{"id":6150,"date":"2015-03-06T13:13:54","date_gmt":"2015-03-06T12:13:54","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=6150"},"modified":"2015-11-29T15:44:02","modified_gmt":"2015-11-29T14:44:02","slug":"gammal-skada-pa-batbenet","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/gammal-skada-pa-batbenet","title":{"rendered":"Gammal skada p\u00e5 b\u00e5tbenet"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-81\" style=\"border: 0px none; margin: 5px;\" alt=\"Fr\u00e5ga\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" width=\"12\" height=\"13\" \/>Ska r\u00f6ntgas om en vecka i h\u00f6ger hand! Skada skedd maj 2014.<br \/>\nKan det nu i dagsl\u00e4get utvisa om skada skett p\u00e5 b\u00e5tbenet? Ser ut som om n\u00e5got v\u00e4xt fel! St\u00e4ndiga sm\u00e4rtor!<\/p>\n<div id=\"attachment_6279\" style=\"width: 100px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2015\/03\/scaphoideumfraktur.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6279\" class=\"size-thumbnail wp-image-6279 \" style=\"border: 0px none; margin: 5px;\" alt=\"scaphoideumfraktur\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2015\/03\/scaphoideumfraktur-90x90.jpg\" width=\"90\" height=\"90\" srcset=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2015\/03\/scaphoideumfraktur-90x90.jpg 90w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2015\/03\/scaphoideumfraktur-300x300.jpg 300w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2015\/03\/scaphoideumfraktur.jpg 499w\" sizes=\"auto, (max-width: 90px) 100vw, 90px\" \/><\/a><p id=\"caption-attachment-6279\" class=\"wp-caption-text\">Scaphoideum fraktur<\/p><\/div>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-85\" style=\"border: 0px none; margin: 5px;\" alt=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" width=\"12\" height=\"13\" \/>Vid konstaterad fraktur p\u00e5 handlovens b\u00e5tben (scaphoideum fraktur) \u00e4r det mycket viktig att detta f\u00e5r l\u00e4ka s\u00e5 stabilt som m\u00f6jligt. Man brukar f\u00e5 ha ett fixerande gips runt hela handleden f\u00f6r att stabilisera handleden. Detta kontrolleras frekvent under l\u00e4kningsprocessen.<br \/>\nDessa sm\u00e5 broskt\u00e4ckta handlovsben d\u00e4r b\u00e5tbenet ing\u00e5r kan liknas som en &#8221;inka-mur&#8221;. Det \u00e4r v\u00e4ldigt tunna ledspalter emellan dessa ben. Vid fraktur kan det l\u00e4tt bli l\u00e4kningsdefekter som d\u00e5 ger inskr\u00e4nkt r\u00f6rlighet eller sm\u00e4rtande r\u00f6relser i framtiden. D\u00e4rav denna noggranna\u00a0 \u00e4ven tidm\u00e4ssigt f\u00f6rl\u00e4ngda gipsfixering och d\u00e4rtill r\u00f6ntgenkontroller.<\/p>\n<p>Det \u00e4r l\u00e4tt att missa en b\u00e5tbensfraktur. Det \u00e4r s\u00e5 pass <em>viktigt att inte missa en fraktur<\/em> h\u00e4r att enbart stark klinisk misstanke p\u00e5 frakturering, d\u00e4r inget kan \u00e5sk\u00e5dligg\u00f6ras p\u00e5 r\u00f6ntgen, ofta leder till att patienten \u00e4nd\u00e5 gipsas. Detta i f\u00f6rebyggande syfte ifall n\u00e5gon skada trots allt missats p\u00e5 r\u00f6ntgen.<br \/>\nDatortomografi (CT) \u00e4r en bra metod f\u00f6r att, vid fortsatt oklarhet om fraktur, i detalj avbilda handlovsbenen och d\u00e4rmed kunna diagnostisera en ev. fraktur.<\/p>\n<p>Vi vet inte om det \u00e4r generellt vedertaget men om patienten fortfarande efter 2-3 veckor har ont i denna region av handleden, utan f\u00e5tt en diagnos av r\u00f6ntgen, b\u00f6r nog en noggrann unders\u00f6kning utf\u00f6ras av handspecialist eller liknande d\u00e5 det kan r\u00f6ra sig om annan behandlingskr\u00e4vande skada typ ligamentskador, mm.<\/p>\n<p>Fraktur p\u00e5 b\u00e5tbenet kan \u00e4ven ge en sk. pseudoled d\u00e4r sj\u00e4lva frakturer d\u00e5 bildat en ny led. En annan &#8221;komplikation&#8221; \u00e4r pseudoartros av b\u00e5tbenet. Denna kan vara symtomfri under flera \u00e5r f\u00f6r att sedan ge sig till k\u00e4nna i form av sm\u00e4rta och or\u00f6rlighet.<br \/>\nTidigare skador p\u00e5 ben l\u00e4mnar ofta sp\u00e5r efter sig i form av oregelbundna former, onormal f\u00f6rslitning, benf\u00f6rt\u00e4tning, etc. Magnetkamera (MR) \u00e4r en bra metod f\u00f6r att s\u00e5 h\u00e4r i efterhand ev. se uppkomna skador (broskdestruktion) efter en tidigare fraktur.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-83\" style=\"border: 0px none; margin: 5px;\" alt=\"Svarat av\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" width=\"12\" height=\"13\" \/>K.T. rtgssk<br \/>\nR\u00f6ntgen Helsingborg<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ska r\u00f6ntgas om en vecka i h\u00f6ger hand! Skada skedd maj 2014. Kan [&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":[64,102,58,24],"class_list":["post-6150","post","type-post","status-publish","format-standard","hentry","category-konventionellrtg","tag-bilder","tag-fraktur","tag-hand","tag-undersokning"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/6150","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=6150"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/6150\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=6150"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=6150"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=6150"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}