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<Provider Id="sundheddkcms"> <Item Id="{A503A272-EC6E-455E-845F-C9552CAED2AB}" Name="ankel-bruskskade" Type="PHContentPage" ParentProviderId="sundheddkcms" ParentItemId="{3BB1AE9A-C48E-4CDA-BD47-84B95E0CB07D}" SortOrder="0" PublishDate="2009-09-03T14:39:00" 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>I forbindelse med svære forvridninger kan der opstå afrivninger af brusk på kanterne af rullebenet i fodleddet</li> <li>Afrivningen af brusk kan også involvere kanten af knoglen, så skaden kan ses på røntgenbillede</li> <li>Symptomerne ved bruskskader er næsten som ved knoglebrud, og der kan opstå aflåsninger i fodleddet </li> <li>Behandlingen af bruskskader er vanskelig, da brusk har vanskeligt ved at hele</li> <li>Større afrivninger som er løse, kan fastgøres under operation, eventuelt ved en kikkertundersøgelse (<a href="~/link.aspx?_id=0A5BE9075C604C54836CA5FC9081733F&_z=z">artroskopi</a>)</li> <li>Mindre skader behandles med aflastning i en periode</li> <li>Efter større bruskskader er der risiko for, at man senere i forløbet udvikler slidgigt</li> </ul>]]></HtmlField> <HtmlField Name="PageContent"><![CDATA[<h2>Hvad er bruskskade i ankelleddet? </h2> <p>Ankelleddet består af 3 knogler: </p> <ul> <li>De 2 knogler i underbenet - skinnebenet og lægbenet </li> <li>Rullebenet i foden</li> </ul> <p>Ledfladen mellem de 3 knogler er beklædt med brusk. Se tegning af <a href="~/link.aspx?_id=A0E11A227D0E4689AD4A237C773B0F8C&_z=z">ankelskelet set fra ydersiden af anklen</a></p> <p>Når du overstrækker og forvrider anklen, kan der opstå skade både på brusken og knoglen. Først og fremmest på den knogle der hedder rullebenet, men også på skinnebenet og lægbenet. </p> <p>Afrivningen af brusk kan også medinddrage kanten af knoglen, så skaden kan ses på røntgenbillede. Da brusk har begrænset evne til at reparere sig selv, kan det give vedvarende gener.</p> <h3>Hvad er symptomerne på bruskskade i ankelleddet?</h3> <p>Smerter i fodleddet er karakteristisk. Enkelte oplever, at ankelleddet låser sig fast.</p> <h3>Hvilke symptomer skal du være særlig opmærksom på?</h3> <p>Smerter ved særlige bevægelser og belastninger samt hvis ankelleddet låser sig fast.</p> <h2>Hvordan stilles diagnosen?</h2> <p>Så længe du kun har smerter, er diagnosen ikke altid så let at stille. Men hvis ankelleddet låser sig fast, er mistanken stor. </p> <p>Diagnosen bekræftes ved røntgenundersøgelse. Hvis ikke almindeligt røntgenbillede kan vise en skade, og hvis der bliver ved med at være gener, kan der foretages enten <a href="~/link.aspx?_id=1E3028D2ED1145508B681DA68305498F&_z=z">MR</a>-skanning eller CT-skanning. </p> <p>Nogle gange foretager man en kikkertundersøgelse (<a href="~/link.aspx?_id=0A5BE9075C604C54836CA5FC9081733F&_z=z">artroskopi</a>) både for at stille diagnosen og for samtidigt at behandle skaden.</p> <h2>Hvorfor får du bruskskade i ankelleddet?</h2> <p>Bruskskade ses oftest hos personer, som har forvredet ankelleddet mange gange.</p> <p>Men skaden kan også opstå efter blot én enkelt hændelse - og nogle husker det såmænd ikke. Der opstår vedvarende smerter. Nogle bliver mere stive i ankelleddet, og enkelte oplever, at ankelleddet låser sig fast. </p> <p>En aflåsning skyldes, at et knoglestykke har løsnet sig og kan komme i klemme inde i leddet - se også <a href="~/link.aspx?_id=22EBFDF28DCF446991A692B74090DE68&_z=z">osteokondritis dissecans</a>.</p> <h2>Hvilken behandling er der?</h2> <p>I de tilfælde, hvor der kun er brud i brusken, uden nogen løsning af et knoglestykke behandles du med ankelgips i 6-8 uger. </p> <p>Hvis der er afsprængning af et knoglestykke, bør du opereres. Her vil kirurgen enten fjerne knoglestykket eller fæstne det på plads i leddet. Det gøres normalt ved en kikkertundersøgelse (artroskopi). Efter indgrebet skal anklen behandles med gips. </p> <p>Efter behandling med gips kan du gradvist øge belastningen i anklen. Hvis du er idrætsudøver, er det vigtigt, at du følger et optræningsprogram, som gradvist øger belastningen over tid.</p> <p>Hvis der vedbliver med at være gener fra anklen, når du bevæger anklen ud i yderstillinger, eller når du går, kan det være en god idé at prøve en støttende bandage op omkring anklen eller at prøve en sko med gængesål ved gang.</p> <h3>Hvad kan jeg selv gøre?</h3> <p>Aflast anklen efter at du har fået en forvridning, og genoptag langsomt den normale aktivitet.</p> <h3>Hvordan undgår jeg at få eller forværre en bruskskade i anklen?</h3> <p>Det er vigtigt at forebygge forvridninger i fodleddet og anvende støttende sko.</p> <h3>Hvornår skal jeg søge hjælp? </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 længerevarende symptomer, men større bruskskader kan føre til slidgigt i anklen.</p> <h3>Hvor hyppig er bruskskader i ankelleddet?</h3> <p>Anses for at være hyppig, men de fleste tilfælde giver bruskskader næppe anledning til, at du kontakter din læge.</p> <h3>Kan jeg få bruskskade i ankelleddet mere end én gang?</h3> <p>Ja, hver gang man får en forvridning af anklen, kan det medføre en bruskskade.</p> <h2>Vil du vide mere?</h2> <ul> <li><a href="~/link.aspx?_id=22EBFDF28DCF446991A692B74090DE68&_z=z">Osteokondritis dissecans</a> </li> <li><a href="~/link.aspx?_id=1E3028D2ED1145508B681DA68305498F&_z=z">MR-skanning</a> </li> <li><a href="~/link.aspx?_id=27E4909F66C640F6B561188605668B5E&_z=z">Løb - forebyggelse af skader</a> </li> <li><a href="~/link.aspx?_id=292D74C6C35446E6A6E5378B5524537F&_z=z">Idrætsskader </a></li> <li><a href="~/link.aspx?_id=2B9F633516794DD88AAA5D1B96BDB3E8&_z=z">Bruskskader i ankelleddet - 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>]]></HtmlField> <TextField Name="DoctorsHandbookID">11453</TextField> <TextField Name="PageTitle">Ankel, bruskskade</TextField> <TextField Name="NavigationTitle">Ankel, bruskskade</TextField> <CheckBoxField Name="ShowInMenu">true</CheckBoxField> <CheckBoxField Name="ShowInContentField">true</CheckBoxField> <DateTimeField Name="RevisedDate">2024-11-28T14:29:00</DateTimeField> <LinkListField Name="Authors"> <LinkField linktype="internal">{CE2BA99D-50C9-4893-9B3A-504CFF36BD80}</LinkField> <LinkField linktype="internal">{ED7CEC94-3F7A-4FB5-BBB0-A3681BCFC481}</LinkField> </LinkListField> <LinkListField Name="Organization"> <LinkField linktype="internal">{DBBC5F07-FEB9-4FAC-8DCA-1C8C28C4F5B5}</LinkField> </LinkListField> <LinkListField Name="SearchAreaID"> <LinkField linktype="internal">9</LinkField> </LinkListField> <TextField Name="Description">I forbindelse med svære forvridninger kan der opstå bruskafrivninger på kanterne af rullebenet i fodleddet. 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]]></Media> 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