{"id":1413,"date":"2018-05-29T06:37:25","date_gmt":"2018-05-29T06:37:25","guid":{"rendered":"https:\/\/projects.techhivetechnologies.com\/lfiold\/?p=1413"},"modified":"2023-12-11T06:40:25","modified_gmt":"2023-12-11T06:40:25","slug":"jeg-har-roket-korsbandet-hva-na","status":"publish","type":"post","link":"https:\/\/projects.techhivetechnologies.com\/lfiold\/jeg-har-roket-korsbandet-hva-na\/","title":{"rendered":"Fremre korsb\u00e5ndsskade- hva gj\u00f8r jeg n\u00e5?"},"content":{"rendered":"\t\t
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Fremre korsb\u00e5ndsskade- hva gj\u00f8r jeg n\u00e5?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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En litt feilsl\u00e5tt landing i skibakken, et \u00abpopp\u00bb i kneet og p\u00e5f\u00f8lgende smerte og hevelse. N\u00e5 ligger du p\u00e5 ryggen i Volvo \u2018n til faderen med isposen p\u00e5 kneet p\u00e5 vei til legevakta mens usikkerheten brer seg: Er jeg en av dem n\u00e5, de korsb\u00e5nds skadde\u2026..men hvor alvorlig er det egentlig? R\u00f8ntgen bildene p\u00e5 legevakten og klappet p\u00e5 skuldra fra turnuslegen der gav heller ikke s\u00e5 mange svar, og fastlegen har lang ventetid.\u00a0Hva gj\u00f8r jeg n\u00e5?<\/em><\/p>

Hva er et korsb\u00e5nd?<\/strong><\/p>

Et raskt Google-s\u00f8k p\u00e5 \u00abACL injury\u00bb gir 5,33 milioner treff som viser noe av den store fasinasjonen for fremre korsb\u00e5ndsskader innen medisinen. Det fremre korsb\u00e5ndet (anterior cruciate ligament eller ACL) er et av to leddb\u00e5nd som ligger midt inne i kneet (mellom l\u00e5r- og legg- beinet) og det som blir aller hyppigst skadet. Det fremre korsb\u00e5ndet er et meget komplekst sammensatt samling av leddb\u00e5nd som skal forhindre at leggbeinet sklir fremover i forhold til l\u00e5rbeinet (uansett kneposisjon). B\u00e5ndene er med p\u00e5 \u00e5 \u00abstyre\u00bb hvordan kneet strekker- og b\u00f8yer- seg, og bremser rotasjon. Man kan godt si at korsb\u00e5ndene fungerer som en \u00absikkerhetssele\u00bb. Dette betyr at musklene ikke klarer \u00e5 holde legg- og l\u00e5r-beinene i \u00abriktig posisjon\u00bb og kneet er i ferd med \u00e5 g\u00e5 \u00abut av stilling\u00bb. Korsb\u00e5ndene ligger i kryss, og har derav f\u00e5tt navnet sitt.<\/p>

Selv om det fremre korsb\u00e5ndet bare er et av de fire store leddb\u00e5ndene i kneet (frem- og bakre- korsb\u00e5nd, indre- og ytre- leddb\u00e5nd, se bilde 2), s\u00e5 er det det viktigste og hvis det skades s\u00e5 betegnes dette som den hyppigste og alvorligste kneskaden p\u00e5 verdensbasis.<\/p>

Er fremre korsb\u00e5nd er 22-41 millimeter lang og 7-12 millimeter bredt. Det fremre korsb\u00e5ndet er meget rikt p\u00e5 f\u00f8lere (eller sanse celler) som g\u00e5r tapt ved en avrivning, korsb\u00e5ndet har vist liten evne til \u00e5 lege seg selv n\u00e5r det er helt avrevet.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Bilde 2: viser et normal kne og et korsb\u00e5ndsskadet h\u00f8yre kne. Knesk\u00e5len er fjernet for \u00e5 illustrere bedre hvor korsb\u00e5ndene ligger.<\/p><\/div>

\u00a0<\/p>

Hvem skader korsb\u00e5ndet sitt og hvordan?<\/strong><\/p>

I Norge s\u00e5 har vi et korsb\u00e5ndsregister som registrerer alle korsb\u00e5ndsoperasjonene, hvor de ble operert, hvilken teknikk og hvordan det g\u00e5r med dem. Det antas at det skades cirka 4000 korsb\u00e5nd \u00e5rlig og i 2016 s\u00e5 ble 1825 rekonstruert (under 50% ble operert). Korsb\u00e5ndsskadene skjer i idretter med mye vridning, finter og hopp, dette er prim\u00e6rt h\u00e5ndball, fotball og alpint (som er de st\u00f8rste idrettene v\u00e5re). De fleste som opereres er under 20 \u00e5r. I aldersgruppen 16-20 \u00e5r det en overvekt av jenter som skader korsb\u00e5ndene sine (h\u00e5ndball og fotball).<\/p>

Den vanligste skademekanismen finner man innen ikke-kontakt-skader (uten kontakt med annen spiller) i en vektb\u00e6rende fintebevegelse hvor kneet er lett b\u00f8yd, faller innover (kalvbeint) og utad roterer.<\/p>

Hva er symptomene p\u00e5 et avrevet fremre korsb\u00e5nd?<\/strong><\/p>

Fikk du er uventet vridning eller litt rar landing og du h\u00f8rte et \u00abpopp\u00bb fra kneleddet? Symptomene kan v\u00e6re en rask hevelse, svikt i kneet under vektb\u00e6ring, problemer med \u00e5 rette kneet helt ut eller \u00e5 b\u00f8ye det over 90 grader. Disse symptomene er ofte assosiert med en fremre korsb\u00e5ndsskade.<\/p>

Det er heller ikke uvanlig med skader p\u00e5 andre strukturer i kneet som for eksempel ligamenter, menisk, brusk og bein. Disse skadene kan komplisere behandlingsforl\u00f8pet og man b\u00f8r ta MR-bilder for \u00e5 kartlegge disse. Det er anbefalt \u00e5 konsultere en kne-spesialist, fortrinnsvis en ortoped, for \u00e5 kartlegge skadeomfanget innen kort tid etter skaden.<\/p>

Rehabiliteringen starter s\u00e5 raskt det lar seg gj\u00f8re!<\/strong><\/p>

Ortoped og MR-bilder avgj\u00f8r skadeomfanget. Rehabiliteringen b\u00f8r starte opp s\u00e5 tidlig som mulig (med noe f\u00e5 unntak ved tilleggsskader). Du b\u00f8r ta kontakt med en\u00a0fysioterapeut<\/a>\u00a0eller\u00a0idrettsfysioterapeut<\/a>\u00a0med interesse for kn\u00e6r for \u00e5 f\u00e5 et strukturert rehabiliterings opplegg tilpasset dine behov. Form\u00e5let med rehabiliteringen b\u00f8r v\u00e6re \u00e5 minske smerter og hevelse, f\u00e5 tilbake normal bevegelighet i kneleddet og bremse tapet av muskelkraften (spesielt fremre l\u00e5rmuskel), bedre kne funksjon under vektb\u00e6ring og normalisere gangm\u00f8nsteret.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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LFI Helse & Trening<\/a>\u00a0har kompetent personell og meget gode fasiliteter sentralt i Lillestr\u00f8m til \u00e5 drive med rehabilitering av kn\u00e6r. Du vil bli tatt godt imot av v\u00e5re\u00a0medarbeidere<\/a>!<\/p>

\u00a0<\/p>

Denne artikkelen er skrevet ved hjelp fra disse lenkene under:<\/strong><\/p>

  1. http:\/\/www.olympiatoppen.no\/fagomraader\/helse\/fagstoff\/idrettsskader_hos_barn_og_unge\/page8487.html<\/li>
  2. http:\/\/skadefri.no\/kroppsdeler\/kne\/Kneskader\/<\/li>
  3. https:\/\/www.kvalitetsregistre.no\/registers\/527\/resultater\/920<\/a><\/li>
  4. https:\/\/www.physio-pedia.com\/Anterior_Cruciate_Ligament_(ACL)_Injury#cite_note-12<\/a><\/li><\/ol>

    \u00a0<\/p>

    \u00a0<\/p>

    Mvh<\/p>

    Johann Lundin-Knutsen<\/p>

    Daglig leder<\/p>

    Spesialist i Idrettsfysioterapi, MSc<\/p>

    johann@lfi<\/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>\n\t\t","protected":false},"excerpt":{"rendered":"

    Fremre korsb\u00e5ndsskade- hva gj\u00f8r jeg n\u00e5? En litt feilsl\u00e5tt landing i skibakken, et \u00abpopp\u00bb i kneet og p\u00e5f\u00f8lgende smerte og hevelse. N\u00e5 ligger du p\u00e5 ryggen i Volvo \u2018n til faderen med isposen p\u00e5 kneet p\u00e5 vei til legevakta mens usikkerheten brer seg: Er jeg en av dem n\u00e5, de korsb\u00e5nds skadde\u2026..men hvor alvorlig er […]<\/p>\n","protected":false},"author":1,"featured_media":1414,"comment_status":"open","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-1413","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogs"],"yoast_head":"\nFremre korsb\u00e5ndsskade- hva gj\u00f8r jeg n\u00e5? - LFI<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/projects.techhivetechnologies.com\/lfiold\/jeg-har-roket-korsbandet-hva-na\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fremre korsb\u00e5ndsskade- hva gj\u00f8r jeg n\u00e5?\" \/>\n<meta property=\"og:description\" content=\"Fremre korsb\u00e5ndsskade- hva gj\u00f8r jeg n\u00e5? En litt feilsl\u00e5tt landing i skibakken, et \u00abpopp\u00bb i kneet og p\u00e5f\u00f8lgende smerte og hevelse. N\u00e5 ligger du p\u00e5 ryggen i Volvo \u2018n til faderen med isposen p\u00e5 kneet p\u00e5 vei til legevakta mens usikkerheten brer seg: Er jeg en av dem n\u00e5, de korsb\u00e5nds skadde\u2026..men hvor alvorlig er […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/projects.techhivetechnologies.com\/lfiold\/jeg-har-roket-korsbandet-hva-na\/\" \/>\n<meta property=\"og:site_name\" content=\"LFI\" \/>\n<meta property=\"article:published_time\" content=\"2018-05-29T06:37:25+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-12-11T06:40:25+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/projects.techhivetechnologies.com\/lfiold\/wp-content\/uploads\/2023\/12\/Blogg_nr3_LFI_Helse__Trening_Bilde1_ACL-768x505-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"768\" \/>\n\t<meta property=\"og:image:height\" content=\"505\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/projects.techhivetechnologies.com\\\/lfiold\\\/jeg-har-roket-korsbandet-hva-na\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/projects.techhivetechnologies.com\\\/lfiold\\\/jeg-har-roket-korsbandet-hva-na\\\/\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\\\/\\\/projects.techhivetechnologies.com\\\/lfiold\\\/#\\\/schema\\\/person\\\/5b69cb31570feb94ba91178cf62af5e6\"},\"headline\":\"Fremre korsb\u00e5ndsskade- hva gj\u00f8r jeg n\u00e5?\",\"datePublished\":\"2018-05-29T06:37:25+00:00\",\"dateModified\":\"2023-12-11T06:40:25+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/projects.techhivetechnologies.com\\\/lfiold\\\/jeg-har-roket-korsbandet-hva-na\\\/\"},\"wordCount\":798,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/projects.techhivetechnologies.com\\\/lfiold\\\/jeg-har-roket-korsbandet-hva-na\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/projects.techhivetechnologies.com\\\/lfiold\\\/wp-content\\\/uploads\\\/2023\\\/12\\\/Blogg_nr3_LFI_Helse__Trening_Bilde1_ACL-768x505-1.jpg\",\"articleSection\":[\"Blogs\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/projects.techhivetechnologies.com\\\/lfiold\\\/jeg-har-roket-korsbandet-hva-na\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/projects.techhivetechnologies.com\\\/lfiold\\\/jeg-har-roket-korsbandet-hva-na\\\/\",\"url\":\"https:\\\/\\\/projects.techhivetechnologies.com\\\/lfiold\\\/jeg-har-roket-korsbandet-hva-na\\\/\",\"name\":\"Fremre korsb\u00e5ndsskade- hva gj\u00f8r jeg n\u00e5? 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- LFI","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/projects.techhivetechnologies.com\/lfiold\/jeg-har-roket-korsbandet-hva-na\/","og_locale":"en_US","og_type":"article","og_title":"Fremre korsb\u00e5ndsskade- hva gj\u00f8r jeg n\u00e5?","og_description":"Fremre korsb\u00e5ndsskade- hva gj\u00f8r jeg n\u00e5? En litt feilsl\u00e5tt landing i skibakken, et \u00abpopp\u00bb i kneet og p\u00e5f\u00f8lgende smerte og hevelse. N\u00e5 ligger du p\u00e5 ryggen i Volvo \u2018n til faderen med isposen p\u00e5 kneet p\u00e5 vei til legevakta mens usikkerheten brer seg: Er jeg en av dem n\u00e5, de korsb\u00e5nds skadde\u2026..men hvor alvorlig er […]","og_url":"https:\/\/projects.techhivetechnologies.com\/lfiold\/jeg-har-roket-korsbandet-hva-na\/","og_site_name":"LFI","article_published_time":"2018-05-29T06:37:25+00:00","article_modified_time":"2023-12-11T06:40:25+00:00","og_image":[{"width":768,"height":505,"url":"https:\/\/projects.techhivetechnologies.com\/lfiold\/wp-content\/uploads\/2023\/12\/Blogg_nr3_LFI_Helse__Trening_Bilde1_ACL-768x505-1.jpg","type":"image\/jpeg"}],"author":"admin","twitter_card":"summary_large_image","twitter_misc":{"Written by":"admin","Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/projects.techhivetechnologies.com\/lfiold\/jeg-har-roket-korsbandet-hva-na\/#article","isPartOf":{"@id":"https:\/\/projects.techhivetechnologies.com\/lfiold\/jeg-har-roket-korsbandet-hva-na\/"},"author":{"name":"admin","@id":"https:\/\/projects.techhivetechnologies.com\/lfiold\/#\/schema\/person\/5b69cb31570feb94ba91178cf62af5e6"},"headline":"Fremre korsb\u00e5ndsskade- hva gj\u00f8r jeg n\u00e5?","datePublished":"2018-05-29T06:37:25+00:00","dateModified":"2023-12-11T06:40:25+00:00","mainEntityOfPage":{"@id":"https:\/\/projects.techhivetechnologies.com\/lfiold\/jeg-har-roket-korsbandet-hva-na\/"},"wordCount":798,"commentCount":0,"image":{"@id":"https:\/\/projects.techhivetechnologies.com\/lfiold\/jeg-har-roket-korsbandet-hva-na\/#primaryimage"},"thumbnailUrl":"https:\/\/projects.techhivetechnologies.com\/lfiold\/wp-content\/uploads\/2023\/12\/Blogg_nr3_LFI_Helse__Trening_Bilde1_ACL-768x505-1.jpg","articleSection":["Blogs"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/projects.techhivetechnologies.com\/lfiold\/jeg-har-roket-korsbandet-hva-na\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/projects.techhivetechnologies.com\/lfiold\/jeg-har-roket-korsbandet-hva-na\/","url":"https:\/\/projects.techhivetechnologies.com\/lfiold\/jeg-har-roket-korsbandet-hva-na\/","name":"Fremre korsb\u00e5ndsskade- hva gj\u00f8r jeg n\u00e5? 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