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Höftfraktur

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Definition:
Höftfrakturer är intrakapsulära (cervikala) eller extrakapsulära (trokantära). De cervikala frakturerna kan vara dislocerade eller odislocerade. De trokantära kan vara stabila eller instabila.
Förekomst:
Det inträffar omkring 18 000 höftfrakturer varje år i Sverige Drygt 50 % av dessa är cervikala frakturer.
Symtom:
Smärtor i höftregionen med nedsatt förmåga att aktivt röra benet samt anamnes på trauma.
Kliniska fynd:
Det drabbade benet är ofta uppdraget, förkortat och utåtroterat, och vid rörelse av benet föreligger indirekt ömhet/smärta i höftregionen.
Diagnostik:
Diagnosen ställs på klinisk misstanke och bekräftas med röntgen. MR används i tveksamma fall, då den kliniska bilden talar för fraktur, men röntgen inte är konklusiv. En förnyad röntgen en vecka efter traumat kan också verifiera eller förkasta frakturmisstanken.
Behandling:
Behandlingen är kirurgisk. Smärtlindring och trombosprofylax ges. Rehabilitering efter operation.
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  • Cecilia Rogmark, docent och överläkare, Ortopediska kliniken, Skånes universitetssjukhus

Tidigare sakkunniga

  • Frede Frihagen, specialist i ortopedi, Phd., överläkare vid Ortopedisk avdeling, Oslo universitetssykehus, Ullevål, Oslo