabu thu\u1eadt<\/li>\n<\/ul>\n<ul>\n<li>K\u1ebft h\u1ee3p x\u01b0\u01a1ng b\u1eb1ng c\u1ed1 \u0111\u1ecbnh ngo\u00e0i: g\u00e3y x\u01b0\u01a1ng ph\u1ee9c t\u1ea1p nhi\u1ec1u m\u1ea3nh.<\/li>\n<\/ul>\n<h3><strong>Ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt g\u00e3y th\u00e2n x\u01b0\u01a1ng b\u00e0n<\/strong><\/h3>\n<ul>\n<li>G\u00e3y h\u1edf<\/li>\n<li>G\u00e3y di l\u1ec7ch xoay<\/li>\n<li>G\u00e3y g\u1eadp g\u00f3c v\u00e0 ch\u1ed3ng ng\u1eafn kh\u00f4ng ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c &#8211; G\u00e3y th\u00e2n nhi\u1ec1u x\u01b0\u01a1ng b\u00e0n tay.<\/li>\n<\/ul>\n<figure id=\"attachment_2044\" aria-describedby=\"caption-attachment-2044\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2044\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture12-1-300x257.png\" alt=\"Picture12\" width=\"300\" height=\"257\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture12-1-300x257.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture12-1-1024x879.png 1024w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture12-1-768x659.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture12-1-1536x1318.png 1536w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture12-1-14x12.png 14w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture12-1.png 1577w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2044\" class=\"wp-caption-text\"><strong>H\u00ecnh 19.7.<\/strong> X-quang g\u00e3y nhi\u1ec1u th\u00e2n x\u01b0\u01a1ng b\u00e0n tay [10]<\/figcaption><\/figure>\n<h3><strong>Ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt g\u00e3y n\u1ec1n x\u01b0\u01a1ng b\u00e0n<\/strong><\/h3>\n<ul>\n<li>G\u00e3y h\u1edf<\/li>\n<li>G\u00e3y di l\u1ec7ch xoay<\/li>\n<li>G\u00e3y g\u1eadp g\u00f3c v\u00e0 ch\u1ed3ng ng\u1eafn kh\u00f4ng ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c &#8211; G\u00e3y th\u1ea5u kh\u1edbp.<\/li>\n<\/ul>\n<h2><strong>BI\u1ebeN CH\u1ee8NG<\/strong><\/h2>\n<p>Bi\u1ebfn ch\u1ee9ng sau \u0111i\u1ec1u tr\u1ecb c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng b\u00e0n tay ch\u1ee7 y\u1ebfu li\u00ean quan \u0111\u1ebfn lo\u1ea1i ch\u1ea5n th\u01b0\u01a1ng v\u00e0 k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c ch\u1ecdn \u0111\u1ec3 c\u1ed1 \u0111\u1ecbnh.<\/p>\n<p>Bi\u1ebfn ch\u1ee9ng chung bao g\u1ed3m kh\u00f4ng li\u1ec1n x\u01b0\u01a1ng, can x\u01b0\u01a1ng l\u1ec7ch, t\u1ed5n th\u01b0\u01a1ng m\u00f4 m\u1ec1m d\u1eabn \u0111\u1ebfn b\u1ec7nh l\u00fd kh\u1edbp (co c\u1ee9ng ho\u1eb7c bi\u1ebfn d\u1ea1ng du\u1ed7i), \u0111\u1ee9t g\u00e2n v\u00e0 ng\u1eafn x\u01b0\u01a1ng [4].<\/p>\n<p>\u0110\u1ed1i v\u1edbi g\u00e3y n\u1ec1n v\u00e0 ch\u1ecfm x\u01b0\u01a1ng b\u00e0n, d\u1ec5 g\u00e2y n\u00ean h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng kh\u1edbp li\u00ean \u0111\u1ed1t b\u00e0n. T\u1ea5t c\u1ea3 nh\u1eefng bi\u1ebfn ch\u1ee9ng n\u00e0y cu\u1ed1i c\u00f9ng d\u1eabn \u0111\u1ebfn c\u1ee9ng kh\u1edbp.<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\u00a0<\/li>\n<\/ul>\n","protected":false},"featured_media":2273,"comment_status":"open","ping_status":"closed","template":"","tags":[44,224,176,177],"chuyen-muc":[61],"class_list":["post-2037","bai-giang","type-bai-giang","status-publish","has-post-thumbnail","hentry","tag-gay-xuong","tag-gay-xuong-ban","tag-gay-xuong-ban-tay","tag-gay-xuong-ngon-tay","chuyen-muc-benh-ly"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/2037","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=2037"}],"version-history":[{"count":0,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/2037\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/2273"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=2037"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=2037"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=2037"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}