ankel (PH Indholdsside)

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<ul>
    <li>Brud p&aring; anklen er almindelige og opst&aring;r efter vridskader i fodleddet</li>
    <li>Disse brud ses i alle aldre, men hyppigst hos voksne </li>
    <li>De typiske symptomer er smerter, h&aelig;velse og misfarvning. Du har desuden besv&aelig;r med at st&oslash;tte p&aring; foden </li>
    <li>Ankelbrud behandles med gips, men operation kan v&aelig;re n&oslash;dvendig, hvis bruddet er forskudt og ustabilt</li>
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      <HtmlField Name="PageContent"><![CDATA[<h2>Om anklen</h2>
<p>Ankelleddene er meget udsatte for skader. Det skyldes, at de er ganske bev&aelig;gelige og belastes med hele kroppens tyngde. </p>
<p>Leddet udg&oslash;res af 4 knogler: </p>
<ul>
    <li>Skinnebenet - hedder p&aring; fagsprog tibia</li>
    <li>L&aelig;gbenet&nbsp;- hedder p&aring; fagsprog fibula</li>
    <li>H&aelig;lbenet - hedder p&aring; fagsprog calcaneus</li>
    <li>Rullebenet - hedder p&aring; fagsprog talus</li>
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<p>
Ankelleddet stabiliseres af ankelgaflens form og ledb&aring;nd p&aring; indersiden, ydersiden og mellem de 2 l&aelig;gknogler (skinnebenet og l&aelig;gebenet). </p>
<p>Syndesmosen er navnet p&aring; et kraftigt b&aring;nd som sammenbinder&nbsp;skinnebenet og l&aelig;gebenet.
Se tegning af ankelleddet set <a href="~/link.aspx?_id=28EC78DBFC9440A0A9832D1CBF9D6FC2&amp;_z=z">bagfra</a>, fra <a href="~/link.aspx?_id=A0E11A227D0E4689AD4A237C773B0F8C&amp;_z=z">siden</a> og r&oslash;ntgenbillede <a href="~/link.aspx?_id=68D85018D91C44B5AA519392BEE2805C&amp;_z=z">skr&aring;t bagfra</a> og fra <a href="~/link.aspx?_id=A18B859BA2F348BA9B36B3A8B9E048BE&amp;_z=z">siden</a>.</p>
<p>Hovedbev&aelig;gelsen i ankelleddet er b&oslash;jning opad og str&aelig;kning nedad i den del af leddet, som udg&oslash;res af skinnebenet og rullebenet. Vridningsbev&aelig;gelser udover og indad foreg&aring;r mellem rullebenet og h&aelig;lbenet.</p>
<h2>Hvad er symptomerne p&aring; ankelbrud?</h2>
<p>Smerter, h&aelig;velse og misfarvning. Du er normalt ude af stand til at st&oslash;tte p&aring; foden p&aring; grund af smerter.</p>
<p><strong>H&oslash;r l&aelig;gen fort&aelig;lle, hvordan man vurderer sin ankelskade:</strong>&nbsp;</p>
<p>[23VIDEO=https://film.sundhed.dk/v.ihtml/player.html?token=40b2cef6e0d1131778c7e4de89d10ff5&amp;source=embed&amp;photo%5fid=76977986]</p>
<h2>Hvordan stilles diagnosen?</h2>
<p>Ofte drejer det sig om en forvridningsskade. For l&aelig;gen kan det v&aelig;re nyttigt at f&aring; beskrevet n&oslash;jagtigt, hvordan skaden opstod, og hvordan fodens position var, da uheldet skete. </p>
<p>Efter skaden opst&aring;r der hurtigt smerter, h&aelig;velse og nedsat funktion af foden.</p>
<p>Tegn p&aring; knoglebrud er fejlstilling af anklen, h&aelig;velse, tryk&oslash;mhed over knoglen, hudbl&oslash;dning, og at man normalt ikke kan st&oslash;tte p&aring; foden. </p>
<p>L&aelig;gen pr&oslash;ver at vurdere bev&aelig;geligheden i ankelleddet. Men dette kan v&aelig;re vanskeligt at gennemf&oslash;re p&aring; grund af smerter. </p>
<p>L&aelig;gen skal ogs&aring; vurdere kn&aelig;led og fod. Der skal kontrolleres, at der ikke er tegn til skader p&aring; nerver eller blodkar.</p>
<p>Ved mistanke om brud tages r&oslash;ntgenbilleder af anklen i forskellige retninger. Det kan v&aelig;re n&oslash;dvendigt at tage billeder af l&aelig;gbenet i hele sin l&aelig;ngde. Ofte er der flere brud eller skader. </p>
<p>Nogle gange er det n&oslash;dvendigt at foretage en CT-skanning for at klarg&oslash;re omfanget af bruddet, s&aelig;rligt ved brud i selve leddet.</p>
<h2>Hvilke typer ankelbrud findes der?</h2>
<p>Der findes forskellige typer af ankelbrud alt efter, hvordan foden vrides i forhold til underbenet, n&aring;r skaden sker.&nbsp;</p>
<p>Skaderne best&aring;r af knoglebrud og ledb&aring;ndsskader i forskellige kombinationer, der alle har betydning for, hvilken behandling der er n&oslash;dvendig. Hvis knoglebruddet er stabilt, kan man n&oslash;jes med gipsbehandling mens flere samtidige brud eller i kombination med ledb&aring;ndsskader kan medf&oslash;re, at ankelleddet er ustabilt og vil kr&aelig;ve operation.</p>
<h2>Hvordan opst&aring;r ankelbrud?</h2>
<p>Den mest almindelige udl&oslash;sende &aring;rsag til et brud p&aring; anklen er en s&aring;kaldt&nbsp;<strong>inversion</strong>, som for&aring;rsager langt st&oslash;rstedelen af alle ankelskader. Inversion vil sige en kombineret bev&aelig;gelse, hvor du lander efter l&oslash;b eller hop med foden b&oslash;jet nedad, og hvor foden vrides og roteres indad.</p>
<p>Ved den modsatte bev&aelig;gelse,&nbsp;<strong>eversion</strong>, er foden samtidigt b&oslash;jet opad, vredet udad og&nbsp;roteret udad.</p>
<p>Anklen er meget mere stabil og modstandsdygtig mod eversionsskader end inversionsskader. Dog kan der ved en eversionsskade opst&aring; betydelig skade p&aring; knogler og ledb&aring;nd.</p>
<p>M&aring;den foden vrides p&aring; giver derfor forskellige skader og kr&aelig;ver forskellig behandling.</p>
<h2>Hvordan behandles ankelbrud?</h2>
<p>M&aring;let med behandlingen er, at skaden heler op, s&aring; den normale funktion genskabes. </p>
<p>Det er vigtigt, at behandlingen starter s&aring; tidligt som muligt (se nedenfor), b&aring;de for at forebygge komplikationer og for at sikre, at bruddet heler hurtigt op. Behandling af ankelbrud kan v&aelig;re kompliceret og kr&aelig;ve operation. Men skaden kan ogs&aring; ofte behandles konservativt, det vil sige med gips men uden operation.</p>
<h3>F&oslash;rstehj&aelig;lp</h3>
<p>Det er vigtigt at f&aring; nedk&oslash;let og h&aelig;vet foden h&oslash;jt s&aring; hurtigt som muligt. Kompression og ro er ogs&aring; vigtig. <a href="~/link.aspx?_id=CF0C07D3B59A4C3FA0463427F9AA1462&amp;_z=z">Se vejledning her</a>.</p>
<p><img title="Bandagering af ankel." src="51D27AA5CFC041CAADAFA2F643748708-257-240" alt="Bandagering af ankel." style="width: 257px; height: 240px;" height="240" width="257"></p>
<p>Du f&aring;r smertestillende medicin og kontrollerer, at der ikke er skade p&aring; nerver og kredsl&oslash;b. Bruddet stabiliseres, og man fors&oslash;ger at g&oslash;re anklen ubev&aelig;gelig i en s&aring; neutral position som mulig. </p>
<p>Hvis det er et &aring;bent brud, d&aelig;kkes der med en steril bandage.</p>
<h3>Behandling med gips (konservativ behandling)</h3>
<p>Brud, som l&aelig;gen vurderer er stabile, behandles med gips eller anden form for bandage. </p>
<p>Eksempelvis vil uforskudt brud i &eacute;n ankelknude (malleol) normalt behandles med st&oslash;vlegips fra kn&aelig; til t&aelig;er, med 90&deg; vinkel i anklen, i 6 uger. Nogle brud m&aring; belastes med det samme, mens andre kr&aelig;ver en periode, hvor man ikke st&oslash;tter p&aring; foden, for at bruddet ikke forskydes. Gipsen fjernes ofte efter 6 uger, og du kan starte forsigtigt med &oslash;velser, efter nogen tid med &oslash;get belastning.</p>
<h3>Behandling med operation</h3>
<p>Ustabile brud&nbsp;kr&aelig;ver operation.&nbsp;</p>
<p>Hvis det er muligt, fors&oslash;ger l&aelig;gen at operere indenfor f&aring; timer, inden der opst&aring;r sv&aelig;r h&aelig;velse. </p>
<p>Hvis der er g&aring;et for lang tid, og h&aelig;velsen er for stor, s&aelig;ttes bruddet p&aring; plads, og du f&aring;r lagt en gipsst&oslash;tte. Operationen uds&aelig;ttes da, indtil h&aelig;velsen er aftaget, som regel efter 4-6 dage. </p>
<p>Brud i den udvendige ankelknude f&aelig;stes ofte med skrue eller st&oslash;tteplade. Brud i den indvendige ankelknude f&aelig;stes oftest med skrue(r), pinde eller st&aring;ltr&aring;d. </p>
<p>Overrevet syndesmose f&aelig;stes med skrue eller wire, som s&aelig;ttes fra l&aelig;gbenet ind i skinnebenet.</p>
<p>Efter operation behandles med gips og optr&aelig;ning.</p>
<h3>Hvilke komplikationer kan der opst&aring;?</h3>
<p>Ved brud med store forskydninger er der fare for skade p&aring; huden (nekrose). Hvis bruddet er &aring;bent, er der stor risiko for infektion. </p>
<p>Kraftig h&aelig;velse og h&oslash;jt indvendig tryk kan hindre blodtilf&oslash;rslen og skade muskler og sener (<a href="~/link.aspx?_id=5B15A7505B58400F8CDEF5E293D09402&amp;_z=z">kompartmentsyndrom</a>). </p>
<p>Hvis bruddet heler d&aring;rligt, kan det give en ustabil ankel, kroniske smerter og stivhed. </p>
<p><a href="~/link.aspx?_id=C986CBB90C3E470397DB6A55E7D944AC&amp;_z=z">Slidgigt</a> kan opst&aring; ved ankelbrud, specielt hvis ledfladerne er knust eller ikke kommer rigtigt p&aring; plads.</p>
<h3>Hvorn&aring;r skal jeg s&oslash;ge hj&aelig;lp?&nbsp;</h3>
<p>Ved smerter, der ikke hurtigt forsvinder efter forvridning af anklen, og hvor du ikke kan st&oslash;tte p&aring; foden.</p>
<h2>Hvordan udvikler sygdommen sig?</h2>
<p>Prognosen er god, hvis der er stillet en korrekt diagnose og udf&oslash;rt korrekt behandling. Komplicerede &aring;bne brud med betydelige skader p&aring; muskler og led har en d&aring;rligere prognose. </p>
<p>Isolerede, ikke-forskudte brud p&aring; udsiden af ankelknuder, er det hyppigste ankelbrud. Denne type brud har god prognose og heler normalt uden problemer. </p>
<p>Optr&aelig;ning kan ofte reducere senere symptomer i form af nedsat bev&aelig;gelighed.</p>
<h3>Hvor hyppig er ankelbrud?</h3>
<p>Ankelbrud udg&oslash;r cirka 15 % af alle skader p&aring; anklen.</p>
<p>Brud i ankelknuderne (malleolerne) ses hyppigst i ankelknuderne p&aring; ydersiden. </p>
<p>Ankelbrud er hyppige b&aring;de blandt yngre og &aelig;ldre mennesker.</p>
<h3>Kan jeg f&aring; ankelbrud mere end &eacute;n gang?</h3>
<p>Ja, selv om bruddet er helet, kan man ved et nyt vrid igen f&aring; et ankelbrud.</p>
<h2>Vil du vide mere?</h2>
<ul>
    <li><a href="~/link.aspx?_id=9F430EA25AC644148D71F49BD7D77E49&amp;_z=z">R&oslash;ntgen af knoglerne</a>&nbsp;</li>
    <li><a href="~/link.aspx?_id=FC7E438EE1E243D8AA35573DF6F77242&amp;_z=z">Generelt om knoglebrud</a> </li>
    <li>
    <a href="~/link.aspx?_id=49D9481731BB4A1AA7FC70CA395C119D&amp;_z=z">Gipsbehandling</a> </li>
    <li>
    <a href="~/link.aspx?_id=E23B707C0C964DAF8A23644B2B097C52&amp;_z=z">Gips - mulige komplikationer</a> </li>
    <li>
    <a href="~/link.aspx?_id=CE08361725204E469C020FBE404AD64A&amp;_z=z">Genoptr&aelig;ning og optr&aelig;ning</a> </li>
    <li>
    <a href="~/link.aspx?_id=D39C3C09429B4BA28971F44EE89D915B&amp;_z=z">Ankelbrud - for sundhedsfaglige</a></li>
</ul>
<h3>Illustrationer</h3>
<ul>
    <li>
    <a href="~/link.aspx?_id=28EC78DBFC9440A0A9832D1CBF9D6FC2&amp;_z=z">Ankelskelet, bagfra</a> </li>
    <li>
    <a href="~/link.aspx?_id=A0E11A227D0E4689AD4A237C773B0F8C&amp;_z=z">Ankelskelet, fra siden</a> </li>
    <li>
    <a href="~/link.aspx?_id=68D85018D91C44B5AA519392BEE2805C&amp;_z=z">R&oslash;ntgenbillede, skr&aring;t bagfra</a> </li>
    <li>
    <a href="~/link.aspx?_id=A18B859BA2F348BA9B36B3A8B9E048BE&amp;_z=z">R&oslash;ntgenbillede, fra siden</a> </li>
    <li>
    <a href="~/link.aspx?_id=8728762F5CB74A1384B81437E31C7959&amp;_z=z">R&oslash;ntgenbillede af ustabilt ankelbrud</a></li>
</ul>
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]]></Media>
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