{"id":418,"date":"2026-10-11T19:15:34","date_gmt":"2026-10-11T12:15:34","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/viem-gan-mac-o-mat-ca-ngoai-nguyen-nhan-trieu-chung-va-cach-dieu-tri\/"},"modified":"2026-10-11T19:15:34","modified_gmt":"2026-10-11T12:15:34","slug":"viem-gan-mac-o-mat-ca-ngoai-nguyen-nhan-trieu-chung-va-cach-dieu-tri","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/viem-gan-mac-o-mat-ca-ngoai-nguyen-nhan-trieu-chung-va-cach-dieu-tri\/","title":{"rendered":"Vi\u00eam g\u00e2n m\u00e1c \u1edf m\u1eaft c\u00e1 ngo\u00e0i: Nguy\u00ean nh\u00e2n, Tri\u1ec7u ch\u1ee9ng v\u00e0 C\u00e1ch \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p>Vi\u00eam g\u00e2n m\u00e1c \u1edf m\u1eaft c\u00e1 ngo\u00e0i, hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam g\u00e2n c\u01a1 ch\u00e2n c\u00e1i d\u00e0i (peroneus longus tendonitis), l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n c\u01a1 x\u01b0\u01a1ng kh\u1edbp ph\u1ed5 bi\u1ebfn g\u00e2y \u0111au nh\u1ee9c t\u1ea1i v\u00f9ng sau b\u00ean d\u01b0\u1edbi x\u01b0\u01a1ng ch\u00e0y. T\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng b\u1ecb nh\u1ea7m l\u1eabn v\u1edbi ch\u1ee9ng gi\u00e3n d\u00e2y ch\u1eb1ng m\u1eaft c\u00e1 ngo\u00e0i nh\u01b0ng th\u1ef1c ch\u1ea5t c\u00f3 c\u01a1 ch\u1ebf b\u1ec7nh sinh v\u00e0 c\u00e1ch x\u1eed l\u00fd kh\u00e1c bi\u1ec7t \u0111\u00e1ng k\u1ec3.<\/p>\n<p>\u0110au \u0111\u1edbn \u1edf v\u1ecb tr\u00ed n\u00e0y xu\u1ea5t hi\u1ec7n ch\u1ee7 y\u1ebfu do qu\u00e1 tr\u00ecnh l\u1ea1m d\u1ee5ng v\u1eadn \u0111\u1ed9ng l\u1eb7p \u0111i l\u1eb7p l\u1ea1i ho\u1eb7c c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u1ea5u tr\u00fac kh\u1edbp c\u1ed5 ch\u00e2n. Theo t\u00e0i li\u1ec7u chuy\u00ean khoa, nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 cao bao g\u1ed3m v\u1eadn \u0111\u1ed9ng vi\u00ean trung ni\u00ean tham gia c\u00e1c m\u00f4n th\u1ec3 thao \u0111\u00f2i h\u1ecfi ho\u1ea1t \u0111\u1ed9ng li\u00ean t\u1ee5c nh\u01b0 tr\u01b0\u1ee3t tuy\u1ebft, b\u00f3ng \u0111\u00e1, c\u1ea7u l\u00f4ng hay \u0111i\u1ec1n kinh [1]. Ngo\u00e0i ra, nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng sai l\u1ec7ch b\u00e0n ch\u00e2n m\u00e3n t\u00ednh (hindfoot malalignment) c\u0169ng th\u01b0\u1eddng g\u1eb7p ph\u1ea3i v\u1ea5n \u0111\u1ec1 n\u00e0y do c\u01a1 ch\u1ebf c\u0103ng k\u00e9o kh\u00f4ng \u0111\u1ec1u l\u00ean g\u00e2n m\u00e1c.<\/p>\n<h2>Nh\u1eadn bi\u1ebft s\u1edbm c\u00e1c d\u1ea5u hi\u1ec7u vi\u00eam g\u00e2n m\u00e1c<\/h2>\n<p>Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c l\u00e0 b\u01b0\u1edbc \u0111\u1ea7u ti\u00ean quan tr\u1ecdng, v\u00ec t\u1ed5n th\u01b0\u01a1ng g\u00e2n m\u00e1c c\u00f3 th\u1ec3 b\u1ecb b\u1ecf s\u00f3t trong c\u00e1c \u0111\u00e1nh gi\u00e1 ban \u0111\u1ea7u. M\u1ed9t nghi\u00ean c\u1ee9u ch\u1ec9 ra r\u1eb1ng ch\u1ec9 kho\u1ea3ng 60% c\u00e1c tr\u01b0\u1eddng h\u1ee3p r\u1ed1i lo\u1ea1n g\u00e2n m\u00e1c \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u0111\u00fang ngay l\u1ea7n kh\u00e1m l\u00e2m s\u00e0ng \u0111\u1ea7u ti\u00ean, ph\u1ea7n l\u1edbn do tri\u1ec7u ch\u1ee9ng ban \u0111\u1ea7u d\u1ec5 d\u00e0ng m\u00f4 ph\u1ecfng v\u1edbi ch\u1ee9ng gi\u00e3n d\u00e2y ch\u1eb1ng m\u1eaft c\u00e1 ngo\u00e0i [2].<\/p>\n<p>D\u01b0\u1edbi \u0111\u00e2y l\u00e0 nh\u1eefng d\u1ea5u hi\u1ec7u \u0111\u1eb7c tr\u01b0ng gi\u00fap ph\u00e2n bi\u1ec7t vi\u00eam g\u00e2n m\u00e1c v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng kh\u00e1c:<\/p>\n<ul>\n<li><strong>\u0110au v\u00e0 s\u01b0ng:<\/strong> S\u01b0ng n\u1ec1 th\u01b0\u1eddng t\u1eadp trung \u1edf v\u1ecb tr\u00ed h\u1eadu b\u00ean d\u01b0\u1edbi x\u01b0\u01a1ng ch\u00e0y, trong khi ch\u1ee9ng gi\u00e3n d\u00e2y ch\u1eb1ng g\u00e2y \u0111au v\u00f9ng tr\u01b0\u1edbc d\u01b0\u1edbi [2].<\/li>\n<li><strong>C\u1ea3m gi\u00e1c gi\u1eadt c\u1ee5c:<\/strong> Nhi\u1ec1u b\u1ec7nh nh\u00e2n m\u00f4 t\u1ea3 c\u1ea3m gi\u00e1c g\u00e2n m\u00e1c b\u1ecb tr\u01b0\u1ee3t ho\u1eb7c <\/li>\n<\/ul>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ul>\n<li>[1] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 4889<\/li>\n<li>[2] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 2989<\/li>\n<\/ul>\n<p><!-- aiwriter:952cd52f342e4bf28ca4ac07 --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u00ecm hi\u1ec3u v\u1ec1 vi\u00eam g\u00e2n m\u00e1c (peroneal tendinitis), nguy\u00ean nh\u00e2n g\u00e2y \u0111au m\u1eaft c\u00e1 ngo\u00e0i, d\u1ea5u hi\u1ec7u nh\u1eadn bi\u1ebft v\u00e0 ph\u01b0\u01a1ng ph\u00e1p can thi\u1ec7p ph\u1eabu thu\u1eadt hi\u1ec7u qu\u1ea3.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[],"class_list":["post-418","post","type-post","status-publish","format-standard","hentry","category-chi-duoi"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - 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