tibiaperiostit
Portal
/
Laegehaandbogen
/
fysmed-og-rehab
/
tilstande-og-sygdomme
/
laeg-ankel-og-fod
/
tibiaperiostit
/
Home
Data
patienthaandbogen
Sundheddk apps
Laegehaandbogen
Klinikpersonale
akut-og-foerstehjaelp
allergi
arbejdsmedicin
blod
brystsygdomme
boern-og-unge
boerne-og-ungdomspsykiatri
endokrinologi
forsikringsmedicin
fysmed-og-rehab
symptomer-og-tegn
tilstande-og-sygdomme
sportsmedicin
albue-og-underarm
haandlidelser
hofte-og-laar
knae
laeg-ankel-og-fod
akillesseneruptur
akillestendinose
ankel-bageste-impingement
ankel-bruskskader
ankel-forreste-impingement
ankel-ustabil
ankelskade-akut
apofysitis-calcanei
artrose-ankel
bursit-calcaneus
haglunds-hael
hallux-rigidus
hallux-valgus
k-hlers-sygdom
kompartmentsyndrom
mortons-metatarsalgi
muskelruptur-i-laeggen
plantar-fasciitis
platfod
stressbrud
tarsal-tunnel-syndrom
tendinopatier-ankel-og-laeg
tibialis-posterior-dysfunktion
tibialis-posteriorsyndrom
tibiaperiostit
ryg-nakke-og-bryst
skulder-og-overarm
bindevaevslidelser
oevrige-sygdomme
behandlinger
rehabilitering
undersoegelser
patientinformation
illustrationer
oevelsesfilm
oevelsesfilm-paa-arabisk
generelt
geriatri
gynaekologi
hjerte-kar
hud
infektioner
kirurgi
kraeft
lunger
mandlige-koensorganer
mave-tarm
neurologi
nyrer-og-urinveje
obstetrik
ortopaedi
psykiatri
paediatri
rejsemedicin-vacciner
reumatologi
sexsygdomme
sjaeldne-sygdomme
socialmedicin
oeje
oere-naese-hals
sundhedsoplysning
undersoegelser-og-proever
om-laegehaandbogen
soeg
dli-medicin
Apps
Brugermanual
<Provider Id="sundheddkcms"> <Item Id="{75D5F5FA-88E7-4990-A904-4775A2CE8863}" Name="tibiaperiostit" Type="LHContentPage" ParentProviderId="sundheddkcms" ParentItemId="{02851690-7266-4B57-B98E-D30DB1AE8AB3}" SortOrder="2600" PublishDate="2010-05-20T13:01:00" DeleteDate="2999-12-31T00:00:00" PotItemType=""> <Content> <HtmlField Name="PageContent"><![CDATA[<h2>Diagnose</h2> <h3>Diagnostiske kriterier</h3> <ul> <li>Sygehistorie med smerter udløst af belastning langs mediale del af tibia</li> <li>Tydelig ømhed ved palpation, specielt langs nedre 1/3 af tibias posteromediale kant</li> </ul> <h3>Sygehistorie</h3> <ul> <li>Smerter i mediale del af læggen under og efter træning (f.eks. løb)</li> <li>Initialt murrende smerter og ubehag, ofte efter relativt hårde belastninger</li> <li>Efterhånden stadig mindre tolerance for belastning</li> <li>Hvis træningen fortsætter, vil der efterhånden kunne komme hvilesmerter. Smerterne forværres ved minimale belastninger. Udøveren tvinges til at holde op med løbetræning og træning, hvor der indgår hop og spring</li> </ul> <h3>Kliniske fund</h3> <ul> <li>Tydelig palpationsømhed langs tibias mediale kant. Generne er typisk lokaliseret i midterste og nedre 1/3 af tibia</li> <li>Aktiv plantarflektion og supination kan provokere smerte</li> <li>Der kan udvikles ødem i området svarende til den ømme zone</li> <li>I nogen tilfælde mærkes også en knudret overflade langs knoglen</li> <li>Mange med denne lidelse har overpronerede fødder<a href=" " data-type="journal-reference" data-value="Reinking MF, Austin TM, Richter RR, Krieger MM, Medial Tibial Stress Syndrome in Active Individuals: A Systematic Review and Meta-analysis of Risk Factors. Sports Health 2017;9: 252-261" data-value-piped="Reinking MF, Austin TM, Richter RR, Krieger MM|Medial Tibial Stress Syndrome in Active Individuals: A Systematic Review and Meta-analysis of Risk Factors.|Sports Health|2017|9|252-261|27729482" data-url="reference-link" data-pubmedid="27729482" title="Reinking MF, Austin TM, Richter RR, Krieger MM, Medial Tibial Stress Syndrome in Active Individuals: A Systematic Review and Meta-analysis of Risk Factors. Sports Health 2017;9: 252-261"><sup>1</sup></a></li> </ul> <h3>Supplerende undersøgelser i almen praksis</h3> <ul> <li>Ingen ud over klinisk undersøgelse</li> </ul> <h3>Andre undersøgelser hos specialist</h3> <ul> <li>Knoglescintigrafi <ul> <li>Kan være nyttig ved mistanke om stressfraktur, men er ikke nødvendig ved typisk klinik og bruges efterhånden sjældent</li> <li>Ved periostit i mediale tibia viser scintigrafi en moderat og diffus optagelse i midterste og nederste del af tibia, ved stressfraktur ses en lokaliseret og skarp optagelse</li> </ul> </li> <li>Røntgen <ul> <li>Bruges primært til at udelukke eventuelle knogleabnormiteter som fx sarcom</li> <li>Kan i typiske og kroniske tilfælde vise en periostal reaktion langs mediale tibia - der ses som en fortykket, noget uskarpt afgrænset medial corticalis i tibia</li> </ul> </li> <li>MR-scanning har mere eller mindre afløst scintigrafi, og kan vise periostalt ødem<a title="McClure CJ, Oh R, Medial Tibial Stress Syndrome . 2019;: " href="EditorPage.aspx?da=core&id=%7B75D5F5FA-88E7-4990-A904-4775A2CE8863%7D&ed=FIELD9067196656&vs&la=da&fld=%7B850D32D3-55A1-49E4-9CDF-F0C88D91563C%7D&so=%2Fsitecore%2Fsystem%2FSettings%2FHtml%20Editor%20Profiles%2FRich%20Text%20LHPH&di=0&hdl=H9067196883&us=sitecore%5Canvi&mo&pe=0&fbd=1" data-type="journal-reference" data-url="reference-link" data-value-piped="McClure CJ, Oh R|Medial Tibial Stress Syndrome ||2019|||30860714" data-value="McClure CJ, Oh R, Medial Tibial Stress Syndrome . 2019;: " data-pubmedid="30860714"><sup>2</sup></a></li> </ul> <h3>Differentialdiagnoser</h3> <ul> <li>Tibialis anterior syndrom, lokaliseret lateralt for tibia</li> <li><a href="~/link.aspx?_id=D267FACA6C0C4A77B239ACC746B1C3A6&_z=z">Stressfraktur</a> i mediale tibia</li> </ul> <h2>Behandling</h2> <h3>Behandlingsmål</h3> <ul> <li>Fjerne inflammation og gener</li> </ul> <h3>Generelt om behandlingen</h3> <ul> <li>Konservativ behandling med aflastning fra udløsende årsager</li> <li>Operation kan anvendes ved manglende effekt af konservativ behandling, men resultaterne er dårligt videnskabeligt underbyggede<a title="Winters M, The diagnosis and management of medial tibial stress syndrome : An evidence update. Unfallchirurg 2019;: " href="EditorPage.aspx?da=core&id=%7B75D5F5FA-88E7-4990-A904-4775A2CE8863%7D&ed=FIELD9067196656&vs&la=da&fld=%7B850D32D3-55A1-49E4-9CDF-F0C88D91563C%7D&so=%2Fsitecore%2Fsystem%2FSettings%2FHtml%20Editor%20Profiles%2FRich%20Text%20LHPH&di=0&hdl=H9067196883&us=sitecore%5Canvi&mo&pe=0&fbd=1" data-type="journal-reference" data-url="reference-link" data-value-piped="Winters M|The diagnosis and management of medial tibial stress syndrome : An evidence update.|Unfallchirurg|2019|||31098646" data-value="Winters M, The diagnosis and management of medial tibial stress syndrome : An evidence update. Unfallchirurg 2019;: " data-pubmedid="31098646"><sup>3</sup></a></li> </ul> <h3>Håndtering i almen praksis</h3> <ul> <li>Instruer patienten i aflastning og at undgå de aktiviteter, der udløser symptomerne herunder modificering af eventuel træning</li> </ul> <h3>Råd til patienten</h3> <ul> <li>Undgå eller reducere udløsende belastninger, evt. skift til alternativ træning, udfør jævnlig udspænding af lægmuskulaturen</li> <li>Hvile indtil de akutte symptomer er ovre</li> <li>Derefter optræning med justerede træningsmetoder <ul> <li>Undgå/reducer løb på hårdt underlag</li> <li>Brug stabilt fodtøj med god støddæmpning</li> <li>Brug løbesko med god støddæmpning. Undgå de hårde hælsko ved opvarmning og "nedjogging"</li> </ul> </li> </ul> <h3>Medicinsk behandling</h3> <ul> <li>Sandsynligvis kun begrænset effekt</li> <li><a href="http://pro.medicin.dk/Laegemiddelgrupper/Grupper/213010">NSAID</a> kan forsøges i korte perioder med akutte og udtalte gener</li> <li>Evt. <a href="http://pro.medicin.dk/Laegemiddelgrupper/Grupper/215000">lokalbehandling</a>, f.eks. [DliActiveSubstance;6083;ibuprofen gel]</li> </ul> <h3>Anden behandling</h3> <h4>Ortoser/såler</h4> <ul> <li>Løbsanalyse kan vise, at foden overpronerer i belastningsfasen, dvs. valgusstilling af hælen <ul> <li>Korriger med specielle løbesko, der kompenserer for pronation</li> <li>Korriger alternativt med indlægssål som giver god støtte under fodbuen, og som er bygget lidt op under caput af første metatars</li> <li>Det kan ofte være vanskeligt at lave den korrekte sål ved første forsøg. Patienterne skal da tilbage til fodterapeuten for korrektion</li> </ul> </li> </ul> <h4>Fysioterapi</h4> <ul> <li>Nogle kan have nytte af optræning vejledt af fysioterapeut. Der bør lægges vægt på alsidig træning og øvelser, som ikke belaster det skadede sted unødvendigt</li> <li>Hjælp til at korrigere eller kompensere for eventuelle disponerende fejlstillinger i fødder</li> <li>Instruktion i udspændingsøvelser og alternativ træning</li> </ul> <h3>Kirurgi</h3> <ul> <li>Dokumentationen for effekt er generelt dårlig</li> <li>Operation bør derfor først forsøges, når konservativ behandling ikke virker, men vurderes tidligst efter 3-6 måneder med adækvat konservativ behandling</li> <li>Der foretages en spaltning af soleusfascien og fascien til den dybe, bagerste muskelloge langs medialkanten af tibia ca. 1-2 cm fra mediale tibiakant</li> <li>Postoperativt lægges en komprimerende bandage, som patienten bør have i 8-10 dage</li> <li>Aflastning med krykker varer almindeligvis i ca. en uge eller til smertefrihed. Udøveren kan genoptage løbetræningen efter 4-6 uger</li> <li>Vellykket resultat hos 80-90 % er beskrevet, men der foreligger kun få studier af lav videnskabelig kvalitet, hvorfor operation ikke generelt kan anbefales<a title="Winters M, The diagnosis and management of medial tibial stress syndrome : An evidence update. Unfallchirurg 2019;: " href="EditorPage.aspx?da=core&id=%7B75D5F5FA-88E7-4990-A904-4775A2CE8863%7D&ed=FIELD9067196656&vs&la=da&fld=%7B850D32D3-55A1-49E4-9CDF-F0C88D91563C%7D&so=%2Fsitecore%2Fsystem%2FSettings%2FHtml%20Editor%20Profiles%2FRich%20Text%20LHPH&di=0&hdl=H9067196883&us=sitecore%5Canvi&mo&pe=0&fbd=1" data-type="journal-reference" data-url="reference-link" data-value-piped="Winters M|The diagnosis and management of medial tibial stress syndrome : An evidence update.|Unfallchirurg|2019|||31098646" data-value="Winters M, The diagnosis and management of medial tibial stress syndrome : An evidence update. Unfallchirurg 2019;: " data-pubmedid="31098646"><sup>3</sup></a> </li> </ul> <h3>Forebyggende behandling</h3> <ul> <li>Brug fjedrende fodtøj</li> <li>Løb mindst muligt på hårdt underlag, asfalt og lignende</li> <li>Reducer eller læg træningen om, hvis generne melder sig</li> </ul> <h2>Henvisning</h2> <ul> <li>Ved manglende effekt af konservativ behandling</li> <li>Ved stadige recidiver efter konservativ behandling</li> </ul> <h2>Opfølgning</h2> <ul> <li>Ved konservativ behandling kan opfølgning ske i almen praksis</li> </ul> <h2>Sygdomsforløb, komplikationer og prognose</h2> <h3>Sygdomsforløb</h3> <ul> <li>De fleste bliver relativt raske ved hvile og omlægning af træningen</li> <li>Tilstanden har alligevel tendens til at komme igen. Man skal ofte tage hensyn til dette i lang tid</li> <li>Nogle patienter får kroniske gener, som forhindrer aktiv idræt</li> </ul> <h3>Komplikationer</h3> <ul> <li>Efter kirurgisk behandling er der set skader på n. saphenus</li> </ul> <h3>Prognose</h3> <ul> <li>Prognosen er generelt god, hvis patienten følger et konservativt behandlingsoplæg med nedtrapning af smerteudløsende aktivitet og sko-/såltilpasning</li> <li>Kirurgisk behandling er beskrevet at give bedring af symptomer hos 80-90 % af patienterne, men topidrætsudøvere skal regne med at være borte fra idræt på højt niveau i indtil et halvt år</li> </ul> <h2>Baggrundsoplysninger </h2> <h3>Definition<a title="Winkelmann ZK, Anderson D, Games KE, Eberman LE, Risk Factors for Medial Tibial Stress Syndrome in Active Individuals: An Evidence-Based Review. J Athl Train 2016;51(12): 1049-52" href=" " data-type="journal-reference" data-url="reference-link" data-value-piped="Winkelmann ZK, Anderson D, Games KE, Eberman LE|Risk Factors for Medial Tibial Stress Syndrome in Active Individuals: An Evidence-Based Review|J Athl Train|2016|51(12)|1049-52" data-value="Winkelmann ZK, Anderson D, Games KE, Eberman LE, Risk Factors for Medial Tibial Stress Syndrome in Active Individuals: An Evidence-Based Review. J Athl Train 2016;51(12): 1049-52"><sup>4</sup></a><sup>,</sup><a href=" " data-type="journal-reference" data-value="Hamstra-Wright KL, Bliven KC, Bay C, Risk factors for medial tibial stress syndrome in physically active individuals such as runners and military personnel: a systematic review and meta-analysis.. Br J Sports Med 2015;49: 362-9" data-value-piped="Hamstra-Wright KL, Bliven KC, Bay C|Risk factors for medial tibial stress syndrome in physically active individuals such as runners and military personnel: a systematic review and meta-analysis.|Br J Sports Med|2015|49|362-9|25185588" data-url="reference-link" data-pubmedid="25185588" title="Hamstra-Wright KL, Bliven KC, Bay C, Risk factors for medial tibial stress syndrome in physically active individuals such as runners and military personnel: a systematic review and meta-analysis.. Br J Sports Med 2015;49: 362-9"><sup>5</sup></a></h3> <ul> <li>Betændelse i muskel og senefæstet langs postero-mediale kant af tibia </li> <li>Synonyme betegnelser: Medialt tibialt stresssyndrom, shin splint, prætibial periostit, knoglehindebetændelse, medial traktionsperiostit </li> </ul> <h3>Forekomst</h3> <ul> <li>Dette er den hyppigst forekommende kroniske belastningsskade hos idrætsudøvere </li> <li>Specielt hyppig blandt løbere, hos idrætsfolk der hopper meget og i hal-idræt </li> <li>Langrendsløbere og skøjteløbere er også udsatte</li> </ul> <h3>Ætiologi og patogenese</h3> <ul> <li>Gentagne træk i muskel/sene-fæstet for mediale del af soleus eller tibialis posterior langs mediale del af tibia, specielt de distale 2/3 </li> <li>Ved langvarige og gentagne belastninger udvikles en inflammation i muskelfæstet i periost </li> <li>Muskelhypertrofi og stivhed i forbindelse med intense træningsperioder antages at være en vigtig udløsende årsag. Smerterne kommer fra en betændelse, fibrosering og fasciefortykkelse ind mod knoglehinden på medialkanten af tibia, specielt de distale 2/3 af denne </li> <li>Tibiaperiostit kan forekomme isoleret eller sekundært til anden skade, f.eks. stressfraktur eller kronisk forreste kompartmentsyndrom</li> </ul> <h3>Disponerende faktorer</h3> <ul> <li>Løb på hårdt underlag </li> <li>Overvægt</li> <li>Øget udadrotation af læggen og hyperpronation menes muligvis at kunne være en medvirkende faktor <ul> <li>Det vil sige varusstilling i bagre del af foden, øget pronation af forreste del af foden, genu valgum </li> <li>Medfører at udøveren afvikler foden over mediale fodrand, hvilket igen resulterer i øget belastning ved muskelfasciens fæste på knoglehinden medialt</li> </ul> </li> </ul> <h3>ICPC-2</h3> <p>[ICPC]</p> <h3>ICD-10/SKS-koder</h3> <p>M76.8</p> <h2>Patientinformation</h2> <h3>Hvad du bør informere patienten om</h3> <ul> <li>Nødvendigheden af at undgå de udløsende aktiviteter</li> <li>Råd for egenbehandling</li> </ul> <h3>Hvad findes der af skriftlig information?</h3> <ul> <li><a href="~/link.aspx?_id=67D50E254217413C9571854442680A0A&_z=z">Knoglehindebetændelse i læggen</a></li> </ul> <h3>Træningsfilm for underben og fod</h3> <ul> <li><a href="~/link.aspx?_id=1F6D4E5CBD3F4692BA93BE7541182DB7&_z=z">Øvelsesprogram, 3 øvelser</a><br> <br> <a href="~/link.aspx?_id=66FD9B729628437E98D9A0A38C191DB8&_z=z"><img alt="" src="E5F85279BD074A85A25EAE999BECACD2-135-84" style="height: 84px; width: 135px;" height="84" width="135"></a></li> </ul>]]></HtmlField> <HtmlField Name="Resume"><![CDATA[<h2>Resumé</h2> <h3>Diagnose</h3> <ul> <li>Belastningsudløste smerter fortil på medialsiden af crus</li> <li>Ømhed ved palpation langs tibias mediale kant</li> <li>Ofte overproneret fodstilling</li> </ul> <h3>Behandling</h3> <ul> <li>Korrektion af fodtøj ved overpronering samt stødabsorberende sål</li> <li>Tilpasning af aktivitetsniveau og reduktion i træningsmængde</li> <li>Kirurgi er kun sjælden nødvendig, og evidensen er lav</li> </ul> <h3>Henvisning</h3> <ul> <li>Ved persisterende symptomer og manglende effekt af konservativ behandling</li> </ul> <h2>Seneste væsentlige ændringer</h2> <ul> <li>Ingen</li> </ul>]]></HtmlField> <LinkListField Name="Spot2"> <LinkField linktype="internal">{99A85AFD-2F7A-4B5D-A1C9-C2701D5E7D30}</LinkField> </LinkListField> <TextField Name="DoctorsHandbookID">2803</TextField> <TextField Name="PageTitle">Tibiaperiostit</TextField> <TextField Name="NavigationTitle">Tibiaperiostit</TextField> <CheckBoxField Name="ShowInMenu">true</CheckBoxField> <CheckBoxField Name="ShowInContentField">true</CheckBoxField> <DateTimeField Name="RevisedDate">2025-09-24T13:55:00</DateTimeField> <LinkListField Name="Authors"> <LinkField linktype="internal">{FEF92A09-6D85-4D34-BBCA-9423A48FDAB3}</LinkField> <LinkField linktype="internal">{ED7CEC94-3F7A-4FB5-BBB0-A3681BCFC481}</LinkField> </LinkListField> <LinkListField Name="Organization"> <LinkField linktype="internal">{CF77E8B9-9937-42B2-85DF-76B0F4E401F0}</LinkField> </LinkListField> <TextField Name="ICD10">M76.8</TextField> <TextField Name="ICPC2">L99</TextField> <LinkListField Name="SearchAreaID"> <LinkField linktype="internal">2</LinkField> </LinkListField> <TextField Name="Description">Tibiaperiostit er en betændelse i muskel og senefæstet langs postero-mediale kant af tibia. Synonyme betegnelser: Medialt tibialt stresssyndrom, shin splint, prætibial periostit, knoglehindebetændelse, medial traktionsperiostit</TextField> <LinkListField Name="LHPHEditor"> <LinkField linktype="internal">{C70DFB71-BE40-455A-BD6B-5AFF199797D9}</LinkField> </LinkListField> <TextField Name="__Updated by">sitecore\ceko</TextField> <TextField Name="MetaKeywords">benhindebetændelse, Lægsmerter, medial tibial stress syndrome, medialt tibialt stressyndrom, periostit, skin splint, shin splint, Tibiaperiostit, traktionsperiostit, skinnebensbetændelse, Medialt tibialt stresssyndrom, shin splint, prætibial periostit, knoglehindebetændelse, medial traktionsperiostit</TextField> <LinkListField Name="InformationCategory"> <LinkField linktype="internal">IC_13</LinkField> </LinkListField> <LinkListField Name="InformationType"> <LinkField linktype="internal">7</LinkField> </LinkListField> <LinkListField Name="SearchTargetGroup"> <LinkField linktype="internal">2</LinkField> </LinkListField> </Content> <Medias> <Media Id="E5F85279BD074A85A25EAE999BECACD2-135-84" Name="underben Play" MimeType="image/jpeg" Extension="jpg" Width="135" Height="84"><![CDATA[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]]></Media> </Medias> </Item> </Provider>
41.032 characters