{"id":5406,"date":"2012-07-03T15:34:30","date_gmt":"2012-07-03T14:34:30","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=5406"},"modified":"2012-07-08T21:03:47","modified_gmt":"2012-07-08T20:03:47","slug":"alder-pa-benbrott","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/alder-pa-benbrott","title":{"rendered":"\u00c5lder p\u00e5 benbrott"},"content":{"rendered":"<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\" \/> Kan man se hur gammalt ett h\u00f6ftledsbrott \u00e4r? Om det \u00e4r 1 dag gammalt eller n\u00e4stan 3 veckor gammalt?<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt;\" title=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"\" width=\"12\" height=\"13\" \/>\u00a0<\/p>\n<div id=\"attachment_5493\" style=\"width: 100px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2012\/07\/hoft_fraktur_1a.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5493\" class=\"size-thumbnail wp-image-5493  \" title=\"H\u00f6 h\u00f6ft med konventionell r\u00f6ntgen\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2012\/07\/hoft_fraktur_1a-150x150.jpg\" alt=\"H\u00f6 h\u00f6ft konventionell r\u00f6ntgen\" width=\"90\" height=\"90\" \/><\/a><p id=\"caption-attachment-5493\" class=\"wp-caption-text\">H\u00f6 h\u00f6ft<\/p><\/div>\n<p>Sv\u00e5r akut sm\u00e4rta i ljumskregionen, ut\u00e5trotation av benet samt helt of\u00f6rm\u00e5ga att belasta det aktuella benet f\u00e5r tolkas som symtom p\u00e5 ett relativt nytt benbrott. Dock kan kraftigt slag, etc. mot h\u00f6ftregionen ge sv\u00e5rare sm\u00e4rtor utan att det finns en fraktur.<br \/>\nI vilket fall som helst ska detta unders\u00f6kas.<\/p>\n<p>Fraktur i h\u00f6ftleden kan ibland vara sv\u00e5ra att se. Fraktur p\u00e5 l\u00e5rbenshalsen sk. <em>cervikal h\u00f6ftfraktur<\/em> (collumfraktur) kan vara en sk. inkilad fraktur eller en <em>ofullst\u00e4ndig fraktur<\/em> genom benet. Dvs. brottets ben\u00e4ndar ligger ihoppressade mot varandra helt odislokerat s\u00e5\u00a0 att h\u00f6ftleden ser hel ut vid en f\u00f6rsta anblick.<\/p>\n<div id=\"attachment_5494\" style=\"width: 100px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2012\/07\/hoft_fraktur_1b.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5494\" class=\"size-thumbnail wp-image-5494 \" title=\"H\u00f6 h\u00f6ft med CT ses fraktur\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2012\/07\/hoft_fraktur_1b-150x150.jpg\" alt=\"H\u00f6 h\u00f6ft med fraktur\" width=\"90\" height=\"90\" \/><\/a><p id=\"caption-attachment-5494\" class=\"wp-caption-text\">H\u00f6 h\u00f6ft<\/p><\/div>\n<p>Om frakturmisstanken kliniskt \u00e4r h\u00f6g trots normala fynd p\u00e5 r\u00f6ntgenbilden\u00a0ska man g\u00e5 vidare i utredningen med andra diagnostiska metoder som <em>datortomografi<\/em> (CT), <em>magnetkamera<\/em> (MR) eller ev. <em>skelettscintigrafi<\/em>. (se bilder av samma h\u00f6ft)<\/p>\n<div class=\"mceTemp\">\u00a0<\/div>\n<p>Normalt sker en ny benbildning \u00f6ver frakturomr\u00e5det i ben. Denna sk. <em>kallusbildning<\/em> startar efter ca. 1 veckor och best\u00e5r initialt av nybildat brosk som mineraliseras (f\u00f6rkalkas) efterhand.<\/p>\n<p>Efter n\u00e5gra veckor\u00a0kan \u00e4ven denna kallus ses p\u00e5 en konventionell r\u00f6ntgenbild. Detta kallus &#8221;bandagerar&#8221; benet som d\u00e5 \u00e4ven stabiliserar benet.<\/p>\n<p>Alla benbrott genererar \u00e4ven <em>mjukdelsbl\u00f6dningar,<\/em> mer eller mindre, d\u00e5 blodk\u00e4rl i brottet \u00e4ven de g\u00e5r s\u00f6nder. Denna bl\u00f6dning kan ses med MR i omkring 2 m\u00e5nader. D\u00e4refter ses oftast enbart kallusbildningen ytterligare ett par veckor eller ev. felst\u00e4llning som indikerar p\u00e5 att benet varit s\u00f6nder.<\/p>\n<p>Om ett benbrott f\u00e5r en gynsam stabil l\u00e4kning sker ofta en total remodellering av benet s\u00e5 att det \u00e5terf\u00e5r sin ursprungliga form.\u00a0 I m\u00e5nga fall kan man inte med r\u00f6ntgen p\u00e5visa att benet tidigare varit bruten. Detta g\u00e4ller framf\u00f6r allt benbrott hos barn som har en snabb l\u00e4kningsprocess.<\/p>\n<p>All behandling av h\u00f6ftledsfrakturer\u00a0ska behandlas\u00a0kirurgisk.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" 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\u00f6ntgen Helsingborg<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kan man se hur gammalt ett h\u00f6ftledsbrott \u00e4r? Om det \u00e4r 1 dag [&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],"tags":[102],"class_list":["post-5406","post","type-post","status-publish","format-standard","hentry","category-konventionellrtg","tag-fraktur"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5406","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=5406"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5406\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=5406"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=5406"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=5406"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}