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<Provider Id="sundheddkcms"> <Item Id="{8B040AA7-2EBF-4187-B296-FB6EE49C9B40}" Name="bruskskader-i-hofteleddet" Type="PHContentPage" ParentProviderId="sundheddkcms" ParentItemId="{D3C2055D-059D-4E8A-A539-2CD9D8797FF5}" SortOrder="1000" PublishDate="2010-10-25T12:38:00" DeleteDate="2999-12-31T00:00:00" PotItemType=""> <Content> <LinkListField Name="Spot2"> <LinkField linktype="internal">{A12FFEB9-7D21-4130-9428-1457C5AB696B}</LinkField> </LinkListField> <HtmlField Name="FactContent"><![CDATA[<h2>Fakta</h2> <ul> <li>Skader kan opstå i ledbrusken i hofteleddet </li> <li>Skaderne på brusken gør ledoverfladen ujævn. Små stykker af brusk kan komme i klemme og give smerter</li> <li>Diagnosen kan blive bekræftet ved en MR-skanning</li> <li>Hos yngre uden tegn på slidgigt i hoften foregår operation ved en kikkertoperation</li> <li>Ved samtidig slidgigt i hoften indsættes kunstigt hofteled, hvis der ikke er effekt af træning</li> </ul>]]></HtmlField> <HtmlField Name="PageContent"><![CDATA[<h2>Hvorfor opstår bruskskader?</h2> <p>Bruskskader kan opstå på baggrund af unormale forhold i hofteleddet. Bruskskade kan også opstå som resultat af skade hos personer, der dyrker idræt og anden fysisk aktivitet med høj intensitet. </p> <p>Bruskskaden bevirker, at små bruskflige kommer i klemme inde i hofteleddet. Det kan udløse smerter, og nogle gange låser hofteleddet.</p> <h2>Hvad er bruskskader i hofteleddet?</h2> <p><a href="~/link.aspx?_id=978D601A3A6E4BFEAAE6EFF890FE6820&_z=z">Hofteleddet</a> er et kugleled. Det består af ledkugle (lårbenshovedet) og ledskål. Ledfladerne på lårbenshovedet og ledskålen er beklædt med ledbrusk. </p> <p>Hofteleddet har en betydelig bevægelighed i alle plan. </p> <p>Hofteleddet stabiliseres af ledkapslen, de omgivende muskler, bruskskålen som beklæder den benede ledskål og en bruskkant (labrum), som forlænger bruskskålen. Labrum gør dermed ledskålen dybere, fordeler belastningen over et større areal og beskytter leddet.</p> <p>Forandringer eller skader på brusken i hofteleddet gør, at bruskstykker kan komme i klemme i forbindelse med, at du bøjer og roterer i hoften. Denne type skade er en almindelig årsag til smerter i hoften. </p> <p>På fagsprog bruges ofte betegnelsen hofte "impingement". Det betyder, at noget kommer i klemme inde i hofteleddet.</p> <h2>Hvad er symptomerne på bruskskade i hoften?</h2> <p>Tegn på bruskskade i hofteleddet er episoder med pludselige smerter i hofteleddet, som over tid kan udvikle sig til mere sammenhængende kroniske smerter, nedsat bevægelighed og eventuelt tidlig udvikling af slidgigt i hoften.</p> <p>Personer med bruskskader i hoften har smerter dybt i lysken. Smerterne bliver ofte værre af fysisk aktivitet, men i svære tilfælde kan der være smerter i hvile eller om natten.</p> <p>Smerten kan også opstå, når personen vender sig eller drejer i hoften. Smerten bliver med tiden langsomt værre.</p> <p>Mange oplever også, at det typisk bliver værre, når de har siddet længe ned, og fx rejser sig fra en stol, eller når de stiger ind og ud af en bil, eller når de læner sig forover.</p> <h3>Hvilke symptomer skal du være særlig opmærksom på?</h3> <p>Smerter dybt fra hoften og lyskeregionen.</p> <h2>Hvordan stilles diagnosen?</h2> <p>Sygehistorien kan give lægen mistanke om tilstanden. Ved lægens undersøgelse kan en test af hoftens rotationsevne udløse de smerter, som personen oplever i dagligdagen. </p> <p>Røntgenbilleder kan give mistanke om tilstanden og kan suppleres med MR-undersøgelse, hvor man indsprøjter kontrastvæske i hofteleddet.</p> <p>Diagnosen kan også bekræftes ved indsprøjtning af binyrebarkhormon (steroid) ind i hofteleddet i forbindelse med ultralydsundersøgelse.</p> <h2>Hvorfor får du bruskskade i hofteleddet?</h2> <p>Bruskskade opstår i grænsefladen mellem lårbenshovedet og kanten på bruskskålen. Man skelner mellem to hovedtyper af skader: Skader på labrumbrusken og skader eller forandringer på lårbenshovedet. Sådanne bruskskader fører til, at små flager af brusk stikker ud og kan komme i klemme - deraf navnet impingement eller indeklemning. Det er en tilsvarende skade, som opstår i knæleddet ved <a href="~/link.aspx?_id=CC45FF8D0E3940408575E27BAD7E01CF&_z=z">meniskskade</a>.</p> <p>Tilstanden udvikler sig som regel gradvist. Skaderne på ledbrusken i hofteleddet kan begrænse personens evne til at træne og give smerter ved daglige aktiviteter. Disse skader på brusken kan også være en tidlig årsag til slidgigt i <a href="~/link.aspx?_id=17E70606FA664620A32D16A591713926&_z=z">hofteleddet</a>.</p> <p>Enkelte personer er fra naturens side blevet udstyret med en bruskkant, som stikker lidt længere frem end hos andre personer. En sådan udstående bruskkant er lettere udsat for skader.</p> <h3>Er bruskskade i hofteleddet arveligt?</h3> <p>Tilstande som disponerer til bruskskade i hofteleddet kan være arvelige.</p> <h2>Hvordan behandler man bruskskade i hoften?</h2> <p>Individuelle træningsøvelser af hoften bør prøves, når diagnosen er stillet.</p> <p>Behandling med smertestillende medicin kan lindre generne. </p> <h3>Artroskopi</h3> <p>Hvis der ikke er effekt af fysioterapi og smertestillende medicin, og man har tiltagende gener, kan der foretages kirurgi i form af såkaldt artroskopisk behandling.</p> <p>Ved en <a href="~/link.aspx?_id=0A5BE9075C604C54836CA5FC9081733F&_z=z">artroskopi</a> føres et kikkertrør (skop) med lyskilde gennem hud og muskulatur og ind i leddet. Undersøgelsen vil kunne afdække bruskskader, og disse skader kan repareres gennem skopet. Endvidere vil knogleudvækst, som forårsager gener, kunne fjernes. </p> <h3>Hvad kan jeg selv gøre?</h3> <p>Det er formentligt vigtigt at blive ved med at træne hoften og at undgå overvægt.</p> <h3>Hvordan undgår jeg at få eller forværre bruskskade i hoften?</h3> <p>Der kendes ingen sikker forebyggelse.</p> <h2>Hvordan udvikler sygdommen sig?</h2> <p>Tilstanden udvikler sig normalt gradvist.</p> <p>Skaderne på ledbrusken kan tiltage, hvilket kan begrænse evnen til at træne og give smerter ved daglige aktiviteter. </p> <p>Efter operation ses generelt forbedring af livskvalitet, aktivitetsniveau og en reduktion af smerter. Hos de fleste vil der være varige gener fra hoften på trods af operation.</p> <p>Hvis der er opstået slidforandringer i leddet, mindsker det sandsynligheden for et godt resultat.</p> <p>5 år efter operation med hofteartroskopi vil omkring 15 % af personerne have fået indsat en <a href="~/link.aspx?_id=D7B1EEBC5AEF46F28E7EDE14914A7DF1&_z=z">kunstig hofteprotese</a>.</p> <h3>Er bruskskader i hofteleddet farligt?</h3> <p>Bruskskader i hofteleddet kan øge risikoen for, at du får slidgigt i hofteleddet.</p> <h3>Hvor hyppig er bruskskader i hoften?</h3> <p>Bruskskade i hofteleddet er en tilstand, som rammer yngre mennesker - måske særligt idrætsudøvere. </p> <p>Udviklingen af bruskskade i hofteleddet kan opstå i ungdommen eller i tidlig voksenalder.</p> <h3>Kan jeg få bruskskader i hofteleddet mere end én gang?</h3> <p>Ja, du kan godt få det mere end én gang.</p> <h2>Vil du vide mere?</h2> <ul> <li> <a href="~/link.aspx?_id=CC45FF8D0E3940408575E27BAD7E01CF&_z=z">Meniskskade i knæleddet</a> </li> <li> <a href="~/link.aspx?_id=17E70606FA664620A32D16A591713926&_z=z">Slidgigt i hofteleddet (hofteledsartrose)</a> </li> <li> <a href="~/link.aspx?_id=00C45D64C94B4773AD296565E53BED4B&_z=z">Slidgigt i hoften, animation</a></li> <li><a href="~/link.aspx?_id=2921EFECD0C4445CAF903F807C70FB52&_z=z">Øvelser for hoften, film</a></li> </ul> <h3>Træningsfilm for hoften</h3> <ul> <li><a href="~/link.aspx?_id=818B397C2AB842C099A97B8062EFD8E3&_z=z">Øvelsesprogram, 3 øvelser</a><br> <br> <a href="~/link.aspx?_id=2921EFECD0C4445CAF903F807C70FB52&_z=z"><img alt="" title="Klik for at se introduktionsvideoen" style="width: 135px; height: 84px;" src="9C5B771B780A41A19989427EB606036A-135-84" height="84" width="135"></a><br> <br> </li> <li><a href="~/link.aspx?_id=AFFE794173B84353A6F24E26DBA2D429&_z=z">Øvelsesprogram, 3 øvelser med arabisk tale - فيديوهات تمارين رياضية باللغة العربية</a><br> <br> <a href="~/link.aspx?_id=4B5988BBA14F4FB684F38176054DA4AF&_z=z"><img alt="" title="Klik for at se introduktionsvideoen" style="width: 135px; height: 84px;" src="737E9F0FEE87480FBBB49E2FF87F2196-135-84" height="84" width="135"></a></li> </ul>]]></HtmlField> <TextField Name="DoctorsHandbookID">34673</TextField> <TextField Name="PageTitle">Bruskskader i hofteleddet</TextField> <TextField Name="NavigationTitle">Bruskskader i hofteleddet</TextField> <CheckBoxField Name="ShowInMenu">true</CheckBoxField> <CheckBoxField Name="ShowInContentField">true</CheckBoxField> <DateTimeField Name="RevisedDate">2023-09-12T10:00:00</DateTimeField> <LinkListField Name="Authors"> <LinkField linktype="internal">{CE2BA99D-50C9-4893-9B3A-504CFF36BD80}</LinkField> <LinkField linktype="internal">{ED7CEC94-3F7A-4FB5-BBB0-A3681BCFC481}</LinkField> </LinkListField> <LinkListField Name="Organization"> <LinkField linktype="internal">{DBBC5F07-FEB9-4FAC-8DCA-1C8C28C4F5B5}</LinkField> </LinkListField> <LinkListField Name="SearchAreaID"> <LinkField linktype="internal">9</LinkField> </LinkListField> <TextField Name="Description">Bruskskader kan opstå på baggrund af unormale forhold i hofteleddet. 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