{"id":164,"date":"2026-10-10T11:40:30","date_gmt":"2026-10-10T04:40:30","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/10\/rach-chop-xoay-dau-hieu-muc-do-va-huong-xu-tri-thuong-gap\/"},"modified":"2026-10-10T11:40:30","modified_gmt":"2026-10-10T04:40:30","slug":"rach-chop-xoay-dau-hieu-muc-do-va-huong-xu-tri-thuong-gap","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/10\/rach-chop-xoay-dau-hieu-muc-do-va-huong-xu-tri-thuong-gap\/","title":{"rendered":"R\u00e1ch ch\u00f3p xoay: d\u1ea5u hi\u1ec7u, m\u1ee9c \u0111\u1ed9 v\u00e0 h\u01b0\u1edbng x\u1eed tr\u00ed th\u01b0\u1eddng g\u1eb7p"},"content":{"rendered":"

R\u00e1ch ch\u00f3p xoay<\/strong> l\u00e0 m\u1ed9t t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn g\u00e2n quanh kh\u1edbp vai, g\u00e2y \u0111au v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng. T\u00e0i li\u1ec7u chuy\u00ean m\u00f4n cho th\u1ea5y bi\u1ec3u hi\u1ec7n v\u00e0 h\u01b0\u1edbng x\u1eed tr\u00ed ph\u1ee5 thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed, \u0111\u1ed9 s\u00e2u ho\u1eb7c k\u00edch th\u01b0\u1edbc v\u1ebft r\u00e1ch, tu\u1ed5i, m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng m\u00f4 g\u00e2n. V\u00ec v\u1eady, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng n\u00ean t\u1ef1 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng ch\u1ec9 d\u1ef1a v\u00e0o c\u1ea3m gi\u00e1c \u0111au.<\/p>\n

R\u00e1ch ch\u00f3p xoay th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n

\u1ede ng\u01b0\u1eddi c\u00f3 r\u00e1ch ch\u00f3p xoay to\u00e0n ph\u1ea7n c\u00f3 tri\u1ec7u ch\u1ee9ng, \u0111au th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf v\u00f9ng tr\u01b0\u1edbc-b\u00ean c\u1ee7a vai v\u00e0 c\u00f3 th\u1ec3 lan xu\u1ed1ng v\u00f9ng d\u01b0\u1edbi c\u01a1 delta. \u0110au khi \u0111\u01b0a tay cao qu\u00e1 \u0111\u1ea7u ho\u1eb7c n\u00e2ng v\u1eadt v\u1edbi c\u00e1nh tay du\u1ed7i ra ph\u00eda tr\u01b0\u1edbc l\u00e0 nh\u1eefng than phi\u1ec1n th\u01b0\u1eddng g\u1eb7p. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f2n b\u1ecb \u0111au v\u1ec1 \u0111\u00eam v\u00e0 r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 [3].<\/p>\n

Tuy nhi\u00ean, s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a \u0111au kh\u00f4ng t\u1ef1 n\u00f3 cho bi\u1ebft v\u1ebft r\u00e1ch l\u00e0 b\u00e1n ph\u1ea7n hay to\u00e0n ph\u1ea7n. T\u00e0i li\u1ec7u c\u0169ng ghi nh\u1eadn nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p r\u00e1ch to\u00e0n ph\u1ea7n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng, n\u00ean vi\u1ec7c \u0111\u00e1nh gi\u00e1 c\u1ea7n d\u1ef1a tr\u00ean th\u0103m kh\u00e1m v\u00e0 c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n ki\u1ec3m tra ph\u00f9 h\u1ee3p, thay v\u00ec ch\u1ec9 d\u1ef1a v\u00e0o h\u00ecnh \u1ea3nh ho\u1eb7c m\u1ed9t tri\u1ec7u ch\u1ee9ng \u0111\u01a1n l\u1ebb [3].<\/p>\n

Ph\u00e2n bi\u1ec7t r\u00e1ch ch\u00f3p xoay b\u00e1n ph\u1ea7n v\u00e0 to\u00e0n ph\u1ea7n<\/h2>\n

R\u00e1ch b\u00e1n ph\u1ea7n<\/h3>\n

R\u00e1ch b\u00e1n ph\u1ea7n l\u00e0 t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng ch\u01b0a xuy\u00ean h\u1ebft b\u1ec1 d\u00e0y g\u00e2n. Khi n\u1ed9i soi, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 b\u1ec1 m\u1eb7t kh\u1edbp, s\u1ee5n, g\u00e2n nh\u1ecb \u0111\u1ea7u v\u00e0 m\u1eb7t d\u01b0\u1edbi c\u1ee7a ch\u00f3p xoay; n\u1ebfu ph\u00e1t hi\u1ec7n v\u00f9ng r\u00e1ch, \u0111\u1ed9 s\u00e2u t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1ee3c \u01b0\u1edbc l\u01b0\u1ee3ng \u0111\u1ec3 l\u1ef1a ch\u1ecdn c\u00e1ch x\u1eed tr\u00ed [1][4].<\/p>\n

V\u1edbi t\u1ed5n th\u01b0\u01a1ng chi\u1ebfm d\u01b0\u1edbi 50% b\u1ec1 d\u00e0y ch\u00f3p xoay, t\u00e0i li\u1ec7u \u0111\u1ec1 c\u1eadp \u0111\u1ebfn l\u00e0m s\u1ea1ch ph\u1ea7n g\u00e2n t\u1ed5n th\u01b0\u01a1ng k\u1ebft h\u1ee3p t\u1ea1o h\u00ecnh m\u1ecfm c\u00f9ng vai trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 ch\u00e8n \u00e9p \u0111\u01b0\u1eddng ra. N\u1ebfu t\u1ed5n th\u01b0\u01a1ng d\u00e0i ho\u1eb7c s\u00e2u h\u01a1n, c\u00e1c l\u1ef1a ch\u1ecdn \u0111\u01b0\u1ee3c n\u00eau g\u1ed3m c\u1eaft b\u1ecf ph\u1ea7n g\u00e2n b\u1ec7nh l\u00fd theo h\u00ecnh elip, ho\u00e0n t\u1ea5t v\u1ebft r\u00e1ch r\u1ed3i s\u1eeda ch\u1eefa g\u00e2n [2]. Quy\u1ebft \u0111\u1ecbnh th\u1ef1c t\u1ebf c\u00f2n ph\u1ee5 thu\u1ed9c tu\u1ed5i v\u00e0 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh [2].<\/p>\n

R\u00e1ch to\u00e0n ph\u1ea7n<\/h3>\n

R\u00e1ch to\u00e0n ph\u1ea7n \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i theo k\u00edch th\u01b0\u1edbc: nh\u1ecf d\u01b0\u1edbi 1 cm, v\u1eeba t\u1eeb 1 \u0111\u1ebfn d\u01b0\u1edbi 3 cm, l\u1edbn t\u1eeb 3 \u0111\u1ebfn d\u01b0\u1edbi 5 cm v\u00e0 kh\u1ed5ng l\u1ed3 t\u1eeb 5 cm tr\u1edf l\u00ean [5]. K\u00edch th\u01b0\u1edbc ch\u1ec9 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a \u0111\u00e1nh gi\u00e1; ch\u1ea5t l\u01b0\u1ee3ng g\u00e2n, t\u00ecnh tr\u1ea1ng c\u01a1, th\u1eddi \u0111i\u1ec3m xu\u1ea5t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng v\u00e0 kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb [6].<\/p>\n

\u0110i\u1ec1u tr\u1ecb r\u00e1ch ch\u00f3p xoay \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc ra sao?<\/h2>\n

Kh\u00f4ng ph\u1ea3i m\u1ecdi tr\u01b0\u1eddng h\u1ee3p \u0111\u1ec1u c\u1ea7n ph\u1eabu thu\u1eadt ngay. \u1ede ng\u01b0\u1eddi l\u1edbn tu\u1ed5i ho\u1eb7c \u00edt ho\u1ea1t \u0111\u1ed9ng, t\u00e0i li\u1ec7u \u0111\u1ec1 c\u1eadp m\u1ed9t \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt trong kho\u1ea3ng 8\u201312 tu\u1ea7n. N\u1ebfu \u0111\u00e1p \u1ee9ng t\u00edch c\u1ef1c, ph\u01b0\u01a1ng \u00e1n n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c; n\u1ebfu kh\u00f4ng c\u1ea3i thi\u1ec7n, b\u00e1c s\u0129 s\u1ebd \u0111\u00e1nh gi\u00e1 l\u1ea1i [5]. \u0110o\u1ea1n t\u00e0i li\u1ec7u \u0111\u01b0\u1ee3c cung c\u1ea5p kh\u00f4ng m\u00f4 t\u1ea3 \u0111\u1ea7y \u0111\u1ee7 t\u1eebng ph\u01b0\u01a1ng ph\u00e1p ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng, v\u00ec v\u1eady ng\u01b0\u1eddi b\u1ec7nh n\u00ean \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn c\u00e1 nh\u00e2n h\u00f3a thay v\u00ec t\u1ef1 t\u1eadp theo m\u1ed9t ch\u01b0\u01a1ng tr\u00ecnh chung.<\/p>\n

Ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc trong m\u1ed9t s\u1ed1 t\u00ecnh hu\u1ed1ng, ch\u1eb3ng h\u1ea1n ch\u1ea5n th\u01b0\u01a1ng c\u1ea5p \u1edf ng\u01b0\u1eddi tr\u1ebb ho\u1eb7c ng\u01b0\u1eddi l\u1edbn tu\u1ed5i c\u00f3 t\u1ed5n th\u01b0\u01a1ng x\u00e1c \u0111\u1ecbnh v\u00e0 \u0111\u1ed9t ng\u1ed9t kh\u00f4ng th\u1ec3 xoay ngo\u00e0i c\u00e1nh tay khi c\u00f3 l\u1ef1c c\u1ea3n [6]. M\u1ee5c ti\u00eau ch\u00ednh c\u1ee7a ph\u1eabu thu\u1eadt l\u00e0 gi\u1ea3m \u0111au; c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng c\u0169ng quan tr\u1ecdng nh\u01b0ng \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 l\u00e0 k\u00e9m d\u1ef1 \u0111o\u00e1n h\u01a1n v\u00e0 ph\u1ee5 thu\u1ed9c v\u00e0o tu\u1ed5i, k\u00edch th\u01b0\u1edbc c\u0169ng nh\u01b0 th\u1eddi gian t\u1ed3n t\u1ea1i c\u1ee7a v\u1ebft r\u00e1ch, ch\u1ea5t l\u01b0\u1ee3ng c\u01a1-g\u00e2n v\u00e0 ch\u01b0\u01a1ng tr\u00ecnh ph\u1ee5c h\u1ed3i sau m\u1ed5 [6].<\/p>\n

V\u1edbi r\u00e1ch l\u1edbn kh\u00f4ng th\u1ec3 s\u1eeda ch\u1eefa, t\u00e0i li\u1ec7u n\u00eau nhi\u1ec1u l\u1ef1a ch\u1ecdn nh\u01b0 thay kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c, chuy\u1ec3n g\u00e2n, l\u00e0m s\u1ea1ch qua n\u1ed9i soi ho\u1eb7c t\u00e1i t\u1ea1o bao kh\u1edbp tr\u00ean. Vi\u1ec7c l\u1ef1a ch\u1ecdn c\u00f2n ph\u1ee9c t\u1ea1p v\u00e0 v\u1eabn \u0111\u01b0\u1ee3c tranh lu\u1eadn; m\u1ed9t ch\u1ec9 \u0111\u1ecbnh \u0111\u01b0\u1ee3c n\u00eau cho t\u00e1i t\u1ea1o bao kh\u1edbp tr\u00ean l\u00e0 r\u00e1ch ph\u00eda tr\u00ean kh\u00f4ng th\u1ec3 s\u1eeda ch\u1eefa, trong khi g\u00e2n d\u01b0\u1edbi vai c\u00f2n nguy\u00ean v\u1eb9n ho\u1eb7c c\u00f3 th\u1ec3 s\u1eeda ch\u1eefa, ch\u1ee9c n\u0103ng \u0111\u01b0a tay cao v\u1eabn \u0111\u01b0\u1ee3c b\u1ea3o t\u1ed3n v\u00e0 than phi\u1ec1n ch\u00ednh l\u00e0 \u0111au [7].<\/p>\n

Khi n\u00e0o n\u00ean \u0111i kh\u00e1m?<\/h2>\n
    \n
  • \u0110au vai k\u00e9o d\u00e0i, \u0111\u1eb7c bi\u1ec7t khi \u0111\u01b0a tay cao, n\u00e2ng v\u1eadt ho\u1eb7c \u0111au v\u1ec1 \u0111\u00eam.<\/li>\n
  • Kh\u00f3 v\u1eadn \u0111\u1ed9ng vai sau m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c xu\u1ea5t hi\u1ec7n gi\u1ea3m ch\u1ee9c n\u0103ng \u0111\u1ed9t ng\u1ed9t.<\/li>\n
  • \u0110au v\u00e0 h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng kh\u00f4ng c\u1ea3i thi\u1ec7n sau th\u1eddi gian \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn.<\/li>\n<\/ul>\n

    Kh\u00e1m chuy\u00ean khoa c\u01a1 x\u01b0\u01a1ng kh\u1edbp ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh gi\u00fap x\u00e1c \u0111\u1ecbnh ph\u1ea1m vi t\u1ed5n th\u01b0\u01a1ng v\u00e0 x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch ph\u00f9 h\u1ee3p. N\u1ed9i dung ngu\u1ed3n \u0111\u01b0\u1ee3c cung c\u1ea5p t\u1eadp trung v\u00e0o r\u00e1ch ch\u00f3p xoay v\u00e0 x\u1eed tr\u00ed ph\u1eabu thu\u1eadt, ch\u01b0a \u0111\u1ee7 \u0111\u1ec3 h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, thu\u1ed1c, b\u00e0i t\u1eadp ho\u1eb7c ti\u00ean l\u01b0\u1ee3ng ri\u00eang cho t\u1eebng ng\u01b0\u1eddi.<\/p>\n

    K\u1ebft lu\u1eadn<\/h2>\n

    R\u00e1ch ch\u00f3p xoay<\/strong> c\u00f3 th\u1ec3 l\u00e0 r\u00e1ch b\u00e1n ph\u1ea7n ho\u1eb7c to\u00e0n ph\u1ea7n v\u1edbi m\u1ee9c \u0111\u1ed9 v\u00e0 k\u00edch th\u01b0\u1edbc kh\u00e1c nhau. \u0110au khi ho\u1ea1t \u0111\u1ed9ng tr\u00ean \u0111\u1ea7u, \u0111au v\u1ec1 \u0111\u00eam v\u00e0 gi\u1ea3m kh\u1ea3 n\u0103ng n\u00e2ng tay l\u00e0 nh\u1eefng bi\u1ec3u hi\u1ec7n c\u1ea7n l\u01b0u \u00fd, nh\u01b0ng kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 t\u1ef1 x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n. H\u01b0\u1edbng x\u1eed tr\u00ed \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc d\u1ef1a tr\u00ean \u0111\u1eb7c \u0111i\u1ec3m v\u1ebft r\u00e1ch, tu\u1ed5i, m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng, ch\u1ea5t l\u01b0\u1ee3ng m\u00f4 v\u00e0 \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt [2][3][6].<\/p>\n

    T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
      \n
    • [1] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 3188<\/li>\n
    • [2] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2829<\/li>\n
    • [3] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 3197<\/li>\n
    • [4] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 3188<\/li>\n
    • [5] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2828<\/li>\n
    • [6] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2829<\/li>\n
    • [7] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 3205<\/li>\n<\/ul>\n

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