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Meniskskada i knäleden

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Definition:
Innebär bristning eller avslitning av den mediala eller laterala menisken till följd av skador eller degenerativa processer.
Förekomst:
Vanligt vid kontaktidrott och generellt i befolkningen, men många har inga symtom.
Symtom:
Smärta, stelhet, instabilitet och eventuellt låsning.
Fynd:
Smärta över ledspringa, svullnad, smärta eller klickande ljud vid rotationsrörelser, eventuellt nedsatt rörlighet
Diagnostik:
Kliniska tester är osäkra. MR har hög diagnostisk säkerhet men är sällan indicerad. Artroskopi är i regel inte indicerad.
Behandling:
Meniskskador behandlas konservativt. Vid akuta skador, idrottsskador och låsningar kan artroskopisk kirurgi vara aktuellt. 
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  • Remy Waardenburg, specialist i allmänmedicin, medicinsk redaktör Medibas

Tidigare sakkunniga

  • Katarina Lönn, specialistläkare, Verksamhetsområde ortopedi, Akademiska sjukhuset, Uppsala