trật khớp vai - bộ môn ngoại đhyhn

TrËt khíp vai
TrËt khíp vai
§inh Ngäc S¬n
§inh Ngäc S¬n
Bé m«n Ngo¹i-§HY HN
Bé m«n Ngo¹i-§HY HN

§¹i c¬ng
§¹i c¬ng


1. LÞch sö
1. LÞch sö




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

 !"#
 !"#
$%&'() 
$%&'() 
*+,- ./0$
*+,- ./0$
1(
1(
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)1!2!23!243

)1!2!23!243
56753 !"(
56753 !"(
)18 93:
)18 93:
3.8(
3.8(




2. Mét sè ®Æc ®iÓm gi¶i phÉu vµ sinh lý cña
2. Mét sè ®Æc ®iÓm gi¶i phÉu vµ sinh lý cña
khíp vai
khíp vai
;
;

<=3%>1&=
<=3%>1&=
=#(?3@
=#(?3@
A,=BCDEF
A,=BCDEF
(
(


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? E7GH;=
? E7GH;=
5E33I(JH! 
5E33I(JH! 
KH! K!E.1(
KH! K!E.1(
L>1.'E
L>1.'E
!E3C+(
!E3C+(

>J(M
>J(M

3.
3.
N:&GC
N:&GC



Articulation scapulo-
Articulation scapulo-
humérale : 1
humérale : 1

Articulation sous-
Articulation sous-
deltoïdienne : 2
deltoïdienne : 2


Articulation scapulo-
Articulation scapulo-
thoracique : 3
thoracique : 3

Articulation acromio-
Articulation acromio-
claviculaire : 4
claviculaire : 4

Articulation sterno-
Articulation sterno-
claviculaire : 5
claviculaire : 5

4. Tû lÖ
4. Tû lÖ
:
:
.O0PEFI
.O0PEFI
I$QRSTUS$(
I$QRSTUS$(
T?1VSW$:(
T?1VSW$:(
T?,OX 
T?,OX 
!"(
!"(

Y= 0T!Z
Y= 0T!Z

[.T

\+TA

N=:= 


Nguyªn nh©n, c¬ chÕ
Nguyªn nh©n, c¬ chÕ



?710E7
?710E7
 1!:
 1!:
.O:] .!+E
.O:] .!+E
^.(
^.(

? .1:_
? .1:_
 ;,
 ;,

&==3@ 
&==3@ 
! KPE!E.1(
! KPE!E.1(

Gi¶i phÉu bÖnh
Gi¶i phÉu bÖnh

` 5E!E
` 5E!E
FB33@
FB33@
5E!E7%.1(
5E!E7%.1(

`EFa.0=(?3
`EFa.0=(?3
bF6#$D@
bF6#$D@
3(c' !"%Z.1
3(c' !"%Z.1
'.O1deU$:
'.O1deU$:
5fSSW(?,gZ.13!"'
5fSSW(?,gZ.13!"'
+(
+(

Ph©n lo¹i
Ph©n lo¹i

1. TrËt khíp vai míi:
1. TrËt khíp vai míi:
`E
`E
(%11hiW
(%11hiW
E'E>
E'E>
3^E7^:!Ej,;
3^E7^:!Ej,;

?33C+k/l m
?33C+k/l m

?3!E3C+k1nSW
?3!E3C+k1nSW
+.m
+.m

?3!E^E7/jo(
?3!E^E7/jo(



? 
? 

? E

? E

?,=:53^:!E
?,=:53^:!E
!E$
!E$
 .COE_&F(
 .COE_&F(
`;
`;
0
0
1kiWm>,^E7 H(
1kiWm>,^E7 H(

2. TrËt khíp vai cò
2. TrËt khíp vai cò
:
:




p1=&d%(
p1=&d%(
3. TrËt khíp vai t¸i diÔn
3. TrËt khíp vai t¸i diÔn
:
:





p,%0+&
p,%0+&
fS%
fS%

ChÈn ®o¸n
ChÈn ®o¸n


1. TrËt khíp vai ra tríc xuèng díi vµo trong:
1. TrËt khíp vai ra tríc xuèng díi vµo trong:

cG-1 .q.>
cG-1 .q.>
0.&*7Fk!0
0.&*7Fk!0
G2mF0.$@FE_3
G2mF0.$@FE_3
^E7j/P .!ToP@
^E7j/P .!ToP@
 (? .!+QRS]F^
 (? .!+QRS]F^
->=50]->
->=50]->
>+'5Xk!0G/^m(
>+'5Xk!0G/^m(


?B[C^3^,.
?B[C^3^,.
0=(
0=(



ANTERIOR DISLOCATION
ANTERIOR DISLOCATION
The commonest type of dislocation
90% of the cases.
The head of the humerus is
The head of the humerus is
displaced anteriorly under
displaced anteriorly under
the coracoids
the coracoids.
The shoulder loses its rounded
The shoulder loses its rounded
outline and shoulder movement
outline and shoulder movement
is impossible.
is impossible.

\0G
\0G


Radio de face
Radio de face

r
?33$
r
Lq#^E7 .