Gay than xg dui o tre em

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  • 1. Gy thn xng i tr em

2. hiu r hn cch iu tr cc loi gy xng ny Cn bit v cc lc c co ko cc on gy 3. Cc lc ko no gy ra bin dng ny?GpXoay ngoi 4. C PsoasCc lc c Hai tc ng din Tc ng chnh ra on gy no din ra on gn? gy gn?Gp Xoay ngoi 5. Cc lc c no gy ra bin dng ny? 6. y l kt qu phi hp gia Cc c dng i pha ngoi Cc c khp v hamstrings pha trong 7. Cc nhm c no gy chng ngn? 8. Cc lc c gy chng ngn lKt qu phi hp ca Cc c Hamstrings Pha sauC t u Pha trc 9. C hai nh im Ti ng T saoChn thng Ti sao? mnh tr em, la tui no thng gp gy thn xng i? 10. Vic iu tr ph thuc cc yu t no? Ph thuc tui bnh nhn V nhm cc Nmphng din no? hp no? C th gp tuitrng1. Nh nhi, s sinh 2. Tr nh (1-4 tui) 3. Tr ln (5-9 tui) 4. Tr thiu nin (10-12 tui) 5. Thanh nin (xng trng thnh +) 11. Nh nhi V S sinhBa thng tui, chn thng Gy xng xon? Lun ngh n kh nng tr b nh pLm sao n iu g trc ng ny? Ngh khng nh nghi nht? 12. Infants and NeonatesBa tun sauXng mi to t mng xng xc nhn c gy xngXng to ra rt nhiu chng t tr b b mc trc 13. Nh nhi V S sinhCc cch iu tr khc dnh cho tui ny? Cc bt im? u li g? Nhiu nng Cn gy m Kh gi v sinh t b bt cho ng Kh co tht c Cha m khng thchB bt ngay lp tc 14. Nh nhi V S sinhKiu iu tr ny c ph hp vi la tui ny? C l l khng! Ti sao khng? Nhng yu t no gy t l bin chng cao?Qu nhiu bo co trong y vn gn y C cch no iu tr no khc? ghi nhn nhiu bin chng ngay c khi ko ng k thut Ko Bryant 15. Nh nhi V S sinhKo Bryant ci tinGp gi gim co tht ng mch 16. Nh nhi V S sinhCc cch iu tr no khc dnh cho la tui ny?Np Pavlik 17. Nh nhi V S sinhCc hng dn lm sng no s dng loi np ny? u im 1. n gin, r tin 2. Thng khng cn dng thuc an thn 3. Phi gp khp hng tht nhiu 4. Cn t gi pha ngoi trnh dng i qu mc Nhc im Bnh nhn c th cm thy kh chu trong vi ngy u tin 18. Infants and NeonatesSau kh chu ban u, bnh nhn s thch nghi ttCho php ba m gn gi con 19. Infants and NeonatesTi T th t nhinhu hiub tui ny? sao np Pavlik ca cc ny?Khp hng gp 20. Infants and Neonatesiu g xy t Np gi chi di ra th gp nu bn khng n iu ny? Proximal fragment still in flexionT th chn khi mang np 21. Infants and NeonatesNgay c khi c di lch, lnh xng thng vn ttPhim mi gy 3 thng sau gy 22. Cch iu tr no sau y hu ch cho tr nh (1-4 tui) Kt hp xng bn trong? C nh ngoi? Ko t? B bt ngay tc th? 23. Hy cng nhau n li y l kiu ko g? cc nguyn tc cn bn ca ko tSmall ChildCc vn lc ko sinh nhiu trn da ko ny? To g pht qu khi dng kiuLc ko trn da l bao nhiu?Lm sao gim c sc ko trn da? 5# Lc cui cng = 10#5# 5#Kiu ko Russell nguyn thy 24. Small ChildKo Russell chia lc K thut ko ngVn g y?Trng lc s lm xng i ri ra sau ng 5# Khng Vector cng trc vi thn xng iGim phn na lc ko trn daVector khng cng trc vi thn xng iai ko phi nm sau bp chn to ra vector lc cho ng 25. Small ChildCc vn pht sinh khi dng kiu ko Russell chia lc?OK ?T th thay i 26. Small ChildCc vn khc lin quan vi ko Russell chia lcSubsequent v da Cc vn Positions 27. Small ChildKo Russell chia lc u im 1. D duy tr thng trc/chiu di 2. D p dng Nhc im 1. t tin (ph nm vin) 2. Cc vn da 3. Kh dng cho tr to con, bo ph 4. Tr quy ph 28. Small ChildCc ch nh ca phng php b bt tc th? s Nhc im u im Thi gian nm vin Khng th s dng ngn nu chng ngn nhiu Khng mc ngha l qu (> 2cm.) C th dngchn c c ch vi thuc nng (c th thngan thnlng gy m s d b bt Cn ch di nh cao Cn theo tng hn) chi tit k thut k sau b 29. Small ChildNhng khi t thny khng a t T th nimcho hu ht mi cc c ti u th gin ti cc gy thn xng i?Gp Dng Xoay ngoi1764 30. Small Childiu g xy ra nu t b t th gii phu?Phim mi gy T th gii phu khng c S gin c ti aT th b bt 31. Hnh nh sau cng Xoay ngoi+ Gp gc Chng ngn 32. Small ChildT th l tng b chn gy?Bn s 30 30o gp hng 30-40o dng hng 30-40o xoay ngoi 30-40o gp giT th chn ng 33. Cn lt gn k cc vng no? 34. Small ChildSau b nh gp gc pha trc iu g xy ra? Thng do dng nhiu qu Lm g by gi? B bt mi? X mi cam bt m pha sau 35. Small ChildSau x mi camMi cam, m pha sau 36. Small ChildBn loB cho bnh nhntc g bt ngay lp ny? X quang mi gy 2c m4 tui ri Xe hi ng Chn thng nng lng cao. 37. Small ChildD on iu g c th xy ra?Khng theo di trong 6 tunCn phu thut ko di chi Ko diThng ip: chn thng nng lng cao cn c theo di st do c nguy c chng ngn liChnh nhau 3.6 cmLm g by gi? 38. Small ChildCc du hiu lm sng cho thy tr ang kh hn?Gia tng vn ng 39. Cch iu tr no c ch cho tr 5-9 tuiB nguy c chng ngn Nhiubt tc th? Da khngKo Russell? lng t cao chu ni trng Ngy nay, tr nn ph bin ng Gia tng tngm ln qu mc Phu thut ln hn ly np vt Np vt trng inh ni ty 40. Young Child (6-10yrs.)C cch iu tr no khc cho b 7 tui, i b, b xe ng??Da c l s khng chu ni t ko Ko Russell chia lc? Chng ngn nhiu qu nn khng b bt tc th c 41. Young Child (6-10yrs.) tr ln, cn ko t qua xng Xuyn u? Xuyn inh qua u trn xng chy? Bin dng n giV tr xuyn 2 nm sau gy xngCu xngChp ct lp 42. Young Child (6-10yrs.)V tr tt nht xuyn inh? v tr no? v tr ny? u di xng ing dcNm ngang? 43. Young Child (6-10yrs.)i vi gy thn xng i, ko 90-90 l tt nht 44. Young Child (6-10yrs.)iu g tt trong hnh hnh ko iu g cha tt trong ko ny? ny?Cn bao nhiu t? Lc ko ch cn va T treo t do nhc mng khi ging p lc vo C th gy lot da gtKhng! 45. Young Child (6-10yrs.)inh c xuyn nh th no? Gi gp 900Di chu chy Di chu chy s nm pha sauvo khng vng inh inh khin gi khng dui cinh cTRONGra ngoi no? t xuyn theoNGOI T trong ra hng 46. Young Child (6-10yrs.)u v nhc im ca ko t qua xngu im? 1. An ton 2. Hiu qu 3. D duy tr chiu di v thng trcNhc im? 1. t tin, cn nhiu tun nm vin 2. Nhim trng chn inh 3. Teo c 4. Si thn 47. Young Child (6-10yrs.)Nu cchpnhkokoqua xng Thch ch t t qua xng?2 tui. n bn vn tc cao8 tun sau khi ko xng 48. inh ni ty doTrong gy thn xng i 49. Cc nguyn tc c bn? 50. Cc nguyn tc c bn ng Hnh xThn xngHnh x ngBa im ta 51. Thng ng inh ngc dng 52. Cc kiu gy 1. 2. 3. 4. 5. 6.Ngang (ch nh l tng) Cho ngn Cho di v cn v xng ta nhau Xon Nhiu tng hoc bi-fragmentary Bnh l (kn xng) 53. Khi no cn ng xui dng 54. 8 tui t t xch u Va chn vo cy ct 55. im vo mt ngoi i, pha trn 56. im vo pha trn 57. C phng php no tt hn? ng inh xui dng Hnh dng inh thay i ra sao? 58. ng inh xui dng inh th nht c hnh dng nh thng l Nh ngc dng 59. inh th hai c hnh ch SXui dng 60. K thut c bit900inh nht nh 61. Nu cn, cho inh xuyn sn tip hp 62. Hnh nh sau cng Cu trc l tng 63. Chm sc sau m Bt ng h tr vi np bn ngoi Cho i nng chng nh chn gy ty kh nng trong 4-6 tun Vt l tr liu tch cc t tun 4 Rt inh sau 9-12 thng 64. iu khng nn lm By gi Lm sao? 65. X quang i cho thy kiu gyMnh cnh bm to 66. Phu thut vin quyt nhng inh ni ty doLiu y c phi l quyt nh sng sut? 67. Sau 1 tunui inh m thng da ra ngoi Ngay sau m1 tun sau m 68. Quyt nh mi ca phu thut vin 69. Mt bnh nhn khc c C cch no khc dng inh ni ty do trong ca gy ny? gy nt tng tNhiu mnh Khng cn im ta v xng 70. C th ngn chn chng ngn bng:Bt ng ngoi vi 1 inh trn, 1 inh di trong 4-6 tun cho n khi c mt t can 71. Vo tun 8, gy xng lnh v chiu di c gi vng 72. iu tr gy nhm 10 12 tui 73. Tng t cho tr ln hn Ko t v b bt: t dng 74. Thah thiu niniu trNu sn tip hp u trn xng i cn m 75. C cch no khc?im vo: mu chuyn ln 76. Gy phc tp14 tui, sau m ct xng i sa trc hai bn 77. Khng may, bnh nhn ng Cch iu tr?5 thng sau khi m ct xng sa trc 78. Mt gii php c th dng 79. Cm n