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<Provider Id="sundheddkcms"> <Item Id="{3E88F9E5-9E14-4636-8005-BD33A1E9C854}" Name="tricepstendinose" Type="LHContentPage" ParentProviderId="sundheddkcms" ParentItemId="{D2F0ABAF-2E76-45F3-86FF-2DD3C3A35188}" SortOrder="700" PublishDate="2010-03-09T15:09:00" 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;"> <strong>Diagnose</strong> <ul> <li></li> <li></li> <li></li> </ul> <strong>Behandling</strong> <ul> <li></li> <li></li> <li></li> </ul> <strong>Hvornår henvise</strong> <ul> <li></li> <li></li> </ul> </td> </tr> </tbody> </table> <h2>Diagnose</h2> <ul> <li>Se <a href="~/link.aspx?_id=75FE85D473504A6794AF0E6E801324D4&_z=z">albuesmerter</a></li> </ul> <h3>Sygehistorie</h3> <ul> <li>Smerter på bagsiden af albuen, som forværres ved kraftig ekstension</li> <li>Ømhed over tricepsfæstet på bagsiden af olecranon</li> </ul> <h3>Kliniske fund</h3> <ul> <li>Isometrisk ekstensionstest (strækning af albue mod modstand) er positiv</li> <li>Ømhed over tricepssenen ved eller lige ovenfor fæstet på olecranon</li> </ul> <h3>Supplerende undersøgelser i almen praksis</h3> <ul> <li>Bedes udfyldt </li> </ul> <h3>Andre undersøgelser hos specialist</h3> <ul> <li>Røntgen er almindeligvis normalt</li> <li>Foreligger osteoartrit kan røntgen vise kalkudfældninger i senen, evt. løse legemer</li> <li>MR er som regel ikke indiceret, men kan specielt anvendes ved mistanke om hel eller delvis seneruptur</li> </ul> <h3>Differentialdiagnoser</h3> <ul> <li>Bedes udfyldt</li> </ul> <h2>Behandling</h2> <h3>Behandlingsmål</h3> <ul> <li>Helbredelse</li> <li>Forebygge recidiv</li> </ul> <h3>Generelt om behandlingen</h3> <ul> <li>Ændring af aktivitet, evt. <a href="http://pro.medicin.dk/Laegemiddelgrupper/grupper/213010">NSAID</a>, evt. <a href="http://pro.medicin.dk/Laegemiddelgrupper/Grupper/171050">kortisoninjektion</a>, evt. fysioterapi</li> <li>Hvornår kan en idrætsudøver genoptage aktiv idræt? <ul> <li>Som regel kan det ske, når symptomerne er tolerable, og styrken er genvundet</li> </ul> </li> </ul> <h3>Håndtering i almen praksis</h3> <ul> <li>Bedes udfyldt </li> </ul> <h3>Råd til patienten</h3> <ul> <li>Omlægning af aktivitet eller træning</li> </ul> <h3>Medicinsk behandling</h3> <ul> <li><a href="http://pro.medicin.dk/Laegemiddelgrupper/grupper/213010">NSAID </a>kan prøves ved akut tilstand <ul> <li>Evt. <a href="http://pro.medicin.dk/Laegemiddelgrupper/grupper/215000">lokalbehandling med NSAID</a></li> </ul> </li> <li>Evt. <a href="http://pro.medicin.dk/Laegemiddelgrupper/Grupper/225000">kortison + lokalbedøvelse</a> <ul> <li>Kan sættes på forsiden af senen ned mod ulnaspidsen</li> <li>Sæt spidsen ind fra lateralsiden af senen</li> <li>Sæt ikke injektionen i senevævet. Væsken skal sprøjtes ind uden modstand</li> </ul> </li> </ul> <h3>Anden behandling</h3> <ul> <li>Operation anvendes som hovedregel kun ved total seneruptur </li> <li>Fysioterapi <ul> <li>Instruktion i aktive øvelser som ikke forværrer tilstanden: udspænding, styrketræning, gennemgang af patientens eller idrætsudøverens brug af albuen</li> <li>Strøm, ultralyd og laserbehandling er dårlig dokumenteret</li> </ul> </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 vedvarende albuesmerter, der ikke svinder på aflastning og NSAID</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>Belastningsskade i tricepssenen på bagsiden af albuen<a title="Rineer CA, Ruch DS., Elbow tendinopathy and tendon ruptures: epicondylitis, biceps and triceps ruptures.. J Hand Surg Am. 2009;34: 566-76" href=" " data-type="journal-reference" data-value="Rineer CA, Ruch DS., Elbow tendinopathy and tendon ruptures: epicondylitis, biceps and triceps ruptures.. J Hand Surg Am. 2009;34: 566-76" data-value-piped="Rineer CA, Ruch DS.|Elbow tendinopathy and tendon ruptures: epicondylitis, biceps and triceps ruptures.|J Hand Surg Am.|2009|34|566-76" data-url="reference-link">1</a><sup>,</sup><a title="van den Bekerom MP, Eygendaal D., Posterior elbow problems in the overhead athlete.. Sports Med Arthrosc. 2014;22: 183-7" href=" " data-type="journal-reference" data-value="van den Bekerom MP, Eygendaal D., Posterior elbow problems in the overhead athlete.. Sports Med Arthrosc. 2014;22: 183-7" data-value-piped="van den Bekerom MP, Eygendaal D.|Posterior elbow problems in the overhead athlete.|Sports Med Arthrosc.|2014|22|183-7" data-url="reference-link">2</a><sup>,</sup><a title="Sibley PA, Harman TW, Bamberger HB. , Triceps Tendinopathy. . J Hand Surg Am. 2016;40: 1446-8" href=" " data-type="journal-reference" data-value="Sibley PA, Harman TW, Bamberger HB. , Triceps Tendinopathy. . J Hand Surg Am. 2016;40: 1446-8" data-value-piped="Sibley PA, Harman TW, Bamberger HB. |Triceps Tendinopathy. |J Hand Surg Am.|2016|40|1446-8" data-url="reference-link">3</a></li> </ul> <h3>Forekomst</h3> <ul> <li>Relativt sjælden tilstand </li> </ul> <h3>Ætiologi og patogenese</h3> <ul> <li>Resultat af gentagne, evt. kraftige, albueekstensioner som eksempelvis ved kast under sportsaktivitet<a title="van den Bekerom MP, Eygendaal D., Posterior elbow problems in the overhead athlete.. Sports Med Arthrosc. 2014;22: 183-7" href="https://cms.sundhed.dk/" data-type="journal-reference" data-value="van den Bekerom MP, Eygendaal D., Posterior elbow problems in the overhead athlete.. Sports Med Arthrosc. 2014;22: 183-7" data-value-piped="van den Bekerom MP, Eygendaal D.|Posterior elbow problems in the overhead athlete.|Sports Med Arthrosc.|2014|22|183-7" data-url="reference-link">2</a></li> </ul> <h3>Disponerende faktorer</h3> <ul> <li>Bedes udfyldt </li> </ul> <h3>ICPC-2</h3> <p>[ICPC]</p> <h3>ICD-10/SKS-koder</h3> <p>[ICD10]</p> <h2>Patientinformation</h2> <h3>Hvad findes der af skriftlig patientinformation</h3> <ul> <li><a href="~/link.aspx?_id=3A210B2BEAD24C89BF4A7C7DEC4C3F3F&_z=z">Kortisonsprøjte</a></li> <li><a href="~/link.aspx?_id=C2E6348F0EEE4805AB4A06B7E0377094&_z=z">Albuesmerter</a></li> </ul> <h3>Træningsfilm for albue og underarm</h3> <ul> <li><a href="~/link.aspx?_id=73767A48745041A09432DB6606696284&_z=z">Øvelsesprogram, 3 øvelser</a><br> <br> <a href="~/link.aspx?_id=F72A8EE6731841AE839261CF3566367D&_z=z"><img alt="" height="84" width="135" src="75B6E3B12E8C4C0AACCA429AA76D364A-135-84" style="height: 84px; width: 135px;"></a></li> </ul> <ul> </ul> 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]]></Media> 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