{"id":9092,"date":"2025-09-24T02:44:35","date_gmt":"2025-09-24T02:44:35","guid":{"rendered":"https:\/\/advancedhand-stg.sgestaging.com\/?p=9092"},"modified":"2026-09-14T10:50:07","modified_gmt":"2026-09-14T10:50:07","slug":"tfcc-tear-in-sports-symptoms-diagnosis-and-treatment","status":"publish","type":"post","link":"https:\/\/advancedhand-stg.sgestaging.com\/vi\/wrist-specialist-singapore\/tfcc-tear-in-sports-symptoms-diagnosis-and-treatment\/","title":{"rendered":"R\u00e1ch TFCC Trong Th\u1ec3 Thao: Tri\u1ec7u Ch\u1ee9ng, Ch\u1ea9n \u0110o\u00e1n v\u00e0 \u0110i\u1ec1u Tr\u1ecb"},"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\/wrist-specialist-singapore\/tfcc-tear-in-sports-symptoms-diagnosis-and-treatment\/#Giai_Phau_va_Chuc_Nang_cua_TFCC\" >Gi\u1ea3i Ph\u1eabu v\u00e0 Ch\u1ee9c N\u0103ng c\u1ee7a TFCC<\/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\/wrist-specialist-singapore\/tfcc-tear-in-sports-symptoms-diagnosis-and-treatment\/#Cac_Loai_Rach_TFCC\" >C\u00e1c Lo\u1ea1i R\u00e1ch TFCC<\/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\/wrist-specialist-singapore\/tfcc-tear-in-sports-symptoms-diagnosis-and-treatment\/#Nhan_Biet_Trieu_Chung_Rach_TFCC\" >Nh\u1eadn Bi\u1ebft Tri\u1ec7u Ch\u1ee9ng R\u00e1ch TFCC<\/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\/wrist-specialist-singapore\/tfcc-tear-in-sports-symptoms-diagnosis-and-treatment\/#Ky_Thuat_Tham_Kham_Lam_Sang\" >K\u1ef9 Thu\u1eadt Th\u0103m Kh\u00e1m L\u00e2m S\u00e0ng<\/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\/wrist-specialist-singapore\/tfcc-tear-in-sports-symptoms-diagnosis-and-treatment\/#Cac_Phuong_Phap_Chan_Doan_Hinh_Anh\" >C\u00e1c Ph\u01b0\u01a1ng Ph\u00e1p Ch\u1ea9n \u0110o\u00e1n H\u00ecnh \u1ea2nh<\/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\/wrist-specialist-singapore\/tfcc-tear-in-sports-symptoms-diagnosis-and-treatment\/#Chien_Luoc_Dieu_Tri_Bao_Ton\" >Chi\u1ebfn L\u01b0\u1ee3c \u0110i\u1ec1u Tr\u1ecb B\u1ea3o T\u1ed3n<\/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\/wrist-specialist-singapore\/tfcc-tear-in-sports-symptoms-diagnosis-and-treatment\/#Cac_Lua_Chon_Dieu_Tri_Phau_Thuat\" >C\u00e1c L\u1ef1a Ch\u1ecdn \u0110i\u1ec1u Tr\u1ecb Ph\u1eabu Thu\u1eadt<\/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\/wrist-specialist-singapore\/tfcc-tear-in-sports-symptoms-diagnosis-and-treatment\/#Quy_Trinh_Phuc_Hoi_va_Tap_Luyen_Lai\" >Quy Tr\u00ecnh Ph\u1ee5c H\u1ed3i v\u00e0 T\u1eadp Luy\u1ec7n L\u1ea1i<\/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\/wrist-specialist-singapore\/tfcc-tear-in-sports-symptoms-diagnosis-and-treatment\/#Phong_Ngua_Chan_Thuong_TFCC_O_Van_Dong_Vien\" >Ph\u00f2ng Ng\u1eeba Ch\u1ea5n Th\u01b0\u01a1ng TFCC \u1ede V\u1eadn \u0110\u1ed9ng Vi\u00ean<\/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\/wrist-specialist-singapore\/tfcc-tear-in-sports-symptoms-diagnosis-and-treatment\/#Chuyen_Gia_Ban_Tay_Cua_Chung_Toi_Noi_Gi\" >Chuy\u00ean Gia B\u00e0n Tay C\u1ee7a Ch\u00fang T\u00f4i 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-11\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/wrist-specialist-singapore\/tfcc-tear-in-sports-symptoms-diagnosis-and-treatment\/#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-12\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/wrist-specialist-singapore\/tfcc-tear-in-sports-symptoms-diagnosis-and-treatment\/#Cac_Buoc_Tiep_Theo\" >C\u00e1c B\u01b0\u1edbc Ti\u1ebfp Theo<\/a><\/li><\/ul><\/nav><\/div>\n<p>Ph\u1ee9c h\u1ee3p s\u1ee5n s\u1ee3i tam gi\u00e1c (TFCC) gi\u00fap \u1ed5n \u0111\u1ecbnh c\u1ed5 tay c\u1ee7a b\u1ea1n trong c\u00e1c chuy\u1ec3n \u0111\u1ed9ng xoay v\u00e0 n\u1eafm b\u1eaft, khi\u1ebfn n\u00f3 d\u1ec5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng khi ch\u01a1i c\u00e1c m\u00f4n th\u1ec3 thao d\u00f9ng v\u1ee3t, th\u1ec3 d\u1ee5c d\u1ee5ng c\u1ee5 v\u00e0 c\u1eed t\u1ea1. C\u1ea5u tr\u00fac n\u00e0y bao g\u1ed3m s\u1ee5n, d\u00e2y ch\u1eb1ng v\u00e0 g\u00e2n k\u1ebft n\u1ed1i x\u01b0\u01a1ng quay c\u1ee7a b\u1ea1n v\u1edbi x\u01b0\u01a1ng tr\u1ee5 v\u00e0 c\u00e1c x\u01b0\u01a1ng nh\u1ecf \u1edf c\u1ed5 tay. R\u00e1ch TFCC g\u00e2y \u0111au c\u1ed5 tay ph\u00eda tr\u1ee5 &#8211; ph\u00eda ng\u00f3n \u00fat c\u1ee7a c\u1ed5 tay &#8211; v\u00e0 th\u01b0\u1eddng ph\u00e1t tri\u1ec3n do t\u1ea3i tr\u1ecdng l\u1eb7p \u0111i l\u1eb7p l\u1ea1i ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng c\u1ea5p t\u00ednh trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao.<\/p>\n<p>C\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean b\u1ecb r\u00e1ch TFCC th\u01b0\u1eddng nh\u1eadn th\u1ea5y \u0111au trong c\u00e1c chuy\u1ec3n \u0111\u1ed9ng c\u1ee5 th\u1ec3: xoay v\u1ee3t tennis \u0111\u1ec3 \u0111\u00e1nh xo\u00e1y, th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i t\u1eadp th\u1ec3 d\u1ee5c tr\u00ean x\u00e0 \u0111\u01a1n, ho\u1eb7c c\u1ea7m thanh t\u1ea1. Ch\u1ea5n th\u01b0\u01a1ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng t\u1ea1o l\u1ef1c th\u00f4ng qua xoay c\u1ed5 tay c\u1ee7a b\u1ea1n v\u00e0 c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n n\u1eb7ng h\u01a1n n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p, c\u00f3 kh\u1ea3 n\u0103ng d\u1eabn \u0111\u1ebfn m\u1ea5t \u1ed5n \u0111\u1ecbnh m\u00e3n t\u00ednh v\u00e0 vi\u00eam kh\u1edbp s\u1edbm c\u1ee7a kh\u1edbp quay-tr\u1ee5 xa.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Giai_Phau_va_Chuc_Nang_cua_TFCC\"><\/span>Gi\u1ea3i Ph\u1eabu v\u00e0 Ch\u1ee9c N\u0103ng c\u1ee7a TFCC<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>TFCC t\u1ea1o th\u00e0nh m\u1ed9t c\u1ea5u tr\u00fac gi\u1ed1ng nh\u01b0 v\u00f5ng gi\u1eefa x\u01b0\u01a1ng quay v\u00e0 x\u01b0\u01a1ng tr\u1ee5 c\u1ee7a b\u1ea1n, \u0111\u1ec7m l\u1ef1c truy\u1ec1n qua c\u1ed5 tay. \u0110\u0129a trung t\u00e2m c\u1ee7a n\u00f3, \u0111\u01b0\u1ee3c l\u00e0m b\u1eb1ng s\u1ee5n s\u1ee3i t\u01b0\u01a1ng t\u1ef1 nh\u01b0 m\u00f4 s\u1ee5n ch\u00eam \u1edf \u0111\u1ea7u g\u1ed1i, h\u1ea5p th\u1ee5 l\u1ef1c n\u00e9n trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng ch\u1ecbu tr\u1ecdng l\u01b0\u1ee3ng nh\u01b0 ch\u1ed1ng \u0111\u1ea9y ho\u1eb7c tr\u1ed3ng c\u00e2y chu\u1ed1i. C\u00e1c d\u00e2y ch\u1eb1ng xung quanh &#8211; d\u00e2y ch\u1eb1ng quay-tr\u1ee5 l\u01b0ng v\u00e0 l\u00f2ng b\u00e0n tay &#8211; ng\u0103n xoay c\u1ed5 tay qu\u00e1 m\u1ee9c trong khi duy tr\u00ec s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a kh\u1edbp.<\/p>\n<p>Ngu\u1ed3n cung c\u1ea5p m\u00e1u kh\u00e1c nhau \u0111\u00e1ng k\u1ec3 tr\u00ean to\u00e0n b\u1ed9 c\u1ea5u tr\u00fac TFCC. 15-20% ngo\u1ea1i vi nh\u1eadn \u0111\u01b0\u1ee3c tu\u1ea7n ho\u00e0n m\u1ea1nh m\u1ebd t\u1eeb c\u00e1c nh\u00e1nh \u0111\u1ed9ng m\u1ea1ch tr\u1ee5, cho ph\u00e9p kh\u1ea3 n\u0103ng l\u00e0nh t\u1ef1 nhi\u00ean. 80% trung t\u00e2m kh\u00f4ng c\u00f3 m\u1ea1ch m\u00e1u, t\u01b0\u01a1ng t\u1ef1 nh\u01b0 s\u1ee5n ch\u00eam b\u00ean trong \u0111\u1ea7u g\u1ed1i, gi\u1ea3i th\u00edch t\u1ea1i sao c\u00e1c v\u1ebft r\u00e1ch trung t\u00e2m hi\u1ebfm khi l\u00e0nh m\u00e0 kh\u00f4ng c\u1ea7n can thi\u1ec7p ph\u1eabu thu\u1eadt. M\u00f4 h\u00ecnh m\u1ea1ch m\u00e1u n\u00e0y \u1ea3nh h\u01b0\u1edfng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn c\u00e1c quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb v\u00e0 th\u1eddi gian ph\u1ee5c h\u1ed3i.<\/p>\n<p>Trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao, TFCC c\u1ee7a b\u1ea1n ch\u1ecbu \u1ee9ng su\u1ea5t t\u1ed1i \u0111a trong ba chuy\u1ec3n \u0111\u1ed9ng c\u1ee5 th\u1ec3: nghi\u00eang tr\u1ee5 (u\u1ed1n c\u1ed5 tay v\u1ec1 ph\u00eda ng\u00f3n \u00fat), s\u1ea5p v\u00e0 ng\u1eeda (xoay l\u00f2ng b\u00e0n tay l\u00ean v\u00e0 xu\u1ed1ng), v\u00e0 t\u1ea3i tr\u1ecdng d\u1ecdc tr\u1ee5c (n\u00e9n qua c\u1ed5 tay). C\u00e1c m\u00f4n th\u1ec3 thao d\u00f9ng v\u1ee3t k\u1ebft h\u1ee3p c\u1ea3 ba \u1ee9ng su\u1ea5t \u0111\u1ed3ng th\u1eddi &#8211; n\u1eafm c\u00e1n v\u1ee3t t\u1ea1o t\u1ea3i tr\u1ecdng d\u1ecdc tr\u1ee5c, \u0111\u1ed9ng t\u00e1c vung v\u1ee3t y\u00eau c\u1ea7u nghi\u00eang tr\u1ee5, v\u00e0 \u0111\u00e1nh xo\u00e1y \u0111\u00f2i h\u1ecfi s\u1ea5p nhanh.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cac_Loai_Rach_TFCC\"><\/span>C\u00e1c Lo\u1ea1i R\u00e1ch TFCC<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ph\u00e2n lo\u1ea1i Palmer chia r\u00e1ch TFCC th\u00e0nh c\u00e1c lo\u1ea1i ch\u1ea5n th\u01b0\u01a1ng (Lo\u1ea1i 1) v\u00e0 tho\u00e1i h\u00f3a (Lo\u1ea1i 2), m\u1ed7i lo\u1ea1i c\u00f3 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m ri\u00eang bi\u1ec7t \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb. R\u00e1ch Lo\u1ea1i 1A li\u00ean quan \u0111\u1ebfn \u0111\u0129a trung t\u00e2m v\u00e0 th\u01b0\u1eddng do ng\u00e3 v\u00e0o b\u00e0n tay dang r\u1ed9ng ho\u1eb7c du\u1ed7i qu\u00e1 m\u1ee9c c\u1ea5p t\u00ednh trong khi ch\u01a1i th\u1ec3 thao. Nh\u1eefng v\u1ebft r\u00e1ch trung t\u00e2m n\u00e0y thi\u1ebfu kh\u1ea3 n\u0103ng l\u00e0nh do ngu\u1ed3n cung c\u1ea5p m\u00e1u k\u00e9m v\u00e0 th\u01b0\u1eddng c\u1ea7n c\u1eaft l\u1ecdc n\u1ed9i soi kh\u1edbp khi c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/p>\n<p>R\u00e1ch Lo\u1ea1i 1B \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ph\u1ea7n b\u00e1m ngo\u1ea1i vi t\u1ea1i ch\u1ed7 b\u00e1m tr\u1ee5, th\u01b0\u1eddng x\u1ea3y ra \u1edf c\u1ea7u th\u1ee7 b\u00f3ng ch\u00e0y trong khi \u0111\u00e1nh b\u00f3ng ho\u1eb7c v\u1eadn \u0111\u1ed9ng vi\u00ean th\u1ec3 d\u1ee5c d\u1ee5ng c\u1ee5 trong c\u00e1c pha ti\u1ebfp \u0111\u1ea5t va ch\u1ea1m m\u1ea1nh. Nh\u1eefng v\u1ebft r\u00e1ch ngo\u1ea1i vi n\u00e0y duy tr\u00ec kh\u1ea3 n\u0103ng l\u00e0nh nh\u1edd ngu\u1ed3n cung c\u1ea5p m\u1ea1ch m\u00e1u v\u00e0 \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi b\u1ea5t \u0111\u1ed9ng ho\u1eb7c s\u1eeda ch\u1eefa ph\u1eabu thu\u1eadt. R\u00e1ch Lo\u1ea1i 1C li\u00ean quan \u0111\u1ebfn d\u00e2y ch\u1eb1ng l\u00f2ng b\u00e0n tay v\u00e0 t\u1ea1o ra s\u1ef1 m\u1ea5t \u1ed5n \u0111\u1ecbnh \u0111\u00e1ng k\u1ec3, trong khi r\u00e1ch Lo\u1ea1i 1D \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ed7 b\u00e1m quay v\u00e0 th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi g\u00e3y x\u01b0\u01a1ng quay xa.<\/p>\n<p>R\u00e1ch Lo\u1ea1i 2 tho\u00e1i h\u00f3a ph\u00e1t tri\u1ec3n d\u1ea7n d\u1ea7n th\u00f4ng qua ch\u1ea5n th\u01b0\u01a1ng vi m\u00f4 l\u1eb7p \u0111i l\u1eb7p l\u1ea1i, \u0111\u1eb7c bi\u1ec7t \u1edf c\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean tr\u00ean 30 tu\u1ed5i t\u1eadp luy\u1ec7n kh\u1ed1i l\u01b0\u1ee3ng l\u1edbn. Nh\u1eefng v\u1ebft r\u00e1ch n\u00e0y th\u01b0\u1eddng tr\u00f9ng h\u1ee3p v\u1edbi bi\u1ebfn th\u1ec3 tr\u1ee5 d\u01b0\u01a1ng &#8211; khi x\u01b0\u01a1ng tr\u1ee5 c\u1ee7a b\u1ea1n d\u00e0i h\u01a1n x\u01b0\u01a1ng quay &#8211; t\u1ea1o ra \u1ee9ng su\u1ea5t c\u01a1 h\u1ecdc gia t\u0103ng l\u00ean TFCC. R\u00e1ch Lo\u1ea1i 2 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n v\u1edbi c\u00e1c b\u1ec7nh l\u00fd \u0111i k\u00e8m bao g\u1ed3m ch\u1ea5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng nguy\u1ec7t-tam gi\u00e1c, h\u1ed9i ch\u1ee9ng va ch\u1ea1m tr\u1ee5, ho\u1eb7c vi\u00eam kh\u1edbp s\u1edbm.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Nhan_Biet_Trieu_Chung_Rach_TFCC\"><\/span>Nh\u1eadn Bi\u1ebft Tri\u1ec7u Ch\u1ee9ng R\u00e1ch TFCC<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u0110au c\u1ed5 tay ph\u00eda tr\u1ee5 v\u1eabn l\u00e0 tri\u1ec7u ch\u1ee9ng \u0111\u1eb7c tr\u01b0ng, th\u01b0\u1eddng n\u1eb7ng h\u01a1n khi ho\u1ea1t \u0111\u1ed9ng n\u1eafm ho\u1eb7c xoay c\u1ed5 tay. C\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean m\u00f4 t\u1ea3 c\u01a1n \u0111au nh\u00f3i, v\u01b0\u1edbng trong c\u00e1c chuy\u1ec3n \u0111\u1ed9ng th\u1ec3 thao c\u1ee5 th\u1ec3 &#8211; c\u00fa tr\u00e1i tay trong tennis, giai \u0111o\u1ea1n th\u1ea3 b\u00f3ng trong bowling, ho\u1eb7c t\u01b0 th\u1ebf \u0111\u00f3n t\u1ea1 trong c\u1eed t\u1ea1. C\u01a1n \u0111au t\u0103ng l\u00ean khi \u0111\u1ea9y ng\u01b0\u1eddi l\u00ean kh\u1ecfi gh\u1ebf b\u1eb1ng c\u1ed5 tay b\u1ecb \u1ea3nh h\u01b0\u1edfng ho\u1eb7c xoay n\u1eafm c\u1eeda.<\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u01a1 h\u1ecdc ph\u00e2n bi\u1ec7t r\u00e1ch TFCC v\u1edbi c\u00e1c t\u00ecnh tr\u1ea1ng c\u1ed5 tay kh\u00e1c. Ti\u1ebfng l\u00e1ch c\u00e1ch ho\u1eb7c b\u1eadt x\u1ea3y ra trong c\u00e1c chuy\u1ec3n \u0111\u1ed9ng s\u1ea5p-ng\u1eeda, th\u01b0\u1eddng c\u00f3 th\u1ec3 t\u00e1i t\u1ea1o v\u00e0 khu tr\u00fa \u1edf c\u1ed5 tay ph\u00eda tr\u1ee5. M\u1ed9t s\u1ed1 v\u1eadn \u0111\u1ed9ng vi\u00ean tr\u1ea3i qua c\u00e1c \u0111\u1ee3t kh\u00f3a th\u1ef1c s\u1ef1 khi c\u1ed5 tay t\u1ea1m th\u1eddi v\u01b0\u1edbng \u1edf m\u1ed9t s\u1ed1 v\u1ecb tr\u00ed nh\u1ea5t \u0111\u1ecbnh, c\u1ea7n thao t\u00e1c nh\u1eb9 nh\u00e0ng \u0111\u1ec3 ph\u1ee5c h\u1ed3i chuy\u1ec3n \u0111\u1ed9ng. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u01a1 h\u1ecdc n\u00e0y cho th\u1ea5y c\u00e1c m\u1ea3nh r\u00e1ch kh\u00f4ng \u1ed5n \u0111\u1ecbnh c\u1ea3n tr\u1edf c\u01a1 ch\u1ebf kh\u1edbp b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p>C\u00e1c d\u1ea1ng s\u01b0ng cung c\u1ea5p manh m\u1ed1i ch\u1ea9n \u0111o\u00e1n v\u1ec1 v\u1ecb tr\u00ed v\u00e0 m\u1ee9c \u0111\u1ed9 r\u00e1ch. R\u00e1ch ch\u1ea5n th\u01b0\u01a1ng c\u1ea5p t\u00ednh t\u1ea1o ra s\u01b0ng ngay l\u1eadp t\u1ee9c tr\u00ean c\u1ed5 tay ph\u00eda tr\u1ee5, trong khi r\u00e1ch m\u00e3n t\u00ednh g\u00e2y s\u01b0ng t\u1eebng \u0111\u1ee3t sau ho\u1ea1t \u0111\u1ed9ng. S\u01b0ng c\u00f3 c\u1ea3m gi\u00e1c m\u1ec1m h\u01a1n l\u00e0 ch\u1eafc, ph\u00e2n bi\u1ec7t n\u00f3 v\u1edbi nang h\u1ea1ch. C\u1ee9ng kh\u1edbp bu\u1ed5i s\u00e1ng k\u00e9o d\u00e0i 15-30 ph\u00fat g\u1ee3i \u00fd vi\u00eam bao ho\u1ea1t d\u1ecbch \u0111i k\u00e8m, trong khi c\u1ee9ng kh\u1edbp k\u00e9o d\u00e0i cho th\u1ea5y s\u1ef1 li\u00ean quan \u0111\u1ebfn kh\u1edbp r\u1ed9ng h\u01a1n.<\/p>\n<p>Y\u1ebfu bi\u1ec3u hi\u1ec7n d\u01b0\u1edbi d\u1ea1ng gi\u1ea3m l\u1ef1c n\u1eafm, \u0111\u1eb7c bi\u1ec7t \u1edf c\u00e1c t\u01b0 th\u1ebf y\u00eau c\u1ea7u nghi\u00eang tr\u1ee5. C\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean nh\u1eadn th\u1ea5y kh\u00f3 kh\u0103n trong vi\u1ec7c duy tr\u00ec ki\u1ec3m so\u00e1t v\u1ee3t trong c\u00e1c tr\u1eadn \u0111\u1ea5u k\u00e9o d\u00e0i ho\u1eb7c kh\u00f4ng th\u1ec3 ho\u00e0n th\u00e0nh c\u00e1c hi\u1ec7p c\u1eed t\u1ea1 th\u00f4ng th\u01b0\u1eddng c\u1ee7a h\u1ecd. Y\u1ebfu xu\u1ea5t ph\u00e1t t\u1eeb \u1ee9c ch\u1ebf \u0111au h\u01a1n l\u00e0 thi\u1ebfu h\u1ee5t v\u1eadn \u0111\u1ed9ng th\u1ef1c s\u1ef1 &#8211; n\u00e3o c\u1ee7a b\u1ea1n ng\u0103n ch\u1eb7n s\u1ef1 k\u00edch ho\u1ea1t c\u01a1 \u0111\u1ea7y \u0111\u1ee7 \u0111\u1ec3 b\u1ea3o v\u1ec7 c\u1ea5u tr\u00fac b\u1ecb th\u01b0\u01a1ng.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Ky_Thuat_Tham_Kham_Lam_Sang\"><\/span>K\u1ef9 Thu\u1eadt Th\u0103m Kh\u00e1m L\u00e2m S\u00e0ng<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>D\u1ea5u hi\u1ec7u h\u1ed1 (fovea sign) cung c\u1ea5p \u0111\u1ed9 ch\u00ednh x\u00e1c ch\u1ea9n \u0111o\u00e1n cao cho r\u00e1ch TFCC. Ng\u01b0\u1eddi kh\u00e1m s\u1ebd s\u1edd v\u00e0o ch\u1ed7 l\u00f5m m\u1ec1m gi\u1eefa m\u1ecfm tr\u00e2m tr\u1ee5 v\u00e0 g\u00e2n c\u01a1 g\u1ea5p c\u1ed5 tay tr\u1ee5 trong khi c\u1ed5 tay c\u1ee7a b\u1ea1n \u1edf v\u1ecb tr\u00ed trung t\u00ednh. \u0110au ch\u00ednh x\u00e1c t\u1ea1i \u0111i\u1ec3m h\u1ed1 n\u00e0y, so v\u1edbi b\u00ean kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng, g\u1ee3i \u00fd m\u1ea1nh m\u1ebd b\u1ec7nh l\u00fd TFCC ph\u00eda tr\u1ee5 v\u1edbi \u0111\u1ed9 nh\u1ea1y v\u01b0\u1ee3t qu\u00e1 95% \u0111\u1ed1i v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng h\u1ed1.<\/p>\n<p>Nghi\u1ec7m ph\u00e1p ch\u1ecbu t\u1ea3i tr\u1ee5-c\u1ed5 tay (ulnocarpal stress test) t\u00e1i t\u1ea1o c\u00e1c tri\u1ec7u ch\u1ee9ng th\u00f4ng qua t\u1ea3i tr\u1ecdng c\u00f3 ki\u1ec3m so\u00e1t. V\u1edbi khu\u1ef7u tay c\u1ee7a b\u1ea1n g\u1ea5p 90 \u0111\u1ed9 v\u00e0 c\u1eb3ng tay \u1edf t\u01b0 th\u1ebf xoay trung t\u00ednh, ng\u01b0\u1eddi kh\u00e1m \u00e1p d\u1ee5ng t\u1ea3i tr\u1ecdng d\u1ecdc tr\u1ee5c trong khi di chuy\u1ec3n c\u1ed5 tay c\u1ee7a b\u1ea1n qua nghi\u00eang tr\u1ee5. T\u00e1i t\u1ea1o c\u01a1n \u0111au, \u0111\u1eb7c bi\u1ec7t k\u00e8m theo ti\u1ebfng l\u00e1ch c\u00e1ch, cho th\u1ea5y b\u1ec7nh l\u00fd TFCC. Nghi\u1ec7m ph\u00e1p n\u00e0y ph\u00e2n bi\u1ec7t r\u00e1ch TFCC v\u1edbi va ch\u1ea1m tr\u1ee5 b\u1eb1ng c\u00e1ch ghi nh\u1eadn li\u1ec7u c\u00e1c tri\u1ec7u ch\u1ee9ng x\u1ea3y ra trong su\u1ed1t bi\u00ean \u0111\u1ed9 chuy\u1ec3n \u0111\u1ed9ng hay ch\u1ec9 \u1edf nghi\u00eang tr\u1ee5 t\u1ed1i \u0111a.<\/p>\n<p>Nghi\u1ec7m ph\u00e1p \u00e9p (press test) y\u00eau c\u1ea7u b\u1ea1n \u0111\u1ea9y ng\u01b0\u1eddi l\u00ean kh\u1ecfi gh\u1ebf b\u1eb1ng c\u1ed5 tay b\u1ecb \u1ea3nh h\u01b0\u1edfng \u1edf t\u01b0 th\u1ebf du\u1ed7i t\u1ed1i \u0111a. \u0110au ph\u00eda tr\u1ee5 trong qu\u00e1 tr\u00ecnh ch\u1ecbu tr\u1ecdng l\u01b0\u1ee3ng n\u00e0y g\u1ee3i \u00fd b\u1ec7nh l\u00fd TFCC, trong khi \u0111au l\u01b0ng lan t\u1ecfa cho th\u1ea5y c\u00e1c t\u00ecnh tr\u1ea1ng kh\u00e1c. C\u00e1c phi\u00ean b\u1ea3n s\u1eeda \u0111\u1ed5i bao g\u1ed3m \u1ea5n v\u00e0o m\u00e9p b\u00e0n ho\u1eb7c th\u1ef1c hi\u1ec7n ch\u1ed1ng \u0111\u1ea9y tr\u00ean t\u01b0\u1eddng \u0111\u1ec3 ph\u00f9 h\u1ee3p v\u1edbi c\u00e1c m\u1ee9c \u0111\u1ed9 \u0111au kh\u00e1c nhau.<\/p>\n<p>Nghi\u1ec7m ph\u00e1p n\u00e2ng ng\u1eeda (supination lift test) \u0111\u00e1nh gi\u00e1 t\u00ednh to\u00e0n v\u1eb9n c\u1ee7a TFCC d\u01b0\u1edbi t\u1ea3i tr\u1ecdng. Ng\u1ed3i v\u1edbi khu\u1ef7u tay \u1edf b\u00ean h\u00f4ng v\u00e0 l\u00f2ng b\u00e0n tay h\u01b0\u1edbng l\u00ean, b\u1ea1n c\u1ed1 g\u1eafng n\u00e2ng m\u1ed9t v\u1eadt n\u1eb7ng 2-3 kg kh\u1ecfi b\u00e0n kh\u00e1m. Kh\u00f4ng th\u1ec3 n\u00e2ng v\u1eadt n\u1eb7ng ho\u1eb7c \u0111au \u0111\u00e1ng k\u1ec3 ph\u00eda tr\u1ee5 cho th\u1ea5y r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng TFCC. Nghi\u1ec7m ph\u00e1p n\u00e0y \u0111\u1eb7c bi\u1ec7t l\u00e0m c\u0103ng th\u00e0nh ph\u1ea7n d\u00e2y ch\u1eb1ng quay-tr\u1ee5 l\u01b0ng c\u1ee7a TFCC.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cac_Phuong_Phap_Chan_Doan_Hinh_Anh\"><\/span>C\u00e1c Ph\u01b0\u01a1ng Ph\u00e1p Ch\u1ea9n \u0110o\u00e1n H\u00ecnh \u1ea2nh<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>X-quang ti\u00eau chu\u1ea9n cho th\u1ea5y c\u00e1c bi\u1ebfn th\u1ec3 gi\u1ea3i ph\u1eabu quan tr\u1ecdng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nguy c\u01a1 r\u00e1ch TFCC v\u00e0 k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb. \u0110o bi\u1ebfn th\u1ec3 tr\u1ee5 tr\u00ean phim sau-tr\u01b0\u1edbc x\u00e1c \u0111\u1ecbnh li\u1ec7u x\u01b0\u01a1ng tr\u1ee5 c\u1ee7a b\u1ea1n d\u00e0i h\u01a1n (bi\u1ebfn th\u1ec3 d\u01b0\u01a1ng) hay ng\u1eafn h\u01a1n (bi\u1ebfn th\u1ec3 \u00e2m) so v\u1edbi b\u1ec1 m\u1eb7t kh\u1edbp quay. Bi\u1ebfn th\u1ec3 d\u01b0\u01a1ng v\u01b0\u1ee3t qu\u00e1 2mm l\u00e0m t\u0103ng nguy c\u01a1 r\u00e1ch TFCC v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebf ho\u1ea1ch ph\u1eabu thu\u1eadt. Phim nghi\u00eang \u0111\u00e1nh gi\u00e1 c\u00e1c d\u1ea1ng m\u1ea5t \u1ed5n \u0111\u1ecbnh \u0111o\u1ea1n ch\u00e8n l\u01b0ng g\u1ee3i \u00fd ch\u1ea5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng \u0111i k\u00e8m.<\/p>\n<p>Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI) c\u00f3 b\u01a1m thu\u1ed1c c\u1ea3n quang kh\u1edbp bao g\u1ed3m ti\u00eam ch\u1ea5t t\u01b0\u01a1ng ph\u1ea3n gadolinium tr\u1ef1c ti\u1ebfp v\u00e0o kh\u1edbp c\u1ed5 tay tr\u01b0\u1edbc khi ch\u1ee5p, c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng ph\u00e1t hi\u1ec7n v\u1ebft r\u00e1ch l\u00ean \u0111\u1ed9 nh\u1ea1y 90%. Ch\u1ea5t t\u01b0\u01a1ng ph\u1ea3n th\u1ea5m v\u00e0o c\u00e1c v\u1ecb tr\u00ed r\u00e1ch, t\u1ea1o ra t\u00edn hi\u1ec7u s\u00e1ng tr\u00ean c\u00e1c chu\u1ed7i xung T1. C\u00e1c chu\u1ed7i xung \u1ee9c ch\u1ebf m\u1ee1 l\u00e0m n\u1ed5i b\u1eadt c\u00e1c d\u1ea1ng ph\u00f9 t\u1ee7y x\u01b0\u01a1ng cho th\u1ea5y va ch\u1ea1m tr\u1ee5 ho\u1eb7c c\u00e1c ch\u1ea5n th\u01b0\u01a1ng \u0111i k\u00e8m. H\u00ecnh \u1ea3nh v\u00e0nh cho th\u1ea5y c\u00e1c th\u1ee7ng trung t\u00e2m, trong khi h\u00ecnh \u1ea3nh tr\u1ee5c cho th\u1ea5y c\u00e1c bong ngo\u1ea1i vi.<\/p>\n<p>N\u1ed9i soi kh\u1edbp c\u1ed5 tay ch\u1ea9n \u0111o\u00e1n v\u1eabn l\u00e0 ti\u00eau chu\u1ea9n v\u00e0ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 TFCC, cho ph\u00e9p quan s\u00e1t tr\u1ef1c ti\u1ebfp v\u00e0 \u0111i\u1ec1u tr\u1ecb ngay l\u1eadp t\u1ee9c. B\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u1ee7a b\u1ea1n ki\u1ec3m tra TFCC b\u1eb1ng \u1ed1ng n\u1ed9i soi 2,7mm qua c\u00e1c c\u1ed5ng l\u01b0ng ti\u00eau chu\u1ea9n. Nghi\u1ec7m ph\u00e1p b\u1eadt (trampoline test) ki\u1ec3m tra \u0111\u1ed9 c\u0103ng c\u1ee7a \u0111\u0129a trung t\u00e2m &#8211; TFCC b\u00ecnh th\u01b0\u1eddng b\u1eadt l\u1ea1i khi \u0111\u01b0\u1ee3c th\u0103m d\u00f2, trong khi c\u00e1c \u0111o\u1ea1n r\u00e1ch v\u1eabn ch\u00f9ng. N\u1ed9i soi kh\u1edbp x\u00e1c \u0111\u1ecbnh c\u00e1c b\u1ec7nh l\u00fd \u0111i k\u00e8m b\u1ecb b\u1ecf s\u00f3t tr\u00ean h\u00ecnh \u1ea3nh, bao g\u1ed3m t\u1ed5n th\u01b0\u01a1ng s\u1ee5n, ch\u1ea5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng ho\u1eb7c vi\u00eam bao ho\u1ea1t d\u1ecbch.<\/p>\n<blockquote><p>\u26a0\ufe0f <strong>L\u01b0u \u00dd Quan Tr\u1ecdng<\/strong><br \/>\nMRI kh\u00f4ng c\u00f3 b\u01a1m thu\u1ed1c c\u1ea3n quang kh\u1edbp cho th\u1ea5y \u0111\u1ed9 nh\u1ea1y th\u1ea5p h\u01a1n \u0111\u1ed1i v\u1edbi r\u00e1ch TFCC, \u0111\u1eb7c bi\u1ec7t b\u1ecf s\u00f3t c\u00e1c v\u1ebft r\u00e1ch ngo\u1ea1i vi. N\u1ebfu nghi ng\u1edd l\u00e2m s\u00e0ng v\u1eabn cao m\u1eb7c d\u00f9 MRI ti\u00eau chu\u1ea9n \u00e2m t\u00ednh, h\u00e3y c\u00e2n nh\u1eafc MRI c\u00f3 b\u01a1m thu\u1ed1c c\u1ea3n quang kh\u1edbp ho\u1eb7c ti\u1ebfn h\u00e0nh tr\u1ef1c ti\u1ebfp \u0111\u1ebfn n\u1ed9i soi kh\u1edbp.<\/p><\/blockquote>\n<h2><span class=\"ez-toc-section\" id=\"Chien_Luoc_Dieu_Tri_Bao_Ton\"><\/span>Chi\u1ebfn L\u01b0\u1ee3c \u0110i\u1ec1u Tr\u1ecb B\u1ea3o T\u1ed3n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>B\u1ea5t \u0111\u1ed9ng b\u1eb1ng b\u1ed9t muenster ho\u1eb7c n\u1eb9p ch\u1ec9nh h\u00ecnh t\u00f9y ch\u1ec9nh duy tr\u00ec c\u1eb3ng tay c\u1ee7a b\u1ea1n \u1edf t\u01b0 th\u1ebf xoay trung t\u00ednh trong khi cho ph\u00e9p g\u1ea5p khu\u1ef7u tay. V\u1ecb tr\u00ed n\u00e0y gi\u1ea3m thi\u1ec3u \u1ee9ng su\u1ea5t TFCC trong khi v\u1eabn duy tr\u00ec chuy\u1ec3n \u0111\u1ed9ng ch\u1ee9c n\u0103ng. Th\u1eddi gian b\u00f3 b\u1ed9t th\u01b0\u1eddng k\u00e9o d\u00e0i 4-6 tu\u1ea7n \u0111\u1ed1i v\u1edbi r\u00e1ch ngo\u1ea1i vi c\u1ea5p t\u00ednh, v\u1edbi ki\u1ec3m tra \u0111\u1ecbnh k\u1ef3 m\u1ed7i 2 tu\u1ea7n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ti\u1ebfn tri\u1ec3n l\u00e0nh. C\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean ch\u1ecbu \u0111\u1ef1ng n\u1eb9p th\u00e1o r\u1eddi t\u1ed1t h\u01a1n b\u1ed9t, cho ph\u00e9p c\u00e1c b\u00e0i t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng c\u00f3 ki\u1ec3m so\u00e1t v\u00e0 v\u1ec7 sinh.<\/p>\n<p>Ti\u00eam corticosteroid nh\u1eafm v\u00e0o c\u00e1c th\u00e0nh ph\u1ea7n vi\u00eam c\u1ee7a b\u1ec7nh l\u00fd TFCC. S\u1eed d\u1ee5ng h\u01b0\u1edbng d\u1eabn MRI, b\u00e1c s\u0129 c\u1ee7a b\u1ea1n ti\u00eam 20-40mg methylprednisolone v\u1edbi 1-2ml lidocaine v\u00e0o khoang tr\u1ee5-c\u1ed5 tay. \u0110\u00e1p \u1ee9ng v\u1edbi ti\u00eam gi\u00fap ph\u00e2n bi\u1ec7t \u0111au TFCC v\u1edbi c\u00e1c ngu\u1ed3n kh\u00e1c &#8211; gi\u1ea3m \u0111au \u0111\u00e1ng k\u1ec3 k\u00e9o d\u00e0i 2-4 tu\u1ea7n g\u1ee3i \u00fd li\u00ean quan \u0111\u1ebfn TFCC, trong khi \u0111\u00e1p \u1ee9ng t\u1ed1i thi\u1ec3u cho th\u1ea5y b\u1ec7nh l\u00fd thay th\u1ebf. Ti\u00eam nhi\u1ec1u l\u1ea7n c\u00f3 nguy c\u01a1 tho\u00e1i h\u00f3a m\u00f4 th\u00eam v\u00e0 n\u00ean gi\u1edbi h\u1ea1n \u1edf 2-3 l\u1ea7n.<\/p>\n<p>S\u1eeda \u0111\u1ed5i ho\u1ea1t \u0111\u1ed9ng t\u1eadp trung v\u00e0o vi\u1ec7c lo\u1ea1i b\u1ecf c\u00e1c chuy\u1ec3n \u0111\u1ed9ng g\u00e2y \u0111au trong khi duy tr\u00ec th\u1ec3 l\u1ef1c tim m\u1ea1ch. C\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean tennis t\u1ea1m th\u1eddi chuy\u1ec3n sang c\u00fa tr\u00e1i tay hai tay, gi\u1ea3m \u1ee9ng su\u1ea5t nghi\u00eang tr\u1ee5. V\u1eadn \u0111\u1ed9ng vi\u00ean th\u1ec3 d\u1ee5c d\u1ee5ng c\u1ee5 tr\u00e1nh ng\u1ef1a g\u1ed7 v\u00e0 v\u00f2ng treo trong khi ti\u1ebfp t\u1ee5c t\u1eadp luy\u1ec7n s\u1ee9c m\u1ea1nh v\u1edbi t\u01b0 th\u1ebf c\u1ed5 tay trung t\u00ednh. V\u1eadn \u0111\u1ed9ng vi\u00ean c\u1eed t\u1ea1 thay th\u1ebf b\u00e0i t\u1eadp thanh t\u1ea1 b\u1eb1ng t\u1ea1 \u0111\u01a1n, cho ph\u00e9p t\u01b0 th\u1ebf c\u1ea7m trung t\u00ednh gi\u00fap gi\u1ea3m t\u1ea3i TFCC.<\/p>\n<p>C\u00e1c b\u00e0i t\u1eadp tr\u1ecb li\u1ec7u ti\u1ebfn tri\u1ec3n qua c\u00e1c giai \u0111o\u1ea1n ri\u00eang bi\u1ec7t. C\u00e1c b\u00e0i t\u1eadp ban \u0111\u1ea7u t\u1eadp trung v\u00e0o bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng kh\u00f4ng \u0111au s\u1eed d\u1ee5ng \u0111\u1ed9ng t\u00e1c tr\u01b0\u1ee3t g\u00e2n v\u00e0 xoay tr\u00f2n nh\u1eb9 nh\u00e0ng. T\u1eadp s\u1ee9c m\u1ea1nh \u0111\u1eb3ng c\u1ef1 b\u1eaft \u0111\u1ea7u v\u00e0o tu\u1ea7n 3-4, ti\u1ebfn tri\u1ec3n \u0111\u1ebfn c\u00e1c b\u00e0i t\u1eadp \u0111\u1eb3ng tr\u01b0\u01a1ng s\u1eed d\u1ee5ng putty tr\u1ecb li\u1ec7u v\u00e0 d\u00e2y kh\u00e1ng l\u1ef1c. T\u1eadp luy\u1ec7n c\u1ea3m th\u1ee5 b\u1ea3n th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c b\u1ec1 m\u1eb7t kh\u00f4ng \u1ed5n \u0111\u1ecbnh c\u1ea3i thi\u1ec7n ki\u1ec3m so\u00e1t th\u1ea7n kinh c\u01a1. C\u00e1c b\u00e0i t\u1eadp \u0111\u1eb7c th\u00f9 cho m\u00f4n th\u1ec3 thao ch\u1ec9 b\u1eaft \u0111\u1ea7u sau khi \u0111\u1ea1t \u0111\u01b0\u1ee3c bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng kh\u00f4ng \u0111au \u0111\u1ea7y \u0111\u1ee7 v\u00e0 80% l\u1ef1c n\u1eafm so v\u1edbi b\u00ean kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cac_Lua_Chon_Dieu_Tri_Phau_Thuat\"><\/span>C\u00e1c L\u1ef1a Ch\u1ecdn \u0110i\u1ec1u Tr\u1ecb Ph\u1eabu Thu\u1eadt<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>C\u1eaft l\u1ecdc n\u1ed9i soi kh\u1edbp ph\u00f9 h\u1ee3p v\u1edbi r\u00e1ch tho\u00e1i h\u00f3a trung t\u00e2m (Palmer 1A v\u00e0 2A-D) thi\u1ebfu kh\u1ea3 n\u0103ng l\u00e0nh. B\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u1ee7a b\u1ea1n lo\u1ea1i b\u1ecf c\u00e1c m\u1ea3nh r\u00e1ch kh\u00f4ng \u1ed5n \u0111\u1ecbnh b\u1eb1ng m\u00e1y c\u1ea1o 2,0mm, b\u1ea3o t\u1ed3n m\u00f4 v\u00e0nh ngo\u1ea1i vi \u1ed5n \u0111\u1ecbnh. Th\u1ee7 thu\u1eadt n\u00e0y gi\u1ea3i quy\u1ebft c\u00e1c tri\u1ec7u ch\u1ee9ng c\u01a1 h\u1ecdc t\u1eeb c\u00e1c m\u1ea3nh v\u1ea1t r\u00e1ch v\u01b0\u1edbng trong qu\u00e1 tr\u00ecnh v\u1eadn \u0111\u1ed9ng. C\u1eaft l\u1ecdc t\u1ea1o ra c\u00e1c m\u00e9p \u1ed5n \u0111\u1ecbnh ng\u0103n ng\u1eeba lan r\u1ed9ng th\u00eam trong khi v\u1eabn duy tr\u00ec ch\u1ee9c n\u0103ng TFCC th\u00f4ng qua c\u00e1c b\u00e1m ngo\u1ea1i vi \u0111\u01b0\u1ee3c b\u1ea3o t\u1ed3n.<\/p>\n<p>S\u1eeda ch\u1eefa n\u1ed9i soi kh\u1edbp gi\u1ea3i quy\u1ebft c\u00e1c v\u1ebft r\u00e1ch ngo\u1ea1i vi (Palmer 1B) c\u00f3 kh\u1ea3 n\u0103ng l\u00e0nh. K\u1ef9 thu\u1eadt ngo\u00e0i-v\u00e0o-trong bao g\u1ed3m \u0111\u01b0a ch\u1ec9 kh\u00e2u qua kim 18-gauge \u0111\u1eb7t xuy\u00ean da qua v\u1ecb tr\u00ed r\u00e1ch. B\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u1ee7a b\u1ea1n th\u1eaft 2-3 m\u0169i ch\u1ec9 kh\u00e2u \u0111\u1ec7m d\u1ecdc, t\u00e1i \u00e1p c\u00e1c m\u00e9p r\u00e1ch v\u00e0o bao kh\u1edbp. S\u1eeda ch\u1eefa trong-ra-ngo\u00e0i s\u1eed d\u1ee5ng \u1ed1ng th\u00f4ng \u0111\u1eb7c hi\u1ec7u v\u00f9ng b\u1ea3o v\u1ec7 nh\u00e1nh c\u1ea3m gi\u00e1c l\u01b0ng c\u1ee7a d\u00e2y th\u1ea7n kinh tr\u1ee5. K\u1ef9 thu\u1eadt ho\u00e0n-to\u00e0n-trong-kh\u1edbp s\u1eed d\u1ee5ng neo ch\u1ec9 ho\u1eb7c thi\u1ebft b\u1ecb n\u1ed9i soi to\u00e0n b\u1ed9, m\u1eb7c d\u00f9 c\u00e1c thi\u1ebft b\u1ecb n\u00e0y c\u00f3 nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng s\u1ee5n kh\u1edbp.<\/p>\n<p>Ph\u1eabu thu\u1eadt c\u1eaft ng\u1eafn x\u01b0\u01a1ng tr\u1ee5 \u0111i\u1ec1u tr\u1ecb r\u00e1ch TFCC li\u00ean quan \u0111\u1ebfn bi\u1ebfn th\u1ec3 tr\u1ee5 d\u01b0\u01a1ng v\u01b0\u1ee3t qu\u00e1 2mm. B\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u1ee7a b\u1ea1n lo\u1ea1i b\u1ecf m\u1ed9t \u0111o\u1ea1n x\u01b0\u01a1ng \u0111\u00e3 x\u00e1c \u0111\u1ecbnh tr\u01b0\u1edbc (th\u01b0\u1eddng 2-3mm) kh\u1ecfi th\u00e2n x\u01b0\u01a1ng tr\u1ee5, \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh b\u1eb1ng n\u1eb9p \u00e9p. Th\u1ee7 thu\u1eadt n\u00e0y gi\u1ea3i \u00e9p kh\u1edbp tr\u1ee5-c\u1ed5 tay, gi\u1ea3m \u1ee9ng su\u1ea5t c\u01a1 h\u1ecdc l\u00ean TFCC. C\u1eaft x\u01b0\u01a1ng ch\u00e9o l\u00e0nh nhanh h\u01a1n c\u1eaft ngang, m\u1eb7c d\u00f9 y\u00eau c\u1ea7u k\u1ef9 thu\u1eadt cao h\u01a1n. Ph\u1ee5c h\u1ed3i c\u1ea7n 8-12 tu\u1ea7n \u0111\u1ec3 x\u01b0\u01a1ng l\u00e0nh tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u c\u00e1c b\u00e0i t\u1eadp t\u0103ng c\u01b0\u1eddng s\u1ee9c m\u1ea1nh.<\/p>\n<p>S\u1eeda ch\u1eefa m\u1edf tr\u1edf n\u00ean c\u1ea7n thi\u1ebft cho c\u00e1c v\u1ebft r\u00e1ch ph\u1ee9c t\u1ea1p li\u00ean quan \u0111\u1ebfn nhi\u1ec1u th\u00e0nh ph\u1ea7n TFCC ho\u1eb7c khi quan s\u00e1t n\u1ed9i soi kh\u1edbp kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7. \u0110\u01b0\u1eddng v\u00e0o l\u01b0ng gi\u1eefa khoang du\u1ed7i th\u1ee9 n\u0103m v\u00e0 th\u1ee9 s\u00e1u cung c\u1ea5p ti\u1ebfp c\u1eadn tr\u1ef1c ti\u1ebfp \u0111\u1ebfn TFCC. B\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u1ee7a b\u1ea1n s\u1eeda ch\u1eefa v\u1ebft r\u00e1ch b\u1eb1ng ch\u1ec9 kh\u00e2u kh\u00f4ng ti\u00eau 3-0 ho\u1eb7c 4-0, c\u00f3 th\u1ec3 t\u0103ng c\u01b0\u1eddng b\u1eb1ng m\u00f4 bao kh\u1edbp t\u1ea1i ch\u1ed7 cho c\u00e1c khuy\u1ebft t\u1eadt l\u1edbn h\u01a1n. Ph\u1eabu thu\u1eadt m\u1edf cho ph\u00e9p c\u00e1c th\u1ee7 thu\u1eadt \u0111\u1ed3ng th\u1eddi nh\u01b0 t\u1ea1o h\u00ecnh bao kh\u1edbp l\u01b0ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb m\u1ea5t \u1ed5n \u0111\u1ecbnh ho\u1eb7c t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng nguy\u1ec7t-tam gi\u00e1c.<\/p>\n<blockquote><p>\ud83d\udca1 <strong>B\u1ea1n C\u00f3 Bi\u1ebft?<\/strong><br \/>\nTFCC ch\u1ecbu kho\u1ea3ng 20% t\u1ea3i tr\u1ecdng d\u1ecdc tr\u1ee5c qua c\u1ed5 tay c\u1ee7a b\u1ea1n \u1edf v\u1ecb tr\u00ed trung t\u00ednh, t\u0103ng l\u00ean 40% khi nghi\u00eang tr\u1ee5. Ch\u1ee9c n\u0103ng chia s\u1ebb t\u1ea3i tr\u1ecdng n\u00e0y gi\u1ea3i th\u00edch t\u1ea1i sao r\u00e1ch TFCC \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn l\u1ef1c n\u1eafm v\u00e0 c\u00e1c ho\u1ea1t \u0111\u1ed9ng ch\u1ecbu tr\u1ecdng l\u01b0\u1ee3ng.<\/p><\/blockquote>\n<h2><span class=\"ez-toc-section\" id=\"Quy_Trinh_Phuc_Hoi_va_Tap_Luyen_Lai\"><\/span>Quy Tr\u00ecnh Ph\u1ee5c H\u1ed3i v\u00e0 T\u1eadp Luy\u1ec7n L\u1ea1i<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>C\u00e1c quy tr\u00ecnh b\u1ea5t \u0111\u1ed9ng sau ph\u1eabu thu\u1eadt kh\u00e1c nhau t\u00f9y theo lo\u1ea1i th\u1ee7 thu\u1eadt. C\u1eaft l\u1ecdc c\u1ea7n 1-2 tu\u1ea7n trong n\u1eb9p th\u00e1o r\u1eddi, cho ph\u00e9p v\u1eadn \u0111\u1ed9ng s\u1edbm. S\u1eeda ch\u1eefa ngo\u1ea1i vi \u0111\u00f2i h\u1ecfi b\u1ea5t \u0111\u1ed9ng nghi\u00eam ng\u1eb7t 4-6 tu\u1ea7n trong b\u1ed9t muenster ho\u1eb7c n\u1eb9p k\u1eb9p \u0111\u01b0\u1eddng, duy tr\u00ec c\u1eb3ng tay xoay trung t\u00ednh. B\u1ec7nh nh\u00e2n c\u1eaft ng\u1eafn x\u01b0\u01a1ng tr\u1ee5 \u0111eo n\u1eb9p k\u1eb9p \u0111\u01b0\u1eddng trong 2 tu\u1ea7n, chuy\u1ec3n sang b\u1ed9t muenster cho \u0111\u1ebfn khi l\u00e0nh x\u01b0\u01a1ng tr\u00ean phim \u1edf 8-12 tu\u1ea7n.<\/p>\n<p>Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng giai \u0111o\u1ea1n \u0111\u1ea7u (tu\u1ea7n 0-6) nh\u1ea5n m\u1ea1nh ki\u1ec3m so\u00e1t ph\u00f9 n\u1ec1 v\u00e0 v\u1eadn \u0111\u1ed9ng \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7. Xoa b\u00f3p ng\u01b0\u1ee3c d\u00f2ng v\u00e0 b\u0103ng \u00e9p gi\u1ea3m s\u01b0ng. C\u00e1c b\u00e0i t\u1eadp tr\u01b0\u1ee3t g\u00e2n ng\u0103n ng\u1eeba d\u00ednh trong khi t\u00f4n tr\u1ecdng t\u00ednh to\u00e0n v\u1eb9n c\u1ee7a s\u1eeda ch\u1eefa. V\u1eadn \u0111\u1ed9ng ng\u00f3n tay ch\u1ee7 \u0111\u1ed9ng duy tr\u00ec ch\u1ee9c n\u0103ng b\u00e0n tay trong th\u1eddi gian b\u1ea5t \u0111\u1ed9ng c\u1ed5 tay. C\u00e1c b\u00e0i t\u1eadp vai v\u00e0 khu\u1ef7u tay ng\u0103n ng\u1eeba c\u1ee9ng kh\u1edbp v\u00e0 y\u1ebfu g\u1ea7n.<\/p>\n<p>Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng giai \u0111o\u1ea1n trung gian (tu\u1ea7n 6-12) gi\u1edbi thi\u1ec7u t\u1ea3i tr\u1ecdng ti\u1ebfn tri\u1ec3n. Bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng th\u1ee5 \u0111\u1ed9ng b\u1eaft \u0111\u1ea7u v\u1edbi k\u00e9o gi\u00e3n c\u00f3 s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a nh\u00e0 tr\u1ecb li\u1ec7u, ti\u1ebfn tri\u1ec3n \u0111\u1ebfn c\u00e1c b\u00e0i t\u1eadp ch\u1ee7 \u0111\u1ed9ng c\u00f3 h\u1ed7 tr\u1ee3 s\u1eed d\u1ee5ng tay kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng. T\u1eadp s\u1ee9c m\u1ea1nh \u0111\u1eb3ng c\u1ef1 b\u1eaft \u0111\u1ea7u \u1edf c\u00e1c v\u1ecb tr\u00ed trung t\u00ednh, ti\u1ebfn tri\u1ec3n qua c\u00e1c cung s\u1ea5p-ng\u1eeda khi c\u00f3 th\u1ec3 dung n\u1ea1p. T\u1eadp t\u0103ng c\u01b0\u1eddng l\u1ef1c n\u1eafm s\u1eed d\u1ee5ng putty tr\u1ecb li\u1ec7u b\u1eaft \u0111\u1ea7u \u1edf m\u1ee9c 25% n\u1ed7 l\u1ef1c, t\u0103ng h\u00e0ng tu\u1ea7n d\u1ef1a tr\u00ean tri\u1ec7u ch\u1ee9ng.<\/p>\n<p>Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng giai \u0111o\u1ea1n cao (tu\u1ea7n 12-24) chu\u1ea9n b\u1ecb cho vi\u1ec7c tr\u1edf l\u1ea1i th\u1ec3 thao. C\u00e1c b\u00e0i t\u1eadp plyometric s\u1eed d\u1ee5ng b\u00f3ng c\u00f3 tr\u1ecdng l\u01b0\u1ee3ng ph\u00e1t tri\u1ec3n s\u1ee9c m\u1ea1nh v\u00e0 \u1ed5n \u0111\u1ecbnh ph\u1ea3n \u1ee9ng. C\u00e1c b\u00e0i t\u1eadp \u0111\u1eb7c th\u00f9 cho m\u00f4n th\u1ec3 thao ti\u1ebfn tri\u1ec3n t\u1eeb c\u00e1c \u0111\u1ed9ng t\u00e1c m\u00f4 ph\u1ecfng \u0111\u1ebfn c\u00e1c ho\u1ea1t \u0111\u1ed9ng ti\u1ebfp x\u00fac. C\u00e1c ch\u01b0\u01a1ng tr\u00ecnh t\u1eadp luy\u1ec7n xen k\u1ebd t\u0103ng d\u1ea7n kh\u1ed1i l\u01b0\u1ee3ng v\u00e0 c\u01b0\u1eddng \u0111\u1ed9 &#8211; v\u1eadn \u0111\u1ed9ng vi\u00ean tennis ti\u1ebfn tri\u1ec3n t\u1eeb mini-tennis \u0111\u1ebfn ch\u01a1i to\u00e0n s\u00e2n trong 6-8 tu\u1ea7n. C\u00e1c ti\u00eau ch\u00ed kh\u00e1ch quan \u0111\u1ec3 tr\u1edf l\u1ea1i bao g\u1ed3m bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng \u0111\u1ea7y \u0111\u1ee7, l\u1ef1c n\u1eafm trong v\u00f2ng 10% c\u1ee7a b\u00ean kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng v\u00e0 kh\u00f4ng c\u00f3 \u0111au trong c\u00e1c b\u00e0i ki\u1ec3m tra \u0111\u1eb7c th\u00f9 cho m\u00f4n th\u1ec3 thao.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Phong_Ngua_Chan_Thuong_TFCC_O_Van_Dong_Vien\"><\/span>Ph\u00f2ng Ng\u1eeba Ch\u1ea5n Th\u01b0\u01a1ng TFCC \u1ede V\u1eadn \u0110\u1ed9ng Vi\u00ean<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>C\u01a1 ch\u1ebf sinh h\u1ecdc th\u00edch h\u1ee3p gi\u1ea3m \u1ee9ng su\u1ea5t TFCC trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao. C\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean tennis n\u00ean duy tr\u00ec t\u01b0 th\u1ebf c\u1ea7m v\u1ee3t b\u00e1n ph\u01b0\u01a1ng T\u00e2y, tr\u00e1nh t\u01b0 th\u1ebf c\u1ea7m ph\u01b0\u01a1ng T\u00e2y c\u1ef1c \u0111oan l\u00e0m t\u0103ng nghi\u00eang tr\u1ee5. V\u1eadn \u0111\u1ed9ng vi\u00ean th\u1ec3 d\u1ee5c d\u1ee5ng c\u1ee5 \u0111\u01b0\u1ee3c h\u01b0\u1edfng l\u1ee3i t\u1eeb c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh t\u1ea3i tr\u1ecdng ti\u1ebfn tri\u1ec3n, t\u0103ng d\u1ea7n kh\u1ed1i l\u01b0\u1ee3ng t\u1eadp luy\u1ec7n thay v\u00ec t\u0103ng \u0111\u1ed9t ng\u1ed9t c\u01b0\u1eddng \u0111\u1ed9. V\u1eadn \u0111\u1ed9ng vi\u00ean c\u1eed t\u1ea1 n\u00ean \u01b0u ti\u00ean t\u01b0 th\u1ebf c\u1ed5 tay trung t\u00ednh trong c\u00e1c \u0111\u1ed9ng t\u00e1c \u0111\u1ea9y, s\u1eed d\u1ee5ng b\u0103ng qu\u1ea5n c\u1ed5 tay \u0111\u1ec3 h\u1ed7 tr\u1ee3 th\u00eam trong c\u00e1c n\u1ed7 l\u1ef1c t\u1ed1i \u0111a.<\/p>\n<p>C\u00e1c s\u1eeda \u0111\u1ed5i thi\u1ebft b\u1ecb cung c\u1ea5p l\u1ee3i th\u1ebf c\u01a1 h\u1ecdc trong khi gi\u1ea3m nguy c\u01a1 ch\u1ea5n th\u01b0\u01a1ng. T\u00f9y ch\u1ec9nh v\u1ee3t bao g\u1ed3m gi\u1ea3m \u0111\u1ed9 c\u0103ng d\u00e2y 2-4 pound v\u00e0 th\u00eam tr\u1ecdng l\u01b0\u1ee3ng v\u00e0o c\u00e1n v\u1ee3t, d\u1ecbch chuy\u1ec3n \u0111i\u1ec3m c\u00e2n b\u1eb1ng v\u1ec1 ph\u00eda g\u1ea7n. K\u00edch th\u01b0\u1edbc c\u00e1n v\u1ee3t l\u1edbn h\u01a1n gi\u1ea3m n\u1ed7 l\u1ef1c c\u01a1 c\u1ea7n thi\u1ebft \u0111\u1ec3 ki\u1ec3m so\u00e1t v\u1ee3t. Tay n\u1eafm th\u1ec3 d\u1ee5c d\u1ee5ng c\u1ee5 v\u1edbi ch\u1ed1t m\u1edf r\u1ed9ng ph\u00e2n ph\u1ed1i l\u1ef1c tr\u00ean di\u1ec7n t\u00edch l\u00f2ng b\u00e0n tay r\u1ed9ng h\u01a1n. D\u00e2y \u0111eo c\u1eed t\u1ea1 chuy\u1ec3n t\u1ea3i tr\u1ecdng t\u1eeb n\u1eafm sang b\u0103ng qu\u1ea5n c\u1ed5 tay, c\u00f3 l\u1ee3i trong c\u00e1c b\u00e0i t\u1eadp k\u00e9o kh\u1ed1i l\u01b0\u1ee3ng l\u1edbn.<\/p>\n<p>T\u1eadp luy\u1ec7n s\u1ee9c m\u1ea1nh gi\u1ea3i quy\u1ebft c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 th\u1ec3 thay \u0111\u1ed5i \u0111\u1ed1i v\u1edbi ch\u1ea5n th\u01b0\u01a1ng TFCC. T\u1eadp s\u1ee9c m\u1ea1nh l\u1ec7ch t\u00e2m c\u1ee7a c\u00e1c c\u01a1 du\u1ed7i c\u1ed5 tay s\u1eed d\u1ee5ng d\u00e2y kh\u00e1ng l\u1ef1c c\u1ea3i thi\u1ec7n ki\u1ec3m so\u00e1t gi\u1ea3m t\u1ed1c. T\u1eadp t\u0103ng c\u01b0\u1eddng s\u1ee9c m\u1ea1nh c\u01a1 s\u1ea5p v\u00e0 c\u01a1 ng\u1eeda t\u1ea1o ra s\u1ef1 \u1ed5n \u0111\u1ecbnh \u0111\u1ed9ng trong qu\u00e1 tr\u00ecnh xoay. T\u1eadp s\u1ee9c m\u1ea1nh c\u1ed1t l\u00f5i cho ph\u00e9p t\u1ea1o l\u1ef1c t\u1eeb c\u00e1c \u0111o\u1ea1n g\u1ea7n, gi\u1ea3m \u1ee9ng su\u1ea5t c\u1ed5 tay b\u00f9 tr\u1eeb. T\u1ef7 l\u1ec7 t\u1eadp luy\u1ec7n c\u00e2n b\u1eb1ng duy tr\u00ec s\u1ee9c m\u1ea1nh c\u01a1 g\u1ea5p-c\u01a1 du\u1ed7i trong ph\u1ea1m vi ch\u00eanh l\u1ec7ch 20%.<\/p>\n<blockquote><p>\u2705 <strong>M\u1eb9o Nhanh<\/strong><br \/>\nH\u00e3y k\u1ebft h\u1ee3p c\u00e1c b\u00e0i t\u1eadp \u1ed5n \u0111\u1ecbnh c\u1ed5 tay v\u00e0o kh\u1edfi \u0111\u1ed9ng c\u1ee7a b\u1ea1n &#8211; b\u00e0i t\u1eadp x\u00f4 g\u1ea1o (rice bucket exercises) trong 2-3 ph\u00fat c\u1ea3i thi\u1ec7n c\u1ea3m th\u1ee5 b\u1ea3n th\u1ec3 v\u00e0 k\u00edch ho\u1ea1t c\u00e1c c\u01a1 \u1ed5n \u0111\u1ecbnh tr\u01b0\u1edbc khi t\u1eadp luy\u1ec7n.<\/p><\/blockquote>\n<h2><span class=\"ez-toc-section\" id=\"Chuyen_Gia_Ban_Tay_Cua_Chung_Toi_Noi_Gi\"><\/span>Chuy\u00ean Gia B\u00e0n Tay C\u1ee7a Ch\u00fang T\u00f4i N\u00f3i G\u00ec<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>R\u00e1ch TFCC \u0111\u1eb7t ra nh\u1eefng th\u00e1ch th\u1ee9c \u0111\u1eb7c bi\u1ec7t \u1edf v\u1eadn \u0111\u1ed9ng vi\u00ean do nhu c\u1ea7u ch\u1ee9c n\u0103ng cao v\u00e0 kh\u1ea3 n\u0103ng l\u00e0nh thay \u0111\u1ed5i d\u1ef1a tr\u00ean v\u1ecb tr\u00ed r\u00e1ch. R\u00e1ch ngo\u1ea1i vi \u1edf v\u1eadn \u0111\u1ed9ng vi\u00ean tr\u1ebb th\u01b0\u1eddng l\u00e0nh v\u1edbi b\u1ea5t \u0111\u1ed9ng th\u00edch h\u1ee3p v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng theo ti\u1ebfn tr\u00ecnh. R\u00e1ch trung t\u00e2m v\u00e0 c\u00e1c thay \u0111\u1ed5i tho\u00e1i h\u00f3a c\u1ea7n \u0111i\u1ec1u tr\u1ecb c\u00e1 th\u1ec3 h\u00f3a c\u00e2n b\u1eb1ng gi\u1eefa gi\u1ea3m tri\u1ec7u ch\u1ee9ng v\u00e0 duy tr\u00ec hi\u1ec7u su\u1ea5t th\u1ec3 thao.<\/p>\n<p>Can thi\u1ec7p s\u1edbm c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 \u0111\u00e1ng k\u1ec3. C\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean t\u00ecm ki\u1ebfm \u0111i\u1ec1u tr\u1ecb trong v\u00f2ng 3 th\u00e1ng k\u1ec3 t\u1eeb khi kh\u1edfi ph\u00e1t tri\u1ec7u ch\u1ee9ng cho th\u1ea5y \u0111i\u1ec3m ch\u1ee9c n\u0103ng t\u1ed1t h\u01a1n v\u00e0 tr\u1edf l\u1ea1i th\u1ec3 thao nhanh h\u01a1n so v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ecb r\u00e1ch m\u00e3n t\u00ednh.<\/p>\n<p>Quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt xem x\u00e9t nhi\u1ec1u y\u1ebfu t\u1ed1 ngo\u00e0i k\u1ebft qu\u1ea3 MRI. Nhu c\u1ea7u m\u00f4n th\u1ec3 thao, c\u1ea5p \u0111\u1ed9 c\u1ea1nh tranh, th\u1eddi \u0111i\u1ec3m trong m\u00f9a gi\u1ea3i v\u00e0 \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n \u0111\u1ec1u \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn thu\u1eadt to\u00e1n \u0111i\u1ec1u tr\u1ecb. M\u1ed9t v\u1eadn \u0111\u1ed9ng vi\u00ean tennis chuy\u00ean nghi\u1ec7p c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt s\u1edbm, trong khi m\u1ed9t v\u1eadn \u0111\u1ed9ng vi\u00ean gi\u1ea3i tr\u00ed c\u00f3 th\u1ec3 qu\u1ea3n l\u00fd b\u1eb1ng c\u00e1ch s\u1eeda \u0111\u1ed5i ho\u1ea1t \u0111\u1ed9ng v\u00e0 tr\u1ecb li\u1ec7u.<\/p>\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>Sau ph\u1eabu thu\u1eadt TFCC bao l\u00e2u t\u00f4i c\u00f3 th\u1ec3 tr\u1edf l\u1ea1i th\u1ec3 thao?<\/strong><br \/>\nTh\u1eddi gian tr\u1edf l\u1ea1i ph\u1ee5 thu\u1ed9c v\u00e0o th\u1ee7 thu\u1eadt c\u1ee5 th\u1ec3 v\u00e0 m\u00f4n th\u1ec3 thao c\u1ee7a b\u1ea1n. C\u1eaft l\u1ecdc n\u1ed9i soi kh\u1edbp cho ph\u00e9p tr\u1edf l\u1ea1i sau 6-8 tu\u1ea7n \u0111\u1ed1i v\u1edbi c\u00e1c m\u00f4n th\u1ec3 thao kh\u00f4ng ti\u1ebfp x\u00fac, 10-12 tu\u1ea7n \u0111\u1ed1i v\u1edbi c\u00e1c ho\u1ea1t \u0111\u1ed9ng ti\u1ebfp x\u00fac. S\u1eeda ch\u1eefa ngo\u1ea1i vi c\u1ea7n 4-6 th\u00e1ng \u0111\u1ec3 tham gia th\u1ec3 thao \u0111\u1ea7y \u0111\u1ee7. C\u1eaft ng\u1eafn x\u01b0\u01a1ng tr\u1ee5 \u0111\u00f2i h\u1ecfi th\u1eddi gian ph\u1ee5c h\u1ed3i l\u00e2u nh\u1ea5t, th\u01b0\u1eddng 6-9 th\u00e1ng tr\u01b0\u1edbc khi ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao kh\u00f4ng h\u1ea1n ch\u1ebf.<\/p>\n<p><strong>R\u00e1ch TFCC c\u00f3 th\u1ec3 l\u00e0nh m\u00e0 kh\u00f4ng c\u1ea7n ph\u1eabu thu\u1eadt kh\u00f4ng?<\/strong><br \/>\nR\u00e1ch ngo\u1ea1i vi c\u00f3 ngu\u1ed3n cung c\u1ea5p m\u00e1u t\u1ed1t c\u00f3 th\u1ec3 l\u00e0nh v\u1edbi b\u1ea5t \u0111\u1ed9ng th\u00edch h\u1ee3p v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng trong 6-12 tu\u1ea7n. R\u00e1ch trung t\u00e2m thi\u1ebfu kh\u1ea3 n\u0103ng l\u00e0nh do m\u1ea1ch m\u00e1u k\u00e9m nh\u01b0ng c\u00f3 th\u1ec3 tr\u1edf n\u00ean kh\u00f4ng tri\u1ec7u ch\u1ee9ng th\u00f4ng qua t\u0103ng c\u01b0\u1eddng s\u1ee9c m\u1ea1nh v\u00e0 s\u1eeda \u0111\u1ed5i ho\u1ea1t \u0111\u1ed9ng. R\u00e1ch tho\u00e1i h\u00f3a hi\u1ebfm khi l\u00e0nh nh\u01b0ng th\u01b0\u1eddng \u0111\u00e1p \u1ee9ng v\u1edbi qu\u1ea3n l\u00fd b\u1ea3o t\u1ed3n t\u1eadp trung v\u00e0o s\u1eeda \u0111\u1ed5i t\u1ea3i tr\u1ecdng v\u00e0 c\u00e1c chi\u1ebfn l\u01b0\u1ee3c ch\u1ed1ng vi\u00eam.<\/p>\n<p><strong>R\u00e1ch TFCC c\u00f3 k\u1ebft th\u00fac s\u1ef1 nghi\u1ec7p th\u1ec3 thao c\u1ee7a t\u00f4i kh\u00f4ng?<\/strong><br \/>\nH\u1ea7u h\u1ebft c\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean tr\u1edf l\u1ea1i th\u00e0nh c\u00f4ng m\u00f4n th\u1ec3 thao c\u1ee7a h\u1ecd sau khi \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p. C\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean chuy\u00ean nghi\u1ec7p tr\u1ea3i qua c\u1eaft l\u1ecdc n\u1ed9i soi kh\u1edbp b\u00e1o c\u00e1o k\u1ebft qu\u1ea3 t\u1ed1t trong ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p. Ngay c\u1ea3 s\u1eeda ch\u1eefa ph\u1ee9c t\u1ea1p c\u0169ng cho ph\u00e9p tr\u1edf l\u1ea1i thi \u0111\u1ea5u c\u1ea5p cao khi ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng ti\u1ebfn tri\u1ec3n th\u00edch h\u1ee3p. Th\u00e0nh c\u00f4ng l\u00e2u d\u00e0i ph\u1ee5 thu\u1ed9c v\u00e0o vi\u1ec7c gi\u1ea3i quy\u1ebft c\u00e1c y\u1ebfu t\u1ed1 g\u00f3p ph\u1ea7n nh\u01b0 bi\u1ebfn th\u1ec3 tr\u1ee5 v\u00e0 duy tr\u00ec c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh t\u1eadp luy\u1ec7n ph\u00f2ng ng\u1eeba.<\/p>\n<p><strong>T\u00f4i c\u00f3 n\u00ean ti\u00eam cortisone cho r\u00e1ch TFCC c\u1ee7a m\u00ecnh kh\u00f4ng?<\/strong><br \/>\nTi\u00eam cortisone cung c\u1ea5p gi\u1ea3m \u0111au t\u1ea1m th\u1eddi v\u00e0 gi\u00e1 tr\u1ecb ch\u1ea9n \u0111o\u00e1n, \u0111\u1eb7c bi\u1ec7t cho c\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean c\u1ea7n ho\u00e0n th\u00e0nh m\u00f9a gi\u1ea3i thi \u0111\u1ea5u c\u1ee7a h\u1ecd. M\u0169i ti\u00eam s\u1ebd kh\u00f4ng l\u00e0m l\u00e0nh v\u1ebft r\u00e1ch nh\u01b0ng gi\u1ea3m vi\u00eam cho ph\u00e9p c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng. H\u00e3y coi ti\u00eam nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb to\u00e0n di\u1ec7n h\u01a1n l\u00e0 li\u1ec7u ph\u00e1p \u0111\u01a1n l\u1ebb, gi\u1edbi h\u1ea1n \u1edf 2-3 l\u1ea7n \u0111\u1ec3 tr\u00e1nh tho\u00e1i h\u00f3a m\u00f4.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cac_Buoc_Tiep_Theo\"><\/span>C\u00e1c B\u01b0\u1edbc Ti\u1ebfp Theo<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>R\u00e1ch TFCC \u1edf v\u1eadn \u0111\u1ed9ng vi\u00ean \u0111\u00f2i h\u1ecfi ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1 th\u1ec3 h\u00f3a d\u1ef1a tr\u00ean lo\u1ea1i r\u00e1ch, nhu c\u1ea7u m\u00f4n th\u1ec3 thao v\u00e0 kh\u1ea3 n\u0103ng l\u00e0nh. Qu\u1ea3n l\u00fd b\u1ea3o t\u1ed3n th\u00e0nh c\u00f4ng \u0111\u1ed1i v\u1edbi nhi\u1ec1u v\u1ebft r\u00e1ch ngo\u1ea1i vi v\u00e0 thay \u0111\u1ed5i tho\u00e1i h\u00f3a khi k\u1ebft h\u1ee3p v\u1edbi ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng th\u00edch h\u1ee3p. Can thi\u1ec7p ph\u1eabu thu\u1eadt mang l\u1ea1i k\u1ebft qu\u1ea3 c\u00f3 th\u1ec3 d\u1ef1 \u0111o\u00e1n cho c\u00e1c b\u1ec7nh nh\u00e2n ph\u00f9 h\u1ee3p, v\u1edbi h\u1ea7u h\u1ebft v\u1eadn \u0111\u1ed9ng vi\u00ean tr\u1edf l\u1ea1i th\u1ec3 thao trong v\u00f2ng 3-9 th\u00e1ng t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i th\u1ee7 thu\u1eadt.<\/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 m\u1ed9t c\u1eeda to\u00e0n di\u1ec7n \u0111\u1ec3 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: 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0;\n\t\tborder-radius: 70px;\n\t\tbottom: 0;\n\t\tleft: 0;\n\t\topacity: 0;\n\t\ttransition-duration: 0.3s;\n\t\ttransition-property: top right bottom left;\n\t}\n\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-button:hover::before {\n\t\ttop: -8px;\n\t\tright: -8px;\n\t\tbottom: -8px;\n\t\tleft: -8px;\n\t\topacity: 1;\n\t}\n\t@media screen and (max-width: 767px) {\n\t #cta-widget.single-post-cta-widget {\n\t\tbackground-image: none;\n\t\tpadding: 0;\n\t    border-radius: 12px !important;\n        overflow: hidden;\n\t }\n\t #cta-widget.single-post-cta-widget .single-post-cta-wrap-inner {\n\t\t max-width: 100%;\n\t }\n\t #cta-widget.single-post-cta-widget .single-post-cta-wrap-inner .single-post-cta-image {\n\t \tdisplay: block;\n\t }\n\t #cta-widget.single-post-cta-widget .single-post-cta-wrap-inner .single-post-cta-image img {\n\t \twidth: 100%;\n\t }\n\t #cta-widget.single-post-cta-widget .single-post-cta-contents {\n    \tpadding: 40px 20px;\n\t\ttext-align: center;\n\t }\n\t #cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-contents-info {\n\t    text-align:center;\n\t }\n\t #cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-contents-title {\n\t\tfont-size: 32px;\n\t\tline-height: 40px;\n\t\ttext-align: center;\n\t}\n\t}\n<\/style>\n<p>N\u1ebfu b\u1ea1n \u0111ang b\u1ecb \u0111au c\u1ed5 tay ph\u00eda tr\u1ee5 trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao ho\u1eb7c c\u00e1c tri\u1ec7u ch\u1ee9ng dai d\u1eb3ng h\u1ea1n ch\u1ebf hi\u1ec7u su\u1ea5t th\u1ec3 thao c\u1ee7a m\u00ecnh, chuy\u00ean gia b\u00e0n tay c\u1ee7a ch\u00fang t\u00f4i 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 ph\u00f9 h\u1ee3p v\u1edbi m\u00f4n th\u1ec3 thao v\u00e0 m\u1ee5c ti\u00eau c\u1ea1nh tranh c\u1ee5 th\u1ec3 c\u1ee7a b\u1ea1n.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Learn about TFCC tears in athletes &#8211; symptoms, diagnostic methods, and treatment options from conservative therapy to surgery for this common wrist injury.<\/p>\n","protected":false},"author":3,"featured_media":6784,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_seopress_titles_title":"R\u00e1ch TFCC Trong Th\u1ec3 Thao: Tri\u1ec7u Ch\u1ee9ng, Ch\u1ea9n \u0110o\u00e1n v\u00e0 \u0110i\u1ec1u Tr\u1ecb","_seopress_titles_desc":"T\u00ecm hi\u1ec3u v\u1ec1 r\u00e1ch TFCC \u1edf v\u1eadn \u0111\u1ed9ng vi\u00ean - tri\u1ec7u ch\u1ee9ng, ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb t\u1eeb li\u1ec7u ph\u00e1p b\u1ea3o t\u1ed3n \u0111\u1ebfn ph\u1eabu thu\u1eadt cho ch\u1ea5n th\u01b0\u01a1ng c\u1ed5 tay ph\u1ed5 bi\u1ebfn 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