{"id":6792,"date":"2016-01-25T08:31:47","date_gmt":"2016-01-25T07:31:47","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=6792"},"modified":"2026-01-18T16:49:39","modified_gmt":"2026-01-18T15:49:39","slug":"att-se-en-hoftledsfraktur","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/att-se-en-hoftledsfraktur","title":{"rendered":"Att se en h\u00f6ftledsfraktur"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-81\" style=\"border: 0px none; margin: 5px;\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" alt=\"Fr\u00e5ga\" width=\"12\" height=\"13\" \/>Kan man se h\u00f6ftledsbrott p\u00e5 vanlig r\u00f6ntgen?<\/p>\n<div id=\"attachment_6866\" style=\"width: 160px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2016\/01\/hoft_fraktur_1_syns_inte.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6866\" class=\"wp-image-6866\" title=\"Odislocerad fraktur h\u00f6ger h\u00f6ft\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2016\/01\/hoft_fraktur_1_syns_inte-90x90.jpg\" alt=\"Odislocerad fraktur h\u00f6ger h\u00f6ft\" width=\"150\" height=\"150\" srcset=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2016\/01\/hoft_fraktur_1_syns_inte-90x90.jpg 90w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2016\/01\/hoft_fraktur_1_syns_inte-300x300.jpg 300w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2016\/01\/hoft_fraktur_1_syns_inte.jpg 550w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a><p id=\"caption-attachment-6866\" class=\"wp-caption-text\">Odislocerad fraktur<\/p><\/div>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-85\" style=\"border: 0px none; margin: 5px;\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"Svar\" width=\"12\" height=\"13\" \/>Vid misstanke p\u00e5 h\u00f6ftledsfraktur \u00e4r en konventionell r\u00f6ntgen av h\u00f6ften en enkel, snabb och rellativt s\u00e4ker metod f\u00f6r frakturdiagnos.<br \/>\nI de flesta fall ser man brottsytorna eller annan antydan till benbrott <span style=\"font-size: 10pt;\">(f\u00f6r\u00e4ndrad benstruktur)<\/span> med denna enkla unders\u00f6kning. Det uppst\u00e5r ibland sk. odislocerad fraktur <span style=\"font-size: 10pt;\">(ej \u00e5tskillda ben\u00e4ndar)<\/span> som kan vara sv\u00e5r att se med en vanlig konventionell r\u00f6ntgenmetod. Det h\u00e4nder att folk promenerat omkring med en odicloserad stabil h\u00f6ftfraktur ett tag dock med v\u00e4rk vilket medf\u00f6r en stor risk f\u00f6r att frakturen f\u00f6rv\u00e4rras med en kraftig felst\u00e4llning som kan komplicera behandlingen.<br \/>\nF\u00f6ljer man de sk. trabeklerna som \u00e4r l\u00e4ngsg\u00e5ende benceller i en konventionell r\u00f6ntgenbild \u00e4r ett avbrott i dessa strukturer ett starkt indikation f\u00f6r att det finns en fraktur i h\u00f6ften trotts att man inte kan se.<\/p>\n<p>Om en stark misstanke p\u00e5 benbrott kvarst\u00e5r, trots att en konventionell r\u00f6ntgen ej p\u00e5visat s\u00e5dant, kan man komplettera unders\u00f6kningen med en datortomografi <span style=\"font-size: 10pt;\">(CT)<\/span>, magnetkamera <span style=\"font-size: 10pt;\">(MR)<\/span> eller ev. scintigrafi av h\u00f6ften.<\/p>\n<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>Med CT ses i s\u00e5 fall en frakturlinje medan MR detekterar benm\u00e4rgshematomet som alltid uppst\u00e5r d\u00e5 blodk\u00e4rl brister i frakturomr\u00e5det i samband med skadan. Om man v\u00e4ljer att g\u00f6ra en scintigrafi g\u00f6r man detta f\u00f6rst efter 4-6 dagar n\u00e4r de radioaktiva isotoperna d\u00e5 tas upp d\u00e4r det finns en h\u00f6g cellaktivitet som vid tex. ny benbildning i samband med frakturer.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-83\" style=\"border: 0px none; margin: 5px;\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" alt=\"Svarat av\" width=\"12\" height=\"13\" \/>K.T. rtgssk<br \/>\nR\u00f6ntgen Helsingborg<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kan man se h\u00f6ftledsbrott p\u00e5 vanlig r\u00f6ntgen? Vid misstanke p\u00e5 h\u00f6ftledsfraktur \u00e4r 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":[9,153,5],"tags":[64,102,23,24],"class_list":["post-6792","post","type-post","status-publish","format-standard","hentry","category-konventionellrtg","category-metod","category-mr","tag-bilder","tag-fraktur","tag-hoft","tag-undersokning"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/6792","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=6792"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/6792\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=6792"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=6792"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=6792"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}