{"id":494,"date":"2026-10-12T13:31:27","date_gmt":"2026-10-12T06:31:27","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/12\/benh-panner-o-khuyu-tay-hoai-tu-vo-mach-chom-xuong-con\/"},"modified":"2026-10-12T13:31:27","modified_gmt":"2026-10-12T06:31:27","slug":"benh-panner-o-khuyu-tay-hoai-tu-vo-mach-chom-xuong-con","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/12\/benh-panner-o-khuyu-tay-hoai-tu-vo-mach-chom-xuong-con\/","title":{"rendered":"B\u1ec7nh Panner \u1edf khu\u1ef7u tay: Ho\u1ea1i t\u1eed v\u00f4 m\u1ea1ch ch\u1ecfm x\u01b0\u01a1ng con"},"content":{"rendered":"

B\u1ec7nh Panner<\/strong> l\u00e0 t\u00ecnh tr\u1ea1ng osteochondrosis v\u00f4 c\u0103n, lan t\u1ecfa \u1edf ch\u1ecfm x\u01b0\u01a1ng con c\u1ee7a kh\u1edbp khu\u1ef7u, th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb nh\u1ecf. T\u00e0i li\u1ec7u chuy\u00ean ng\u00e0nh m\u00f4 t\u1ea3 b\u1ec7nh ch\u1ee7 y\u1ebfu xu\u1ea5t hi\u1ec7n trong giai \u0111o\u1ea1n kho\u1ea3ng 6\u20138 tu\u1ed5i v\u00e0 th\u01b0\u1eddng c\u00f3 di\u1ec5n ti\u1ebfn l\u00e0nh t\u00ednh, kh\u00e1c v\u1edbi t\u1ed5n th\u01b0\u01a1ng osteochondritis dissecans khu tr\u00fa \u1edf tr\u1ebb l\u1edbn h\u01a1n ho\u1eb7c thanh thi\u1ebfu ni\u00ean [3].<\/p>\n

B\u1ec7nh Panner \u1edf khu\u1ef7u tay l\u00e0 g\u00ec?<\/h2>\n

Ch\u1ecfm x\u01b0\u01a1ng con, hay capitellum, l\u00e0 ph\u1ea7n \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng c\u00e1nh tay tham gia t\u1ea1o n\u00ean kh\u1edbp khu\u1ef7u. Trong b\u1ec7nh Panner, v\u00f9ng n\u00e0y b\u1ecb osteochondrosis v\u1edbi m\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng lan t\u1ecfa. Nguy\u00ean nh\u00e2n \u0111\u01b0\u1ee3c c\u00e1c t\u00e0i li\u1ec7u tr\u00edch d\u1eabn l\u00e0 ch\u01b0a r\u00f5 v\u00e0 b\u1ec7nh kh\u00f4ng ch\u1ec9 li\u00ean quan \u0111\u1ebfn nh\u1eefng ho\u1ea1t \u0111\u1ed9ng n\u00e9m b\u00f3ng [1][2].<\/p>\n

\u0110\u1ed9 tu\u1ed5i l\u00e0 m\u1ed9t \u0111i\u1ec3m g\u1ee3i \u00fd quan tr\u1ecdng. Ng\u01b0\u1eddi m\u1eafc b\u1ec7nh Panner th\u01b0\u1eddng nh\u1ecf h\u01a1n 10 tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t th\u01b0\u1eddng \u0111\u01b0\u1ee3c ghi nh\u1eadn trong kho\u1ea3ng 6\u20138 tu\u1ed5i. So v\u1edbi osteochondritis dissecans c\u1ee7a ch\u1ecfm x\u01b0\u01a1ng con, b\u1ec7nh Panner th\u01b0\u1eddng g\u00e2y tri\u1ec7u ch\u1ee9ng nh\u1eb9 h\u01a1n v\u00e0 c\u00f3 xu h\u01b0\u1edbng t\u1ef1 gi\u1edbi h\u1ea1n khi \u0111\u01b0\u1ee3c theo d\u00f5i b\u1ea3o t\u1ed3n [1][3].<\/p>\n

Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u1ec7nh Panner<\/h2>\n

Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh Panner th\u01b0\u1eddng t\u01b0\u01a1ng \u0111\u1ed1i nh\u1eb9 v\u00e0 c\u00f3 th\u1ec3 kh\u00f4ng r\u1ea7m r\u1ed9. T\u00e0i li\u1ec7u cho bi\u1ebft ph\u1ea7n l\u1edbn ng\u01b0\u1eddi b\u1ec7nh c\u00f3 di\u1ec5n ti\u1ebfn l\u00e0nh t\u00ednh, v\u1edbi tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng c\u1ea3i thi\u1ec7n khi ch\u1ec9 quan s\u00e1t theo th\u1eddi gian [1]. V\u00ec v\u1eady, \u0111au khu\u1ef7u \u1edf tr\u1ebb nh\u1ecf, \u0111\u1eb7c bi\u1ec7t khi \u0111i k\u00e8m ho\u1ea1t \u0111\u1ed9ng tay, c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 trong b\u1ed1i c\u1ea3nh tu\u1ed5i, th\u0103m kh\u00e1m v\u00e0 h\u00ecnh \u1ea3nh h\u1ecdc thay v\u00ec ch\u1ec9 d\u1ef1a v\u00e0o m\u1ed9t tri\u1ec7u ch\u1ee9ng ri\u00eang l\u1ebb.<\/p>\n

Ph\u00e2n bi\u1ec7t v\u1edbi osteochondritis dissecans<\/h3>\n

Hai t\u00ecnh tr\u1ea1ng \u1edf ch\u1ecfm x\u01b0\u01a1ng con c\u00f3 th\u1ec3 b\u1ecb nh\u1ea7m l\u1eabn. Osteochondritis dissecans th\u01b0\u1eddng x\u1ea3y ra \u1edf tr\u1ebb ti\u1ec1n d\u1eady th\u00ec ho\u1eb7c thanh thi\u1ebfu ni\u00ean, t\u1ed5n th\u01b0\u01a1ng c\u00f3 t\u00ednh khu tr\u00fa h\u01a1n v\u00e0 th\u01b0\u1eddng g\u00e2y \u0111au, c\u1ee9ng kh\u1edbp t\u0103ng khi v\u1eadn \u0111\u1ed9ng, gi\u1ea3m khi ngh\u1ec9 [3]. Nh\u1eefng b\u00e1o c\u00e1o v\u1ec1 c\u1ea3m gi\u00e1c k\u1eb9t ho\u1eb7c b\u1eaft kh\u1edbp c\u00f3 th\u1ec3 g\u1ee3i \u00fd m\u1ea3nh r\u1eddi trong kh\u1edbp, m\u1ed9t \u0111\u1eb7c \u0111i\u1ec3m c\u1ea7n ch\u00fa \u00fd khi \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng h\u01a1n [1].<\/p>\n

    \n
  • B\u1ec7nh Panner:<\/strong> th\u01b0\u1eddng \u1edf tr\u1ebb nh\u1ecf, t\u1ed5n th\u01b0\u01a1ng lan t\u1ecfa, tri\u1ec7u ch\u1ee9ng nh\u1eb9 v\u00e0 th\u01b0\u1eddng c\u1ea3i thi\u1ec7n khi theo d\u00f5i.<\/li>\n
  • Osteochondritis dissecans:<\/strong> th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb l\u1edbn h\u01a1n, t\u1ed5n th\u01b0\u01a1ng khu tr\u00fa h\u01a1n, d\u1ec5 g\u00e2y \u0111au v\u00e0 c\u1ee9ng kh\u1edbp khi ho\u1ea1t \u0111\u1ed9ng.<\/li>\n<\/ul>\n

    Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh b\u1ec7nh Panner<\/h2>\n

    \u0110\u00e1nh gi\u00e1 ban \u0111\u1ea7u c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng X-quang khu\u1ef7u \u1edf t\u01b0 th\u1ebf tr\u01b0\u1edbc\u2013sau v\u00e0 nghi\u00eang. Phim so s\u00e1nh b\u00ean \u0111\u1ed1i di\u1ec7n c\u00f3 th\u1ec3 h\u1eefu \u00edch trong vi\u1ec7c nh\u1eadn di\u1ec7n nh\u1eefng thay \u0111\u1ed5i k\u00edn \u0111\u00e1o \u1edf ch\u1ecfm x\u01b0\u01a1ng con [1].<\/p>\n

    \u1ede c\u00e1c t\u1ed5n th\u01b0\u01a1ng quanh ch\u1ecfm x\u01b0\u01a1ng con, h\u00ecnh \u1ea3nh X-quang c\u00f3 th\u1ec3 cho th\u1ea5y thay \u0111\u1ed5i x\u01b0\u01a1ng d\u01b0\u1edbi s\u1ee5n; m\u1ed9t s\u1ed1 t\u1ed5n th\u01b0\u01a1ng c\u00f3 v\u00f9ng gi\u1ea3m \u0111\u1eadm \u0111\u1ed9 h\u00ecnh b\u00e1n nguy\u1ec7t \u0111\u01b0\u1ee3c bao quanh b\u1edfi x\u01a1 c\u1ee9ng d\u01b0\u1edbi s\u1ee5n. Tuy nhi\u00ean, c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m n\u00e0y \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 r\u00f5 h\u01a1n trong b\u1ed1i c\u1ea3nh osteochondritis dissecans v\u00e0 kh\u00f4ng n\u00ean t\u1ef1 \u0111\u1ed9ng \u0111\u1ed3ng nh\u1ea5t v\u1edbi b\u1ec7nh Panner [1][4].<\/p>\n

    MRI c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm ph\u00f9 t\u1ee7y x\u01b0\u01a1ng tr\u01b0\u1edbc khi thay \u0111\u1ed5i xu\u1ea5t hi\u1ec7n tr\u00ean X-quang. Ngo\u00e0i ra, MRI c\u00f3 kh\u1ea3 n\u0103ng h\u1ed7 tr\u1ee3 \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh c\u1ee7a t\u1ed5n th\u01b0\u01a1ng \u1edf khu\u1ef7u [4]. Vi\u1ec7c l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ti\u1ec7n ch\u1ea9n \u0111o\u00e1n c\u1ea7n d\u1ef1a tr\u00ean th\u0103m kh\u00e1m v\u00e0 nghi ng\u1edd l\u00e2m s\u00e0ng.<\/p>\n

    Theo d\u00f5i b\u1ec7nh Panner<\/h2>\n

    V\u1edbi b\u1ec7nh Panner, t\u00e0i li\u1ec7u ghi nh\u1eadn \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n th\u01b0\u1eddng \u0111i k\u00e8m di\u1ec5n ti\u1ebfn t\u1ef1 gi\u1edbi h\u1ea1n v\u00e0 \u0111a s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u0111\u1ec3 l\u1ea1i v\u1ea5n \u0111\u1ec1 kh\u1edbp t\u1ed3n d\u01b0 \u0111\u00e1ng k\u1ec3 [3]. Ngu\u1ed3n kh\u00e1c c\u0169ng cho bi\u1ebft tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng gi\u1ea3i quy\u1ebft khi quan s\u00e1t theo th\u1eddi gian, do \u0111\u00f3 b\u1ec7nh c\u00f3 h\u00ecnh \u1ea3nh l\u00e2m s\u00e0ng l\u00e0nh t\u00ednh h\u01a1n osteochondritis dissecans [1].<\/p>\n

    Ng\u01b0\u1ee3c l\u1ea1i, n\u1ebfu tr\u1ebb c\u00f3 \u0111au k\u00e9o d\u00e0i, c\u1ee9ng kh\u1edbp t\u0103ng d\u1ea7n, h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng ho\u1eb7c c\u1ea3m gi\u00e1c k\u1eb9t\/b\u1eaft kh\u1edbp, c\u1ea7n \u0111\u00e1nh gi\u00e1 l\u1ea1i \u0111\u1ec3 ph\u00e2n bi\u1ec7t b\u1ec7nh Panner v\u1edbi osteochondritis dissecans v\u00e0 c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u00f3 m\u1ea3nh r\u1eddi. C\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng k\u00e8m tri\u1ec7u ch\u1ee9ng c\u01a1 h\u1ecdc thu\u1ed9c nh\u00f3m v\u1ea5n \u0111\u1ec1 kh\u00e1c v\u00e0 kh\u00f4ng n\u00ean \u00e1p d\u1ee5ng m\u00e1y m\u00f3c c\u00e1ch theo d\u00f5i c\u1ee7a b\u1ec7nh Panner [1].<\/p>\n

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

    B\u1ec7nh Panner \u1edf ch\u1ecfm x\u01b0\u01a1ng con<\/strong> th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb nh\u1ecf, l\u00e0 m\u1ed9t d\u1ea1ng osteochondrosis v\u00f4 c\u0103n v\u1edbi bi\u1ec3u hi\u1ec7n t\u01b0\u01a1ng \u0111\u1ed1i nh\u1eb9 v\u00e0 xu h\u01b0\u1edbng t\u1ef1 gi\u1edbi h\u1ea1n. X-quang, phim \u0111\u1ed1i chi\u1ebfu v\u00e0 MRI c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 ph\u00e2n bi\u1ec7t b\u1ec7nh v\u1edbi osteochondritis dissecans. Do hai t\u00ecnh tr\u1ea1ng c\u00f3 th\u1ec3 li\u00ean quan c\u00f9ng v\u00f9ng gi\u1ea3i ph\u1eabu nh\u01b0ng kh\u00e1c v\u1ec1 \u0111\u1ed9 tu\u1ed5i, m\u1ee9c \u0111\u1ed9 tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m t\u1ed5n th\u01b0\u01a1ng, vi\u1ec7c \u0111\u00e1nh gi\u00e1 h\u00ecnh \u1ea3nh c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u1eb7t trong b\u1ed1i c\u1ea3nh l\u00e2m s\u00e0ng c\u1ee5 th\u1ec3.<\/p>\n

    T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
      \n
    • [1] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 1500<\/li>\n
    • [2] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 1500<\/li>\n
    • [3] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 3230<\/li>\n
    • [4] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 1500<\/li>\n<\/ul>\n

      <\/p>\n","protected":false},"excerpt":{"rendered":"

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