medfoedt-hoftefejl-hofteledsdysplasi (PH Indholdsside)

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<ul>
    <li>Ca. 1 % af nyf&oslash;dte b&oslash;rn har hofteledsdysplasi</li>
    <li>Hofteledsdysplasi er en samlet betegnelse for hoftelidelser</li>
    <li>Der kan v&aelig;re mild underudvikling af ledsk&aring;len til sv&aelig;rere tilf&aelig;lde med sv&aelig;r deformitet af ledhovedet og hofteskred, hvor hofteleddet er g&aring;et ud af led</li>
    <li>Alle nyf&oslash;dte bliver tjekket for evt. medf&oslash;dt hoftefejl</li>
    <li>Tidlig diagnose og behandling sikrer, at hoften udvikler sig normalt</li>
    <li>Oversete og vanskelige tilf&aelig;lde vil give halten, smerter og slidgigt senere i livet</li>
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      <HtmlField Name="PageContent"><![CDATA[<h2>Hvad er medf&oslash;dt hoftefejl?</h2>
<p>Hofteledsdysplasi er en medf&oslash;dt fejl i hoftesk&aring;len. Hofteleddet er et kugleled, hvor &oslash;verste del af l&aring;rbenet er formet som en kugle. Denne kugle skal passe ind i en "sk&aring;l" i b&aelig;kkenet, som kaldes hoftesk&aring;len.</p>
<p>
<img style="width: 480px; height: 336px;" alt="Tegning af normalt hofteled" src="D2F67E4545B44B59AF58858F0218D576-480-336" height="336" width="480">&nbsp;</p>
<p>Hos b&oslash;rn med hofteledsdysplasi er denne sk&aring;l for flad og st&aring;r stejlt. L&aring;rbenet kan da lettere "smutte" lidt ud af hoftesk&aring;len, dvs. at hoften g&aring;r ud af led.</p>
<h2>Hvad er symptomerne p&aring; medf&oslash;dt hoftefejl?</h2>
<p>Tilstanden er ikke n&oslash;dvendigvis forbundet med smerter, men benene kan have forskellig l&aelig;ngde, og der kan v&aelig;re asymmetri af hudfolderne i balderne. Hofteleddet kan f&oslash;les en anelse l&oslash;st og l&aring;rbenet kan teleskopere. Dvs. at det synes som om, benet kan tr&aelig;kkes "l&aelig;ngere" og "trykkes" kortere, fordi hoftesk&aring;len er flad og l&aring;rbenshovedet kan glide henover. Hvis ledhovedet er ude af ledsk&aring;len kan der v&aelig;re nedsat sidespredning (abduktion) af hofteleddet.</p>
<h3>Hvilke symptomer skal du v&aelig;re s&aelig;rlig opm&aelig;rksom p&aring;?</h3>
<p>B&oslash;jefurerne omkring balderne kan v&aelig;re forskellige, og m&aring;ske kan man&nbsp;se forskel p&aring; benl&aelig;ngden. Ved det &aelig;ldre barn kan der v&aelig;re haltende gang.</p>
<h2>Hvordan vil l&aelig;ge og sygehus unders&oslash;ge barnet og stille diagnosen?</h2>
<p>I Danmark unders&oslash;ges hoften kort efter f&oslash;dslen af jordemoder og hofteunders&oslash;gelsen gentages af den praktiserende l&aelig;ge 5 uger efter f&oslash;dslen.</p>
<p>Hvis unders&oslash;gelsen giver mist&aelig;nke om medf&oslash;dt hoftefejl (eller hvis specielle risikofaktorer er til stede), vil barnet ogs&aring; blive unders&oslash;gt med ultralyd. Denne unders&oslash;gelse kan i n&aelig;sten alle tilf&aelig;lde med sikkerhed fort&aelig;lle, om barnets hofter er normale.</p>
<p>I nogle tilf&aelig;lde bliver hoftefejlen f&oslash;rst opdaget senere. Ved kontrol af sp&aelig;db&oslash;rn foretager l&aelig;gen altid unders&oslash;gelser for hoftefejl.&nbsp;</p>
<p>Hvis man ikke opdager medf&oslash;dt hoftefejl, vil halten og&nbsp;at barnet er sen til at g&aring;, v&aelig;re tegn p&aring; tilstanden. </p>
<p>Efter at barnet er fyldt 4 m&aring;neder, vil&nbsp;<a href="~/link.aspx?_id=00CC8FF7DBB540BC8DAFA91D5EEA4704&amp;_z=z">r&oslash;ntgen af </a>&nbsp;b&aelig;kkenet&nbsp;v&aelig;re den bedste unders&oslash;gelse til at vise, om barnet har en hoftefejl.</p>
<h2>Hvorfor opst&aring;r medf&oslash;dt hoftefejl?</h2>
<p>Der er flere forhold, der spiller en rolle for, om barnet udvikler medf&oslash;dt hoftefejl.</p>
<h4>Hoftefejl kan v&aelig;re arveligt</h4>
<p>Man ved, at det er hyppigere hos b&oslash;rn, som har for&aelig;ldre eller s&oslash;skende med den samme hoftefejl. S&aring; arv spiller en vis rolle.</p>
<h4>Andre forhold</h4>
<p>Desuden ved man, at b&oslash;rn f&oslash;dt i s&aelig;de- og underkropsstilling er mere udsatte.&nbsp;</p>
<h2>Hvordan behandler man medf&oslash;dt hoftefejl?</h2>
<p>Opdages hoftefejlen tidligt nok, kan den i de allerfleste tilf&aelig;lde behandles med en s&aring;kaldt Dennis-Brown&nbsp;abduktionsskinne i en periode p&aring; 2-4 m&aring;neder.&nbsp; M&aring;let med behandling er, at kugledelen af l&aring;rbenet skal holdes fast inde i hoftesk&aring;len. Hvis dette g&oslash;res tidligt, vil hoftesk&aring;len tilpasse sig l&aring;rbenet, og hoftefejlen forsvinder.</p>
<p>Hos ca. 5 % af b&oslash;rnene vil disse behandlinger ikke v&aelig;re nok, og hoftefejlen skal s&aring; rettes op ved hj&aelig;lp af operation. Dette g&aelig;lder f&oslash;rst og fremmest b&oslash;rn, hvor fejlen er stor eller f&oslash;rst opdages sent.</p>
<h3>Hvordan undg&aring;r jeg at forv&aelig;rre medf&oslash;dt hoftefejl?</h3>
<p>De tidligt og korrekt behandlede b&oslash;rn har en god prognose og vil kunne have en normal hofte hele livet. Personer med mindre skred i leddet vil udvikle hofteslidgigt. Det vil v&aelig;re relevant at tage arbejdsm&aelig;ssige hensyn&nbsp;s&aring; uddannelse, og arbejde b&oslash;r indrettes herefter.</p>
<h2>Hvordan udvikler sygdommen sig?</h2>
<p>Hvordan det videre g&aring;r med barnet, er afh&aelig;ngig af omfanget af hoftefejlen, og hvor gammelt barnet var, da behandlingen startede. </p>
<p>Hvis behandlingen begyndte, f&oslash;r barnet blev 6 m&aring;neder, vil fejlen i de allerfleste tilf&aelig;lde kunne forsvinde, og hofteleddet bliver normalt.</p>
<p>Starter behandlingen f&oslash;rst efter, at barnet er blevet 1 &aring;r, er der en forholdsvis stor risiko for, at hoftefejlen kan give problemer senere i livet. N&aelig;sten halvdelen vil f&aring; problemer, enten i form af gangbesv&aelig;r eller i form af slitageforandringer og smerter fra hofteleddet (<a href="~/link.aspx?_id=DFB62F87F5204AEBB14C954C3964F099&amp;_z=z">gigtgener</a>) allerede i en tidlig alder.</p>
<h3>Hvor hyppig er hofteledsdysplasi?</h3>
<p>Ca. 1 ud af 1000 f&oslash;dte b&oslash;rn er f&oslash;dt med hoften ude af led. Ca. 10 ud af 1000 b&oslash;rn kan have en flad og stejl hoftesk&aring;l, som l&aring;rbenshovedet kan glide ud af. </p>
<p>Piger er mest udsat for at f&aring; denne hoftefejl. </p>
<p>Hoftefejlen kan findes i begge hofter.</p>
<h2>Vil du vide mere?</h2>
<ul>
    <li>
    <a href="~/link.aspx?_id=17E70606FA664620A32D16A591713926&amp;_z=z">Hofteslidgigt (hofteartrose)</a> </li>
    <li>
    <a href="~/link.aspx?_id=DFB62F87F5204AEBB14C954C3964F099&amp;_z=z">Gigtgener - r&oslash;ntgenbillede</a></li>
    <li>
    <a href="~/link.aspx?_id=FCD8578CC1E349DB9FEF784011BC759A&amp;_z=z">Hofteledsdysplasi - for sundhedsfaglige</a></li>
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ci/wA2FbPwW8Of8I98N7F5E23Ook3sv0cDYP8AvgKcepNdZ4n8P2nirw3faLe5EN1Ht3gZKMDlWHuCAfwoA+f/AAv8A4fFHhjTtbg8ViNLyESGMWG7y26MufNGcMCM4HToK1v+GZf+pu/8pv8A9trF03V/H3wSuJ9Ou9M+36GZC6sVYwn/AGkkH3CcDKt+Xer2o/HXxT4qtn0zwt4be2upl2mSF2uZVB6lcKoU+5Bx/IA7P4W/DCx8HeIrzVLLxVb6xm3ezkihhVfLbepOSJG5BQjGO/tXLfDx10z9pHxTbXWElu2vFhB7lpVlH/jik12Pwb+G9x4L0241HVsf2vfqA8YOfIjHO3I6sTye3A9Ocr4tfDvWbnXbfxt4R3/2tbhTPFFjzHKfddR/EcfKV7gDg85APZq+ef2mLqF7/wAOWisPPjiuJHHcKxQL+qN+VEP7Q2v2tv8A2ffeFEfVwNu7zHjG73iKk/huFee/EOx8VTPYeJvFgMV3q5lENsylDDHGEwNv8I+fgHngk8mgD7IrD8TaXreq2cMWh+ITokySbpJRZpceYuPu4YjHPOa3KKAPPf8AhDfiD/0VB/8AwRwf/FUf8Ib8Qf8AoqD/APgjg/8Aiq9CooA89/4Q34g/9FQf/wAEcH/xVH/CG/EH/oqD/wDgjg/+Kr0KigDz3/hDfiD/ANFQf/wRwf8AxVH/AAhvxB/6Kg//AII4P/iq9CooA89/4Q34g/8ARUH/APBHB/8AFVUl8IePhKwPxMcn1/sWH/4qvTaoz/65qzqOyLpq7PPf+ER8e/8ARSn/APBLD/8AFUf8Ij49/wCilP8A+CWH/wCKrvqKx5mbcqOB/wCER8e/9FKf/wAEsP8A8VR/wiPj3/opT/8Aglh/+KrvqKOZhyo4H/hEfHv/AEUp/wDwSw//ABVH/CI+Pf8AopT/APglh/8Aiq76ijmYcqOB/wCER8e/9FKf/wAEsP8A8VR/wiPj3/opT/8Aglh/+KrvqKOZhyo4H/hEfHv/AEUp/wDwSw//ABVH/CI+Pf8AopT/APglh/8Aiq76ijmYcqOB/wCER8e/9FKf/wAEsP8A8VR/wiPj3/opT/8Aglh/+KrvqKOZhyo4H/hEfHv/AEUp/wDwSw//ABVH/CI+Pf8AopT/APglh/8Aiq76ijmYcqOB/wCER8e/9FKf/wAEsP8A8VR/wiPj3/opT/8Aglh/+KrvqKOZhyo4H/hEfHv/AEUp/wDwSw//ABVH/CI+Pf8AopT/APglh/8Aiq76ijmYcqOB/wCER8e/9FKf/wAEsP8A8VR/wiPj3/opT/8Aglh/+KrvqKOZhyo4H/hEfHv/AEUp/wDwSw//ABVH/CI+Pf8AopT/APglh/8Aiq713WNSzsFUdSTgVmXHiTR7YkSX8RI7R5f+WaabewrJHK/8Ij49/wCilP8A+CWH/wCKo/4RHx7/ANFKf/wSw/8AxVdAfFlm3+ptL+f/AK5wE/zIpP8AhJpD93RdRI/2owP60e8K8TA/4RHx7/0Up/8AwSw//FUf8Ij49/6KU/8A4JYf/iq3/wDhJZh10S//AAUGlHiu2T/j6sr+2Xu8kPy/mKPeC8Tn/wDhEfHv/RSn/wDBLD/8VR/wiPj3/opT/wDglh/+KrtrO/tNQi8y0uI5V77TyPqOoqxSux2RwP8AwiPj3/opT/8Aglh/+Ko/4RHx7/0Up/8AwSw//FV31FHMx8qOB/4RHx7/ANFKf/wSw/8AxVH/AAiPj3/opT/+CWH/AOKrvqKOZhyo4H/hEfHv/RSn/wDBLD/8VR/wiPj3/opT/wDglh/+KrvqztS1uy0zCTOXnb7kEY3O34UJtiaSOS/4RHx7/wBFKf8A8EsP/wAVWXqmm+NtOZYI/iQ9zeOcJbx6NDk+5O7gV1jz63qvGV0y2PZfmlI+vb+dWLHTLXTwfJQmRvvyucu31NVe25DfY4uz8G+NrbfKvxAaKWZt8uNJibLHryW5rRHhLx2QCPiS2P8AsCw//FV19TwP/Afwq6c9bMyktLnF/wDCI+PP+ilP/wCCWH/4ql/4RHx7/wBFKf8A8EsP/wAVXeUorci5wY8I+Pf+ilv/AOCWH/4ql/4RDx7/ANFLf/wSw/8AxVd6KdQFzgh4Q8ff9FMf/wAEkP8A8VS/8If4+/6KY/8A4JIf/iq74daUUDOIsvCnjmC9gmufiK9xAkitJD/Y8K+YoPK53cZHGa7umjpTqQDhTqaOtKKBjhTqZS0gOKih/snX7zTSMQzH7TbemD95fwNadL4sspJbGPUbZc3Ni3mr/tJ/EPy/lUFvOl1bxzxHKSKGFYVI2dy0TUtJSsrIcMpB9CKzGFLSUUALRRRQAUlLSUAFFFFAFSHnUbg+iqP0q1VW0+ae6f1fb+VWzTkISiiipGFIaWigBKKKKBhRRRQAlFFFABRRRQAlFFFABXJ+L7eSwuLPxHbJuezby7hB/HC3BH4ZP557V1lMmhjuIJIJlDxSKUdT3BGCKadmI53TWWPx3p91E4e3vrB442HcAiQH8j+hru68m028l8PeILLRLxsx2l3ut5CpJMcgIHT3JX0y5/u16yCCAQQQehFNq2hpB6BRRRUlhRRRQAUUUUAFFFFABV+L/VL9KoVfi/1S/StaW5nU2H0UUVuYhRRRQAUUUUAFFFFABRRRQAUUUUAFFFFABRRRQAUUUUAFFFFABRRQTgZNABRWN4f8V6L4qS6k0S9+2RWsvlSyLE6pv9AzABv+Ak9R6ip9c8QaR4bsPt2s38Nnb7toeVvvH0UDknrwPSgDSorktB+Jvg/xNqiabpGsC4vJASsRt5UJABJ5ZQOgNdbQAUUUUAFFFFABRRRQAUUUUAFFFFABRRRQAUUVz+leNvDut+Ib3QNO1DztTsfM+0QeTIuzY4RvmKhThiBwTQB0FFFFABRRRQAUUUUAFFFFABRRRQAUUUUAFFFFABRRXP8Ahjxt4d8Y/av7A1D7Z9l2ed+5kj27s7fvqM52t09KAOgorGbxXoieKV8NSXvl6w8fmpbvE671xnKsRtbgHoT0Poa2aACiiigAooooAKKKKACiiigAooooAKoz/wCuar1UZ/8AXNWdXY0p7kdFFFc5sFFFFABRRRQAUUUUAFFFFABRRRQAUUUUAFFFFABRRWRq+tfY5Fs7OP7RfyD5Y+yD+83oKaVxN2Lt/qNppsHnXcyxr2B6t9B3rFfVNX1P/jxgWxtz0muBlz7he340WekYuPtd9Ibu+b+NhkJ7KO1bsenTuMkBB/tGqS7ambkznhoEEziS/uLi9k/6audo+gHSr8Fla2wAgt4o8f3UArSnsHgi8wupAPQVUpSvsyQoooqRhRRRQBl3ejo0n2qwb7JeryskfAb2YdxWnouqtqVvIk6CK8gbZPH6H1HsaWsyP/RvGFuycC6t2Rx6leQf6VS1VhxdmdLRRRUmoUUVn6xqselWgfb5k8h2wxDq7f4U0ribsVdb1WaCSPT7DDX0wzk8iJe7H+lQ6fpcFgC+TLcvzJPJyzH+lN0uwktxJc3TeZe3B3Sv6f7I9hWhTb6IybuFFFFSAUA4ORRRTAuRyq4AyN2OR3qWse4gaQpNCwS4j5jf+YPqD3rQsrtby2EoUowJV0PVGHUV1U58yMZRsWhThTR1pRVkjhTqaKcKBjhThTBTqQx1OFMpaAH0U3NLQMCAQQRkHqDXF20J0bWLjSW4gfM1oT/dPVfwNdnmsTxNpsl9YLcWw/020bzYSO/qv4j+lTKPMrDTsRqSrBh1BzWrMq39mJUH7xe38xWBYXkd/ZR3MfRxyPQ9xWnY3P2ebDH5G4Pt71zxdnZlsrUtXNRt/Kl8xR8j/oapCk1Z2ELS0lLSGFFFFACUUVFdSeXayP6KcfWmgIdP5t2f++7NVuorVPLtY07hRmpaHuISilpKQwooopAJRS0lABRRRQMDSUtJQAUUUUAFJS0lABRRRQByXj3QP7U0n7bAmbq0Bbgcuncfh1H4+tdB4K1ltZ8PW8znc6jY59GHUH07EexHpV2uQ03Pg7xn9mwV0jV2xH6RTdh7dcfQj+7VLVWCLsz0WiiipNgooooAKKKKACiiigAq/F/ql+lUKvxf6pfpWtLczqbD6KKK3MQooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAry/43eLJ9F8LRaHprMdU1t/s8ap94R8B8e5yFH+8cdK9QrwO9k/4S79qC1t5PntNGA2j0MaF8/wDf1sfgKAPXPBPhe38H+ErDRoQpeJN08g/5aSnl2/Pp7ADtXjHxvt31z4t+FfD807paXEUEY29UM07IzD3wq/lXu+u6Z/bfh7U9J87yft1pLbebt3bN6Fd2MjOM5xkV8oeKvhl/wjPxD0Twp/a/2n+0/I/0r7Ns8rzJWj+5vOcbc9RnOOKAPpHw58MvCXhTUo9R0fTGgvEjMfnNcSOSD1yGYjP0Arq5ZY4ImlmkSONBlndgAB7k1wPw1+Gq/DVNWd9ZF8t6IiSbbyRGI9/+22c7/bGK8tZfEHx68X3kcN69j4YsH+UEEgKchTt/ikYAnk4UZ59QD3mDxh4YurgW9v4j0iacnAijvo2Yn6Bs1tV4pdfs26A1iVtNb1OO7xxJMI3jz/uhQf8Ax6q3wv8AEeu+EfHEvw48TTGdQCLKUsWCELuAVjyUZemehGMDJoA90rO1LxBoujOiapq9hYs4yourlIi303EZr59+PF7c6b8XNBvrJQ13bWVvNACu4F1nlK8d+QOK6Wx/Z9h1S1e/8Va/qE+tXI8yZ4WXajkdCWBL49eKAPaba6t723S4tZ4p4HGUkicMrD2I4NZ174o8P6bd/Zb/AF3TLW5/54z3caP+ROa+X9Lbxh4H8Y6v4B0S9/0i/lW0V+VClsFZl67DsPJ5wD3IBHpB/Zv0qTS283X799WYEmcqvlFz3KY3Hn/aoA9sjkSWNZI3V0YZVlOQR6g06vAvgBqupad4i13wZfSMyWivKs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