{"id":1390,"date":"2026-04-09T13:54:21","date_gmt":"2026-04-09T13:54:21","guid":{"rendered":"https:\/\/darkcyan-pheasant-754087.hostingersite.com\/?page_id=1390"},"modified":"2026-04-12T15:42:18","modified_gmt":"2026-04-12T15:42:18","slug":"lapsen-kaden-vamma","status":"publish","type":"page","link":"https:\/\/lastenkirurgia.fi\/ru\/lapsen-kaden-vamma\/","title":{"rendered":"\u0422\u0440\u0430\u0432\u043c\u0430 \u0440\u0443\u043a\u0438 \u0443 \u0440\u0435\u0431\u0435\u043d\u043a\u0430"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"1390\" class=\"elementor elementor-1390\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-17b6c2e e-flex e-con-boxed e-con e-parent\" data-id=\"17b6c2e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a7fff64 elementor-widget elementor-widget-text-editor\" data-id=\"a7fff64\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 data-path-to-node=\"2\">Lapsen k\u00e4den ja ranteen vammat: Opas vanhemmille<\/h2><p data-path-to-node=\"3\">K\u00e4si on lapsen yleisimmin vammautuva kehonosa. Lasten murtumien hoito eroaa aikuisten hoidosta, koska lapsen luusto kasvaa jatkuvasti. T\u00e4m\u00e4 kasvu on suuri etu, sill\u00e4 se pystyy korjaamaan monia murtuman j\u00e4lkeisi\u00e4 virheasentoja itsest\u00e4\u00e4n.<\/p><h3 data-path-to-node=\"4\">Tavallisimmat vammatyypit<\/h3><ul data-path-to-node=\"5\"><li><p data-path-to-node=\"5,0,0\"><b data-path-to-node=\"5,0,0\" data-index-in-node=\"0\">Sormenp\u00e4iden vammat:<\/b> Pienill\u00e4 lapsilla sormen j\u00e4\u00e4minen oven v\u00e4liin on tyypillinen tapaturma. Vaikka luussa olisi murtuma, t\u00e4rkeint\u00e4 on usein kynsipedin kunnon tarkistaminen ja mahdollinen korjaus.<\/p><\/li><li><p data-path-to-node=\"5,1,0\"><b data-path-to-node=\"5,1,0\" data-index-in-node=\"0\">Sormien tyviosien ja k\u00e4mmenluiden murtumat:<\/b> Isommilla lapsilla yleisi\u00e4 vammoja, jotka hoituvat useimmiten ilman leikkausta teippauksella, lastalla tai kipsill\u00e4.<\/p><\/li><li><p data-path-to-node=\"5,2,0\"><b data-path-to-node=\"5,2,0\" data-index-in-node=\"0\">Ranteen alueen murtumat:<\/b> Erityisesti kaatumisten yhteydess\u00e4 syntyv\u00e4t v\u00e4rttin\u00e4luun alaosan murtumat ovat hyvin tavallisia.<\/p><\/li><\/ul><h3 data-path-to-node=\"6\">Erityist\u00e4 huomiota vaativat murtumat<\/h3><p data-path-to-node=\"7\">Jotkin murtumatyypit ovat petollisia ja vaativat l\u00e4hes aina asiantuntijan hoitoa tai leikkausta:<\/p><ol start=\"1\" data-path-to-node=\"8\"><li><p data-path-to-node=\"8,0,0\"><b data-path-to-node=\"8,0,0\" data-index-in-node=\"0\">Seymourin murtuma:<\/b> Sormen k\u00e4rkij\u00e4senen kasvulinjan l\u00e4pi menev\u00e4 murtuma, jossa kynnen juuri voi j\u00e4\u00e4d\u00e4 murtumarakoon.<\/p><\/li><li><p data-path-to-node=\"8,1,0\"><b data-path-to-node=\"8,1,0\" data-index-in-node=\"0\">Sormij\u00e4senen kaulan murtuma:<\/b> Murtunut osa voi py\u00f6r\u00e4ht\u00e4\u00e4 jopa 180 astetta. Hoitamattomana t\u00e4m\u00e4 rajoittaa pysyv\u00e4sti sormen koukistumista.<\/p><\/li><li><p data-path-to-node=\"8,2,0\"><b data-path-to-node=\"8,2,0\" data-index-in-node=\"0\">Nivelen sis\u00e4iset murtumat:<\/b> Vaativat usein leikkausta, jotta nivelpinta saadaan t\u00e4ysin tasaiseksi.<\/p><\/li><li><p data-path-to-node=\"8,3,0\"><b data-path-to-node=\"8,3,0\" data-index-in-node=\"0\">Kiertym\u00e4t (rotaatiovirheet):<\/b> Toisin kuin kulmavirheet, <b data-path-to-node=\"8,3,0\" data-index-in-node=\"55\">kasvu ei korjaa luun kiertym\u00e4\u00e4<\/b>. Siksi on t\u00e4rke\u00e4\u00e4 tutkia, ett\u00e4 sormet taipuvat koukistaessa oikeassa suunnassa (kynnet osoittavat samaan suuntaan).<\/p><\/li><\/ol><hr data-path-to-node=\"9\" \/><h3 data-path-to-node=\"10\">Ranteen murtumatyypit ja niiden hoito<\/h3><p data-path-to-node=\"11\">L\u00e4\u00e4k\u00e4ri m\u00e4\u00e4rittelee murtuman tyypin r\u00f6ntgenkuvan perusteella. Hoitotapa riippuu murtuman laadusta:<\/p><table data-path-to-node=\"12\"><thead><tr><td><strong>Murtumatyyppi<\/strong><\/td><td><strong>Kuvaus<\/strong><\/td><td><strong>Tyypillinen hoito<\/strong><\/td><\/tr><\/thead><tbody><tr><td><span data-path-to-node=\"12,1,0,0\"><b data-path-to-node=\"12,1,0,0\" data-index-in-node=\"0\">Torus-murtuma<\/b><\/span><\/td><td><span data-path-to-node=\"12,1,1,0\">Luun kuoren &#8221;rypistyminen&#8221;, vakaa vamma.<\/span><\/td><td><span data-path-to-node=\"12,1,2,0\">Tukisidos, lasta tai kipsi l\u00e4hinn\u00e4 kivun hoitoon.<\/span><\/td><\/tr><tr><td><span data-path-to-node=\"12,2,0,0\"><b data-path-to-node=\"12,2,0,0\" data-index-in-node=\"0\">Greenstick (pajunvitsa)<\/b><\/span><\/td><td><span data-path-to-node=\"12,2,1,0\">Luu murtuu vain toiselta puolelta ja taipuu.<\/span><\/td><td><span data-path-to-node=\"12,2,2,0\">Paikoilleen asettaminen (repositio) ja kipsaus.<\/span><\/td><\/tr><tr><td><span data-path-to-node=\"12,3,0,0\"><b data-path-to-node=\"12,3,0,0\" data-index-in-node=\"0\">Poikkimurtuma<\/b><\/span><\/td><td><span data-path-to-node=\"12,3,1,0\">Luu on kokonaan poikki, usein lyhentym\u00e4\u00e4.<\/span><\/td><td><span data-path-to-node=\"12,3,2,0\">Suoristus ja kipsaus.<\/span><\/td><\/tr><tr><td><span data-path-to-node=\"12,4,0,0\"><b data-path-to-node=\"12,4,0,0\" data-index-in-node=\"0\">Kasvulinjamurtuma<\/b><\/span><\/td><td><span data-path-to-node=\"12,4,1,0\">Murtuma ulottuu pituuskasvusta vastaavaan linjaan.<\/span><\/td><td><span data-path-to-node=\"12,4,2,0\">Varovainen paikoilleen asettaminen; v\u00e4ltet\u00e4\u00e4n turhia yrityksi\u00e4 kasvun turvaamiseksi.<\/span><\/td><\/tr><\/tbody><\/table><hr data-path-to-node=\"13\" \/><h3 data-path-to-node=\"14\">Kasvun merkitys toipumisessa<\/h3><p data-path-to-node=\"15\">Lapsen ik\u00e4 on ratkaiseva tekij\u00e4 hoidossa:<\/p><ul data-path-to-node=\"16\"><li><p data-path-to-node=\"16,0,0\"><b data-path-to-node=\"16,0,0\" data-index-in-node=\"0\">Alle 10-vuotiaat:<\/b> Luuston korjauspotentiaali (remodellaatio) on erinomainen. Esimerkiksi ranteessa voidaan sallia huomattavakin kulmavirhe (jopa 30\u201335 astetta), koska kasvu suoristaa luun ajan my\u00f6t\u00e4.<\/p><\/li><li><p data-path-to-node=\"16,1,0\"><b data-path-to-node=\"16,1,0\" data-index-in-node=\"0\">Yli 10-vuotiaat ja teinit:<\/b> Kasvua on j\u00e4ljell\u00e4 v\u00e4hemm\u00e4n, joten murtuman asennon suhteen ollaan tarkempia. Hoitolinjat l\u00e4hestyv\u00e4t aikuisten hoidon periaatteita.<\/p><\/li><\/ul><h3 data-path-to-node=\"17\">Milloin tarvitaan leikkausta?<\/h3><p data-path-to-node=\"18\">Vaikka suurin osa vammoista paranee kipsill\u00e4, leikkausta (esim. pikkupiikit tai avaus) tarvitaan, jos:<\/p><ul data-path-to-node=\"19\"><li><p data-path-to-node=\"19,0,0\">Nivelpinnassa on pyk\u00e4l\u00e4.<\/p><\/li><li><p data-path-to-node=\"19,1,0\">Murtumassa on merkitt\u00e4v\u00e4 kiertym\u00e4virhe.<\/p><\/li><li><p data-path-to-node=\"19,2,0\">Murtuma-asento on niin ep\u00e4vakaa, ettei se pysy paikoillaan pelk\u00e4ll\u00e4 kipsill\u00e4.<\/p><\/li><li><p data-path-to-node=\"19,3,0\">Kyseess\u00e4 on kasvulinjan vaurio, joka uhkaa luun normaalia pituuskasvua tulevaisuudessa.<\/p><\/li><\/ul><p>\u00a0<\/p><p>Lasten k\u00e4sikirugin katsaus k\u00e4den vammoista (2014 versio)<\/p><p><a href=\"https:\/\/bin.yhdistysavain.fi\/1607320\/KmxJWwsTh84H17vAox0p0Y0pGK\/sot1-14_lasten_kaden_ja_ranteen.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/bin.yhdistysavain.fi\/1607320\/KmxJWwsTh84H17vAox0p0Y0pGK\/sot1-14_lasten_kaden_ja_ranteen.pdf<\/a><\/p><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Lapsen k\u00e4den ja ranteen vammat: Opas vanhemmille K\u00e4si on lapsen yleisimmin vammautuva kehonosa. Lasten murtumien hoito eroaa aikuisten hoidosta, koska lapsen luusto kasvaa jatkuvasti. T\u00e4m\u00e4 kasvu on suuri etu, sill\u00e4 se pystyy korjaamaan monia murtuman j\u00e4lkeisi\u00e4 virheasentoja itsest\u00e4\u00e4n. Tavallisimmat vammatyypit Sormenp\u00e4iden vammat: Pienill\u00e4 lapsilla sormen j\u00e4\u00e4minen oven v\u00e4liin on tyypillinen tapaturma. Vaikka luussa olisi murtuma, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_angie_page":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1390","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/lastenkirurgia.fi\/ru\/wp-json\/wp\/v2\/pages\/1390","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lastenkirurgia.fi\/ru\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/lastenkirurgia.fi\/ru\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/lastenkirurgia.fi\/ru\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lastenkirurgia.fi\/ru\/wp-json\/wp\/v2\/comments?post=1390"}],"version-history":[{"count":4,"href":"https:\/\/lastenkirurgia.fi\/ru\/wp-json\/wp\/v2\/pages\/1390\/revisions"}],"predecessor-version":[{"id":1649,"href":"https:\/\/lastenkirurgia.fi\/ru\/wp-json\/wp\/v2\/pages\/1390\/revisions\/1649"}],"wp:attachment":[{"href":"https:\/\/lastenkirurgia.fi\/ru\/wp-json\/wp\/v2\/media?parent=1390"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}