Trat khop khuyu
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Transcript of Trat khop khuyu
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Traàn Ngoïc Quang
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*Laø traät khôùp giöõa ñaàu döôùi xöông caùnh tay vaø ñaàu treân 2 xöông caúng tay
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*Thöôøng gaëp ôû chi treân sau traät khôùp vai
*Di leäch thöôøng traät ra sau vaø leân treân
*Traät ra tröôùc ít gaëp vaø coù keøm theo gaõy moûm khuyûu
*Nhöõng toån thöông keøm theo nhö :
Gaõy moûm treân roøng roïc
Gaõy moûm veït
Traät khôùp Quay-Truï treân
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*Thöôøng gaëp nhaát laø ngaõ choáng tay vôùi khuyûu duoãi hay gaäp nheï
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*BIEÁN DAÏNG :
Khuyûu gaäp nheï 40-50 ñoä ( khoâng duoãi thaúng ñöôïc )
Daáu hieäu nhaùt rìu phía sau ( nhìn nghieâng )
Daáu hieäu loø xo
OÅ khôùp roãng
(sôø aán 2 beân gaân cô 3 ñaàu )
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* Traät khôùp khuyûu ñôn thuaàn
* Gaõy traät
* Traät khôùp phöùc taïp
( keøm traät khôùp Quay- Truï treân : Traät phaân kyø)
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*Nguyeân taéc ñieàu trò :
Naén
Baát ñoäng
Taäp vaän ñoäng
*Döôùi ñaây laø phöông phaùp ñieàu trò traät khôùp khuyûu ñôn thuaàn
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*Kieåm tra
Thaàn kinh
Maïch maùu
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BN naèm ngöõa treân baøn
Ngöôøi phụ naém caúng tay Bn keùo doïc truïc caúng tay
( tö theá bieán daïng ) Löïc ñoái troïng taïi caùnh tay(mặt trước).Đặt 2 ngoùn tay caùi taïi moûm khuyûu
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*Löïc keùo taêng daàn
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*Sau ñoù cho gaäp khuyûu ñoàng thôøi duøng ngoùn tay caùi ñaåy phuï theâm vaøo moûm khuyûu
*BN coù theå nghe “ cuïp” khi khôùp ñaõ vaøo
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* Thaáy maát caùc daáu hieäu traät khôùp
* Sôø thaáy HUNTER
( Tam giaùc caân ñænh quay xuoáng )
* Khôùp khuyûu vaän ñoäng thuï ñoäng nheï nhaøng
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*Kieåm tra laïi TK , M2
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*Baát ñoäng baèng boät caùnh baøn tay
*Thôøi gian : 03 tuaàn
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* Cöùng khôùp
* Vieâm cô hoaù coát ( moïc xöông trong cô )
* Naén caøng sôùm caøng deã naén vaø ít ñeå laïi bieán chöùng
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*Coù theå naén baèng khung
( treo roï gioáng nhö gaõy 2 xöông caúng tay , taï treo 1/10 troïng löôïng cô theå )
*Keùo doïc truïc thaân ngöôøi
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Moûm treân R2
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?
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M.Veït
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