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<Provider Id="sundheddkcms"> <Item Id="{5E0F8C4E-274D-4F3A-8438-64A95B8712EC}" Name="snapping-elbow" Type="LHContentPage" ParentProviderId="sundheddkcms" ParentItemId="{D2F0ABAF-2E76-45F3-86FF-2DD3C3A35188}" SortOrder="600" PublishDate="2010-03-09T14:58:00" DeleteDate="2999-12-31T00:00:00" PotItemType=""> <Content> <HtmlField Name="PageContent"><![CDATA[<h2>Resumé</h2> <table style="height: 96px; width: 630px;"> <tbody> <tr> <td style="background-color: #dbe5f1; text-align: left;"> <p><strong>Diagnose</strong></p> <ul> <li></li> <li></li> <li></li> </ul> <strong></strong><strong> <p>Behandling</p> </strong> <ul> <li></li> <li></li> <li></li> </ul> <p><strong>Hvornår henvise?</strong></p> <ul> <li></li> </ul> </td> </tr> </tbody> </table> <h2>Diagnose</h2> <h3>Sygehistorie</h3> <ul> <li>Følelse af at noget smutter ud bagtil og medialt/lateralt, med eller uden smerter</li> </ul> <h3>Kliniske fund</h3> <ul> <li>Demonstration af smut</li> </ul> <h3>Supplerende undersøgelser i almen praksis</h3> <ul> <li>Bedes udfyldt</li> </ul> <h3>Andre undersøgelser hos specialist</h3> <ul> <li>Bedes udfyldt</li> </ul> <h3>Differentialdiagnoser</h3> <ul> <li>Bedes udfyldt</li> </ul> <h2>Behandling</h2> <h3>Behandlingsmål</h3> <ul> <li>Aflastning</li> <li>Evt. <a href="http://pro.medicin.dk/Laegemiddelgrupper/grupper/213010">NSAID</a></li> <li>Ved længerevarende smerter kan operation komme på tale</li> <li>Ved operation kan man artroskopisk fjerne plicadannelse</li> <li>Hvis der er tale om senepatologi kan senen forsøges stabiliseret</li> <li>Ved luksation af nervus ulnaris over mediale epicondyl, vil man forsøge at stabilisere nerven i sulcus eller lave såkaldt anteposition, hvor nerven lejres foran mediale epicondyl</li> </ul> <h3>Generelt om behandlingen</h3> <ul> <li>Bedes udfyldt</li> </ul> <h3>Håndtering i almen praksis</h3> <ul> <li>Bedes udfyldt</li> </ul> <h3>Råd til patienten</h3> <ul> <li>Bedes udfyldt</li> </ul> <h3>Medicinsk behandling</h3> <ul> <li>Bedes udfyldt</li> </ul> <h3>Kirurgi</h3> <ul> <li>Bedes udfyldt</li> </ul> <h3>Forebyggende behandling</h3> <ul> <li>Bedes udfyldt</li> </ul> <h2>Hvornår skal patienten henvises</h2> <ul> <li>Ved generende symptomer</li> </ul> <h2>Opfølgning</h2> <ul> <li>Bedes udfyldt</li> </ul> <h2>Sygdomsforløb, komplikationer og prognose</h2> <h3>Sygdomsforløb</h3> <ul> <li>Bedes udfyldt</li> </ul> <h3>Komplikationer</h3> <ul> <li>Bedes udfyldt</li> </ul> <h3>Prognose</h3> <ul> <li>Bedes udfyldt</li> </ul> <h2>Baggrundsoplysninger</h2> <h3>Definition</h3> <ul> <li>Der findes to typer: en medial og en laterale type, der skyldes forskellig ætiologi</li> </ul> <h3>Forekomst</h3> <ul> <li>Opstår oftest spontant hos teenagere </li> <li>Kastere og tennisspillere er mest udsat</li> </ul> <h3>Ætiologi og patogenese</h3> <ul> <li>Ved den mediale type skyldes det oftest at n. ulnaris sublukserer, eller at en del af tricepssenen smutter over mediale epikondyl, alternativt evt. anomal tricepssene<a title="Spinner RJ, Goldner RD., Snapping of the medial head of the triceps and recurrent dislocation of the ulnar nerve. Anatomical and dynamic factors.. J Bone Joint Surg Am. 1998;80: 239-47" href=" " data-value-piped="Spinner RJ, Goldner RD.|Snapping of the medial head of the triceps and recurrent dislocation of the ulnar nerve. Anatomical and dynamic factors.|J Bone Joint Surg Am.|1998|80|239-47" data-type="journal-reference" data-value="Spinner RJ, Goldner RD., Snapping of the medial head of the triceps and recurrent dislocation of the ulnar nerve. Anatomical and dynamic factors.. J Bone Joint Surg Am. 1998;80: 239-47" data-url="reference-link">1</a></li> <li>Den mediale type med n. ulnarisluksation ses relativt hyppigt efter dekompressionsoperation for cubitaltunnelsyndrom<a href=" " data-type="journal-reference" data-value="Matzon JL, Lutsky KF, Hoffler CE, Kim N, Maltenfort M, Beredjiklian PK, Risk Factors for Ulnar Nerve Instability Resulting in Transposition in Patients With Cubital Tunnel Syndrome. J Hand Surg Am 2016;41: 180-3" data-value-piped="Matzon JL, Lutsky KF, Hoffler CE, Kim N, Maltenfort M, Beredjiklian PK|Risk Factors for Ulnar Nerve Instability Resulting in Transposition in Patients With Cubital Tunnel Syndrome.|J Hand Surg Am|2016|41|180-3|26723476" data-url="reference-link" data-pubmedid="26723476" title="Matzon JL, Lutsky KF, Hoffler CE, Kim N, Maltenfort M, Beredjiklian PK, Risk Factors for Ulnar Nerve Instability Resulting in Transposition in Patients With Cubital Tunnel Syndrome. J Hand Surg Am 2016;41: 180-3">#</a> eller ved instabilitet i albuen<a href=" " data-type="journal-reference" data-value="Savoie FH, O'Brien M, Chronic medial instability of the elbow. EFORT Open Rev 2017;2: 1-6" data-value-piped="Savoie FH, O'Brien M|Chronic medial instability of the elbow.|EFORT Open Rev|2017|2|1-6|28607764" data-url="reference-link" data-pubmedid="28607764" title="Savoie FH, O'Brien M, Chronic medial instability of the elbow. EFORT Open Rev 2017;2: 1-6">#</a></li> <li>Ved den laterale skyldes generne kapselfortykkelse/plicadannelse<a title="Steinert AF, Goebel S, Rucker A, Barthel T. , Snapping elbow caused by hypertrophic synovial plica in the radiohumeral joint: a report of three cases and review of literature.. Arch Orthop Trauma Surg. 2010;130: 347-51" href="https://cms.sundhed.dk/" data-value-piped="Steinert AF, Goebel S, Rucker A, Barthel T. |Snapping elbow caused by hypertrophic synovial plica in the radiohumeral joint: a report of three cases and review of literature.|Arch Orthop Trauma Surg. |2010|130|347-51" data-type="journal-reference" data-value="Steinert AF, Goebel S, Rucker A, Barthel T. , Snapping elbow caused by hypertrophic synovial plica in the radiohumeral joint: a report of three cases and review of literature.. Arch Orthop Trauma Surg. 2010;130: 347-51" data-url="reference-link">2</a><sup>,</sup><a title="Kang ST, Kim TH., Lateral sided snapping elbow caused by a meniscus: two case reports and literature review.. Knee Surg Sports Traumatol Arthrosc. 2010;18: 840-4" href="https://cms.sundhed.dk/" data-value-piped="Kang ST, Kim TH.|Lateral sided snapping elbow caused by a meniscus: two case reports and literature review.|Knee Surg Sports Traumatol Arthrosc. |2010|18|840-4" data-type="journal-reference" data-value="Kang ST, Kim TH., Lateral sided snapping elbow caused by a meniscus: two case reports and literature review.. Knee Surg Sports Traumatol Arthrosc. 2010;18: 840-4" data-url="reference-link">3</a><strong></strong></li> </ul> <h3>ICPC-2</h3> <p>[ICPC]</p> <h3>ICD-10/SKS-koder</h3> <p>[ICD10]</p> <h2>Patientinformation</h2> <h3>Link til patientinformation</h3> <ul> <li><a href="~/link.aspx?_id=6B8777F3E34146B6BC6C27733E2C0318&_z=z">Snapping elbow</a></li> </ul> <ul> </ul> <h2>Link til vejledninger</h2> <ul> <li>Forløbsbeskrivelser og pakkeforløb [ICPC] </li> </ul>]]></HtmlField> <LinkListField Name="Spot2"> <LinkField linktype="internal">{99A85AFD-2F7A-4B5D-A1C9-C2701D5E7D30}</LinkField> </LinkListField> <TextField Name="DoctorsHandbookID">12262</TextField> <TextField Name="PageTitle">Snapping elbow</TextField> <TextField Name="NavigationTitle">Snapping elbow</TextField> <CheckBoxField Name="ShowInMenu">true</CheckBoxField> <CheckBoxField Name="ShowInContentField">true</CheckBoxField> <DateTimeField Name="RevisedDate">2019-03-14T13:49:00</DateTimeField> <LinkListField Name="Authors"> <LinkField linktype="internal">{CFEF3DF6-6DE3-47EB-9967-10BC908CC816}</LinkField> <LinkField linktype="internal">{26E8FF8A-82A3-4E33-AEC4-889C9763B0DA}</LinkField> <LinkField linktype="internal">{10F0E7D2-8D6D-49AE-94B3-998114356326}</LinkField> <LinkField linktype="internal">{57953E6C-F4F3-419B-B65F-08FB99B945E8}</LinkField> </LinkListField> <LinkListField Name="Organization"> <LinkField linktype="internal">{CF77E8B9-9937-42B2-85DF-76B0F4E401F0}</LinkField> </LinkListField> <TextField Name="ICD10">M25.4,</TextField> <TextField Name="ICPC2">L10</TextField> <LinkListField Name="SearchAreaID"> <LinkField linktype="internal">2</LinkField> </LinkListField> <TextField Name="Description">Snapping elbow opstår oftest spontant hos teenagere. 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