Hofteleddsartrose
Sist oppdatert: Sist revidert:
Sist revidert av:Terje Johannessen
Definisjon:
Degenerative forandringer i hofteleddet med varierende ødeleggelse av leddbrusk og ombygging av leddnært ben
Forekomst:
Prevalens ved symptomgivende primær artrose ved alder over 55 år angis å være ca. 1,6%, og den øker sterkt med alderen
Symptomer:
Gradvis utvikling av smerter lokalisert i lysken fortil og noen ganger lateralt på låret, ofte strålende ned mot kneet. Startsmerter, etter hvert hvile- og nattsmerter
Funn:
Tidlige tegn på hofteleddsartrose er smerte og innskrenket bevegelighet ved passiv innadrotasjon, passiv fleksjon og passiv abduksjon
Diagnostikk:
Røntgen bekrefter diagnosen
Behandling:
Primært økt fysisk aktivitet og opptrening, ev. bruk av lindrende medisiner. Standardbehandlingen ved invalidiserende artrose hos dem over 50 år er innsetting av hofteprotese
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- Terje Johannessen, professor i allmennmedisin, Trondheim
Tidligere fagmedarbeidere
- Stig Fossum, fysioterapeut, spesialkompetanse på muskel- og skjelettsykdommer, Moholt Fysioterapi, Trondheim
- Bendik Johannessen, fysioterapeut, Trondheim
- Arild Aamodt, overlege/professor, Ortopedisk avdeling, Lovisenberg Sykehus, Oslo
- Søren Kold, klin. prof., overlæge, ph.d., Klinisk Institut, Aalborg Universitet og det ortopædkirurgiske speciale, Aalborg Universitetshospital