{"id":466,"date":"2026-10-12T00:18:32","date_gmt":"2026-10-11T17:18:32","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/12\/dieu-tri-bao-ton-gay-kin-xuong-ban-chan-so-5-jones-fracture\/"},"modified":"2026-10-12T00:18:32","modified_gmt":"2026-10-11T17:18:32","slug":"dieu-tri-bao-ton-gay-kin-xuong-ban-chan-so-5-jones-fracture","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/12\/dieu-tri-bao-ton-gay-kin-xuong-ban-chan-so-5-jones-fracture\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n g\u00e3y k\u00edn x\u01b0\u01a1ng b\u00e0n ch\u00e2n s\u1ed1 5 (Jones fracture)"},"content":{"rendered":"

\u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n g\u00e3y k\u00edn x\u01b0\u01a1ng b\u00e0n ch\u00e2n s\u1ed1 5<\/strong>, th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 Jones fracture, c\u1ea7n d\u1ef1a tr\u00ean v\u1ecb tr\u00ed \u0111\u01b0\u1eddng g\u00e3y, m\u1ee9c \u0111\u1ed9 di l\u1ec7ch, t\u00ecnh tr\u1ea1ng li\u1ec1n x\u01b0\u01a1ng v\u00e0 nhu c\u1ea7u v\u1eadn \u0111\u1ed9ng c\u1ee7a t\u1eebng ng\u01b0\u1eddi. Kh\u00f4ng ph\u1ea3i m\u1ecdi g\u00e3y \u1edf n\u1ec1n ho\u1eb7c th\u00e2n g\u1ea7n x\u01b0\u01a1ng b\u00e0n ch\u00e2n s\u1ed1 5 \u0111\u1ec1u c\u00f3 c\u00f9ng nguy c\u01a1 ch\u1eadm li\u1ec1n, v\u00ec v\u1eady ng\u01b0\u1eddi b\u1ec7nh n\u00ean \u0111\u01b0\u1ee3c kh\u00e1m ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh v\u00e0 \u0111\u1ecdc phim X-quang tr\u01b0\u1edbc khi l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb.<\/p>\n

Khi n\u00e0o c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n Jones fracture?<\/h2>\n

T\u00e0i li\u1ec7u chuy\u00ean ng\u00e0nh li\u1ec7t k\u00ea g\u00e3y c\u1ea5p t\u00ednh kh\u00f4ng di l\u1ec7ch ho\u1eb7c di l\u1ec7ch t\u1ed1i thi\u1ec3u l\u00e0 nh\u00f3m c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt. M\u1ed9t s\u1ed1 g\u00e3y v\u00f9ng 2 v\u00e0 g\u00e3y c\u1ea5p v\u00f9ng 3 c\u0169ng n\u1eb1m trong nh\u00f3m ch\u1ec9 \u0111\u1ecbnh b\u1ea3o t\u1ed3n, nh\u01b0ng quy\u1ebft \u0111\u1ecbnh ph\u1ea3i \u0111\u01b0\u1ee3c c\u00e1 th\u1ec3 h\u00f3a theo v\u1ecb tr\u00ed, h\u00ecnh th\u00e1i g\u00e3y, tu\u1ed5i, ngh\u1ec1 nghi\u1ec7p v\u00e0 y\u00eau c\u1ea7u ch\u1ee9c n\u0103ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh [3].<\/p>\n

Jones fracture th\u01b0\u1eddng \u0111\u01b0\u1ee3c quan t\u00e2m \u0111\u1eb7c bi\u1ec7t v\u00ec c\u00e1c g\u00e3y \u1edf v\u00f9ng h\u00e0nh x\u01b0\u01a1ng g\u1ea7n ho\u1eb7c th\u00e2n g\u1ea7n x\u01b0\u01a1ng b\u00e0n ch\u00e2n s\u1ed1 5 c\u00f3 kh\u1ea3 n\u0103ng ti\u1ebfn tri\u1ec3n th\u00e0nh ch\u1eadm li\u1ec1n ho\u1eb7c kh\u00f4ng li\u1ec1n. Ph\u00e2n lo\u1ea1i Torg m\u00f4 t\u1ea3 t\u00ecnh tr\u1ea1ng t\u1eeb g\u00e3y c\u1ea5p c\u00f3 \u0111\u01b0\u1eddng g\u00e3y h\u1eb9p \u0111\u1ebfn g\u00e3y ch\u1eadm li\u1ec1n v\u00e0 kh\u00f4ng li\u1ec1n c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u thay \u0111\u1ed5i quanh \u1ed5 g\u00e3y [6]. V\u00ec v\u1eady, m\u1ed9t tr\u01b0\u1eddng h\u1ee3p c\u00f3 v\u1ebb \u00edt di l\u1ec7ch tr\u00ean phim v\u1eabn c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i ph\u00f9 h\u1ee3p.<\/p>\n

\u0110\u00e1nh gi\u00e1 tr\u01b0\u1edbc khi ch\u1ecdn \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n g\u00e3y k\u00edn x\u01b0\u01a1ng b\u00e0n ch\u00e2n s\u1ed1 5<\/h2>\n

Bi\u1ec3u hi\u1ec7n th\u01b0\u1eddng g\u1eb7p l\u00e0 \u0111au, s\u01b0ng v\u00e0 \u1ea5n \u0111au \u1edf b\u1edd ngo\u00e0i b\u00e0n ch\u00e2n, k\u00e8m kh\u00f3 \u0111i l\u1ea1i; b\u1ea7m t\u00edm c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n sau ch\u1ea5n th\u01b0\u01a1ng tr\u1ef1c ti\u1ebfp [5]. Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh c\u00f3 vai tr\u00f2 quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ng\u1eafn chi, l\u1ec7ch tr\u1ee5c, g\u00f3c g\u1eadp v\u00e0 m\u1ee9c \u0111\u1ed9 di l\u1ec7ch. Ba t\u01b0 th\u1ebf X-quang g\u1ed3m th\u1eb3ng, nghi\u00eang v\u00e0 ch\u1ebfch 30 \u0111\u1ed9 \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 g\u00e3y x\u01b0\u01a1ng b\u00e0n ch\u00e2n s\u1ed1 5 [5].<\/p>\n

\u0110i\u1ec3m c\u1ea7n ph\u00e2n bi\u1ec7t l\u00e0 g\u00e3y Jones kh\u00f4ng ho\u00e0n to\u00e0n \u0111\u1ed3ng ngh\u0129a v\u1edbi g\u00e3y bong \u0111i\u1ec3m b\u00e1m \u1edf \u0111\u1ea7u g\u1ea7n x\u01b0\u01a1ng b\u00e0n ch\u00e2n s\u1ed1 5. C\u00e1c d\u1ea1ng g\u00e3y n\u00e0y c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0nh x\u01b0\u01a1ng v\u00e0 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau. V\u00ec th\u1ebf, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng n\u00ean t\u1ef1 x\u00e1c \u0111\u1ecbnh m\u00ecnh c\u00f3 Jones fracture ch\u1ec9 d\u1ef1a v\u00e0o v\u1ecb tr\u00ed \u0111au ho\u1eb7c t\u00ean g\u1ecdi tr\u00ean gi\u1ea5y ch\u1ea9n \u0111o\u00e1n.<\/p>\n

Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n<\/h2>\n
    \n
  • C\u00e1 th\u1ec3 h\u00f3a k\u1ebf ho\u1ea1ch:<\/strong> b\u00e1c s\u0129 c\u1ea7n xem x\u00e9t v\u1ecb tr\u00ed \u0111\u01b0\u1eddng g\u00e3y, ki\u1ec3u g\u00e3y, m\u1ee9c \u0111\u1ed9 di l\u1ec7ch, tu\u1ed5i, c\u00f4ng vi\u1ec7c v\u00e0 nhu c\u1ea7u v\u1eadn \u0111\u1ed9ng [3].<\/li>\n
  • B\u1ea3o v\u1ec7 v\u00f9ng g\u00e3y:<\/strong> c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n b\u1ea5t \u0111\u1ed9ng nh\u01b0 gi\u00e0y \u0111\u1ebf c\u1ee9ng, b\u0103ng chun, walker boot ho\u1eb7c b\u00f3 b\u1ed9t c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong nh\u1eefng nh\u00f3m g\u00e3y ph\u00f9 h\u1ee3p; l\u1ef1a ch\u1ecdn c\u1ee5 th\u1ec3 ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i g\u00e3y v\u00e0 \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng [2].<\/li>\n
  • v\u1edbi m\u1ed9t s\u1ed1 g\u00e3y \u0111\u1ea7u g\u1ea7n kh\u00f4ng di l\u1ec7ch, t\u00e0i li\u1ec7u \u0111\u1ec1 c\u1eadp \u0111\u1ebfn ch\u1ecbu l\u1ef1c c\u00f3 b\u1ea3o v\u1ec7; tuy nhi\u00ean, d\u1eef li\u1ec7u n\u00e0y ch\u1ee7 y\u1ebfu \u00e1p d\u1ee5ng cho t\u1ed5n th\u01b0\u01a1ng v\u00f9ng 1 v\u00e0 kh\u00f4ng n\u00ean m\u1eb7c nhi\u00ean d\u00f9ng cho m\u1ecdi Jones fracture [2].<\/li>\n
  • c\u1ea7n t\u00e1i kh\u00e1m theo l\u1ecbch \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111au, kh\u1ea3 n\u0103ng \u0111i l\u1ea1i v\u00e0 h\u00ecnh \u1ea3nh X-quang. N\u1ebfu \u0111au k\u00e9o d\u00e0i, \u0111\u01b0\u1eddng g\u00e3y kh\u00f4ng ti\u1ebfn tri\u1ec3n ho\u1eb7c xu\u1ea5t hi\u1ec7n d\u1ea5u hi\u1ec7u ch\u1eadm li\u1ec1n, chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 ph\u1ea3i thay \u0111\u1ed5i.<\/li>\n<\/ul>\n

    C\u00e1c y\u1ebfu t\u1ed1 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng li\u1ec1n x\u01b0\u01a1ng c\u1ea7n \u0111\u01b0\u1ee3c b\u00e1c s\u0129 xem x\u00e9t, trong \u0111\u00f3 c\u00f3 thi\u1ebfu vitamin D, lo\u00e3ng x\u01b0\u01a1ng, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c r\u1ed1i lo\u1ea1n hormone tuy\u1ebfn gi\u00e1p. T\u00e0i li\u1ec7u khuy\u1ebfn ngh\u1ecb x\u1eed tr\u00ed \u0111\u1ed3ng th\u1eddi c\u00e1c v\u1ea5n \u0111\u1ec1 chuy\u1ec3n h\u00f3a n\u00e0y, \u0111\u1eb7c bi\u1ec7t \u1edf g\u00e3y v\u00f9ng 3 [3].<\/p>\n

    Khi n\u00e0o \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n c\u00f3 th\u1ec3 kh\u00f4ng ph\u00f9 h\u1ee3p?<\/h2>\n

    \u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt th\u01b0\u1eddng \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc \u1edf ng\u01b0\u1eddi v\u1eadn \u0111\u1ed9ng c\u01b0\u1eddng \u0111\u1ed9 cao, khi g\u00e3y di l\u1ec7ch tr\u00ean 2 mm ho\u1eb7c khi t\u1ed5n th\u01b0\u01a1ng li\u00ean quan \u0111\u1ebfn kh\u1edbp b\u00e0n-c\u1ed5 ch\u00e2n s\u1ed1 5 c\u1ea7n ph\u1ee5c h\u1ed3i m\u1eb7t kh\u1edbp [1]. V\u1edbi g\u00e3y v\u00f9ng 2 v\u00e0 3, di l\u1ec7ch \u0111\u00e1ng k\u1ec3 ho\u1eb7c th\u1ea5t b\u1ea1i sau \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt c\u0169ng l\u00e0 l\u00fd do \u0111\u1ec3 xem x\u00e9t n\u1eafn ch\u1ec9nh v\u00e0 c\u1ed1 \u0111\u1ecbnh [4]. \u1ede v\u1eadn \u0111\u1ed9ng vi\u00ean, t\u00e0i li\u1ec7u ghi nh\u1eadn xu h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt cho t\u1ea5t c\u1ea3 g\u00e3y v\u00f9ng 2 v\u00e0 3 [4].<\/p>\n

    Do c\u00e1c \u0111o\u1ea1n t\u00e0i li\u1ec7u \u0111\u01b0\u1ee3c cung c\u1ea5p kh\u00f4ng n\u00eau m\u1ed9t ph\u00e1c \u0111\u1ed3 th\u1ed1ng nh\u1ea5t v\u1ec1 th\u1eddi gian b\u1ea5t \u0111\u1ed9ng, th\u1eddi \u0111i\u1ec3m ch\u1ecbu l\u1ef1c ho\u00e0n to\u00e0n hay l\u1ecbch ch\u1ee5p X-quang c\u1ee5 th\u1ec3 cho t\u1eebng tu\u1ea7n, kh\u00f4ng n\u00ean t\u1ef1 \u00e1p d\u1ee5ng m\u1ed9t con s\u1ed1 c\u1ed1 \u0111\u1ecbnh. Nh\u1eefng m\u1ed1c n\u00e0y c\u1ea7n do b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb quy\u1ebft \u0111\u1ecbnh d\u1ef1a tr\u00ean phim v\u00e0 di\u1ec5n bi\u1ebfn th\u1ef1c t\u1ebf.<\/p>\n

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

    \u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n Jones fracture<\/strong> c\u00f3 th\u1ec3 ph\u00f9 h\u1ee3p v\u1edbi g\u00e3y c\u1ea5p t\u00ednh kh\u00f4ng di l\u1ec7ch ho\u1eb7c di l\u1ec7ch t\u1ed1i thi\u1ec3u \u1edf ng\u01b0\u1eddi \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn k\u1ef9. Tuy nhi\u00ean, v\u1ecb tr\u00ed v\u00f9ng 2\u20133, t\u00ecnh tr\u1ea1ng ch\u1eadm li\u1ec1n, m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng cao v\u00e0 di l\u1ec7ch \u0111\u00e1ng k\u1ec3 l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng c\u1ea7n ph\u1eabu thu\u1eadt. Ch\u1ea9n \u0111o\u00e1n b\u1eb1ng X-quang \u0111\u1ee7 t\u01b0 th\u1ebf, b\u1ea5t \u0111\u1ed9ng v\u00e0 ch\u1ecbu l\u1ef1c c\u00f3 b\u1ea3o v\u1ec7 theo ch\u1ec9 \u0111\u1ecbnh, c\u00f9ng t\u00e1i kh\u00e1m \u0111\u1ec1u \u0111\u1eb7n l\u00e0 n\u1ec1n t\u1ea3ng \u0111\u1ec3 theo d\u00f5i an to\u00e0n.<\/p>\n

    T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
      \n
    • [1] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 3530<\/li>\n
    • [2] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 3528<\/li>\n
    • [3] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 3528<\/li>\n
    • [4] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 3531<\/li>\n
    • [5] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 3527<\/li>\n
    • [6] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 3528<\/li>\n<\/ul>\n

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      T\u00ecm hi\u1ec3u khi n\u00e0o Jones fracture c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n, vai tr\u00f2 c\u1ee7a b\u1ea5t \u0111\u1ed9ng, ch\u1ecbu l\u1ef1c v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ea7n \u0111\u00e1nh gi\u00e1 l\u1ea1i.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-466","post","type-post","status-publish","format-standard","hentry","category-gay-xuong"],"yoast_head":"\n\u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n g\u00e3y k\u00edn x\u01b0\u01a1ng b\u00e0n ch\u00e2n s\u1ed1 5 (Jones fracture) - BS NGUY\u1ec4N TH\u00c0NH LONG - BS C\u01a0 X\u01af\u01a0NG KH\u1edaP - CH\u1ea4N TH\u01af\u01a0NG CH\u1ec8NH H\u00ccNH<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/12\/dieu-tri-bao-ton-gay-kin-xuong-ban-chan-so-5-jones-fracture\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n g\u00e3y k\u00edn x\u01b0\u01a1ng b\u00e0n ch\u00e2n s\u1ed1 5 (Jones fracture) - 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