{"id":1132,"date":"2025-08-21T17:25:13","date_gmt":"2025-08-21T10:25:13","guid":{"rendered":"https:\/\/cdha.edu.vn\/cdha\/?p=1132"},"modified":"2025-08-21T17:26:15","modified_gmt":"2025-08-21T10:26:15","slug":"sup-do-tien-trien-do-khop-gia-xuong-thuyen-snac","status":"publish","type":"post","link":"https:\/\/cdha.edu.vn\/cdha\/sup-do-tien-trien-do-khop-gia-xuong-thuyen-snac\/","title":{"rendered":"S\u1ee5p \u0111\u1ed5 ti\u1ebfn tri\u1ec3n do kh\u1edbp gi\u1ea3 x\u01b0\u01a1ng thuy\u1ec1n (SNAC)"},"content":{"rendered":"\n

Scaphoid non-union advanced collapse (SNAC)<\/h2>\n\n\n\n
\n\n\n\n

https:\/\/radiopaedia.org\/articles\/scaphoid-non-union-advanced-collapse-4<\/a><\/em><\/p>\n\n\n\n

\n\n\n\n

S\u1ee5p \u0111\u1ed5 ti\u1ebfn tri\u1ec3n do kh\u1edbp gi\u1ea3 x\u01b0\u01a1ng thuy\u1ec1n<\/strong> (Scaphoid non-union advanced collapse – SNAC) l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra v\u1edbi c\u00e1c v\u1ebft g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n, c\u1ee5 th\u1ec3 l\u00e0 do kh\u1edbp gi\u1ea3 c\u1ee7a x\u01b0\u01a1ng thuy\u1ec1n. V\u1ec1 c\u01a1 b\u1ea3n, n\u00f3 l\u00e0 m\u1ed9t di ch\u1ee9ng c\u1ee7a ch\u1ea5n th\u01b0\u01a1ng c\u1ed5 tay g\u00e2y ra t\u00ecnh tr\u1ea1ng \u0111\u1ee9t d\u00e2y ch\u1eb1ng thuy\u1ec1n – nguy\u1ec7t<\/strong>, t\u01b0\u01a1ng t\u1ef1 nh\u01b0 bi\u1ebfn d\u1ea1ng s\u1ee5p \u0111\u1ed5 ti\u1ebfn tri\u1ec3n thuy\u1ec1n – nguy\u1ec7t<\/strong> (SLAC).<\/p>\n\n\n\n

B\u1ec7nh h\u1ecdc<\/h3>\n\n\n\n

Trong m\u1ed9t c\u1ed5 tay SNAC, m\u1ea3nh x\u01b0\u01a1ng thuy\u1ec1n \u1edf g\u1ea7n th\u01b0\u1eddng v\u1eabn g\u1eafn v\u1edbi x\u01b0\u01a1ng nguy\u1ec7t (ch\u00fang xoay c\u00f9ng nhau khi du\u1ed7i), trong khi m\u1ea3nh x\u01b0\u01a1ng thuy\u1ec1n \u1edf xa xoay v\u00e0o t\u01b0 th\u1ebf g\u1ea5p. \u0110i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn s\u1ef1 ti\u1ebfp x\u00fac b\u1ea5t th\u01b0\u1eddng \u1edf khoang quay-thuy\u1ec1n, \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng tho\u00e1i h\u00f3a kh\u1edbp s\u1edbm gi\u1eefa m\u1ea3nh x\u01b0\u01a1ng thuy\u1ec1n \u1edf xa v\u00e0 m\u1ecfm tr\u00e2m quay.<\/p>\n\n\n\n

\u0110\u1eb7c \u0111i\u1ec3m h\u00ecnh \u1ea3nh<\/h3>\n\n\n\n

C\u00e1c d\u1ea5u hi\u1ec7u s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o c\u00e1c giai \u0111o\u1ea1n tho\u00e1i h\u00f3a kh\u1edbp trong c\u1ed5 tay SNAC [4]:<\/p>\n\n\n\n

    \n
  • Giai \u0111o\u1ea1n 1<\/strong>: Tho\u00e1i h\u00f3a kh\u1edbp gi\u1eefa m\u1ea3nh x\u01b0\u01a1ng thuy\u1ec1n \u1edf xa v\u00e0 h\u1ed1 x\u01b0\u01a1ng thuy\u1ec1n c\u1ee7a x\u01b0\u01a1ng quay.<\/li>\n\n\n\n
  • Giai \u0111o\u1ea1n 2<\/strong>: Gi\u1ed1ng giai \u0111o\u1ea1n 1, c\u1ed9ng th\u00eam tho\u00e1i h\u00f3a kh\u1edbp gi\u1eefa x\u01b0\u01a1ng thuy\u1ec1n v\u00e0 x\u01b0\u01a1ng c\u1ea3.<\/li>\n\n\n\n
  • Giai \u0111o\u1ea1n 3<\/strong>: \n
      \n
    • Tho\u00e1i h\u00f3a kh\u1edbp \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ecfm tr\u00e2m quay, m\u1ea3nh x\u01b0\u01a1ng thuy\u1ec1n \u1edf g\u1ea7n v\u00e0 kh\u1edbp thuy\u1ec1n – c\u1ea3<\/strong>, v\u1edbi s\u1ef1 ti\u1ebfn tri\u1ec3n \u0111\u1ebfn kh\u1edbp nguy\u1ec7t-c\u1ea3.<\/li>\n\n\n\n
    • C\u00f3 s\u1ef1 di chuy\u1ec3n sang b\u00ean ph\u00eda g\u1ea7n c\u1ee7a x\u01b0\u01a1ng c\u1ea3 v\u1ec1 ph\u00eda mu tay so v\u1edbi x\u01b0\u01a1ng nguy\u1ec7t, \u0111\u00e2y l\u00e0 m\u1ed9t ki\u1ec3u h\u00ecnh DISI.<\/li>\n\n\n\n
    • Ti\u1ebfp theo l\u00e0 s\u1ef1 m\u1ea5t kh\u1edbp gi\u1eefa x\u01b0\u01a1ng c\u1ea3 v\u00e0 x\u01b0\u01a1ng quay.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n

      \u0110i\u1ec1u tr\u1ecb v\u00e0 ti\u00ean l\u01b0\u1ee3ng<\/h3>\n\n\n\n

      B\u1ec7nh nh\u00e2n c\u00f3 nh\u1eefng thay \u0111\u1ed5i tho\u00e1i h\u00f3a ti\u1ebfn tri\u1ec3n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt c\u1ed1 \u0111\u1ecbnh b\u1ed1n g\u00f3c<\/strong> ho\u1eb7c c\u1eaft b\u1ecf h\u00e0ng x\u01b0\u01a1ng c\u1ed5 tay g\u1ea7n<\/strong> (PRC) \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 c\u1ea3i thi\u1ec7n m\u1ed9t ph\u1ea7n ch\u1ee9c n\u0103ng.<\/p>\n","protected":false},"excerpt":{"rendered":"

      Scaphoid non-union advanced collapse (SNAC) https:\/\/radiopaedia.org\/articles\/scaphoid-non-union-advanced-collapse-4 S\u1ee5p \u0111\u1ed5 ti\u1ebfn tri\u1ec3n do kh\u1edbp gi\u1ea3 x\u01b0\u01a1ng thuy\u1ec1n (Scaphoid non-union advanced collapse – SNAC) l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1132","post","type-post","status-publish","format-standard","hentry","category-khong-phan-loai"],"_links":{"self":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/1132","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/comments?post=1132"}],"version-history":[{"count":3,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/1132\/revisions"}],"predecessor-version":[{"id":1135,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/1132\/revisions\/1135"}],"wp:attachment":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/media?parent=1132"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/categories?post=1132"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/tags?post=1132"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}