InformasjonDet vanligste symptomet på akutt meniskskade i kneleddet er sterke, oftest stikkende smerter i kneet - ofte lokalisert til leddspalten på innsiden av kneet.
Meniskskade i kneleddet
Meniskene er to støtdempende bruskskiver inne i kneleddene. De kan skades ved traumer eller som ledd i utviklingen av slitasje/artrose i kneet. Stikkende/skjærende knesmerter er det vanligste symptomet ved akutte skader. Ofte gir slitasjeskader i meniskene ingen plager, ellers symptomer på slitasjegikt (artrose).
Sist oppdatert:
3. mars 2023
Dette dokumentet er basert på det profesjonelle dokumentet Meniskskade i kneleddet . Referanselisten for dette dokumentet vises nedenfor
Referanser
- Baker BS. Meniscus Injuries. Medscape, Sports Medicine. Last updated Oct 12, 2018. emedicine.medscape.com
- Kise NJ, Heir S. Hvilke meniskskader skal opereres? Tidsskr Nor Legeforen. Publisert 22. mars 2022. doi: 10.4045/tidsskr.21.0540 DOI
- Englund M, Guermazi A, Gale D et al. Incidental meniscal findings on knee MRI in middle-aged and elderly persons. N Engl J Med 2008; 359: 1108-15. New England Journal of Medicine
- Lohmander LS, Englund PM, Dahl LL, et al. The long-term consequence of anterior cruciate ligament and meniscus injuries: osteoarthritis. Am J Sports Med. 2007;35:1756-1769. PubMed
- Petersen W, Forkel P, Feucht MJ et al. Posterior root tear of the medial and lateral meniscus. Arch Orthop Trauma Surg 2014; 134: 237–55. PMID: 24323059 PubMed
- Stärke C, Kopf S, Petersen W, et al. Meniscal repair. Arthroscopy 2009; 25: 1033-1044. PubMed
- Granan LP, Forssblad M, Lind M, et al. The Scandinavian ACL registries 2004-2007: baseline epidemiology. Acta Orthop. 2009;80:563-567. PubMed
- Ryzewicz M, Peterson B, Siparsky PN, Bartz RL. The diagnosis of meniscus tears: the role of MRI and clinical examination. Clin Orthop Relat Res. 2007 Feb;455:123-33. PMID: 17279041 PubMed
- Smith BE, Thacker D, Crewesmith A, Hall M. Special tests for assessing meniscal tears within the knee: a systematic review and meta-analysis. Evid Based Med 2015; 20 (3); 88-97. ebm.bmj.com
- Sagsveen M. Lite samsvar mellom knesmerte og MR-funn. Tidsskriftet . tidsskriftet.no
- Cardone DA, Jacobs BC. Meniscal injury of the knee. UpToDate. Literature review current through: Oct 2018. Nettsiden besøkt 19.11.18. www.uptodate.com
- O'Donnell K, Freedman KB, Tjoumakaris FP. Rehabilitation Protocols After Isolated Meniscal Repair: A Systematic Review. Send to Am J Sports Med 2017; 7: 1687-97. pmid:28256906 PubMed
- Husted H, Winge S. Klinisk kneundersøkelse - hvilke tester kan brukes i diagnostikken av menisk- og ligamentskader?. Tidsskr Nor Lægeforen 2001; 121: 1484-7. Tidsskrift for Den norske legeforening
- Eren OT. The accuracy of joint line tenderness by physical examination in the diagnosis of meniscal tears. Arthroscopy. 2003 Oct. 19(8):850-4.
- Lee JH, Lim YJ, Kim KB, Kim KH, Song JH. Arthroscopic pullout suture repair of posterior root tear of the medial meniscus: radiographic and clinical results with a 2-year follow-up. Arthroscopy. 2009 Sep. 25(9):951-8.
- Blyth M, Anthony I, Francq B, et al. Diagnostic accuracy of the Thessaly test, standardised clinical history and other clinical examination tests (Apley's, McMurray's and joint line tenderness) for meniscal tears in comparison with magnetic resonance imaging diagnosis. Health Technol Assess 2015; 62: 1-62. pmid:26243431 PubMed
- Enger M. Meniskruptur. Oslo skadelegevakt metodebok i skadebehandling. Sist oppdatert 15.08.2017. skadelegevakten.no
- Phelan N, Rowland P, Galvin R. A systematic review and meta-analysis of the diagnostic accuracy of MRI for suspected ACL and meniscal tears of the knee. Knee Surg Sports Traumatol Arthrosc 2016; 24(5): 1525-39. pmid:26614425 PubMed
- Bernthal NM, Seeger LL, Motamedi K, et al. Can the reparability of meniscal tears be predicted with magnetic resonance imaging? Am J Sports Med 2011; 39: 506-10. PubMed
- Shetty AA, Tindall AJ, James KD, Relwani J, Fernando KW. Accuracy of hand-held ultrasound scanning in detecting meniscal tears. J Bone Joint Surg Br 2008; 90-B: 1045-8.
- Siemieniuk RAC, Harris IA, Agoritsas T, et al. Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline. BMJ. 2017;357:j1982. Published 2017 May 10. PMID: 28490431 PubMed
- Khan M, Evaniew N, Bedi A et al. Arthroscopic surgery for degenerative tears of the meniscus: a systematic review and meta-analysis. CMAJ 2014; 186: 1057–64. PMID: 25157057 PubMed
- Swart NM, van Oudenaarde K, Reijnierse M et al. Effectiveness of exercise therapy for meniscal lesions in adults: A systematic review and meta-analysis. J Sci Med Sport 2016; 19: 990–8. PMID: 27129638 PubMed
- Thorlund JB, Juhl CB, Roos EM et al. Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms. Br J Sports Med 2015; 49: 1229–35. PMID: 26383759 PubMed
- Beaufils P, Becker R, Kopf S et al. The knee meniscus: management of traumatic tears and degenerative lesions. EFORT Open Rev 2017; 2: 195–203. PMID: 28698804 PubMed
- Kise NJ, Aga C, Engebretsen L et al. Complex Tears, Extrusion, and Larger Excision Are Prognostic Factors for Worse Outcomes 1 and 2 Years After Arthroscopic Partial Meniscectomy for Degenerative Meniscal Tears: A Secondary Explorative Study of the Surgically Treated Group From the Odense-Oslo Meniscectomy Versus Exercise (OMEX) Trial. Am J Sports Med 2019; 47: 2402–11. PMID: 31298923 PubMed
- Skou ST, Hölmich P, Lind M, et al. Early Surgery or Exercise and Education for Meniscal Tears in Young Adults. N Engl J Med 2022. doi:10.1056/EVIDoa2100038 DOI
- Bergenstock M, Min W, Simon AM, et al. A comparison between the effects of acetaminophen and celecoxib on bone fracture healing in rats. J Orthop Trauma 2005; 19: 717-723. PubMed
- O'Connor JP, Lysz T. Celecoxib, NSAIDs and the skeleton. Drugs Today (Barc) 2008; 44: 693-709. PubMed
- Gjør kloke valg. Norsk forening for allmennmedisin. Unngå å forskrive NSAID uten at det foreligger spesifikk grunn og risiko for bivirkninger er vurdert. Publisert 4. juli 2018. www.legeforeningen.no
- Cinque ME, Chahla J, Moatshe G, et al.. Meniscal root tears: a silent epidemic. Br J Sports Med. 2018 Jul;52(13):872-876. pmid:29574455 PubMed
- Persson F, Turkiewicz A, Bergkvist D, et al. The risk of symptomatic knee osteoarthritis after arthroscopic meniscus repair vs partial meniscectomy vs the general population. Osteoarthritis Cartilage 2018; 26(2): 195-201. pmid:29146386 PubMed
- Mutsaerts EL, van Eck CF, van de Graaf VA, et al. Surgical interventions for meniscal tears: a closer look at the evidence. Arch Orthop Trauma Surg. 2016 Mar;136(3):361-70. pmid: 26497982 PubMed
- Beaufils P, Becker R, Kopf S, et al. Surgical Management of Degenerative Meniscus Lesions: The 2016 ESSKA Meniscus Consensus. Send to Knee Surg Sports Traumatol Arthrosc 2017; 25: 335-346. pmid:28210788 PubMed
- Sihvonen R, Paavola M, Malmivaara A, et al. Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear. N Engl J Med. 2013: 26; 369: 2515-24. doi: 10.1056/NEJMoa1305189 DOI
- Kise NJ, Risberg MA, Stensrud S, et al. Exercise therapy versus arthroscopic partial meniscectomy for degenerative meniscal tear in middle aged patients: randomised controlled trial with two year follow-up. BMJ 2016; 354: i3470. doi:10.1136/bmj.i3740 DOI
- Nepple JJ, Dunn WR, Wright RW. Meniscal repair outcomes at greater than five years: a systematic literature review and meta-analysis. J Bone Joint Surg Am 2012; 94: 2222–7. PMID: 23318612 PubMed
- LaPrade RF, Matheny LM, Moulton SG et al. Posterior Meniscal Root Repairs: Outcomes of an Anatomic Transtibial Pull-Out Technique. Am J Sports Med 2017; 45: 884–91. PMID: 27919916 PubMed
- Weber J, Koch M, Angele P et al. The role of meniscal repair for prevention of early onset of osteoarthritis. J Exp Orthop 2018; 5: 10. PMID: 29607459 PubMed