{"id":9014,"date":"2025-11-07T04:09:34","date_gmt":"2025-11-07T04:09:34","guid":{"rendered":"https:\/\/advancedhand-stg.sgestaging.com\/?p=9014"},"modified":"2026-09-14T10:48:29","modified_gmt":"2026-09-14T10:48:29","slug":"common-hand-and-wrist-injuries-in-boxing-what-athletes-should-know","status":"publish","type":"post","link":"https:\/\/advancedhand-stg.sgestaging.com\/vi\/blog\/common-hand-and-wrist-injuries-in-boxing-what-athletes-should-know\/","title":{"rendered":"Ch\u1ea5n Th\u01b0\u01a1ng Tay v\u00e0 C\u1ed5 Tay Th\u01b0\u1eddng G\u1eb7p Trong Quy\u1ec1n Anh: V\u1eadn \u0110\u1ed9ng Vi\u00ean C\u1ea7n Bi\u1ebft"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_86 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/blog\/common-hand-and-wrist-injuries-in-boxing-what-athletes-should-know\/#Gay_Xuong_Boxer_Boxers_Fracture\" >G\u00e3y X\u01b0\u01a1ng Boxer (Boxer&#8217;s Fracture)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/blog\/common-hand-and-wrist-injuries-in-boxing-what-athletes-should-know\/#Gay_Xuong_Thuyen_Scaphoid_Fractures\" >G\u00e3y X\u01b0\u01a1ng Thuy\u1ec1n (Scaphoid Fractures)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/blog\/common-hand-and-wrist-injuries-in-boxing-what-athletes-should-know\/#Rach_Phuc_Hop_Sun_Soi_Tam_Giac_TFCC_Tears\" >R\u00e1ch Ph\u1ee9c H\u1ee3p S\u1ee5n S\u1ee3i Tam Gi\u00e1c (TFCC Tears)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/blog\/common-hand-and-wrist-injuries-in-boxing-what-athletes-should-know\/#Bong_Gan_Day_Chang_va_Mat_Vung\" >Bong G\u00e2n D\u00e2y Ch\u1eb1ng v\u00e0 M\u1ea5t V\u1eefng<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/blog\/common-hand-and-wrist-injuries-in-boxing-what-athletes-should-know\/#Choi_Xuong_Ban_Tay_Metacarpal_Boss\" >Ch\u1ed3i X\u01b0\u01a1ng B\u00e0n Tay (Metacarpal Boss)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/blog\/common-hand-and-wrist-injuries-in-boxing-what-athletes-should-know\/#Cac_Bac_Si_Phau_Thuat_Ban_Tay_Noi_Gi\" >C\u00e1c B\u00e1c S\u0129 Ph\u1eabu Thu\u1eadt B\u00e0n Tay N\u00f3i G\u00ec<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/blog\/common-hand-and-wrist-injuries-in-boxing-what-athletes-should-know\/#Ap_Dung_Vao_Thuc_Te\" >\u00c1p D\u1ee5ng V\u00e0o Th\u1ef1c T\u1ebf<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/blog\/common-hand-and-wrist-injuries-in-boxing-what-athletes-should-know\/#Khi_Nao_Can_Tim_Kiem_Su_Giup_Do_Chuyen_Nghiep\" >Khi N\u00e0o C\u1ea7n T\u00ecm Ki\u1ebfm S\u1ef1 Gi\u00fap \u0110\u1ee1 Chuy\u00ean Nghi\u1ec7p<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/blog\/common-hand-and-wrist-injuries-in-boxing-what-athletes-should-know\/#Cac_Cau_Hoi_Thuong_Gap\" >C\u00e1c C\u00e2u H\u1ecfi Th\u01b0\u1eddng G\u1eb7p<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/blog\/common-hand-and-wrist-injuries-in-boxing-what-athletes-should-know\/#Ket_Luan\" >K\u1ebft Lu\u1eadn<\/a><\/li><\/ul><\/nav><\/div>\n<p>Trong m\u1ed9t c\u00fa \u0111\u1ea5m \u0111\u01a1n l\u1ebb, x\u01b0\u01a1ng b\u00e0n tay (metacarpal) h\u1ea5p th\u1ee5 l\u1ef1c t\u01b0\u01a1ng \u0111\u01b0\u01a1ng g\u1ea5p nhi\u1ec1u l\u1ea7n tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3\u2014nh\u01b0ng h\u1ea7u h\u1ebft c\u00e1c v\u00f5 s\u0129 quy\u1ec1n anh kh\u00f4ng bao gi\u1edd bi\u1ebft \u0111i\u1ec1u n\u00e0y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe l\u00e2u d\u00e0i c\u1ee7a b\u00e0n tay nh\u01b0 th\u1ebf n\u00e0o. B\u00e0n tay c\u00f3 27 x\u01b0\u01a1ng, \u0111\u01b0\u1ee3c k\u1ebft n\u1ed1i b\u1edfi d\u00e2y ch\u1eb1ng, g\u00e2n v\u00e0 s\u1ee5n, ho\u1ea1t \u0111\u1ed9ng ph\u1ed1i h\u1ee3p ch\u00ednh x\u00e1c. Trong m\u1ed9t c\u00fa \u0111\u1ea5m, l\u1ef1c truy\u1ec1n t\u1eeb vai qua c\u1eb3ng tay v\u00e0o c\u00e1c x\u01b0\u01a1ng b\u00e0n tay v\u00e0 \u0111\u1ed1t ng\u00f3n tay. K\u1ef9 thu\u1eadt sai, qu\u1ea5n b\u0103ng tay kh\u00f4ng \u0111\u00fang c\u00e1ch ho\u1eb7c m\u1ec7t m\u1ecfi l\u00e0m gi\u00e1n \u0111o\u1ea1n chu\u1ed7i \u0111\u1ed9ng h\u1ecdc n\u00e0y, t\u1eadp trung l\u1ef1c ph\u00e1 h\u1ee7y l\u00ean c\u00e1c c\u1ea5u tr\u00fac d\u1ec5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng. Ch\u1ea5n th\u01b0\u01a1ng c\u1ed5 tay trong quy\u1ec1n anh th\u01b0\u1eddng ph\u00e1t tri\u1ec3n d\u1ea7n d\u1ea7n th\u00f4ng qua c\u00e1c ch\u1ea5n th\u01b0\u01a1ng vi m\u00f4 t\u00edch t\u1ee5 tr\u01b0\u1edbc khi bi\u1ec3u hi\u1ec7n th\u00e0nh \u0111au c\u1ea5p t\u00ednh trong l\u00fac t\u1eadp luy\u1ec7n.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Gay_Xuong_Boxer_Boxers_Fracture\"><\/span>G\u00e3y X\u01b0\u01a1ng Boxer (Boxer&#8217;s Fracture)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>G\u00e3y c\u1ed5 x\u01b0\u01a1ng b\u00e0n tay th\u1ee9 n\u0103m, th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 g\u00e3y x\u01b0\u01a1ng boxer, x\u1ea3y ra khi \u0111\u1ea5m v\u1edbi s\u1ef1 c\u0103n ch\u1ec9nh n\u1eafm \u0111\u1ea5m kh\u00f4ng \u0111\u00fang. Kh\u1edbp ng\u00f3n tay \u00fat va ch\u1ea1m tr\u01b0\u1edbc thay v\u00ec c\u00e1c kh\u1edbp ng\u00f3n tr\u1ecf v\u00e0 ng\u00f3n gi\u1eefa kh\u1ecfe h\u01a1n, t\u1ea1o ra m\u1ed9t v\u1ebft g\u00e3y ngay d\u01b0\u1edbi kh\u1edbp ng\u00f3n tay. X\u01b0\u01a1ng th\u01b0\u1eddng b\u1ecb l\u1ec7ch g\u00f3c, t\u1ea1o ra m\u1ed9t v\u1ebft l\u00f5m c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y tr\u00ean mu b\u00e0n tay.<\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng t\u1ee9c th\u00ec bao g\u1ed3m \u0111au nh\u00f3i d\u1ecdc theo m\u00e9p ngo\u00e0i c\u1ee7a b\u00e0n tay, s\u01b0ng nhanh v\u00e0 kh\u00f4ng th\u1ec3 t\u1ea1o n\u1eafm \u0111\u1ea5m \u0111\u00fang c\u00e1ch. Kh\u1edbp ng\u00f3n tay c\u00f3 th\u1ec3 tr\u00f4ng l\u00f5m xu\u1ed1ng so v\u1edbi b\u00e0n tay \u0111\u1ed1i di\u1ec7n. B\u1ea7m t\u00edm ph\u00e1t tri\u1ec3n, lan t\u1eeb v\u1ecb tr\u00ed g\u00e3y x\u01b0\u01a1ng v\u1ec1 ph\u00eda c\u1ed5 tay. C\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean th\u01b0\u1eddng cho bi\u1ebft nghe th\u1ea5y ti\u1ebfng r\u1eafc t\u1ea1i th\u1eddi \u0111i\u1ec3m va ch\u1ea1m.<\/p>\n<p>Ch\u1ee5p X-quang cho th\u1ea5y h\u00ecnh th\u00e1i g\u00e3y x\u01b0\u01a1ng v\u00e0 m\u1ee9c \u0111\u1ed9 l\u1ec7ch g\u00f3c. C\u00e1c v\u1ebft g\u00e3y c\u00f3 \u0111\u1ed9 l\u1ec7ch g\u00f3c t\u1ed1i thi\u1ec3u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1ch c\u1ed1 \u0111\u1ecbnh trong n\u1eb9p m\u00e1ng tr\u1ee5 (ulnar gutter splint). L\u1ec7ch g\u00f3c \u0111\u00e1ng k\u1ec3 ho\u1eb7c bi\u1ebfn d\u1ea1ng xoay c\u00f3 th\u1ec3 c\u1ea7n ph\u1eabu thu\u1eadt n\u1eafn ch\u1ec9nh v\u1edbi c\u1ed1 \u0111\u1ecbnh b\u1eb1ng K-wire. B\u00e1c s\u0129 ph\u1eabu thu\u1eadt \u0111\u01b0a c\u00e1c ch\u00e2n kim lo\u1ea1i m\u1ecfng qua da \u0111\u1ec3 duy tr\u00ec s\u1ef1 c\u0103n ch\u1ec9nh c\u1ee7a x\u01b0\u01a1ng trong qu\u00e1 tr\u00ecnh l\u00e0nh.<\/p>\n<p>Ph\u1ee5c h\u1ed3i bao g\u1ed3m li\u1ec7u ph\u00e1p b\u00e0n tay ti\u1ebfn tri\u1ec3n. C\u00e1c b\u00e0i t\u1eadp ban \u0111\u1ea7u t\u1eadp trung v\u00e0o g\u1eadp v\u00e0 du\u1ed7i ng\u00f3n tay trong khi duy tr\u00ec s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a x\u01b0\u01a1ng b\u00e0n tay. T\u0103ng c\u01b0\u1eddng s\u1ee9c n\u1eafm c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng putty tr\u1ecb li\u1ec7u. Vi\u1ec7c tr\u1edf l\u1ea1i ho\u1ea1t \u0111\u1ed9ng c\u00f3 th\u1ec3 c\u1ea7n h\u01b0\u1edbng d\u1eabn t\u1eeb b\u00e1c s\u0129 ph\u1eabu thu\u1eadt b\u00e0n tay, ng\u01b0\u1eddi c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m v\u00e0 ti\u1ebfn tr\u00ecnh ph\u00f9 h\u1ee3p d\u1ef1a tr\u00ean qu\u00e1 tr\u00ecnh l\u00e0nh c\u1ee7a t\u1eebng c\u00e1 nh\u00e2n.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Gay_Xuong_Thuyen_Scaphoid_Fractures\"><\/span>G\u00e3y X\u01b0\u01a1ng Thuy\u1ec1n (Scaphoid Fractures)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>X\u01b0\u01a1ng thuy\u1ec1n n\u1eb1m \u1edf ph\u00eda quay (radial) c\u1ee7a c\u1ed5 tay, d\u1ec5 b\u1ecb g\u00e3y trong c\u00e1c c\u00fa m\u00f3c v\u00e0 c\u00fa \u0111\u1ea5m t\u1eeb d\u01b0\u1edbi l\u00ean. Ngu\u1ed3n cung c\u1ea5p m\u00e1u \u0111i v\u00e0o qua m\u1ed9t khu v\u1ef1c nh\u1ecf, khi\u1ebfn vi\u1ec7c l\u00e0nh tr\u1edf n\u00ean kh\u00f3 kh\u0103n. C\u00e1c v\u1ebft g\u00e3y g\u1ea7n c\u1ef1c g\u1ea7n (proximal pole) nh\u1eadn \u0111\u01b0\u1ee3c r\u1ea5t \u00edt l\u01b0u l\u01b0\u1ee3ng m\u00e1u, l\u00e0m t\u0103ng nguy c\u01a1 kh\u00f4ng li\u1ec1n x\u01b0\u01a1ng.<\/p>\n<p>C\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean m\u00f4 t\u1ea3 c\u01a1n \u0111au s\u00e2u, \u00e2m \u1ec9 \u1edf c\u1ed5 tay, tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n khi n\u1eafm ho\u1eb7c du\u1ed7i c\u1ed5 tay. H\u1ed1 gi\u1ea3i ph\u1eabu (anatomical snuffbox) &#8211; v\u00f9ng l\u00f5m h\u00ecnh tam gi\u00e1c gi\u1eefa c\u00e1c g\u00e2n ng\u00f3n tay c\u00e1i &#8211; tr\u1edf n\u00ean \u0111au khi \u1ea5n v\u00e0o. S\u01b0ng xu\u1ea5t hi\u1ec7n t\u1ed1i thi\u1ec3u so v\u1edbi c\u00e1c v\u1ebft g\u00e3y kh\u00e1c, th\u01b0\u1eddng l\u00e0m ch\u1eadm ch\u1ea9n \u0111o\u00e1n. C\u01a1n \u0111au t\u0103ng l\u00ean khi \u0111\u1ea9y ng\u01b0\u1eddi l\u00ean kh\u1ecfi gh\u1ebf b\u1eb1ng b\u00e0n tay b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/p>\n<p>Ch\u1ee5p X-quang ban \u0111\u1ea7u th\u01b0\u1eddng b\u1ecf s\u00f3t g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n. Ch\u1ee5p MRI ho\u1eb7c CT cung c\u1ea5p ch\u1ea9n \u0111o\u00e1n khi nghi ng\u1edd l\u00e2m s\u00e0ng v\u1eabn cao m\u1eb7c d\u00f9 X-quang \u00e2m t\u00ednh. H\u01b0\u1edbng c\u1ee7a \u0111\u01b0\u1eddng g\u00e3y v\u00e0 s\u1ef1 di l\u1ec7ch x\u00e1c \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>C\u00e1c v\u1ebft g\u00e3y kh\u00f4ng di l\u1ec7ch c\u00f3 th\u1ec3 c\u1ea7n b\u00f3 b\u1ed9t spica ng\u00f3n c\u00e1i trong 8-12 tu\u1ea7n. B\u1ed9t c\u1ed1 \u0111\u1ecbnh t\u1eeb d\u01b0\u1edbi khu\u1ef7u tay \u0111\u1ebfn kh\u1edbp li\u00ean \u0111\u1ed1t ng\u00f3n c\u00e1i. C\u00e1c v\u1ebft g\u00e3y di l\u1ec7ch ho\u1eb7c g\u00e3y c\u1ef1c g\u1ea7n c\u00f3 th\u1ec3 c\u1ea7n ph\u1eabu thu\u1eadt c\u1ed1 \u0111\u1ecbnh b\u1eb1ng v\u00edt n\u00e9n kh\u00f4ng \u0111\u1ea7u (headless compression screw). B\u00e1c s\u0129 ph\u1eabu thu\u1eadt \u0111\u1eb7t v\u00edt d\u1ecdc theo tr\u1ee5c trung t\u00e2m c\u1ee7a x\u01b0\u01a1ng, n\u00e9n c\u00e1c m\u1ea3nh g\u00e3y l\u1ea1i v\u1edbi nhau.<\/p>\n<p>X\u00e1c nh\u1eadn l\u00e0nh x\u01b0\u01a1ng c\u1ea7n ch\u1ee5p X-quang ho\u1eb7c CT nhi\u1ec1u l\u1ea7n tr\u01b0\u1edbc khi th\u00e1o b\u1ed9t. Tr\u1edf l\u1ea1i quy\u1ec1n anh qu\u00e1 s\u1edbm c\u00f3 nguy c\u01a1 kh\u00f4ng li\u1ec1n x\u01b0\u01a1ng, c\u00f3 th\u1ec3 c\u1ea7n ph\u1eabu thu\u1eadt gh\u00e9p x\u01b0\u01a1ng. Qu\u00e1 tr\u00ecnh l\u00e0nh ho\u00e0n to\u00e0n v\u00e0 tr\u1edf l\u1ea1i thi \u0111\u1ea5u th\u01b0\u1eddng c\u1ea7n 3-4 th\u00e1ng.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Rach_Phuc_Hop_Sun_Soi_Tam_Giac_TFCC_Tears\"><\/span>R\u00e1ch Ph\u1ee9c H\u1ee3p S\u1ee5n S\u1ee3i Tam Gi\u00e1c (TFCC Tears)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>TFCC \u1ed5n \u0111\u1ecbnh kh\u1edbp quay-tr\u1ee5 xa (distal radioulnar joint) trong c\u00e1c chuy\u1ec3n \u0111\u1ed9ng xoay. \u0110\u0129a s\u1ee5n n\u00e0y c\u00f9ng v\u1edbi c\u00e1c d\u00e2y ch\u1eb1ng xung quanh b\u1ecb r\u00e1ch trong c\u00e1c c\u00fa \u0111\u1ea5m xoay m\u1ea1nh ho\u1eb7c \u0111\u1ed9ng t\u00e1c l\u1ec7ch tr\u1ee5 (ulnar deviation) l\u1eb7p \u0111i l\u1eb7p l\u1ea1i. R\u00e1ch do ch\u1ea5n th\u01b0\u01a1ng x\u1ea3y ra \u1edf trung t\u00e2m, trong khi r\u00e1ch tho\u00e1i h\u00f3a \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c \u0111i\u1ec3m b\u00e1m ngo\u1ea1i vi.<\/p>\n<p>\u0110au c\u1ed5 tay ph\u00eda tr\u1ee5 ph\u00e1t tri\u1ec3n d\u1ea7n d\u1ea7n ho\u1eb7c c\u1ea5p t\u00ednh sau m\u1ed9t c\u00fa \u0111\u1ea5m c\u1ee5 th\u1ec3. C\u01a1n \u0111au t\u0103ng l\u00ean khi xoay c\u1eb3ng tay, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi v\u1eb7n tay n\u1eafm c\u1eeda ho\u1eb7c m\u1edf l\u1ecd. C\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean nh\u1eadn th\u1ea5y c\u1ea3m gi\u00e1c l\u1ee5c c\u1ee5c ho\u1eb7c v\u01b0\u1edbng khi c\u1eed \u0111\u1ed9ng c\u1ed5 tay. S\u1ee9c n\u1eafm gi\u1ea3m so v\u1edbi b\u00ean kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/p>\n<p>Kh\u00e1m l\u00e2m s\u00e0ng cho th\u1ea5y \u0111au khi \u1ea5n v\u00e0o h\u1ed1 tr\u1ee5 (ulnar fovea) &#8211; v\u00f9ng l\u00f5m gi\u1eefa m\u1ecfm tr\u00e2m tr\u1ee5 (ulnar styloid) v\u00e0 x\u01b0\u01a1ng th\u00e1p (triquetrum). D\u1ea5u hi\u1ec7u h\u1ed1 tr\u1ee5 (fovea sign test) t\u00e1i t\u1ea1o c\u01a1n \u0111au khi \u1ea5n tr\u1ef1c ti\u1ebfp. Nghi\u1ec7m ph\u00e1p c\u0103ng th\u1eb3ng tr\u1ee5-c\u1ed5 tay (ulnocarpal stress test) g\u00e2y \u0111au khi l\u1ec7ch tr\u1ee5 v\u00e0 t\u1ea3i tr\u1ecdng d\u1ecdc tr\u1ee5c.<\/p>\n<p>Ch\u1ee5p kh\u1edbp c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MR arthrography) cung c\u1ea5p h\u00ecnh \u1ea3nh b\u1eb1ng c\u00e1ch ti\u00eam ch\u1ea5t c\u1ea3n quang v\u00e0o kh\u1edbp tr\u01b0\u1edbc khi ch\u1ee5p. Ch\u1ea5t c\u1ea3n quang l\u00e0m n\u1ed5i b\u1eadt h\u00ecnh th\u00e1i v\u00e0 k\u00edch th\u01b0\u1edbc v\u1ebft r\u00e1ch. N\u1ed9i soi kh\u1edbp c\u1ed5 tay ch\u1ea9n \u0111o\u00e1n v\u1eabn l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ti\u00eau chu\u1ea9n, cho ph\u00e9p \u0111i\u1ec1u tr\u1ecb \u0111\u1ed3ng th\u1eddi.<\/p>\n<p>R\u00e1ch ngo\u1ea1i vi c\u00f3 ngu\u1ed3n cung c\u1ea5p m\u00e1u t\u1ed1t c\u00f3 th\u1ec3 \u0111\u00e1p \u1ee9ng v\u1edbi s\u1eeda ch\u1eefa qua n\u1ed9i soi kh\u1edbp b\u1eb1ng ch\u1ec9 kh\u00e2u neo v\u00e0o x\u01b0\u01a1ng. R\u00e1ch trung t\u00e2m c\u00f3 th\u1ec3 c\u1ea7n c\u1eaft l\u1ecdc \u0111\u1ec3 lo\u1ea1i b\u1ecf c\u00e1c m\u1ea3nh kh\u00f4ng \u1ed5n \u0111\u1ecbnh. Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau ph\u1eabu thu\u1eadt ti\u1ebfn tri\u1ec3n qua c\u00e1c giai \u0111o\u1ea1n v\u1eadn \u0111\u1ed9ng c\u00f3 b\u1ea3o v\u1ec7 trong 12 tu\u1ea7n. T\u0103ng c\u01b0\u1eddng s\u1ee9c m\u1ea1nh b\u1eaft \u0111\u1ea7u t\u1eeb tu\u1ea7n th\u1ee9 8, tr\u1edf l\u1ea1i quy\u1ec1n anh sau 4-6 th\u00e1ng.<\/p>\n<blockquote><p>\ud83d\udca1 <strong>B\u1ea1n C\u00f3 Bi\u1ebft?<\/strong><br \/>\nTFCC ch\u1ecbu m\u1ed9t ph\u1ea7n t\u1ea3i tr\u1ecdng d\u1ecdc tr\u1ee5c qua c\u1ed5 tay. T\u1ea3i tr\u1ecdng n\u00e0y t\u0103ng l\u00ean khi l\u1ec7ch tr\u1ee5, gi\u1ea3i th\u00edch t\u1ea1i sao c\u00e1c c\u00fa m\u00f3c v\u00e0 c\u00fa \u0111\u1ea5m t\u1eeb d\u01b0\u1edbi l\u00ean th\u01b0\u1eddng g\u00e2y ch\u1ea5n th\u01b0\u01a1ng TFCC.<\/p><\/blockquote>\n<h2><span class=\"ez-toc-section\" id=\"Bong_Gan_Day_Chang_va_Mat_Vung\"><\/span>Bong G\u00e2n D\u00e2y Ch\u1eb1ng v\u00e0 M\u1ea5t V\u1eefng<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>C\u00e1c d\u00e2y ch\u1eb1ng c\u1ed5 tay k\u1ebft n\u1ed1i c\u00e1c x\u01b0\u01a1ng c\u1ed5 tay (carpal bones) theo nh\u1eefng s\u1eafp x\u1ebfp ph\u1ee9c t\u1ea1p, cho ph\u00e9p chuy\u1ec3n \u0111\u1ed9ng c\u00f3 ki\u1ec3m so\u00e1t. D\u00e2y ch\u1eb1ng thuy\u1ec1n-nguy\u1ec7t (scapholunate ligament) ng\u0103n c\u00e1ch bi\u1ec7t b\u1ea5t th\u01b0\u1eddng gi\u1eefa x\u01b0\u01a1ng thuy\u1ec1n v\u00e0 x\u01b0\u01a1ng nguy\u1ec7t (lunate). D\u00e2y ch\u1eb1ng nguy\u1ec7t-th\u00e1p (lunotriquetral ligament) \u1ed5n \u0111\u1ecbnh ph\u1ea7n c\u1ed5 tay ph\u00eda tr\u1ee5. C\u00e1c d\u00e2y ch\u1eb1ng n\u00e0y r\u00e1ch do du\u1ed7i c\u1ed5 tay qu\u00e1 m\u1ee9c trong c\u00e1c c\u00fa \u0111\u1ea5m tr\u01b0\u1ee3t ho\u1eb7c \u0111\u1ee1 \u0111\u00f2n.<\/p>\n<p>Ch\u1ea5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng thuy\u1ec1n-nguy\u1ec7t t\u1ea1o ra \u0111au mu c\u1ed5 tay k\u00e8m c\u1ea3m gi\u00e1c y\u1ebfu l\u1ecfng. Nghi\u1ec7m ph\u00e1p Watson t\u00e1i t\u1ea1o c\u01a1n \u0111au b\u1eb1ng c\u00e1ch \u1ea5n l\u00ean x\u01b0\u01a1ng thuy\u1ec1n trong khi nghi\u00eang c\u1ed5 tay. X-quang c\u00f3 th\u1ec3 cho th\u1ea5y kho\u1ea3ng c\u00e1ch gi\u1eefa c\u00e1c x\u01b0\u01a1ng t\u0103ng l\u00ean. Soi hu\u1ef3nh quang \u0111\u1ed9ng (dynamic fluoroscopy) cho th\u1ea5y c\u00e1c ki\u1ec3u chuy\u1ec3n \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng c\u1ee7a x\u01b0\u01a1ng c\u1ed5 tay.<\/p>\n<p>Bong g\u00e2n \u0111\u1ed9 1 li\u00ean quan \u0111\u1ebfn d\u00e2y ch\u1eb1ng b\u1ecb k\u00e9o gi\u00e3n m\u00e0 kh\u00f4ng m\u1ea5t v\u1eefng v\u00e0 l\u00e0nh sau v\u00e0i tu\u1ea7n b\u00f3 n\u1eb9p. Ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ed9 2 l\u00e0 r\u00e1ch m\u1ed9t ph\u1ea7n, c\u1ea7n th\u1eddi gian c\u1ed1 \u0111\u1ecbnh l\u00e2u h\u01a1n. R\u00e1ch ho\u00e0n to\u00e0n \u0111\u1ed9 3 th\u01b0\u1eddng c\u1ea7n t\u00e1i t\u1ea1o ph\u1eabu thu\u1eadt b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u1ea3nh gh\u00e9p g\u00e2n ho\u1eb7c s\u1eeda ch\u1eefa bao kh\u1edbp.<\/p>\n<p>M\u1ea5t v\u1eefng m\u00e3n t\u00ednh ph\u00e1t tri\u1ec3n khi ch\u1ea5n th\u01b0\u01a1ng c\u1ea5p t\u00ednh kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb. C\u01a1 h\u1ecdc x\u01b0\u01a1ng c\u1ed5 tay b\u1ea5t th\u01b0\u1eddng c\u00f3 th\u1ec3 \u0111\u1ea9y nhanh s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi\u00eam kh\u1edbp theo th\u1eddi gian. Can thi\u1ec7p ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 gi\u00fap b\u1ea3o t\u1ed3n \u0111\u1ed9ng h\u1ecdc b\u00ecnh th\u01b0\u1eddng v\u00e0 ng\u0103n ng\u1eeba c\u00e1c thay \u0111\u1ed5i tho\u00e1i h\u00f3a.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Choi_Xuong_Ban_Tay_Metacarpal_Boss\"><\/span>Ch\u1ed3i X\u01b0\u01a1ng B\u00e0n Tay (Metacarpal Boss)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ch\u1ed3i x\u01b0\u01a1ng b\u00e0n tay bi\u1ec3u hi\u1ec7n d\u01b0\u1edbi d\u1ea1ng m\u1ed9t c\u1ee5c c\u1ee9ng tr\u00ean mu b\u00e0n tay t\u1ea1i kh\u1edbp c\u1ed5 b\u00e0n tay th\u1ee9 hai ho\u1eb7c th\u1ee9 ba. Ch\u1ea5n th\u01b0\u01a1ng du\u1ed7i l\u01b0ng l\u1eb7p \u0111i l\u1eb7p l\u1ea1i trong c\u00e1c c\u00fa \u0111\u1ea5m th\u1eb3ng k\u00edch ho\u1ea1t s\u1ef1 h\u00ecnh th\u00e0nh gai x\u01b0\u01a1ng. Kh\u1ed1i ch\u1ed3i tr\u1edf n\u00ean \u0111au khi c\u00e1c g\u00e2n l\u01b0\u1edbt qua n\u00f3 trong qu\u00e1 tr\u00ecnh c\u1eed \u0111\u1ed9ng c\u1ed5 tay.<\/p>\n<p>Ch\u1ed3i x\u01b0\u01a1ng t\u1ea1o ra s\u01b0ng khu tr\u00fa, c\u1ee9ng khi ch\u1ea1m v\u00e0o, kh\u00f4ng gi\u1ed1ng nh\u01b0 s\u01b0ng m\u00f4 m\u1ec1m. Du\u1ed7i c\u1ed5 tay t\u00e1i t\u1ea1o c\u01a1n \u0111au khi c\u00e1c g\u00e2n du\u1ed7i l\u01b0\u1edbt qua kh\u1ed1i ch\u1ed3i. \u00c1p l\u1ef1c tr\u1ef1c ti\u1ebfp trong khi ch\u1ed1ng \u0111\u1ea9y ho\u1eb7c plank g\u00e2y kh\u00f3 ch\u1ecbu. M\u1ed9t s\u1ed1 v\u1eadn \u0111\u1ed9ng vi\u00ean ph\u00e1t tri\u1ec3n nang h\u1ea1ch (ganglion cysts) ch\u1ed3ng l\u00ean do k\u00edch \u1ee9ng m\u00e3n t\u00ednh.<\/p>\n<p>X-quang c\u1ed5 tay nghi\u00eang cho th\u1ea5y kh\u1ed1i x\u01b0\u01a1ng n\u1ed5i r\u00f5 t\u1ea1i kh\u1edbp c\u1ed5 b\u00e0n tay. Ch\u1ee5p CT x\u00e1c \u0111\u1ecbnh r\u00f5 h\u01a1n k\u00edch th\u01b0\u1edbc ch\u1ed3i x\u01b0\u01a1ng v\u00e0 s\u1ef1 li\u00ean quan c\u1ee7a kh\u1edbp. MRI \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng vi\u00eam m\u00f4 m\u1ec1m li\u00ean quan ho\u1eb7c h\u00ecnh th\u00e0nh nang h\u1ea1ch.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n bao g\u1ed3m \u0111i\u1ec1u ch\u1ec9nh ho\u1ea1t \u0111\u1ed9ng v\u00e0 thu\u1ed1c ch\u1ed1ng vi\u00eam. Ti\u00eam corticosteroid c\u00f3 th\u1ec3 gi\u1ea3m \u0111au t\u1ea1m th\u1eddi. Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t cho c\u00e1c tri\u1ec7u ch\u1ee9ng dai d\u1eb3ng. B\u00e1c s\u0129 ph\u1eabu thu\u1eadt lo\u1ea1i b\u1ecf ch\u1ed3i x\u01b0\u01a1ng trong khi b\u1ea3o t\u1ed3n s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a kh\u1edbp v\u00e0 c\u00e1c \u0111i\u1ec3m b\u00e1m g\u00e2n. Ph\u1ee5c h\u1ed3i th\u01b0\u1eddng c\u1ea7n v\u00e0i tu\u1ea7n tr\u01b0\u1edbc khi tr\u1edf l\u1ea1i t\u1eadp luy\u1ec7n.<\/p>\n<blockquote><p>\u26a0\ufe0f <strong>L\u01b0u \u00dd Quan Tr\u1ecdng<\/strong><br \/>\nC\u1eaft b\u1ecf ch\u1ed3i x\u01b0\u01a1ng b\u00e0n tay c\u00f3 nguy c\u01a1 t\u00e1i ph\u00e1t khi kh\u00f4ng lo\u1ea1i b\u1ecf \u0111\u1ee7 x\u01b0\u01a1ng. Ng\u01b0\u1ee3c l\u1ea1i, c\u1eaft b\u1ecf qu\u00e1 m\u1ee9c c\u00f3 th\u1ec3 l\u00e0m m\u1ea5t v\u1eefng kh\u1edbp c\u1ed5 b\u00e0n tay.<\/p><\/blockquote>\n<h2><span class=\"ez-toc-section\" id=\"Cac_Bac_Si_Phau_Thuat_Ban_Tay_Noi_Gi\"><\/span>C\u00e1c B\u00e1c S\u0129 Ph\u1eabu Thu\u1eadt B\u00e0n Tay N\u00f3i G\u00ec<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>C\u00e1c b\u00e1c s\u0129 ph\u1eabu thu\u1eadt b\u00e0n tay quan s\u00e1t c\u00e1c d\u1ea1ng ch\u1ea5n th\u01b0\u01a1ng c\u1ee5 th\u1ec3 d\u1ef1a tr\u00ean k\u1ef9 thu\u1eadt quy\u1ec1n anh v\u00e0 tr\u00ecnh \u0111\u1ed9 kinh nghi\u1ec7m. C\u00e1c v\u00f5 s\u0129 m\u1edbi th\u01b0\u1eddng nh\u1eadp vi\u1ec7n v\u1edbi g\u00e3y x\u01b0\u01a1ng b\u00e0n tay th\u1ee9 n\u0103m do c\u01a1 ch\u1ebf \u0111\u1ea5m kh\u00f4ng \u0111\u00fang. C\u00e1c v\u00f5 s\u0129 gi\u00e0u kinh nghi\u1ec7m ph\u00e1t tri\u1ec3n c\u00e1c b\u1ec7nh l\u00fd m\u00e3n t\u00ednh nh\u01b0 r\u00e1ch TFCC qua nhi\u1ec1u n\u0103m t\u00edch t\u1ee5 ch\u1ea5n th\u01b0\u01a1ng vi m\u00f4.<\/p>\n<p>C\u00e1c quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb c\u00e2n b\u1eb1ng gi\u1eefa y\u00eau c\u1ea7u l\u00e0nh th\u01b0\u01a1ng v\u1edbi nhu c\u1ea7u t\u1eadp luy\u1ec7n. Trong khi ngh\u1ec9 ng\u01a1i ho\u00e0n to\u00e0n t\u1ed1i \u01b0u h\u00f3a qu\u00e1 tr\u00ecnh l\u00e0nh, t\u1eadp luy\u1ec7n \u0111i\u1ec1u ch\u1ec9nh duy tr\u00ec th\u1ec3 l\u1ef1c trong th\u1eddi gian ph\u1ee5c h\u1ed3i. \u0110\u1ea5m b\u00f3ng (shadow boxing) b\u1ea3o t\u1ed3n k\u1ef9 thu\u1eadt m\u00e0 kh\u00f4ng c\u00f3 \u00e1p l\u1ef1c va ch\u1ea1m. B\u01a1i l\u1ed9i cung c\u1ea5p b\u00e0i t\u1eadp tim m\u1ea1ch \u0111\u1ed3ng th\u1eddi gi\u1ea3i ph\u00f3ng l\u1ef1c cho b\u00e0n tay.<\/p>\n<p>Can thi\u1ec7p s\u1edbm ng\u0103n ng\u1eeba c\u00e1c ch\u1ea5n th\u01b0\u01a1ng nh\u1ecf tr\u1edf th\u00e0nh v\u1ea5n \u0111\u1ec1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 nghi\u1ec7p. R\u00e1ch d\u00e2y ch\u1eb1ng m\u1ed9t ph\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi s\u1ebd l\u00e0nh t\u1ed1t h\u01a1n so v\u1edbi m\u1ea5t v\u1eefng m\u00e3n t\u00ednh c\u1ea7n ph\u1ea3i t\u00e1i t\u1ea1o. C\u00e1c b\u00e1c s\u0129 ph\u1eabu thu\u1eadt b\u00e0n tay ph\u1ed1i h\u1ee3p v\u1edbi hu\u1ea5n luy\u1ec7n vi\u00ean \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh c\u00e1c l\u1ed7i k\u1ef9 thu\u1eadt g\u00f3p ph\u1ea7n g\u00e2y ch\u1ea5n th\u01b0\u01a1ng t\u00e1i ph\u00e1t.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Ap_Dung_Vao_Thuc_Te\"><\/span>\u00c1p D\u1ee5ng V\u00e0o Th\u1ef1c T\u1ebf<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ol>\n<li>Ki\u1ec3m tra b\u0103ng qu\u1ea5n tay xem c\u00f3 b\u1ecb m\u00f2n kh\u00f4ng v\u00e0 thay th\u1ebf khi \u0111\u1ed9 \u0111\u00e0n h\u1ed3i n\u00e9n gi\u1ea3m ho\u1eb7c v\u1ea3i b\u1ecb s\u1eddn<\/li>\n<li>Luy\u1ec7n t\u1eadp t\u1ea1o n\u1eafm \u0111\u1ea5m \u0111\u00fang c\u00e1ch b\u1eb1ng c\u00e1ch c\u0103n ch\u1ec9nh hai kh\u1edbp ng\u00f3n tay \u0111\u1ea7u ti\u00ean v\u1edbi x\u01b0\u01a1ng quay tr\u01b0\u1edbc khi va ch\u1ea1m<\/li>\n<li>K\u1ebft h\u1ee3p c\u00e1c b\u00e0i t\u1eadp t\u0103ng c\u01b0\u1eddng s\u1ee9c m\u1ea1nh c\u1ed5 tay s\u1eed d\u1ee5ng d\u00e2y kh\u00e1ng l\u1ef1c theo c\u00e1c m\u1eb7t ph\u1eb3ng g\u1eadp, du\u1ed7i v\u00e0 nghi\u00eang<\/li>\n<li>L\u00ean l\u1ecbch ki\u1ec3m tra v\u00e0 thay th\u1ebf g\u0103ng tay th\u01b0\u1eddng xuy\u00ean khi l\u1edbp \u0111\u1ec7m b\u1ecb n\u00e9n ho\u1eb7c x\u00f4 l\u1ec7ch<\/li>\n<li>Ph\u00e1t tri\u1ec3n nh\u1eadn th\u1ee9c v\u1ec1 s\u1ef1 suy gi\u1ea3m k\u1ef9 thu\u1eadt do m\u1ec7t m\u1ecfi l\u00e0m t\u0103ng nguy c\u01a1 ch\u1ea5n th\u01b0\u01a1ng<\/li>\n<\/ol>\n<h2><span class=\"ez-toc-section\" id=\"Khi_Nao_Can_Tim_Kiem_Su_Giup_Do_Chuyen_Nghiep\"><\/span>Khi N\u00e0o C\u1ea7n T\u00ecm Ki\u1ebfm S\u1ef1 Gi\u00fap \u0110\u1ee1 Chuy\u00ean Nghi\u1ec7p<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>\u0110au c\u1ed5 tay k\u00e9o d\u00e0i h\u01a1n v\u00e0i ng\u00e0y m\u1eb7c d\u00f9 \u0111\u00e3 ngh\u1ec9 ng\u01a1i v\u00e0 ch\u01b0\u1eddm \u0111\u00e1<\/li>\n<li>Bi\u1ebfn d\u1ea1ng ho\u1eb7c v\u1ebft l\u00f5m c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y tr\u00ean x\u01b0\u01a1ng b\u00e0n tay ho\u1eb7c c\u1ed5 tay<\/li>\n<li>C\u1ea3m gi\u00e1c l\u1ee5c c\u1ee5c, v\u01b0\u1edbng ho\u1eb7c nghi\u1ebfn khi c\u1eed \u0111\u1ed9ng c\u1ed5 tay<\/li>\n<li>Kh\u00f4ng th\u1ec3 t\u1ea1o n\u1eafm \u0111\u1ea5m \u0111\u00fang c\u00e1ch ho\u1eb7c n\u1eafm ch\u1eb7t \u0111\u1ed3 v\u1eadt<\/li>\n<li>S\u01b0ng tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n ho\u1eb7c kh\u00f4ng c\u1ea3i thi\u1ec7n sau 48-72 gi\u1edd<\/li>\n<li>T\u00ea ho\u1eb7c ng\u1ee9a ran \u1edf c\u00e1c ng\u00f3n tay<\/li>\n<li>\u0110au \u1edf v\u00f9ng h\u1ed1 gi\u1ea3i ph\u1eabu sau va ch\u1ea1m<\/li>\n<li>Gi\u1ea3m ph\u1ea1m vi chuy\u1ec3n \u0111\u1ed9ng so v\u1edbi c\u1ed5 tay kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Cac_Cau_Hoi_Thuong_Gap\"><\/span>C\u00e1c C\u00e2u H\u1ecfi Th\u01b0\u1eddng G\u1eb7p<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><strong>T\u00f4i n\u00ean \u0111\u1ee3i bao l\u00e2u tr\u01b0\u1edbc khi tr\u1edf l\u1ea1i quy\u1ec1n anh sau khi b\u1ecb bong g\u00e2n c\u1ed5 tay?<\/strong><br \/>\nBong g\u00e2n \u0111\u1ed9 1 th\u01b0\u1eddng c\u1ea7n 3-4 tu\u1ea7n ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec1u ch\u1ec9nh tr\u01b0\u1edbc khi tr\u1edf l\u1ea1i d\u1ea7n d\u1ea7n. B\u1eaft \u0111\u1ea7u v\u1edbi \u0111\u1ea5m b\u00f3ng, ti\u1ebfn t\u1edbi t\u1eadp v\u1edbi bao nh\u1eb9 \u1edf tu\u1ea7n th\u1ee9 4 v\u00e0 tr\u1edf l\u1ea1i t\u1eadp luy\u1ec7n ho\u00e0n to\u00e0n v\u00e0o tu\u1ea7n th\u1ee9 6. Bong g\u00e2n \u0111\u1ed9 2 c\u1ea7n t\u1ed5ng c\u1ed9ng 6-8 tu\u1ea7n \u0111\u1ec3 ph\u1ee5c h\u1ed3i ho\u00e0n to\u00e0n.<\/p>\n<p><strong>T\u00f4i c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c t\u1eadp luy\u1ec7n khi nghi ng\u1edd b\u1ecb g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n kh\u00f4ng?<\/strong><br \/>\nKh\u00f4ng. Ti\u1ebfp t\u1ee5c va ch\u1ea1m l\u00ean x\u01b0\u01a1ng thuy\u1ec1n ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0m t\u0103ng \u0111\u00e1ng k\u1ec3 nguy c\u01a1 kh\u00f4ng li\u1ec1n x\u01b0\u01a1ng. Ngu\u1ed3n cung c\u1ea5p m\u00e1u k\u00e9m c\u00f3 ngh\u0129a l\u00e0 vi\u1ec7c ph\u00e1 v\u1ee1 qu\u00e1 tr\u00ecnh l\u00e0nh s\u1edbm c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn g\u00e3y x\u01b0\u01a1ng v\u0129nh vi\u1ec5n c\u1ea7n ph\u1eabu thu\u1eadt.<\/p>\n<p><strong>S\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa vi\u00eam g\u00e2n v\u00e0 ch\u1ea5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng \u1edf c\u1ed5 tay l\u00e0 g\u00ec?<\/strong><br \/>\nVi\u00eam g\u00e2n g\u00e2y \u0111au trong khi c\u1eed \u0111\u1ed9ng ch\u1ee7 \u0111\u1ed9ng khi g\u00e2n b\u1ecb \u1ea3nh h\u01b0\u1edfng co l\u1ea1i. C\u01a1n \u0111au \u0111i theo \u0111\u01b0\u1eddng \u0111i c\u1ee7a g\u00e2n v\u00e0 tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n khi ki\u1ec3m tra s\u1ee9c c\u1ea3n. Ch\u1ea5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng g\u00e2y \u0111au khi k\u00e9o gi\u00e3n th\u1ee5 \u0111\u1ed9ng ho\u1eb7c ki\u1ec3m tra c\u0103ng th\u1eb3ng. M\u1ea5t v\u1eefng kh\u1edbp ho\u1eb7c c\u00e1c ki\u1ec3u chuy\u1ec3n \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng g\u1ee3i \u00fd t\u1ed5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng h\u01a1n l\u00e0 vi\u00eam g\u00e2n.<\/p>\n<p><strong>T\u00f4i n\u00ean d\u00f9ng nhi\u1ec7t hay \u0111\u00e1 cho ch\u1ea5n th\u01b0\u01a1ng c\u1ed5 tay trong quy\u1ec1n anh?<\/strong><br \/>\nCh\u01b0\u1eddm \u0111\u00e1 trong 15-20 ph\u00fat m\u1ed7i 2-3 gi\u1edd trong 48-72 gi\u1edd \u0111\u1ea7u ti\u00ean c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m vi\u00eam v\u00e0 \u0111au. L\u00e0m n\u00f3ng qu\u00e1 s\u1edbm c\u00f3 th\u1ec3 l\u00e0m t\u0103ng s\u01b0ng. Sau khi vi\u00eam ban \u0111\u1ea7u gi\u1ea3m, lu\u00e2n phi\u00ean nhi\u1ec7t v\u00e0 \u0111\u00e1 c\u00f3 th\u1ec3 th\u00fac \u0111\u1ea9y l\u01b0u th\u00f4ng m\u00e1u v\u00e0 gi\u00fap ki\u1ec3m so\u00e1t s\u01b0ng.<\/p>\n<p><strong>Khi n\u00e0o ch\u1ea5n th\u01b0\u01a1ng tay c\u1ea7n ph\u1eabu thu\u1eadt so v\u1edbi \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n?<\/strong><br \/>\nG\u00e3y x\u01b0\u01a1ng di l\u1ec7ch, r\u00e1ch d\u00e2y ch\u1eb1ng ho\u00e0n to\u00e0n v\u00e0 r\u00e1ch TFCC k\u00e8m m\u1ea5t v\u1eefng th\u01b0\u1eddng c\u1ea7n ph\u1eabu thu\u1eadt. G\u00e3y x\u01b0\u01a1ng kh\u00f4ng di l\u1ec7ch, ch\u1ea5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng m\u1ed9t ph\u1ea7n v\u00e0 r\u00e1ch s\u1ee5n nh\u1ecf th\u01b0\u1eddng l\u00e0nh v\u1edbi c\u1ed1 \u0111\u1ecbnh v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng th\u00edch h\u1ee3p.<\/p>\n<div id=\"cta-widget\" class=\"single-post-cta-widget\"><div class=\"single-post-cta-wrap-inner\"><div class=\"single-post-cta-image\"><div class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1848 size-medium\" src=\"https:\/\/advancedhand-stg.sgestaging.com\/wp-content\/themes\/advanced-hand\/assets\/images\/cta-bg-mobile.jpg\" alt=\"Deviated Septum Patient In Singapore\" width=\"300\" height=\"158\"><\/div><\/div><div class=\"single-post-cta-contents\"><p class=\"single-post-cta-contents-info\">\u0110\u1eebng \u0110\u1ec3 \u0110au Tay \u1ea2nh H\u01b0\u1edfng \u0110\u1ebfn Cu\u1ed9c S\u1ed1ng C\u1ee7a B\u1ea1n<\/p><p class=\"single-post-cta-contents-title\">Ph\u1ee5c H\u1ed3i Ch\u1ee9c N\u0103ng v\u00e0 C\u1ea3i Thi\u1ec7n Ch\u1ea5t L\u01b0\u1ee3ng Cu\u1ed9c S\u1ed1ng<\/p><p class=\"single-post-cta-contents-descrtion\">Ph\u00f2ng kh\u00e1m c\u1ee7a ch\u00fang t\u00f4i cung c\u1ea5p d\u1ecbch v\u1ee5 to\u00e0n di\u1ec7n, m\u1ed9t \u0111i\u1ec3m \u0111\u1ebfn cho ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/p><a class=\"single-post-cta-button\" href=\"#contact-form\">G\u1eedi Y\u00eau C\u1ea7u T\u01b0 V\u1ea5n<\/a><\/div><\/div><\/div><style>\n\t#cta-widget.single-post-cta-widget {\n\t\tbackground-image: url(\"https:\/\/advancedhand-stg.sgestaging.com\/wp-content\/themes\/advanced-hand\/assets\/images\/cta-bg-desktop.jpg\");\n\t\tbackground-size: cover;\n    \tbackground-repeat: no-repeat;\n\t\tmargin-top: 32px;\n\t\tmargin-bottom: 32px;\n\t\tdisplay: inline-block;\n\t\twidth: 100%;\n\t\tborder-radius: 0px 32px;\n\t\tpadding: 60px 80px;\n\t\tbackground-color: #E9F0F4;\n\t}\n\t.single-post .post-content:last-child {\n\t\tmargin-bottom: 0 !important;\n\t}\n\t#cta-widget.single-post-cta-widget .single-post-cta-wrap-inner {\n\t    max-width: 400px;\n\t}\n\t\n\t#cta-widget.single-post-cta-widget .single-post-cta-wrap-inner .single-post-cta-image {\n\t\tdisplay: none;\n\t}\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-contents-info {\n\t\tfont-family: Inter;\n\t\tfont-weight: 500;\n\t\tfont-size: 16px;\n\t\tline-height: 24px;\n\t\tletter-spacing: 0.08em;\n\t\ttext-transform: uppercase;\n\t\tcolor: #0E4C84;\n\t\tmargin: 0;\n\t}\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-contents-title {\n\t\tfont-family: Times New Roman;\n\t\tfont-weight: 400;\n\t\tfont-size: 36px;\n\t\tline-height: 46px;\n\t\tletter-spacing: 0;\n\t\ttext-transform: capitalize;\n\t\tmargin-top: 16px;\n\t\tcolor: #000;\n\t}\n\t\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-button:focus,\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-button:focus,\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-button:focus,\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-button:focus {\n\t\topacity: 0.6;\n\t}\n\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-button {\n\t\tposition: relative;\n\t\ttext-decoration: none !important;\n\t\tbackground: #0E4C84;\n\t\tborder-radius: 90px;\n\t\tpadding: 24px 64px;\n\t\tmargin-top: 32px;\n\t\tdisplay: inline-block;\n\t\tcolor: #fff;\n\t\tfont-family: Inter;\n\t\tfont-weight: 500;\n\t\tfont-size: 18px;\n\t\tline-height: 18px;\n\t\tletter-spacing: 0;\n\t\ttext-transform: uppercase;\n\t}\n\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-button::before {\n\t\tcontent: \"\";\n\t\tposition: absolute;\n\t\tborder: #0E4C84 solid 1px;\n\t\ttop: 0;\n\t\tright: 0;\n\t\tborder-radius: 70px;\n\t\tbottom: 0;\n\t\tleft: 0;\n\t\topacity: 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T\u1eadp luy\u1ec7n \u0111i\u1ec1u ch\u1ec9nh trong qu\u00e1 tr\u00ecnh l\u00e0nh th\u01b0\u01a1ng duy tr\u00ec th\u1ec3 l\u1ef1c \u0111\u1ed3ng th\u1eddi b\u1ea3o v\u1ec7 c\u00e1c c\u1ea5u tr\u00fac d\u1ec5 t\u1ed5n th\u01b0\u01a1ng. \u0110\u00e1nh gi\u00e1 chuy\u00ean nghi\u1ec7p m\u1edf \u0111\u01b0\u1eddng cho ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c khi c\u00e1c tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i h\u01a1n khung th\u1eddi gian l\u00e0nh th\u01b0\u01a1ng d\u1ef1 ki\u1ebfn.<\/p>\n<p>N\u1ebfu b\u1ea1n \u0111ang b\u1ecb \u0111au c\u1ed5 tay dai d\u1eb3ng, \u0111au h\u1ed1 gi\u1ea3i ph\u1eabu ho\u1eb7c y\u1ebfu s\u1ee9c n\u1eafm sau khi t\u1eadp quy\u1ec1n anh, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt b\u00e0n tay c\u00f3 th\u1ec3 cung c\u1ea5p \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n v\u00e0 c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Learn about boxing wrist injury types, symptoms, and treatment options. Understand fractures, ligament tears, and when to consult a hand surgeon in Singapore.<\/p>\n","protected":false},"author":3,"featured_media":7222,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_seopress_titles_title":"Ch\u1ea5n Th\u01b0\u01a1ng Tay v\u00e0 C\u1ed5 Tay Th\u01b0\u1eddng G\u1eb7p Trong Quy\u1ec1n Anh: V\u1eadn \u0110\u1ed9ng Vi\u00ean C\u1ea7n Bi\u1ebft","_seopress_titles_desc":"T\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c lo\u1ea1i ch\u1ea5n th\u01b0\u01a1ng c\u1ed5 tay trong quy\u1ec1n anh, tri\u1ec7u ch\u1ee9ng v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb. 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