brud-paa-knaeskal (PH Indholdsside)

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      <HtmlField Name="FactContent"><![CDATA[<h2>Fakta</h2>
<ul>
    <li>Et brud p&aring; kn&aelig;skallen er et brud p&aring; den knogle, som ligger lige foran kn&aelig;et </li>
    <li>Ved et brud g&oslash;r det meget ondt fortil p&aring; kn&aelig;et. Det kan v&aelig;re h&aelig;vet, r&oslash;dt og sv&aelig;rt at str&aelig;kke ud </li>
    <li>Behandlingen er ofte en bandage eller gips. Hvis knoglestykker er forskudte, behandler man med operation</li>
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      <HtmlField Name="PageContent"><![CDATA[<h2>Kn&aelig;skallen</h2>
<p>Kn&aelig;skallen (patella) er den&nbsp;runde knogle, som ligger p&aring; forsiden af kn&aelig;et. </p>
<p>Kn&aelig;skallen giver en forst&aelig;rkning af senen til de kraftige muskler p&aring; l&aring;rets forside, kn&aelig;str&aelig;kkerne. </p>
<p>R&oslash;ntgenbillederne nedenfor viser brud p&aring; kn&aelig;skal set forfra og fra siden:</p>
<p><img height="602" alt="Brud på knæskal, røntgenbillede" width="480" title="Brud på knæskal, røntgenbillede" src="695B70F80FE44E9DA14A268F0990F516-480-602">&nbsp;<img height="602" alt="Brud på knæskal, røntgenbillede" width="480" title="Brud på knæskal, røntgenbillede" src="78F710AE32C147E9877CA13F0E35AD7E-480-602"></p>
<p>Brud i kn&aelig;skallen er relativt us&aelig;dvanligt. Man skelner mellem l&aelig;ngdeg&aring;ende brud, tv&aelig;rg&aring;ende brud, afrivningsbrud og knusningsbrud.</p>
<h2>Hvad er symptomerne p&aring; brud p&aring; kn&aelig;skallen?</h2>
<ul>
    <li>Hvis der er brud i kn&aelig;skallen, vil du f&aring; kraftige smerter i kn&aelig;et, is&aelig;r fortil. Ofte vil der v&aelig;re h&aelig;velse omkring leddet, og det kan blive r&oslash;dt og smertefuldt</li>
    <li>Det vil v&aelig;re vanskeligt at bev&aelig;ge kn&aelig;leddet, specielt at str&aelig;kke det</li>
</ul>
<h3>Hvilke symptomer skal du v&aelig;re s&aelig;rlig opm&aelig;rksom p&aring;?</h3>
<p>Du kan have nedsat eller manglende evne til at str&aelig;kke kn&aelig;et.</p>
<h2>Hvordan stilles diagnosen?</h2>
<p>For at se om der er brud, og eventuelt hvor bruddet er, bliver der taget r&oslash;ntgenbilleder af kn&aelig;et. P&aring; billedet skelner man mellem forskudte eller ikke forskudte brud, og mellem l&aelig;ngdeg&aring;ende brud, tv&aelig;rg&aring;ende brud, afrivningsbrud eller knusningsbrud.</p>
<h2>Hvordan opst&aring;r brud p&aring; kn&aelig;skallen?</h2>
<p>Brud p&aring; kn&aelig;skallen opst&aring;r oftest ved fald p&aring; kn&aelig;et eller ved en kraftig b&oslash;jning i kn&aelig;et. </p>
<p>Nogle gange kan kraftige belastninger p&aring; l&aring;rmusklerne v&aelig;re nok, fx ved at hoppe.</p>
<h2>Hvilken behandling er der?</h2>
<h4>Ikke forskudte brud</h4>
<p>Brud p&aring; kn&aelig;skallen, hvor knoglen ikke har forskudt sig, behandles med gips eller skinne. Hensigten er at afstive kn&aelig;leddet, s&aring; bruddet vokser sammen. </p>
<p>Gipsen eller skinnen bliver lagt fra l&aring;ret til anklen og skal som regel ligge p&aring; i 6-8 uger. Under og efter denne periode f&aring;r man taget nye r&oslash;ntgenbilleder. Det g&oslash;r man for at kontrollere, om bruddet heler uden at forskyde sig og vokser helt sammen. </p>
<p>Afh&aelig;ngig af bruddet kan du eventuelt f&aring; lov til at tr&aelig;ne og belaste kn&aelig;et, efter smerterne har lagt sig, men ved andre typer brud skal man holde kn&aelig;et strakt, indtil knoglen gror sammen.</p>
<h4>Forskudte brud</h4>
<p>
Ved kn&aelig;skalsbrud, hvor knoglen har forskudt sig, er det n&oslash;dvendigt at operere for at s&aelig;tte knoglestykkerne sammen. Efter operationen kan det v&aelig;re n&oslash;dvendigt at afstive kn&aelig;leddet i 4-6 uger med gips eller skinne. </p>
<p>Er bruddet stabilt efter operationen, er gips ikke n&oslash;dvendigvis p&aring;kr&aelig;vet. Du kan da begynde med at bev&aelig;ge kn&aelig;et efter nogle dage. </p>
<p>V&aelig;gtb&aelig;ring p&aring; strakt kn&aelig; tillades, men ikke v&aelig;gtb&aelig;ring p&aring; b&oslash;jet kn&aelig;. Det er derfor ofte n&oslash;dvendig med en skinne, der beskytter kn&aelig;et mod at blive b&oslash;jet helt.&nbsp;</p>
<p>N&aring;r eventuel gips er fjernet, vil l&aring;rmusklerne ofte v&aelig;re sv&aelig;kket. For at undg&aring; problemer p&aring; sigt med stivhed og smerte er det derfor vigtigt, at&nbsp;du tr&aelig;ner en periode. Det kan ofte v&aelig;re en god ide at f&aring; hj&aelig;lp af en fysioterapeut i denne fase.</p>
<h3>Hvad kan jeg selv g&oslash;re?</h3>
<p>Hvis du har smerter ved kn&aelig;et og vanskeligt ved at st&oslash;tte p&aring; benet efter at v&aelig;re faldet, s&aring; l&aelig;g noget k&oslash;ligt p&aring; og hold kn&aelig;et op, s&aring; det ikke h&aelig;ver.</p>
<h3>Hvordan undg&aring;r jeg at forv&aelig;rre brud p&aring; kn&aelig;skallen?</h3>
<p>Hvis du har mistanke om kn&aelig;skalsbrud, s&aring; kontakt din l&aelig;ge/vagtl&aelig;gen. Hold da kn&aelig;et i ro og afvent hj&aelig;lp. </p>
<p>Hvis det ikke er muligt at f&aring; kontakt til professionel hj&aelig;lp, s&aring; skal man lave en st&oslash;tteskinne til transport, se&nbsp;<a href="~/link.aspx?_id=FB90F9A13A174964BF1B29A0C4A0AA53&amp;_z=z">knoglebrud, f&oslash;rstehj&aelig;lp</a>.</p>
<h3>Hvorn&aring;r skal jeg s&oslash;ge hj&aelig;lp?&nbsp;</h3>
<p>Hvis du har vedvarende smerter ved kn&aelig;et og vanskeligt ved at st&oslash;tte p&aring; benet, skal du s&oslash;ge l&aelig;ge.&nbsp;</p>
<h2>Hvordan udvikler sygdommen sig?</h2>
<p>Hvis bruddet vokser p&aelig;nt sammen, vil&nbsp;man sandsynligvis m&aelig;rke f&aring; eller slet ingen gener i efterforl&oslash;bet. Enkelte kan f&aring; nedsat str&aelig;kevne, smerter og stivhed, men god optr&aelig;ning kan i mange tilf&aelig;lde modvirke dette.&nbsp;Hvis bruddet er meget knust kan der senere opst&aring; slidgigt.</p>
<h3>Hvor hyppig er brud p&aring; kn&aelig;skallen?</h3>
<p>Kn&aelig;skalsbrud udg&oslash;r 1 % af alle knoglebrud.</p>
<h2>Vil du vide mere?</h2>
<ul>
    <li>
    <a href="~/link.aspx?_id=E23B707C0C964DAF8A23644B2B097C52&amp;_z=z">Gipsbehandling, mulige komplikationer</a> </li>
    <li>
    <a href="~/link.aspx?_id=49D9481731BB4A1AA7FC70CA395C119D&amp;_z=z">Gipsbehandling</a> </li>
    <li>
    <a href="~/link.aspx?_id=FC7E438EE1E243D8AA35573DF6F77242&amp;_z=z">Generelt om knoglebrud</a> </li>
    <li>
    <a href="~/link.aspx?_id=17D2F9FAA6DD47B48C34C59DCC2C0A1E&amp;_z=z">Kn&aelig;brud</a> </li>
    <li>
    <a href="~/link.aspx?_id=6DA5281CEDA84E0E83DFDA740F0B0B59&amp;_z=z">Brud p&aring; kn&aelig;skallen&nbsp;- for sundhedsfaglige
    </a></li>
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