{"id":3742,"date":"2011-04-20T15:27:38","date_gmt":"2011-04-20T14:27:38","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=3742"},"modified":"2026-01-18T16:23:31","modified_gmt":"2026-01-18T15:23:31","slug":"benmargsodem-pa-mr","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/benmargsodem-pa-mr","title":{"rendered":"Benm\u00e4rgs\u00f6dem p\u00e5 MR"},"content":{"rendered":"<div id=\"attachment_9973\" style=\"width: 160px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/04\/hoft_fraktur_syns_inte_mr_s.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9973\" class=\"wp-image-9973\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/04\/hoft_fraktur_syns_inte_mr_s-90x90.jpg\" alt=\"Pertrokant\u00e4r fraktur med konventionell r\u00f6ntgen vs. MR\" width=\"150\" height=\"104\" srcset=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/04\/hoft_fraktur_syns_inte_mr_s-300x208.jpg 300w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/04\/hoft_fraktur_syns_inte_mr_s-650x451.jpg 650w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/04\/hoft_fraktur_syns_inte_mr_s-768x533.jpg 768w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/04\/hoft_fraktur_syns_inte_mr_s.jpg 1080w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a><p id=\"caption-attachment-9973\" class=\"wp-caption-text\">Diagnostik av pertrokant\u00e4r fraktur<\/p><\/div>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Fr\u00e5ga\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" alt=\"\" width=\"12\" height=\"13\" \/> Har gjort en MR-r\u00f6ntgen av b\u00e4cken h\u00f6ftled samt nedre br\u00f6st och l\u00e4ndrygg. Pga tidigare diskbr\u00e5ck och mkt besv\u00e4r med rygg och avdomningar i ena benet.<br \/>\nDet s\u00e5g relativt bra ut. Det jag undrar \u00f6ver \u00e4r vad det betyder n\u00e4r det st\u00e5r. P\u00e5 h\u00f6ger sida nedom och framf\u00f6r trochanter minor finns ett relativt diskret subcorticalt benm\u00e4rgs\u00f6dem av tveksam klinisk signifikans sitter ej p\u00e5 vanligt st\u00e4lle f\u00f6r stressreaktion.<br \/>\nDet st\u00e5r ocks\u00e5 att det finns p\u00e5 b\u00e4cken-h\u00f6ftled ett okarakt\u00e4ristiskt benm\u00e4rgs\u00f6dem.<br \/>\nVad betyder detta och vad st\u00e5r benm\u00e4rgs\u00f6dem f\u00f6r?<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"\" width=\"12\" height=\"13\" \/><\/p>\n<p>Ett benm\u00e4rgs\u00f6dem \u00e4r en skada i benm\u00e4rgen vilket kan ses vid en skada i h\u00f6ften trots att benhinnan <span style=\"font-size: 10pt;\">(periostet)<\/span> inte brutits igenom. Denna &#8221;skada&#8221; kan uppst\u00e5 vid trauma <span style=\"font-size: 10pt;\">(slag\/v\u00e5ld)<\/span> mot exv. h\u00f6ften. Man kan likna det vid ett bl\u00e5m\u00e4rke innuti benet vilket uppst\u00e5r d\u00e5 sm\u00e5 blodk\u00e4rl i benm\u00e4rgen g\u00e5tt s\u00f6nder. \u00c4ven infektion och nekroser i benet kan ses som m\u00e4rg\u00f6dem p\u00e5 MR-bilderna. Exv. m\u00e4rg\u00f6dem kring l\u00e4ndrygg\/b\u00e4ckenleden <span style=\"font-size: 10pt;\">(sakroiliakaleden)<\/span> kan ibland tyda p\u00e5 kronisk inflammatorisk process <span style=\"font-size: 10pt;\">(t.ex. Bechterew)<\/span>.<br \/>\nEtt benm\u00e4rgs\u00f6dem kan ses som ett symtom p\u00e5 patologi och inte en klar diagnos. Det kan beh\u00f6vas f\u00f6ljas upp om man inte har en direkt p\u00e5visbar orsak till benm\u00e4rgs\u00f6demet.<br \/>\nVad g\u00e4ller h\u00f6ftbens\u00f6dem kan detta skilja mellan en genomg\u00e5ende fraktur som inte ses med konventionell r\u00f6ntgen eller en mindre avlossning av ett ligamentf\u00e4ste, etc. som inte beh\u00f6ver \u00e5tg\u00e4rdas<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-83\" title=\"Svarat av\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" alt=\"\" width=\"12\" height=\"13\" \/> K.T. rtgssk<br \/>\nR\u00f6ntgenavdelningen Helsingborgs lasarett<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Har gjort en MR-r\u00f6ntgen av b\u00e4cken h\u00f6ftled samt nedre br\u00f6st och l\u00e4ndrygg. Pga [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9,5],"tags":[64,102,23,141],"class_list":["post-3742","post","type-post","status-publish","format-standard","hentry","category-konventionellrtg","category-mr","tag-bilder","tag-fraktur","tag-hoft","tag-mr"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/3742","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/comments?post=3742"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/3742\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=3742"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=3742"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=3742"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}