R\u00e1ch r\u1ec5 b\u00e1m g\u00e2n c\u01a1 ng\u1ef1c l\u1edbn (rupture of pectoralis major muscle) l\u00e0 m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng \u0111\u1eb7c th\u00f9 th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao c\u01b0\u1eddng \u0111\u1ed9 cao, bao g\u1ed3m vi\u1ec7c t\u1eadp t\u1ea1 v\u1edbi l\u1ef1c co th\u1eaft m\u1ea1nh. Theo t\u00e0i li\u1ec7u chuy\u00ean khoa v\u1ec1 ph\u1eabu thu\u1eadt ch\u1ec9nh h\u00ecnh, r\u00e1ch c\u01a1 v\u00e0 g\u00e2n x\u1ea3y ra khi c\u00f3 s\u1ef1 qu\u00e1 t\u1ea3i l\u1ef1c kh\u00f4ng tu\u00e2n theo quy t\u1eafc sinh l\u00fd b\u00ecnh th\u01b0\u1eddng [2]. Trong tr\u01b0\u1eddng h\u1ee3p t\u1eadp t\u1ea1, c\u01a1 ng\u1ef1c l\u1edbn ho\u1ea1t \u0111\u1ed9ng nh\u01b0 m\u1ed9t c\u01a1 k\u00e9o (adductor) gi\u00fap \u0111\u01b0a c\u00e1nh tay v\u1ec1 ph\u00eda th\u00e2n v\u00e0 xoay trong, nh\u01b0ng n\u1ebfu c\u1eed \u0111\u1ed9ng n\u00e0y di\u1ec5n ra v\u1edbi t\u1ed1c \u0111\u1ed9 nhanh ho\u1eb7c d\u01b0\u1edbi t\u00e1c \u0111\u1ed9ng c\u1ee7a l\u1ef1c c\u1ea3n \u0111\u1ed9t ng\u1ed9t, n\u00f3 c\u00f3 th\u1ec3 v\u01b0\u1ee3t qu\u00e1 kh\u1ea3 n\u0103ng ch\u1ecbu \u0111\u1ef1ng c\u1ee7a m\u00f4 li\u00ean k\u1ebft.<\/p>\n
Kh\u00e1c v\u1edbi r\u00e1ch g\u00e2n Achilles hay g\u00e2n \u0111\u1ea7u g\u1ed1i th\u01b0\u1eddng do c\u01a1 ch\u1ebf co gi\u00e3n b\u1ea5t ng\u1edd (eccentric overload), ch\u1ea5n th\u01b0\u01a1ng v\u00f9ng ng\u1ef1c khi t\u1eadp t\u1ea1 th\u01b0\u1eddng b\u1eaft ngu\u1ed3n t\u1eeb vi\u1ec7c c\u1ed1 g\u1eafng gi\u1eef m\u1ed9t t\u01b0 th\u1ebf c\u1ed1 \u0111\u1ecbnh trong khi s\u1ee9c m\u1ea1nh n\u1ed9i t\u1ea1i c\u1ee7a c\u01a1 kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 ch\u1ed1ng l\u1ea1i l\u1ef1c k\u00e9o [2]. Khi r\u1ec5 b\u00e1m g\u00e2n b\u1ecb \u0111\u1ee9t, n\u00f3 t\u1ea1o ra m\u1ed9t kho\u1ea3ng tr\u1ed1ng r\u00f5 r\u1ec7t tr\u00ean da \u1edf v\u00f9ng r\u1ed1n, k\u00e8m theo s\u1ef1 d\u1ecbch chuy\u1ec3n b\u1ea5t th\u01b0\u1eddng c\u1ee7a x\u01b0\u01a1ng s\u01b0\u1eddn v\u00e0 c\u00e1nh tay do m\u1ea5t \u0111i l\u1ef1c gi\u1eef v\u1eefng ban \u0111\u1ea7u.<\/p>\n
Ngo\u00e0i y\u1ebfu t\u1ed1 c\u01a1 h\u1ecdc, c\u00e1c nghi\u00ean c\u1ee9u v\u1ec1 ch\u1ea5n th\u01b0\u01a1ng g\u00e2n cho th\u1ea5y tu\u1ed5i t\u00e1c l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng. G\u00e2n kh\u1ecfe m\u1ea1nh th\u01b0\u1eddng kh\u00f4ng b\u1ecb r\u00e1ch tr\u1eeb khi c\u00f3 qu\u00e1 t\u1ea3i s\u1ee9c c\u0103ng v\u01b0\u1ee3t qu\u00e1 gi\u1edbi h\u1ea1n [2]. Tuy nhi\u00ean, \u1edf ng\u01b0\u1eddi t\u1eadp luy\u1ec7n chuy\u00ean nghi\u1ec7p ho\u1eb7c ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, s\u1ef1 tho\u00e1i h\u00f3a d\u1ea7n c\u1ee7a m\u00f4 (tendon degeneration) c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng ch\u1ecbu l\u1ef1c, d\u1eabn \u0111\u1ebfn vi\u1ec7c r\u00e1ch x\u1ea3y ra ngay c\u1ea3 v\u1edbi c\u00e1c l\u1ef1c sinh l\u00fd b\u00ecnh th\u01b0\u1eddng. C\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng bao g\u1ed3m c\u1ea3m gi\u00e1c gi\u1eadt c\u1ee5c khi v\u1eadn \u0111\u1ed9ng, \u0111au \u0111\u1edbn t\u1ea1i v\u00f9ng r\u1ed1n v\u00e0 kh\u00f4ng th\u1ec3 n\u00e2ng c\u00e1nh tay cao do m\u1ea5t ch\u1ee9c n\u0103ng c\u1ee7a c\u01a1 ng\u1ef1c l\u1edbn [2].<\/p>\n
\u0110\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng, c\u00e1c k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh \u0111\u00f3ng vai tr\u00f2 then ch\u1ed1t. Ch\u1ee5p X-quang \u0111\u01a1n gi\u1ea3n c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c m\u1ea3nh x\u01b0\u01a1ng b\u1ecb nh\u1ed5 l\u00ean (avulsion injury) ho\u1eb7c l\u00e0m m\u1edd b\u00f3ng c\u1ea3n quang c\u1ee7a g\u00e2n [3]. Si\u00eau \u00e2m \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao v\u00e0 MRI l\u00e0 nh\u1eefng c\u00f4ng c\u1ee5 hi\u1ec7u qu\u1ea3 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 c\u1ea3 ch\u1ea5n th\u01b0\u01a1ng c\u1ea5p t\u00ednh v\u00e0 m\u00e3n t\u00ednh, gi\u00fap x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed \u0111\u1ee9t g\u00e3y v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng m\u00f4 m\u1ec1m [3].<\/p>\n
V\u1ec1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb, t\u00f9y thu\u1ed9c v\u00e0o th\u1eddi \u0111i\u1ec3m ph\u00e1t hi\u1ec7n v\u00e0 m\u1ee9c \u0111\u1ed9 r\u00e1ch, c\u00e1c l\u1ef1a ch\u1ecdn bao g\u1ed3m ph\u1eabu thu\u1eadt tr\u1ef1c ti\u1ebfp \u0111\u1ec3 n\u1ed1i g\u00e2n l\u1ea1i ho\u1eb7c s\u1eed d\u1ee5ng gh\u00e9p tendon n\u1ebfu c\u1ea7n thi\u1ebft [1]. Sau ph\u1eabu thu\u1eadt, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh n\u1eb9p kh\u1edbp c\u1ed1 \u0111\u1ecbnh trong m\u1ed9t kho\u1ea3ng th\u1eddi gian nh\u1ea5t \u0111\u1ecbnh tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u c\u00e1c b\u00e0i t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng. Vi\u1ec7c can thi\u1ec7p s\u1edbm gi\u00fap h\u1ea1n ch\u1ebf bi\u1ebfn ch\u1ee9ng v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng nhanh ch\u00f3ng, \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi c\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean c\u1ea7n quay l\u1ea1i thi \u0111\u1ea5u ngay l\u1eadp t\u1ee9c.<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
Hi\u1ec3u r\u00f5 c\u01a1 ch\u1ebf r\u00e1ch r\u1ec5 b\u00e1m g\u00e2n c\u01a1 ng\u1ef1c l\u1edbn (pectoralis major) do l\u1ef1c co th\u1eaft b\u1ea5t th\u01b0\u1eddng khi t\u1eadp t\u1ea1 gi\u00fap b\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 \u0111\u1ec1 xu\u1ea5t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-487","post","type-post","status-publish","format-standard","hentry","category-chi-tren"],"yoast_head":"\n