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Hælbeinsbrudd: Diagnosen

Innhold i artikkelen

Skaden skyldes vanligvis hopp eller fall fra stor høyde eller trafikkulykker. Ofte foreligger andre skader også. Etter skaden klarer ikke den skadede å trå eller gå på foten. Ved undersøkelsen foreligger betydelig hevelse i foten. Hælen er breddeforøket og foten har plattfot-form.

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Røntgen tas rutinemessig og viser brudd. Ofte tas CT i tillegg fordi undersøkelsen gir sikrere opplysninger om eventuelle bruddskader i hælbeinets ledd. Også MR vil noen ganger være aktuelt.

Noen får stressbrudd i calcaneus. Ved mistanke om dette er røntgenundersøkelse nødvendig. Noen ganger er det også behov for MR bilder i tillegg.

Vil du vite mer

Dette dokumentet er basert på det profesjonelle dokumentet Calcaneusbrudd . Referanselisten for dette dokumentet vises nedenfor

  1. Yu Q, Li Z, Li J, Yu Q, et al. Calcaneal fracture maps and their determinants. J Orthop Surg Res. 2022 Jan 21;17(1):39. PMID: 35062985 PubMed
  2. Lewis SR, Pritchard MW, Solomon JL, et al. Surgical versus non-surgical interventions for displaced intra-articular calcaneal fractures. Cochrane Database Syst Rev. 2023 Nov 7;11(11):CD008628. PMID: 37933733 PubMed
  3. Mitchell MJ, McKinley JC, Robinson CM. The epidemiology of calcaneal fractures. Foot (Edinb). 2009 Dec;19(4):197-200. PMID: 20307476 PubMed
  4. Vosoughi AR, Borazjani R, Ghasemi N, et al. Different types and epidemiological patterns of calcaneal fractures based on reviewing CT images of 957 fractures. Foot Ankle Surg. 2022 Jan;28(1):88-92. PMID: 33563519 PubMed
  5. Rammelt S, Swords MP. Calcaneal Fractures-Which Approach for Which Fracture? Orthop Clin North Am. 2021 Oct;52(4):433-450. PMID: 34538353. PubMed
  6. Bohl DD, Ondeck NT, Samuel AM, et al. Demographics, Mechanisms of Injury, and Concurrent Injuries Associated With Calcaneus Fractures: A Study of 14 516 Patients in the American College of Surgeons National Trauma Data Bank. Foot Ankle Spec. 2017 Oct;10(5):402-410. PMID: 27895200 PubMed
  7. Jonsson BA. Fot - Calcaneusfraktur. Metodebok ortopedisk kirurgi. Bergen: Helse Bergen HF; sist oppdatert 06.06.2024 metodebok.no
  8. Hammer OL, Randsborg PH. Brudd- og skadebehandling : en metodebok. Oslo: Universitetsforlaget; 2014
  9. Badillo K, Pacheco JA, Padua SO, Gomez AA, Colon E, Vidal JA. Multidetector CT evaluation of calcaneal fractures. Radiographics. 2011 Jan-Feb. 31(1):81-92. PMID: 21257934 PubMed
  10. Swords MP, Alton TB, Holt S, Sangeorzan BJ, Shank JR, Benirschke SK. Prognostic value of computed tomography classification systems for intra-articular calcaneus fractures. Foot Ankle Int. 2014 Oct. 35 (10):975-80. PMID: 25136031 PubMed
  11. Agren PH, Wretenberg P, Sayed-Noor AS. Operative versus nonoperative treatment of displaced intra-articular calcaneal fractures: a prospective, randomized, controlled multicenter trial. J Bone Joint Surg Am 2013 Aug 7;95(15):1351-7 PubMed
  12. Griffin D, Parsons N, Shaw E, et al. Operative versus non-operative treatment for closed, displaced, intra-articular fractures of the calcaneus: randomised controlled trial. BMJ 2014; 349: g4483. PMID: 25059747 PubMed
  13. Lewis SR, Pritchard MW, Solomon JL, et al. Surgical versus non-surgical interventions for displaced intra-articular calcaneal fractures. Cochrane Database Syst Rev. 2023 Nov 7;11(11):CD008628. PMID: 37933733 PubMed
  14. Grün W, Molund M, Nilsen F, Stødle AH. Results After Percutaneous and Arthroscopically Assisted Osteosynthesis of Calcaneal Fractures. Foot Ankle Int. 2020 Jun;41(6):689-697. PMID: 32412812 PubMed
  15. Purdie SD, Hoskins N, Sumarlie RJ, et al. Minimally invasive surgical techniques compared to an extensile lateral approach in the management of displaced intra-articular calcaneal fractures. A systematic review and meta-analysis of randomised controlled trials. Foot Ankle Surg. 2025 Aug;31(6):473-485. PMID: 40011189 PubMed
  16. Rodemund C, Krenn R, Kihm C, et al. Minimally invasive surgery for intra-articular calcaneus fractures: a 9-year, single-center, retrospective study of a standardized technique using a 2-point distractor. BMC Musculoskelet Disord. 2020 Nov 14;21(1):753. PMID: 33189140 PubMed
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