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<Provider Id="sundheddkcms"> <Item Id="{67C6538C-5EA9-4983-A83B-F963632B34CF}" Name="ankel-ustabil" Type="PHContentPage" ParentProviderId="sundheddkcms" ParentItemId="{3BB1AE9A-C48E-4CDA-BD47-84B95E0CB07D}" SortOrder="0" PublishDate="2009-09-03T14:45:00" 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>En ustabil ankel medfører, at du har tendens til at vrikke om ved minimale belastninger</li> <li>Instabiliteten i fodleddet gør, at du føler dig usikker på ujævnt underlag</li> <li>Du får smerter og eventuelt hævelse i forbindelse med, at fodleddet vrikker om uden større påvirkning </li> <li>Træningsøvelser og støttende fodtøj kan hjælpe</li> <li>Hvis du har vedvarende symptomer, vil man overveje at udføre en stabiliserende operation i anklen</li> </ul>]]></HtmlField> <HtmlField Name="PageContent"><![CDATA[<h2>Hvad er ustabil ankel?</h2> <p>Et ustabilt ankelled medfører tendens til gentagne forstuvninger, det vil sige forvridninger eller overstrækninger. Det er en relativt hyppig tilstand. </p> <h3>Når skaden opstår</h3> <p>Du kan føle, at anklen svigter ved belastning, specielt under boldspil, eller når du bevæger dig på ujævnt terræn. </p> <p>Der opstår en hævelse enten umiddelbart eller i løbet af nogle timer, og du får smerter i hvile. Smerterne bliver værre, når du belaster anklen. </p> <p>Efter nogle timer kan der opstå misfarvning på grund af blodudtrædning i leddets omgivelser.</p> <h2>Hvad er symptomerne på ustabil ankel?</h2> <p>Instabiliteten i fodleddet gør, at du føler dig usikker på ujævnt underlag. Du får smerter og eventuelt hævelse i forbindelse med, at fodleddet vrikker om uden større påvirkning.</p> <h2>Hvordan stilles diagnosen?</h2> <p>Sygehistorien er som regel typisk og giver diagnosen. Lægen vil undersøge for typiske tegn på forstuvning og forsøge at udelukke brud. </p> <p>Ved ustabil ankel er bevægeligheden øget, bortset fra akutte forstuvninger, hvor smerte og hævelse hindrer bevægeudslagene. <a href="~/link.aspx?_id=D282B0C07DEC4207B2531D444842E067&_z=z"></a></p> <p> <a href="~/link.aspx?_id=D282B0C07DEC4207B2531D444842E067&_z=z">Skuffetesten</a>, hvor lægen trækker i anklen, vil, når ledbåndene er beskadiget, vise løshed (ustabilitet) i anklen. </p> <p>Røntgen af anklen kan være nyttig for at udelukke brud.</p> <h2>Hvad er årsagen til ustabil ankel?</h2> <p>Ledbånd, ledkapsel og muskler stabiliserer anklen. Ved forstuvning bliver ledbånd og ledkapsel forstrukket. Der kan opstå små blødninger i kapsel og ledbånd, og det udløser en betændelsesreaktion og giver smerter. Ustabil ankel skyldes som regel et tidligere <a href="~/link.aspx?_id=1151C45A78744B6D9851AA5B62FA52BE&_z=z">overrevet ledbånd i anklen</a>, som ikke er ophelet tilstrækkeligt, og anklen bliver derfor ustabil. </p> <p>Ustabiliteten kan i sjældnere tilfælde skyldes medfødte tilstande med øget bevægeudslag i leddet.</p> <h2>Hvordan behandles ustabil ankel?</h2> <p>Formålet med behandlingen er at forhindre tilbagevendende forstuvninger. </p> <p>Det er vigtigt, at du undgår udløsende faktorer, fx fodbold og løb i ujævnt terræn. </p> <p>Du bør vælge sko med bred hæl og høj og stiv hælkappe. </p> <p>Brug bandage eller tapening af anklen, når du er fysisk aktiv.</p> <p>"Gigtmedicin" (<a href="~/link.aspx?_id=9598E70BEC694FC292FE9D0C1F701494&_z=z">NSAID</a>) er smertestillende og betændelsesdæmpende. Gigtmedicin kan bruges i nogle dage ved akutte forstuvninger. </p> <p>Behandling med træning af balance og muskler kan imidlertid være tilstrækkeligt - læs mere her: <a href="~/link.aspx?_id=ECE2867D4EF34FC9BA71DE90A7AEF121&_z=z">Ankelskade, optræningsøvelser</a>.</p> <p>Hvis du har vedvarende symptomer, kan en stabiliserende operation i anklen ofte give et godt resultat.</p> <p>Et af de vigtigste ting, du kan gøre i optræningen, er at bruge et balancebræt. Dette bidrager til at styrke anklen, så risikoen for nye forstuvninger ikke er meget større end for personer uden tidligere forstuvning.</p> <h3>Hvad kan jeg selv gøre?</h3> <p>Undgå om muligt aktiviteter, der giver fornemmelsen af ustabilitet.</p> <h3>Hvordan undgår jeg at få eller forværre ustabil ankel?</h3> <p>Fodtøj, der støtter anklen, kan give en beskyttende effekt, ligesom brug af sportstape til fodleddet.</p> <h3>Hvornår skal jeg søge hjælp? </h3> <p>Ved problemer med gang og almindelige aktiviteter.</p> <h3>Hvornår behandler man ustabil ankel?</h3> <p>Behandling starter ved fornemmelse af ustabilitet i anklen. Hvis du har symptomer på trods af, at du har gennemført træning og anvender velstøttende fodtøj, kan operation komme på tale.</p> <h2>Hvordan er langtidsudsigterne?</h2> <p>Senere i forløbet vil mange have en ustabil ankel, og der er stor risiko for nye forstuvninger.</p> <p>Hvis du har haft en forstuvning, har du som udgangspunkt 5 gange øget risiko for en ny forstuvning. Hvis du bruger balancebræt, mindsker du den øgede risiko.</p> <p>Generne aftager for de fleste med tiden. </p> <p>De allerfleste har god effekt af enten behandling med træning eller, i ekstreme tilfælde, operation.</p> <h2>Vil du vide mere?</h2> <ul> <li> <a href="~/link.aspx?_id=15B7FC2E03B54E139AA2789AA52BEBF2&_z=z">Akut ankelskade</a> </li> <li> <a href="~/link.aspx?_id=C986CBB90C3E470397DB6A55E7D944AC&_z=z">Slitage i ankelleddet</a> </li> <li> <a href="~/link.aspx?_id=1F5DE81410AD4DBB9FF127F6C27898F5&_z=z">Ankelbrud</a> </li> <li> <a href="~/link.aspx?_id=9AD2B5234B7D417D8CE3074CDDA991F6&_z=z">Skader i fodbold</a> </li> <li> <a href="~/link.aspx?_id=F0B8CAE3C0D74A3AB052953865F0A83B&_z=z">Basketball - skader</a> </li> <li> <a href="~/link.aspx?_id=53C1E0B08BAA4D6B95AD8ECE611B5560&_z=z">Ankel, ustabil - for sundhedsfaglige</a></li> </ul> <h3>Træningsfilm for underben og fod</h3> <ul> <li><a href="~/link.aspx?_id=1F6D4E5CBD3F4692BA93BE7541182DB7&_z=z">Øvelsesprogram, 3 øvelser</a><br> <br> <a href="~/link.aspx?_id=66FD9B729628437E98D9A0A38C191DB8&_z=z"><img alt="" style="width: 135px; height: 84px;" src="E5F85279BD074A85A25EAE999BECACD2-135-84" height="84" width="135"></a></li> </ul> <h3>Illustrationer</h3> <ul> <li> <a href="~/link.aspx?_id=1151C45A78744B6D9851AA5B62FA52BE&_z=z">Overrevet ledbånd i anklen</a> </li> <li> <a href="~/link.aspx?_id=D282B0C07DEC4207B2531D444842E067&_z=z">Skuffetesten</a></li> </ul>]]></HtmlField> <TextField Name="DoctorsHandbookID">2742</TextField> <TextField Name="PageTitle">Ankel, ustabil</TextField> <TextField Name="NavigationTitle">Ankel, ustabil</TextField> <CheckBoxField Name="ShowInMenu">true</CheckBoxField> <CheckBoxField Name="ShowInContentField">true</CheckBoxField> <DateTimeField Name="RevisedDate">2022-11-01T15:20:00</DateTimeField> <LinkListField Name="Authors"> <LinkField linktype="internal">{10F0E7D2-8D6D-49AE-94B3-998114356326}</LinkField> <LinkField linktype="internal">{D71FC9B8-8D14-48C6-920F-BE9256067C0B}</LinkField> 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]]></Media> 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