{"id":5754,"date":"2013-05-21T16:36:34","date_gmt":"2013-05-21T15:36:34","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=5754"},"modified":"2013-06-20T12:47:28","modified_gmt":"2013-06-20T11:47:28","slug":"vilken-undersokning-for-knaledsbesvar","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/vilken-undersokning-for-knaledsbesvar","title":{"rendered":"Vilken unders\u00f6kning f\u00f6r kn\u00e4ledsbesv\u00e4r"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-81\" style=\"border: 0pt none;\" alt=\"Fr\u00e5ga\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" width=\"12\" height=\"13\" \/>Jag undrar om man kan se en vanlig inflammation och meniskskada p\u00e5 en r\u00f6ntgen.<br \/>\nVad g\u00f6r man d\u00e5 om man ser detta p\u00e5 undrs\u00f6kningen. Har haft besv\u00e4r av d\u00e5liga kn\u00e4 i m\u00e5nga \u00e5r.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-85\" style=\"border: 0pt none;\" alt=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" width=\"12\" height=\"13\" \/>Magnetkameran (MR) \u00e4r ett ypperligt verktyg f\u00f6r dessa diagnoser.<br \/>\nMeniskskador i kn\u00e4leden \u00e4r en av de vanligaste orsakerna till besv\u00e4r.\u00a0 Varje \u00e5r behandlas ca. 2500 meniskskador i Sverige. Korsbandsskador \u00e4r mer vanligt f\u00f6rekommande (5000) medan artros \u00e4r den absolut vanligaste orsaken till kn\u00e4besv\u00e4r. Kn\u00e4artros f\u00f6rekommer\u00a0 hos 5% av befolkningen i \u00e5lder35 till 54 \u00e5r. Kn\u00e4artros \u00e4r den n\u00e4st vanligast sjukdommen i v\u00e4rlden enligt WHO.<br \/>\nMeniskskador uppkommer mestadels genom vridv\u00e5ld\/\u00f6vertr\u00e4ning av kn\u00e4leden. Meniskerna i sig kan inte ses med vanlig konventionell r\u00f6ntgen. Meniskskador kan dock vara sv\u00e5ra att diagnostisera enbart kliniskt. En trasig meniskskiva kan ge upphov till ledkapselinflammation (infekti\u00f6s artrit).<\/p>\n<p>Ledinflammation kan \u00e4ven vara bakteriellt betingat som via blodet drabbar kn\u00e4leden. Diagnosen st\u00e4lls d\u00e5 genom kliniska symtom (v\u00e4rme, v\u00e4rk, svullnad&#8230;), blodprover och ev. ledpunktion f\u00f6r odling av ledv\u00e4tskan.<br \/>\nEn ledartrit kr\u00e4ver ingen r\u00f6ntgen initialt innan behandling. Det kan senare bli aktuellt att radiologiskt f\u00f6lja upp artrit f\u00f6r diagnos av ev. tillst\u00f6tta ledskador eller benp\u00e5verkan (osteit).<br \/>\nEn MR unders\u00f6kning blir oftast aktuell vid nyligen genomg\u00e5nget trauma d\u00e4r en kartl\u00e4ggning av kn\u00e4leden anses beh\u00f6vas inf\u00f6r en ev. operationskr\u00e4vande \u00e5tg\u00e4rd, vid l\u00e5ngvarig sv\u00e5r v\u00e4rk med nedsatt r\u00f6rlighet eller annan defekt d\u00e4r genomg\u00e5ngen behandling inte gett n\u00e5gon effekt. Alternativt kan \u00e4ven ultraljud \u00e5sk\u00e5dligg\u00f6ra inflammation i kn\u00e4ledens yttre mjukdelar.<\/p>\n<p>En infekti\u00f6s artit behandlas troligen enbart medicinskt och ev. spolning av leden. En klinisk fr\u00e5ga vi inte \u00e4r s\u00e5 insatta i&#8230;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-83\" style=\"border: 0pt none;\" alt=\"Svarat av\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" width=\"12\" height=\"13\" \/>KT. rtgssk<br \/>\nR\u00f6ntgen Helsingborg<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Jag undrar om man kan se en vanlig inflammation och meniskskada p\u00e5 en [&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":[26,141,24],"class_list":["post-5754","post","type-post","status-publish","format-standard","hentry","category-konventionellrtg","tag-knaled","tag-mr","tag-undersokning"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5754","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=5754"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5754\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=5754"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=5754"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=5754"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}