ankel-bruskskade (PH Indholdsside)

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<ul>
    <li>I forbindelse med sv&aelig;re forvridninger kan der opst&aring; afrivninger af brusk p&aring; kanterne af rullebenet i fodleddet</li>
    <li>Afrivningen af brusk kan ogs&aring; involvere kanten af knoglen, s&aring; skaden kan ses p&aring; r&oslash;ntgenbillede</li>
    <li>Symptomerne ved bruskskader er n&aelig;sten som ved knoglebrud, og der kan opst&aring; afl&aring;sninger i fodleddet </li>
    <li>Behandlingen af bruskskader er vanskelig, da brusk har vanskeligt ved at hele</li>
    <li>St&oslash;rre afrivninger som er l&oslash;se, b&oslash;r fastg&oslash;res under operation, eventuelt ved en kikkertunders&oslash;gelse (<a href="~/link.aspx?_id=0A5BE9075C604C54836CA5FC9081733F&amp;_z=z">artroskopi</a>)</li>
    <li>Mindre skader behandles med aflastning i en periode</li>
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      <HtmlField Name="PageContent"><![CDATA[<h2>Hvad er bruskskade i ankelleddet? </h2>
<p>Ankelleddet best&aring;r af 3 knogler: </p>
<ul>
    <li>De 2 knogler i underbenet - skinnebenet og l&aelig;gbenet </li>
    <li>Rullebenet i foden</li>
</ul>
<p>Ledfladen mellem de 3 knogler er bekl&aelig;dt med brusk. Se tegning af&nbsp;<a href="~/link.aspx?_id=A0E11A227D0E4689AD4A237C773B0F8C&amp;_z=z">ankelskelet set fra ydersiden af anklen</a></p>
<p>N&aring;r du overstr&aelig;kker og forvrider anklen, kan der opst&aring; skade b&aring;de p&aring; brusken og knoglen. F&oslash;rst og fremmest p&aring; den knogle der hedder rullebenet, men ogs&aring; p&aring; skinnebenet og l&aelig;gbenet. </p>
<p>Afrivningen af brusk kan ogs&aring; medinddrage kanten af knoglen, s&aring; skaden kan ses p&aring; r&oslash;ntgenbillede. Da brusk har begr&aelig;nset evne til at reparere sig selv, kan det give vedvarende gener.</p>
<h3>Hvad er symptomerne p&aring; bruskskade i ankelleddet?</h3>
<p>Smerter i fodleddet er karakteristisk. Enkelte oplever, at ankelleddet l&aring;ser sig fast.</p>
<h3>Hvilke symptomer skal du v&aelig;re s&aelig;rlig opm&aelig;rksom p&aring;?</h3>
<p>Smerter ved s&aelig;rlige bev&aelig;gelser og belastninger samt hvis ankelleddet l&aring;ser sig fast.</p>
<h2>Hvordan stilles diagnosen?</h2>
<p>S&aring; l&aelig;nge du kun har smerter, er diagnosen ikke altid s&aring; let at stille. Men hvis ankelleddet l&aring;ser sig fast, er mistanken stor. </p>
<p>Diagnosen bekr&aelig;ftes ved enten <a href="~/link.aspx?_id=1E3028D2ED1145508B681DA68305498F&amp;_z=z">MR</a>-skanning eller CT-skanning. Nogle gange foretager man en kikkertunders&oslash;gelse (<a href="~/link.aspx?_id=0A5BE9075C604C54836CA5FC9081733F&amp;_z=z">artroskopi</a>) b&aring;de for at stille diagnosen og for samtidigt at behandle skaden.</p>
<h2>Hvorfor f&aring;r du bruskskade i ankelleddet?</h2>
<p>Bruskskade ses oftest hos personer, som har forvredet ankelleddet mange gange.</p>
<p>Men skaden kan ogs&aring; opst&aring; efter blot &eacute;n enkelt h&aelig;ndelse - og nogle husker det s&aring;m&aelig;nd ikke. Der opst&aring;r vedvarende smerter. Nogle bliver mere stive i ankelleddet, og enkelte oplever, at ankelleddet l&aring;ser sig fast. </p>
<p>En afl&aring;sning skyldes, at et knoglestykke har l&oslash;snet sig og kan komme i klemme inde i leddet - se ogs&aring;&nbsp;<a href="~/link.aspx?_id=22EBFDF28DCF446991A692B74090DE68&amp;_z=z">osteokondritis dissecans</a>.</p>
<h2>Hvilken behandling er der?</h2>
<p>I de tilf&aelig;lde, hvor der kun er brud i brusken, uden nogen l&oslash;sning af et knoglestykke behandles du med ankelgips i 6-8 uger. </p>
<p>Hvis der er afspr&aelig;ngning af et knoglestykke, b&oslash;r du opereres. Her vil kirurgen enten fjerne knoglestykket eller f&aelig;stne det p&aring; plads i leddet. Det g&oslash;res normalt ved en kikkertunders&oslash;gelse (artroskopi). Efter indgrebet skal anklen behandles med gips. Man har eksperimenteret med brusktransplantation ved st&oslash;rre skader, men resultaterne er endnu usikre.</p>
<p>Efter behandling med gips kan du gradvist &oslash;ge belastningen i anklen. Hvis du er idr&aelig;tsud&oslash;ver, er det vigtigt, at du f&oslash;lger et optr&aelig;ningsprogram, som gradvist &oslash;ger belastningen over tid.</p>
<h3>Hvad kan jeg selv g&oslash;re?</h3>
<p>Aflast anklen efter at du har f&aring;et en forvridning, og genoptag langsomt den normale aktivitet.</p>
<h3>Hvordan undg&aring;r jeg at f&aring; eller forv&aelig;rre en bruskskade i anklen?</h3>
<p>Det er vigtigt at forebygge forvridninger i fodleddet og anvende st&oslash;ttende sko.</p>
<h3>Hvorn&aring;r skal jeg s&oslash;ge hj&aelig;lp?&nbsp;</h3>
<p>Ved mere vedvarende smerter efter en forstuvning af anklen.</p>
<h2>Hvordan udvikler sygdommen sig?</h2>
<p>Ved de fleste skader er der kun sparsomme l&aelig;ngerevarende symptomer, men st&oslash;rre bruskskader kan f&oslash;re til slidgigt i anklen.</p>
<h3>Hvor hyppig er bruskskader i ankelleddet?</h3>
<p>Anses for at v&aelig;re hyppig, men de fleste tilf&aelig;lde giver bruskskader n&aelig;ppe anledning til, at du kontakter din l&aelig;ge.</p>
<h3>Kan jeg f&aring; bruskskade i ankelleddet mere end &eacute;n gang?</h3>
<p>Ja, hver gang man f&aring;r en forvridning af anklen, kan det medf&oslash;re en bruskskade.</p>
<h2>Vil du vide mere?</h2>
<ul>
    <li><a href="~/link.aspx?_id=22EBFDF28DCF446991A692B74090DE68&amp;_z=z">Osteokondritis dissecans</a> </li>
    <li><a href="~/link.aspx?_id=1E3028D2ED1145508B681DA68305498F&amp;_z=z">MR-skanning</a> </li>
    <li><a href="~/link.aspx?_id=27E4909F66C640F6B561188605668B5E&amp;_z=z">L&oslash;b - forebyggelse af skader</a> </li>
    <li><a href="~/link.aspx?_id=292D74C6C35446E6A6E5378B5524537F&amp;_z=z">Idr&aelig;tsskader </a></li>
    <li><a href="~/link.aspx?_id=2B9F633516794DD88AAA5D1B96BDB3E8&amp;_z=z">Bruskskader i ankelleddet - for sundhedsfaglige</a></li>
</ul>
<h3>Tr&aelig;ningsfilm for underben og fod</h3>
<ul>
    <li><a href="~/link.aspx?_id=1F6D4E5CBD3F4692BA93BE7541182DB7&amp;_z=z">&Oslash;velsesprogram, 3 &oslash;velser</a><br>
    <br>
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]]></Media>
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