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Skafoideumfraktur

Senast uppdaterad: Senast reviderad:
Sakkunnig:
Definition:
Fraktur på os scaphoideum, båtbenet, i handloven. 
Förekomst:
Uppträder ofta hos yngre personer, oftast män i åldern 15–30 år. Utgör 60–90 % av handlovsfrakturerna.
Symtom:
Trauma på grund av fall eller slag mot handen. Ger och ömhet och smärta lokaliserad till handleden.
Kliniska fynd:
Palpationsömhet i fossa tabatière. Rörelser i handleden är smärtsamma, kan framkalla klickljud eller krepitationer.
Diagnostik:
Aktuella undersökningar är röntgen, scintigrafi, MRT, DT.
Behandling:
Tidig diagnos och korrekt immobilisering minskar risken för komplikationer. Risken för avaskulär nekros kräver lång immobiliseringstid. Operation är ett alternativ.
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  • Anna Nager, med dr och specialist i allmänmedicin, Karolinska institutet

Tidigare sakkunniga

  • Eva Zeisig, med dr och specialistläkare, Ortopediska kliniken, Norrlands universitetssjukhus, Umeå