{"id":6339,"date":"2016-01-27T12:28:14","date_gmt":"2016-01-27T11:28:14","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=6339"},"modified":"2016-11-01T12:45:15","modified_gmt":"2016-11-01T11:45:15","slug":"utatrotation-vid-fraktur","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/utatrotation-vid-fraktur","title":{"rendered":"Ut\u00e5trotation vid fraktur"},"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\" \/>Jag undrar varf\u00f6r sker just en ut\u00e5trotation vid en collumfraktur?<\/p>\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\" \/>Den typiska h\u00f6ftfrakturen ger oftast ett ut\u00e5troterat (valgus) samt f\u00f6rkortat ben p\u00e5 den frakturerade sidan vilket kliniskt talar f\u00f6r en h\u00f6ftfraktur. Vid f\u00f6rs\u00f6k till rotation av benet uppkommer oftast sm\u00e4rta hos patienten. Ibland ses inte dessa &#8221;typiska&#8221; kliniska fynd trots en h\u00f6ftfraktur utan patienten endast har l\u00e4ttare sm\u00e4rta fr\u00e5n h\u00f6ften.<br \/>\nOm frakturen \u00e4r odislocerat (benbrottsytorna sitter ihop) som d\u00e5\u00a0 \u00e4r sk. inkilad fraktur kan patienten fortfarande lyfta p\u00e5 benet sj\u00e4lv och \u00e4ven ev. st\u00f6dja p\u00e5 benet. Det f\u00f6rekommer \u00e4ven inn\u00e5troterat ben (varus) vid h\u00f6ftfrakturer.<\/p>\n<p>Vid h\u00f6ftfraktur f\u00e5r l\u00e5rbenet s\u00e5ledes ofta en ut\u00e5trotation medan sj\u00e4lva h\u00f6ftkulan ligger r\u00e4tt vinklad i leden.<br \/>\nDenna valgusvridning kommer av att muskeln (iliopsoasmuskeln), som lyfter och roterar benet ut\u00e5t samt b\u00f6jer b\u00e5len fram\u00e5t, drar l\u00e5rbenet upp och ut\u00e5t. D\u00e4rav \u00e4ven varf\u00f6r benet ofta blir kortare vid en h\u00f6ftfraktur. Denna muskels distala f\u00e4ste \u00e4r i h\u00f6ftens lilla benutskott (trochanton minor).<br \/>\nIliopsoasmuskel, som \u00e4r benets viktigaste muskel vid fram\u00e5tlyft, \u00e4r en sammanslagning av 2 andra muskler vars f\u00e4sten \u00e4r\u00a0 l\u00e4ngs ryggraden samt i b\u00e4ckenkammen.<\/p>\n<p>N\u00e4r r\u00f6ntgenl\u00e4karen beskriver h\u00f6ftens\/benets felst\u00e4llning beskrivs detta i 6 l\u00e4gen varav 3 \u00e4r rotationsfelst\u00e4llningar av benet och 3 \u00e4r f\u00f6rskjutning av frakturens ben\u00e4ndar.<\/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>Jag undrar varf\u00f6r sker just en ut\u00e5trotation vid en collumfraktur? Den typiska h\u00f6ftfrakturen [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[105,102,23],"class_list":["post-6339","post","type-post","status-publish","format-standard","hentry","category-annat","tag-anatomi","tag-fraktur","tag-hoft"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/6339","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=6339"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/6339\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=6339"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=6339"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=6339"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}