{"id":2420,"date":"2013-10-23T12:08:17","date_gmt":"2013-10-23T11:08:17","guid":{"rendered":"http:\/\/www.rontgen.com\/metod\/?p=2420"},"modified":"2014-01-27T15:02:15","modified_gmt":"2014-01-27T14:02:15","slug":"skelettalder","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/metod\/skelettalder\/","title":{"rendered":"Skelett\u00e5lder"},"content":{"rendered":"<p><strong>Om skelett\u00e5lder<\/strong><\/p>\n<p><strong><a href=\"https:\/\/www.rontgen.com\/metod\/?p=3593\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-3606\" style=\"border: 1px solid black; margin: 10px;\" title=\"Skelett\u00e5lder\" src=\"https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2013\/10\/skelettalder_5_bed_3_halv_ar.jpg\" alt=\"\" width=\"120\" height=\"145\" srcset=\"https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2013\/10\/skelettalder_5_bed_3_halv_ar.jpg 150w, https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2013\/10\/skelettalder_5_bed_3_halv_ar-82x100.jpg 82w\" sizes=\"auto, (max-width: 120px) 100vw, 120px\" \/><\/a><a title=\"Skelett\u00e5lder\" href=\"https:\/\/www.rontgen.com\/metod\/?p=3593\">Skelett\u00e5lder<\/a><\/strong> \u00e4r en unders\u00f6kning f\u00f6r att best\u00e4mma hur l\u00e5ngt g\u00e5ngen barnets tillv\u00e4xt \u00e4r. D.v.s h\u00e4r visar man p\u00e5 om barnet fortfarande v\u00e4xer, om barnet v\u00e4xt f\u00e4rdigt samt uppskattning av hur l\u00e4nge till barnet v\u00e4xer.<\/p>\n<p>R\u00f6ntgen f\u00f6r v\u00e4rdering av skelett\u00e5ldern sker med konventionell sl\u00e4tr\u00f6ntgen avv\u00e4nster hand d\u00e4r man bed\u00f6mer\u00a0 hur l\u00e5ngt g\u00e5ngen f\u00f6rslutningen av epifysfogarna sk, tillv\u00e4xtzonerna i fr\u00e4mst fingrarna har kommit. Tillv\u00e4xt av l\u00e4ngden p\u00e5 r\u00f6rbenen sker i \u00e4ndarna. \u00c4ven handlovens sm\u00e5ben (karpalbenen) visar vid l\u00e5g \u00e5lder g\u00e5ngen tillv\u00e4xt. Dessa handlovsben framtr\u00e4der och v\u00e4xer till sig i storlek efter en viss ordning upp till 5 \u00e5rs \u00e5lder.<\/p>\n<p>&#8221;Glappen&#8221; i epifysfogen (tillv\u00e4xtzon) ber\u00e4knas vanligast efter skala av antingenW.W. Greulich och S.I. Pyle (1952) eller Tanner och Whitehouse (1962) vars metod allm\u00e4nt kallas TW2. D\u00e4r Greulich-Pyle m\u00e4ter kvarvarande tid av tillv\u00e4xt ger TW2 en trolig l\u00e4ngd som vuxen.<br \/>\nAktuell r\u00f6ntgenbild j\u00e4mf\u00f6rs med referensbilder (fr\u00e5n b\u00f6cker).<br \/>\nGenerellt avtannar flickor tidigare i v\u00e4xten \u00e4n pojkar. Likas\u00e5 finns en ytterst liten skillnad mellan n\u00e4r barn fr\u00e5n europa, afrika\/amerika och asien upph\u00f6r i tillv\u00e4xten.<\/p>\n<p>Grunderna f\u00f6r denna unders\u00f6kning \u00e4r om sm\u00e5v\u00e4xta barn\/ungdomar ev beh\u00f6ver hj\u00e4lp med sin tillv\u00e4xt. Att f\u00e5 en individ att bli l\u00e4ngre kan man g\u00f6ra genom mediciner. Denna behandling m\u00e5ste d\u00e5 ske innan barnet slutat v\u00e4xa. I n\u00e5gra fall d\u00e4r tillv\u00e4xten avstannat kan man f\u00f6rl\u00e4nga de l\u00e5nga r\u00f6rbenen (tibia och fibula) i benen genom att tvinga is\u00e4r dessa genom kirurgi. I gapet mellan ben\u00e4ndarna som tvingats is\u00e4r v\u00e4xer sedan ny ben som \u00e5terigen sammanfogar r\u00f6rbenet. P\u00e5 detta s\u00e4tt l\u00e4gger blir individen 4-5 cm l\u00e4ngre.<\/p>\n<p><strong>Metod<\/strong><\/p>\n<p>Det tas en frontal bild p\u00e5 v\u00e4nster hand.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Om skelett\u00e5lder Skelett\u00e5lder \u00e4r en unders\u00f6kning f\u00f6r att best\u00e4mma hur l\u00e5ngt g\u00e5ngen barnets tillv\u00e4xt \u00e4r. D.v.s h\u00e4r visar man p\u00e5 om barnet fortfarande v\u00e4xer, om<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[193],"tags":[],"class_list":["post-2420","post","type-post","status-publish","format-standard","hentry","category-ovrigt"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/posts\/2420","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/comments?post=2420"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/posts\/2420\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/media?parent=2420"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/categories?post=2420"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/tags?post=2420"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}