{"id":1386,"date":"2026-04-09T13:53:46","date_gmt":"2026-04-09T13:53:46","guid":{"rendered":"https:\/\/darkcyan-pheasant-754087.hostingersite.com\/?page_id=1386"},"modified":"2026-04-12T15:49:11","modified_gmt":"2026-04-12T15:49:11","slug":"lapsen-rannemurtuma","status":"publish","type":"page","link":"https:\/\/lastenkirurgia.fi\/sv\/lapsen-rannemurtuma\/","title":{"rendered":"Barns handledsfraktur"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"1386\" class=\"elementor elementor-1386\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-80bfb32 e-flex e-con-boxed e-con e-parent\" data-id=\"80bfb32\" 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-b7b4158 elementor-widget elementor-widget-text-editor\" data-id=\"b7b4158\" 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\">Fraktur p\u00e5 underarmen hos ett barn (&quot;handledsfraktur&quot;)<\/h2><p data-path-to-node=\"3\">Frakturer i underarmen \u00e4r mycket vanliga hos barn. En typisk situation \u00e4r ett fall p\u00e5 utstr\u00e4ckt hand, till exempel vid lek eller sport. Barns ben ombyggs och har en stor f\u00f6rm\u00e5ga att reparera sig sj\u00e4lva allt eftersom de v\u00e4xer, vilket g\u00f6r behandlingen annorlunda \u00e4n den hos vuxna.<\/p><h3 data-path-to-node=\"4\">Typer av frakturer och deras behandling<\/h3><p data-path-to-node=\"5\">L\u00e4karen kommer att avg\u00f6ra typen av fraktur fr\u00e5n r\u00f6ntgenbilden. Behandlingsf\u00f6rloppet beror p\u00e5 typen av fraktur och barnets \u00e5lder:<\/p><ol start=\"1\" data-path-to-node=\"6\"><li><p data-path-to-node=\"6,0,0\"><b data-path-to-node=\"6,0,0\" data-index-in-node=\"0\">Rynkfraktur (Torus):<\/b><\/p><ul data-path-to-node=\"6,0,1\"><li><p data-path-to-node=\"6,0,1,0,0\"><b data-path-to-node=\"6,0,1,0,0\" data-index-in-node=\"0\">vad \u00e4r det?<\/b> Benet \u00e4r egentligen inte brutet, det \u00e4r bara &quot;ryckt&quot; eller skrynkligt p\u00e5 ena sidan.<\/p><\/li><li><p data-path-to-node=\"6,0,1,1,0\"><b data-path-to-node=\"6,0,1,1,0\" data-index-in-node=\"0\">V\u00e5rd:<\/b> Detta \u00e4r en helt stabil skada. Den behandlas med ortos eller gips i 1\u20133 veckor, fr\u00e4mst p\u00e5 grund av sm\u00e4rta. Ingen r\u00f6ntgen beh\u00f6vs.<\/p><\/li><\/ul><\/li><li><p data-path-to-node=\"6,1,0\"><b data-path-to-node=\"6,1,0\" data-index-in-node=\"0\">Pilpinnefraktur (Greenstick):<\/b><\/p><ul data-path-to-node=\"6,1,1\"><li><p data-path-to-node=\"6,1,1,0,0\"><b data-path-to-node=\"6,1,1,0,0\" data-index-in-node=\"0\">vad \u00e4r det?<\/b> Ena sidan av benet \u00e4r brutet och den andra sidan \u00e4r b\u00f6jd (som en f\u00e4rsk gren).<\/p><\/li><li><p data-path-to-node=\"6,1,1,1,0\"><b data-path-to-node=\"6,1,1,1,0\" data-index-in-node=\"0\">V\u00e5rd:<\/b> Om positionen \u00e4r d\u00e5lig beh\u00f6ver frakturen r\u00e4tas ut. Den \u00e4r mer instabil \u00e4n en veckfraktur, s\u00e5 positionen kontrolleras ofta med r\u00f6ntgen efter ungef\u00e4r en vecka.<\/p><\/li><\/ul><\/li><li><p data-path-to-node=\"6,2,0\"><b data-path-to-node=\"6,2,0\" data-index-in-node=\"0\">Korsfraktur:<\/b><\/p><ul data-path-to-node=\"6,2,1\"><li><p data-path-to-node=\"6,2,1,0,0\"><b data-path-to-node=\"6,2,1,0,0\" data-index-in-node=\"0\">vad \u00e4r det?<\/b> Benet \u00e4r helt brutet.<\/p><\/li><li><p data-path-to-node=\"6,2,1,1,0\"><b data-path-to-node=\"6,2,1,1,0\" data-index-in-node=\"0\">V\u00e5rd:<\/b> Om benens \u00e4ndar har f\u00f6rskjutits avsev\u00e4rt s\u00e4tts de tillbaka p\u00e5 plats (repositioneras). Hos sm\u00e5 barn kan \u00e4ven stora f\u00f6rskjutningar korrigera sig sj\u00e4lva allt eftersom de v\u00e4xer, men synliga felst\u00e4llningar korrigeras vanligtvis alltid.<\/p><\/li><\/ul><\/li><\/ol><hr data-path-to-node=\"7\" \/><h3 data-path-to-node=\"8\">Tillv\u00e4xtens kraft (ombyggnad)<\/h3><p data-path-to-node=\"9\">Ett barns skelett korrigerar felst\u00e4llningar med otrolig effektivitet. Detta kallas ombyggnad.<\/p><ul data-path-to-node=\"10\"><li><p data-path-to-node=\"10,0,0\"><b data-path-to-node=\"10,0,0\" data-index-in-node=\"0\">F\u00f6r barn under 5 \u00e5r<\/b> Upp till 35 graders lutning i handledens r\u00f6relseriktning \u00e4r acceptabelt.<\/p><\/li><li><p data-path-to-node=\"10,1,0\"><b data-path-to-node=\"10,1,0\" data-index-in-node=\"0\">F\u00f6r \u00e5ldrarna 5\u201312<\/b> En lutning p\u00e5 cirka 25 grader \u00e4r acceptabel.<\/p><\/li><li><p data-path-to-node=\"10,2,0\">Ju \u00e4ldre barnet \u00e4r, desto mer exakt position s\u00f6ks eftersom det finns mindre tillv\u00e4xt kvar.<\/p><\/li><\/ul><h3 data-path-to-node=\"11\">Kirurgisk behandling och metallspikar<\/h3><p data-path-to-node=\"12\">Om frakturen \u00e4r mycket instabil eller d\u00e5ligt placerad, kommer frakturen att r\u00e4tas ut i operationssalen under narkos.<\/p><ul data-path-to-node=\"13\"><li><p data-path-to-node=\"13,0,0\"><b data-path-to-node=\"13,0,0\" data-index-in-node=\"0\">Spika:<\/b> Frakturen kan st\u00f6djas med sl\u00e4ta metallstift (K-stift) som f\u00f6rs in genom huden. De f\u00f6rhindrar att frakturen flyttar sin position inuti gipset.<\/p><\/li><li><p data-path-to-node=\"13,1,0\"><b data-path-to-node=\"13,1,0\" data-index-in-node=\"0\">Tillv\u00e4xtplattafrakturer:<\/b> Om frakturen skadar ledytan eller tillv\u00e4xtplattan kr\u00e4ver den s\u00e4rskilt noggrann behandling och ofta kirurgi f\u00f6r att f\u00f6rhindra st\u00f6rningar i bentillv\u00e4xten.<\/p><\/li><\/ul><hr data-path-to-node=\"14\" \/><h3 data-path-to-node=\"15\">Gipsbehandling och instruktioner hemma<\/h3><p data-path-to-node=\"16\">Frakturen st\u00f6ds vanligtvis med en individuell <b data-path-to-node=\"16\" data-index-in-node=\"39\">med en gipsslev<\/b>, vilket g\u00f6r att fingrarna och armb\u00e5gen kan r\u00f6ra sig fritt.<\/p><p data-path-to-node=\"17\"><b data-path-to-node=\"17\" data-index-in-node=\"0\">G\u00f6r s\u00e5 h\u00e4r hemma:<\/b><\/p><ul data-path-to-node=\"18\"><li><p data-path-to-node=\"18,0,0\"><b data-path-to-node=\"18,0,0\" data-index-in-node=\"0\">Sm\u00e4rtstillande medicin:<\/b> Ge ditt barn sm\u00e4rtstillande medel (t.ex. paracetamol eller ibuprofen) regelbundet de f\u00f6rsta dagarna.<\/p><\/li><li><p data-path-to-node=\"18,1,0\"><b data-path-to-node=\"18,1,0\" data-index-in-node=\"0\">F\u00f6retag:<\/b> Uppmuntra ditt barn att r\u00f6ra fingrarna aktivt redan fr\u00e5n b\u00f6rjan.<\/p><\/li><li><p data-path-to-node=\"18,2,0\"><b data-path-to-node=\"18,2,0\" data-index-in-node=\"0\">Observation:<\/b> Kontakta l\u00e4kare om fingrarna blir bl\u00e5, kalla, domnar bort, eller om barnet har sv\u00e5r sm\u00e4rta som inte lindras av medicinering.<\/p><\/li><\/ul><hr data-path-to-node=\"19\" \/><h3 data-path-to-node=\"20\">N\u00e4r beh\u00f6vs \u00f6vervakning?<\/h3><ul data-path-to-node=\"21\"><li><p data-path-to-node=\"21,0,0\"><b data-path-to-node=\"21,0,0\" data-index-in-node=\"0\">Rynksprickor<\/b> inget behov av att fotografera om.<\/p><\/li><li><p data-path-to-node=\"21,1,0\"><b data-path-to-node=\"21,1,0\" data-index-in-node=\"0\">Pilr\u00f6rsfrakturer och tv\u00e4rg\u00e5ende frakturer<\/b> vanligtvis kontrolleras med r\u00f6ntgen efter 7\u201310 dagar f\u00f6r att s\u00e4kerst\u00e4lla att positionen inte har f\u00f6r\u00e4ndrats i gipset.<\/p><\/li><li><p data-path-to-node=\"21,2,0\"><b data-path-to-node=\"21,2,0\" data-index-in-node=\"0\">Kl\u00e4mda frakturer<\/b> fotograferas innan taggarna tas bort (vanligtvis efter 3\u20134 veckor).<\/p><\/li><\/ul><p>Duodecim-artikeln<\/p><p><a href=\"https:\/\/www.duodecimlehti.fi\/duo16023\" target=\"_blank\" rel=\"noopener\">https:\/\/www.duodecimlehti.fi\/duo16023<\/a><\/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 kyyn\u00e4rvarren alaosan murtuma (\u201drannemurtuma\u201d) Kyyn\u00e4rvarren alaosan murtumat ovat lapsilla eritt\u00e4in yleisi\u00e4. Tyypillinen tilanne on kaatuminen ojennetun k\u00e4den varaan esimerkiksi leikkiess\u00e4 tai urheillessa. Lapsen luusto on remodelloituvaa ja sill\u00e4 on suuri kyky korjata itse\u00e4\u00e4n kasvun my\u00f6t\u00e4, mik\u00e4 tekee hoidosta erilaista kuin aikuisilla. Murtumatyypit ja niiden hoito L\u00e4\u00e4k\u00e4ri m\u00e4\u00e4ritt\u00e4\u00e4 murtuman tyypin r\u00f6ntgenkuvasta. Hoitolinja riippuu murtuman laadusta [&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-1386","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/pages\/1386","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/comments?post=1386"}],"version-history":[{"count":4,"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/pages\/1386\/revisions"}],"predecessor-version":[{"id":1655,"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/pages\/1386\/revisions\/1655"}],"wp:attachment":[{"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/media?parent=1386"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}