{"id":4860,"date":"2026-08-10T14:15:59","date_gmt":"2026-08-10T07:15:59","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?p=4860"},"modified":"2026-08-10T14:17:16","modified_gmt":"2026-08-10T07:17:16","slug":"thuc-hanh-chan-doan-va-dieu-tri-rach-chop-xoay","status":"publish","type":"post","link":"https:\/\/bsvothanhtoan.com\/en\/thuc-hanh-chan-doan-va-dieu-tri-rach-chop-xoay\/","title":{"rendered":"Th\u1ef1c h\u00e0nh ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb r\u00e1ch ch\u00f3p xoay"},"content":{"rendered":"

Torn rotator cuff<\/a> l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a shoulder<\/a>, g\u1eb7p \u1edf nhi\u1ec1u nh\u00f3m tu\u1ed5i kh\u00e1c nhau, t\u1eeb b\u1ec7nh nh\u00e2n tr\u1ebb c\u00f3 sports injury<\/a> \u0111\u1ebfn ng\u01b0\u1eddi l\u1edbn tu\u1ed5i v\u1edbi c\u00e1c bi\u1ebfn \u0111\u1ed5i tho\u00e1i h\u00f3a g\u00e2n. Trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng, t\u1ed5n th\u01b0\u01a1ng rotator<\/a> kh\u00f4ng ch\u1ec9 g\u00e2y \u0111au v\u00e0 h\u1ea1n ch\u1ebf ch\u1ee9c n\u0103ng kh\u1edbp vai m\u00e0 c\u00f2n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1eefng thay \u0111\u1ed5i sinh c\u01a1 h\u1ecdc ph\u1ee9c t\u1ea1p, \u1ea3nh h\u01b0\u1edfng s\u00e2u s\u1eafc \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

Trong nhi\u1ec1u th\u1eadp ni\u00ean qua, hi\u1ec3u bi\u1ebft v\u1ec1 gi\u1ea3i ph\u1eabu, sinh c\u01a1 h\u1ecdc v\u00e0 sinh h\u1ecdc c\u1ee7a g\u00e2n ch\u00f3p xoay \u0111\u00e3 c\u00f3 nh\u1eefng b\u01b0\u1edbc ti\u1ebfn v\u01b0\u1ee3t b\u1eadc. C\u00f9ng v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh hi\u1ec7n \u0111\u1ea1i v\u00e0 k\u1ef9 thu\u1eadt arthroscopy<\/a> vai, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb r\u00e1ch ch\u00f3p xoay ng\u00e0y c\u00e0ng tr\u1edf n\u00ean ch\u00ednh x\u00e1c v\u00e0 hi\u1ec7u qu\u1ea3 h\u01a1n. Tuy nhi\u00ean, \u0111\u00e2y v\u1eabn l\u00e0 m\u1ed9t l\u0129nh v\u1ef1c \u0111\u1ea7y th\u00e1ch th\u1ee9c \u0111\u1ed1i v\u1edbi c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng. T\u1ed5n th\u01b0\u01a1ng ch\u00f3p xoay c\u00f3 bi\u1ec3u hi\u1ec7n \u0111a d\u1ea1ng, ti\u1ebfn tri\u1ec3n kh\u00e1c nhau \u1edf t\u1eebng b\u1ec7nh nh\u00e2n v\u00e0 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1 nh\u01b0 tu\u1ed5i, m\u1ee9c \u0111\u1ed9 r\u00e1ch g\u00e2n, ch\u1ea5t l\u01b0\u1ee3ng m\u00f4 g\u00e2n, t\u00ecnh tr\u1ea1ng c\u01a1, c\u0169ng nh\u01b0 nhu c\u1ea7u ho\u1ea1t \u0111\u1ed9ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

V\u00ec v\u1eady, ti\u1ebfp c\u1eadn \u0111i\u1ec1u tr\u1ecb r\u00e1ch ch\u00f3p xoay kh\u00f4ng th\u1ec3 \u00e1p d\u1ee5ng m\u1ed9t m\u00f4 h\u00ecnh c\u1ed1 \u0111\u1ecbnh cho m\u1ecdi tr\u01b0\u1eddng h\u1ee3p. Ng\u00e0y nay, xu h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb nh\u1ea5n m\u1ea1nh \u0111\u1ebfn c\u00e1 th\u1ec3 h\u00f3a ch\u1ec9 \u0111\u1ecbnh, l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u1edbi t\u1eebng b\u1ec7nh nh\u00e2n c\u1ee5 th\u1ec3. \u0110i\u1ec1u n\u00e0y \u0111\u00f2i h\u1ecfi ng\u01b0\u1eddi th\u1ea7y thu\u1ed1c ph\u1ea3i c\u00f3 s\u1ef1 hi\u1ec3u bi\u1ebft s\u00e2u s\u1eafc v\u1ec1 gi\u1ea3i ph\u1eabu ch\u1ee9c n\u0103ng c\u1ee7a kh\u1edbp vai, \u0111\u1eb7c \u0111i\u1ec3m sinh c\u01a1 h\u1ecdc c\u1ee7a ch\u00f3p xoay, c\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a t\u1ed5n th\u01b0\u01a1ng, c\u0169ng nh\u01b0 n\u1eafm v\u1eefng c\u00e1c k\u1ef9 thu\u1eadt \u0111i\u1ec1u tr\u1ecb hi\u1ec7n \u0111\u1ea1i.<\/p>\n

B\u00ean c\u1ea1nh c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n, ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai \u0111\u00e3 tr\u1edf th\u00e0nh ti\u00eau chu\u1ea9n trong \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u d\u1ea1ng r\u00e1ch ch\u00f3p xoay. C\u00e1c k\u1ef9 thu\u1eadt kh\u00e2u g\u00e2n ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c ho\u00e0n thi\u1ec7n v\u1edbi nhi\u1ec1u bi\u1ebfn th\u1ec3 nh\u01b0 kh\u00e2u m\u1ed9t h\u00e0ng, hai h\u00e0ng, k\u1ef9 thu\u1eadt suture bridge, c\u0169ng nh\u01b0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p t\u00e1i t\u1ea1o sinh h\u1ecdc v\u00e0 t\u00e1i t\u1ea1o c\u1ea5u tr\u00fac trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p r\u00e1ch l\u1edbn ho\u1eb7c kh\u00f4ng th\u1ec3 kh\u00e2u tr\u1ef1c ti\u1ebfp. Nh\u1eefng ti\u1ebfn b\u1ed9 n\u00e0y gi\u00fap c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb, \u0111\u1ed3ng th\u1eddi m\u1edf ra nhi\u1ec1u h\u01b0\u1edbng ti\u1ebfp c\u1eadn m\u1edbi trong qu\u1ea3n l\u00fdb\u1ec7nh l\u00fd ch\u00f3p xoay.<\/p>\n

Tuy nhi\u00ean, vi\u1ec7c \u00e1p d\u1ee5ng hi\u1ec7u qu\u1ea3 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7n \u0111\u1ea1i kh\u00f4ng ch\u1ec9 ph\u1ee5 thu\u1ed9c v\u00e0o k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt m\u00e0 c\u00f2n \u0111\u00f2i h\u1ecfi s\u1ef1 k\u1ebft h\u1ee3p ch\u1eb7t ch\u1ebd gi\u1eefa ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c, l\u1ef1a ch\u1ecdn ch\u1ec9 \u0111\u1ecbnh h\u1ee3p l\u00fd, k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt ph\u00f9 h\u1ee3p v\u00e0 ch\u01b0\u01a1ng tr\u00ecnh Rehabilitation<\/a> khoa h\u1ecdc. S\u1ef1 ph\u1ed1i h\u1ee3p c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 n\u00e0y ch\u00ednh l\u00e0 ch\u00eca kh\u00f3a quy\u1ebft \u0111\u1ecbnh k\u1ebft qu\u1ea3 l\u00e2u d\u00e0i c\u1ee7a \u0111i\u1ec1u tr\u1ecb.<\/p>\n

Books Th\u1ef1c h\u00e0nh ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb r\u00e1ch ch\u00f3p xoay<\/em><\/strong> \u0111\u01b0\u1ee3c bi\u00ean so\u1ea1n v\u1edbi m\u1ee5c ti\u00eau cung c\u1ea5p m\u1ed9t c\u00e1ch ti\u1ebfp c\u1eadn h\u1ec7 th\u1ed1ng v\u00e0 th\u1ef1c h\u00e0nh \u0111\u1ed1i v\u1edbi b\u1ec7nh l\u00fd r\u00e1ch ch\u00f3p xoay. N\u1ed9i dung s\u00e1ch bao g\u1ed3m c\u00e1c v\u1ea5n \u0111\u1ec1 t\u1eeb c\u01a1 s\u1edf gi\u1ea3i ph\u1eabu \u2013 sinh c\u01a1 h\u1ecdc, ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng, chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, c\u00e1c k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt hi\u1ec7n \u0111\u1ea1i, cho \u0111\u1ebfn ch\u0103m s\u00f3c h\u1eadu ph\u1eabu v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/p>\n

Ch\u00fang t\u00f4i hy v\u1ecdng r\u1eb1ng t\u00e0i li\u1ec7u n\u00e0y s\u1ebd gi\u00fap c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c ph\u1eabu thu\u1eadt vi\u00ean ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh v\u00e0 y h\u1ecdc th\u1ec3 thao, c\u00f3 th\u00eam m\u1ed9t ngu\u1ed3n tham kh\u1ea3o h\u1eefu \u00edch trong qu\u00e1 tr\u00ecnh ti\u1ebfp c\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd r\u00e1ch ch\u00f3p xoay. \u0110\u1ed3ng th\u1eddi, cu\u1ed1n s\u00e1ch c\u0169ng mong mu\u1ed1n g\u00f3p ph\u1ea7n h\u1ec7 th\u1ed1ng h\u00f3a ki\u1ebfn th\u1ee9c v\u00e0 chia s\u1ebb kinh nghi\u1ec7m th\u1ef1c h\u00e0nh, nh\u1eb1m n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

M\u1eb7c d\u00f9 \u0111\u00e3 c\u00f3 nhi\u1ec1u c\u1ed1 g\u1eafng trong qu\u00e1 tr\u00ecnh bi\u00ean so\u1ea1n, cu\u1ed1n s\u00e1ch kh\u00f3 tr\u00e1nh kh\u1ecfi nh\u1eefng thi\u1ebfu s\u00f3t. Ch\u00fang t\u00f4i r\u1ea5t mong nh\u1eadn \u0111\u01b0\u1ee3c nh\u1eefng \u00fd ki\u1ebfn \u0111\u00f3ng g\u00f3p c\u1ee7a c\u00e1c \u0111\u1ed3ng nghi\u1ec7p v\u00e0 b\u1ea1n \u0111\u1ecdc \u0111\u1ec3 n\u1ed9i dung \u0111\u01b0\u1ee3c ho\u00e0n thi\u1ec7n h\u01a1n trong c\u00e1c l\u1ea7n t\u00e1i b\u1ea3n sau.<\/p>","protected":false},"excerpt":{"rendered":"

R\u00e1ch ch\u00f3p xoay l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a kh\u1edbp vai, g\u1eb7p \u1edf nhi\u1ec1u nh\u00f3m tu\u1ed5i kh\u00e1c nhau, t\u1eeb b\u1ec7nh nh\u00e2n tr\u1ebb c\u00f3 ch\u1ea5n th\u01b0\u01a1ng th\u1ec3 thao \u0111\u1ebfn ng\u01b0\u1eddi l\u1edbn tu\u1ed5i v\u1edbi c\u00e1c bi\u1ebfn \u0111\u1ed5i tho\u00e1i h\u00f3a g\u00e2n. Trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng, t\u1ed5n th\u01b0\u01a1ng ch\u00f3p xoay kh\u00f4ng ch\u1ec9 g\u00e2y \u0111au […]<\/p>\n","protected":false},"author":2,"featured_media":4861,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nxb":"\u0110\u1ea1i h\u1ecdc Qu\u1ed1c Gia TP. H\u1ed3 Ch\u00ed Minh","tac-gia":"PGS.TS.BS. V\u00f5 Th\u00e0nh To\u00e0n
TS.BSCKII. L\u00ea Gia \u00c1nh Th\u1ef3","the-loai":"S\u00e1ch chuy\u00ean kh\u1ea3o","nam-xuat-ban":"2026","ngon-ngu":"Ti\u1ebfng Vi\u1ec7t","isbn":"9786326370270","gia":"220000","muc-luc":"

Ch\u01b0\u01a1ng 1. \u0110\u1ea0I C\u01af\u01a0NG<\/p>\n

GI\u1ea2I PH\u1eaaU \u1ee8NG D\u1ee4NG C\u1ee6A CH\u00d3P XOAY<\/p>\n

SINH C\u01a0 H\u1eccC KH\u1edaP VAI V\u00c0 VAI TR\u00d2 C\u1ee6A CH\u00d3P XOAY<\/p>\n

D\u1ecaCH T\u1ec4 H\u1eccC V\u00c0 Y\u1ebeU T\u1ed0 NGUY C\u01a0<\/p>\n

C\u01a0 S\u1ede SINH H\u1eccC V\u00c0 PH\u1ee4C H\u1ed2I<\/p>\n

PH\u00c2N LO\u1ea0I T\u1ed4N TH\u01af\u01a0NG<\/p>\n

Ch\u01b0\u01a1ng 2. CH\u1ea8N \u0110O\u00c1N R\u00c1CH CH\u00d3P XOAY<\/p>\n

L\u00c2M S\u00c0NG<\/p>\n

H\u00ccNH \u1ea2NH H\u1eccC<\/p>\n

PH\u00c2N LO\u1ea0I R\u00c1CH CH\u00d3P XOAY<\/p>\n

TI\u1ebeN TRI\u1ec2N C\u1ee6A R\u00c1CH CH\u00d3P XOAY<\/p>\n

Ch\u01b0\u01a1ng 3. CHI\u1ebeN L\u01af\u1ee2C \u0110I\u1ec0U TR\u1eca<\/p>\n

L\u1ecaCH S\u1eec PH\u00c1T TRI\u1ec2N K\u1ef8 THU\u1eacT N\u1ed8I SOI CH\u00d3P XOAY<\/p>\n

\u0110I\u1ec0U TR\u1eca B\u1ea2O T\u1ed2N R\u00c1CH G\u00c2N CH\u00d3P XOAY<\/p>\n

CH\u1ec8 \u0110\u1ecaNH PH\u1eaaU THU\u1eacT<\/p>\n

CHU\u1ea8N B\u1eca TR\u01af\u1edaC M\u1ed4<\/p>\n

PH\u1eaaU THU\u1eacT<\/p>\n

CH\u0102M S\u00d3C H\u1eacU PH\u1eaaU V\u00c0 PH\u1ee4C H\u1ed2I CH\u1ee8C N\u0102NG<\/p>\n

T\u1ed4NG QUAN V\u1ec0 C\u00c1C K\u1ef8 THU\u1eacT M\u1edaI<\/p>\n

C\u00c1C K\u1ef8 THU\u1eacT N\u1ed8I SOI M\u1edaI<\/p>\n

T\u00c1I T\u1ea0O, T\u0102NG C\u01af\u1edcNG SINH H\u1eccC V\u00c0 C\u00c1C Y\u1ebeU T\u1ed0 PH\u00c2N T\u1eec<\/p>\n

K\u1ef8 THU\u1eacT CHUY\u1ec2N G\u00c2N C\u01a0 TRONG \u0110I\u1ec0U TR\u1eca R\u00c1CH CH\u00d3P XOAY KH\u00d4NG TH\u1ec2 S\u1eecA CH\u1eeeA<\/p>\n

Ch\u01b0\u01a1ng 4. PH\u1ee4C H\u1ed2I CH\u1ee8C N\u0102NG<\/p>\n

T\u1ed4NG QUAN<\/p>\n

PHA 0: \u0110\u00c1NH GI\u00c1 C\u00c1C Y\u1ebeU T\u1ed0 \u1ea2NH H\u01af\u1edeNG \u0110\u1ebeN K\u1ebeT QU\u1ea2 \u0110I\u1ec0U TR\u1eca<\/p>\n

PHA 1: QU\u1ea2N L\u00dd GIAI \u0110O\u1ea0N NGAY SAU PH\u1eaaU THU\u1eacT<\/p>\n

PHA 2: PH\u1ee4C H\u1ed2I BI\u00caN \u0110\u1ed8 V\u1eacN \u0110\u1ed8NG TH\u1ee4 \u0110\u1ed8NG<\/p>\n

PHA 3: PH\u1ee4C H\u1ed2I S\u1ee8C C\u01a0 CH\u00d3P XOAY<\/p>\n

PHA 4: PH\u1ee4C H\u1ed2I S\u1ee8C M\u1ea0NH N\u00c2NG CAO V\u00c0 PH\u1ee4C H\u1ed2I HO\u00c0N TO\u00c0N<\/p>\n

V\u1eacT L\u00dd TR\u1eca LI\u1ec6U<\/p>\n

Ch\u01b0\u01a1ng 5. BI\u1ebeN CH\u1ee8NG, T\u00c1I PH\u1eaaU V\u00c0 THEO D\u00d5I<\/p>\n

BI\u1ebeN CH\u1ee8NG TRONG \u0110I\u1ec0U TR\u1eca B\u1ea2O T\u1ed2N R\u00c1CH G\u00c2N CH\u00d3P XOAY<\/p>\n

BI\u1ebeN CH\u1ee8NG TRONG \u0110I\u1ec0U TR\u1eca PH\u1eaaU THU\u1eacT R\u00c1CH G\u00c2N CH\u00d3P XOAY<\/p>\n

BI\u1ebeN CH\u1ee8NG L\u00c2U D\u00c0I<\/p>\n

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