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<Provider Id="sundheddkcms"> <Item Id="{0B45D2D1-6B34-47A3-B9E4-D507EFFD4BAE}" Name="knaesmerter" Type="PHContentPage" ParentProviderId="sundheddkcms" ParentItemId="{8CEE1F07-880E-47A3-B9AF-0B26136E8B2C}" SortOrder="700" PublishDate="2010-05-03T11:32:00" DeleteDate="2999-12-31T00:00:00" PotItemType=""> <Content> <LinkListField Name="Spot2"> <LinkField linktype="internal">{A12FFEB9-7D21-4130-9428-1457C5AB696B}</LinkField> </LinkListField> <HtmlField Name="FactContent"><![CDATA[<h2>Fakta</h2> <ul> <li>Knæsmerter forekommer hyppigt hos både unge og ældre mennesker </li> <li>Smerterne kan stamme fra alle de forskellige strukturer omkring knæleddet </li> <li>Smerterne kan skyldes: <ul> <li>Overbelastninger</li> <li>Slitage</li> <li>Gigtsygdomme </li> <li>Skader</li> </ul> </li> </ul>]]></HtmlField> <HtmlField Name="PageContent"><![CDATA[<h2>Hvad er knæsmerter?</h2> <ul> <li>Knæsmerter kan have mange årsager. Knæene er store led som udsættes for store belastninger</li> <li>I knæleddet findes knogle og brusk, ledhinder, menisker, og ledbånd. Omkring knæleddet er der desuden sener, slimsække og muskler</li> <li>Alle disse strukturer kan indgå som årsag til smerter i knæet </li> </ul> <h3>Forekomst</h3> <ul> <li>Forekomsten af personer med knæsmerter stiger. Det kan have sammenhæng med flere skader ved idræt (håndbold, fodbold, ski) og ensidig belastning </li> <li>I en undersøgelse angav 30 % af alle kvinder og 25 % af alle mænd, at de havde haft smerter i knæet i løbet af de sidste 12 måneder </li> <li>80 % af alle børn i skolealderen har haft knæsmerter. 15 % af disse søger læge for smerterne </li> <li>Ældre kvinder har oftere knæsmerter end ældre mænd </li> <li>1-2 % af patienterne som opsøger praktiserende læger har smerter i knæet </li> </ul> <h3>Hvordan opstår knæsmerter?</h3> <ul> <li>Overbelastninger kan føre til senebetændelser, betændelser i senefæster og slimsække </li> <li>Også knogler og brusk kan overbelastes </li> <li>Slidforandringer kan føre til forkalkninger i menisker og bruskvæv, ødelæggelse af bruskvæv samt irritation og fortykkelse af ledslimhinde</li> <li>Gigtsygdomme kan ødelægge selve ledstrukturerne: ledhinder, knogle og brusk </li> <li>Skader i form af ledbåndsskader, meniskskader og brud er også hyppige</li> </ul> <h2>Hvad kan årsagen være?</h2> <h3>Hyppige årsager til knæsmerter</h3> <ul> <li> <a href="~/link.aspx?_id=1C5034F8DF5042AB9AA8F337C708670B&_z=z">Slidgigt (gonartrose)</a> <ul> <li>Forekommer mest hos ældre eller hos personer som tidligere har haft en alvorlig knæskade </li> <li>Slidgigt giver smerter i knæet i hvile og ved belastning</li> <li>Du har smerter, når du skal i gang med at gå</li> <li>Du har hvilesmerter og natlige smerter ved fremskreden sygdom</li> <li>Begyndende slidforandringer i knæleddet ses normalt fra 40-50 års alderen og disse forandringer giver i nogle tilfælde symptomer særligt ved overbelastning.</li> </ul> </li> <li> <a href="~/link.aspx?_id=62AE384686E8414A9F72DEC71F24511C&_z=z">Slidgigt i knæskal (patellofemoral artrose)</a> <ul> <li>Er hyppigt efter 40-årsalderen </li> <li>Tilstanden giver smerter fortil i knæet. Smerterne fremprovokeres, når du går i bakket terræn eller sidder med knæet bøjet</li> </ul> </li> <li> <a href="~/link.aspx?_id=A07DA82FBDF34FE9BC3894DB3D5F8DE7&_z=z">Knæledsbetændelse (artrit)</a> <ul> <li>Kan skyldes en lang række forskellige sygdomme med og uden bakterier </li> <li>Der opstår smerter, hævelse, øget varme og nedsat bevægelighed i leddet</li> </ul> </li> <li> <a href="~/link.aspx?_id=22EBFDF28DCF446991A692B74090DE68&_z=z">Løsning af ledflade (osteokondrit)</a> <ul> <li>Et knoglestykke kan begynde at løsnes fra ledfladen og danner, hvis det løsnet helt, et såkaldt frit legeme i ledhulen, som kan komme i klemme i leddet og give aflåsning </li> <li>Patienterne er normalt mellem 10 og 20 år </li> <li>Typisk har du haft belastet knæet gennem længere tid i leddet. Du kan opleve aflåsningstilfælde af leddet, knæsmerter, knæsvigt og hævelse</li> <li>Tilstanden kaldes også mus i knæet, hvis der er tale om et stykke ledflade, som har løsnet sig helt.</li> </ul> </li> <li> <a href="~/link.aspx?_id=01116AD908F54DA8855483DCF709E102&_z=z">Forreste korsbåndsskade</a> <ul> <li>Alvorlig knæskade som ofte opstår ved, at knæet roterer, mens foden står fast på underlaget </li> <li>Oftest hos idrætsudøvere </li> <li>Giver smerte, fornemmelse af løshed og knæsvigt</li> </ul> </li> <li> <a href="~/link.aspx?_id=39B1C1859E1540408F695C977F0C5A9F&_z=z">Bageste korsbåndsskade</a> <ul> <li>Alvorlig knæskade som ofte opstår ved et hårdt slag mod skinnebenet eller overstrækning af knæet</li> <li>Oftest ved trafikulykker og idræt</li> <li>Giver smerte og knæsvigt</li> </ul> </li> <li> <a href="~/link.aspx?_id=F9815D2C0BA34109A06A0C4CD65FD9DA&_z=z">Skade af ydre sideledbånd</a> <ul> <li>Knæskade som ofte opstår ved at underbenet bøjes indad, og ydersiden af knæleddet udsættes for stræk. Ofte hos idrætsudøvere </li> <li>Giver smerte og fornemmelse af vrikkeløshed i knæet </li> </ul> </li> <li> <a href="~/link.aspx?_id=BD66417F8EAD4E90BA99BC61234F6E68&_z=z">Skade af indre sideledbånd</a> <ul> <li>Knæskade som opstår ved, at læggen bøjes udad, og indersiden af knæleddet udsættes for stræk. Ofte hos idrætsudøvere </li> <li>Giver smerter på knæets inderside og følelse af vrikkeløshed</li> </ul> </li> </ul> <h3>Hyppige årsager til smerter i forreste del af knæet</h3> <ul> <li> <a href="~/link.aspx?_id=FF8CC450E06745018DD8EDC1449877FC&_z=z">Betændelse i knæskals-senen (ligamentum patella tendinit, jumpers knee)</a> <ul> <li>Relativt hyppigt hos idrætsfolk især i sport, hvor spring er almindeligt, som atletik, fodbold, basketball, volleyball og ski </li> <li>Gradvist tiltagende smerter i nedre del af knæskallen. Bliver værre ved fysisk aktivitet, trappegang, når du rejser dig fra en stol og sidder på hug. Ubehaget forsvinder i hvile </li> </ul> </li> <li> <a href="~/link.aspx?_id=62AE384686E8414A9F72DEC71F24511C&_z=z">Smerter i knæskal/lårben (patellofemoralt smertesyndrom)</a> <ul> <li>Meget hyppig tilstand, især blandt sportsaktive unge og motionister i 40-årsalderen </li> <li>Symptomerne er forreste knæsmerter, stivhed, og følelse af knæsvigt</li> <li>Smerterne er værst ved trappegang opad og gang i bakket terræn, i hugsiddende stilling, når du rejser dig fra en stol og efter længerevarende siddende stilling ("biografsyndrom") </li> </ul> </li> <li> <a href="~/link.aspx?_id=3A14F6C297E844A2B6CCFC26BD4C2EB7&_z=z">Slimsæksbetændelse (knæbursit)</a> <ul> <li>Betændelse i slimsæk (bursit) på forsiden af eller nedenfor knæskallen </li> <li>Årsagen er ofte langvarigt knæliggende arbejde, som når man vasker eller skurer gulv, eller eventuelt en skade </li> <li>Man har hævelse, ømhed, varme og rødme foran eller nedenfor knæskallen</li> <li>Bøjemuligheden for knæleddet er nedsat på grund af smerter </li> </ul> </li> <li> <a href="~/link.aspx?_id=79222F170B684CFA9CE308F016897913&_z=z">Schlatters sygdom</a> <ul> <li>Opstår i 10-15-årsalderen, oftest hos drenge</li> <li>Er en irritation, let betændelse, ved fæstet for knæsenen på underbenet </li> <li>Smertefuldt efter at barnet har været i fysisk aktivitet, fx efter fodboldspil. Senefæstet er ømt og hævet</li> </ul> </li> <li> <a href="~/link.aspx?_id=6DEA0C567B224D5CA2E8F3A0440F80B5&_z=z">Sinding Larsens sygdom</a> <ul> <li>Opstår som regel i 10-11 års alderen, oftest hos drenge</li> <li>Er en irritation, let betændelse, ved fæstet for knæsenen på knæskallen </li> <li>Symptomerne er knæsmerter efter, at barnet har været i fysisk aktivitet, fx efter fodboldspil. Senefæstet er ømt</li> </ul> </li> </ul> <h3>Hyppige årsager til smerter på siderne eller bag i knæet</h3> <ul> <li> <a href="~/link.aspx?_id=CC45FF8D0E3940408575E27BAD7E01CF&_z=z">Meniskskader</a> <ul> <li>En meniskskade giver akutte eller hurtigt indsættende smerter, en følelse af noget der kommer i klemme eller smutter inde i knæet, tendens til aflåsninger og hævelse af knæet</li> <li>Skade af menisken hos unge øger risikoen for senere slidgigt som voksen, oftest 30-50 år</li> </ul> </li> <li> <a href="~/link.aspx?_id=52503A5D3E9148919E47A77D07BB43AE&_z=z">Senebetændelse i anserinus-senen</a> <ul> <li>Ofte er det en skade eller uvant langvarig belastning, som er årsagen til generne </li> <li>Den opstår hurtigt eller akut og giver intense værkende smerter bagtil og på indersiden af knæet</li> <li>Forekommer hyppigst hos midaldrende og ældre mennesker, men også hos sportsfolk</li> </ul> </li> <li> <a href="~/link.aspx?_id=DD8ADC613C334D67B4276635681AC1B4&_z=z">Løberknæ (runners knee) </a> <ul> <li>Betændelse i sene/slimsæk ved ydersiden af knæleddet på lårbenet </li> <li>Tilstanden er hyppigst hos langdistanceløbere. Den giver smerter på ydersiden af knæleddet efter kort tids løb</li> </ul> </li> <li> <a href="~/link.aspx?_id=75A193C7B7CD48F3B72DDDD122919427&_z=z">Senebetændelse i popliteusenen</a> <ul> <li>Årsagen er usikker, men det kan muligvis skyldes, at foden er roteret udad (hyperproneret) ved løb </li> <li>Tilstanden giver knæsmerter bagtil og ømhed over senen på ydersiden af leddet</li> </ul> </li> <li> <a href="~/link.aspx?_id=90D7741BBE0C481E8FE3DBB389C0BAD0&_z=z">Udposning i knæhasen (Baker cyste)</a> <ul> <li>Forstørret slimsæk (bursa) bagtil i knæleddet. Kan hæve op ved betændelser i selve knæleddet </li> <li>Hvis cysten brister, kan det give pludselige stærke smerter i knæhasen</li> </ul> </li> <li> <a href="~/link.aspx?_id=51E70D5841314AA2ABA61684D3068DD2&_z=z">Ischias</a> og hoftesygdomme kan også føre til knæsmerter</li> </ul> <table summary="Tabel med grøn baggrund"> <tbody> <tr> <td style="background-color: #e1f0e1;"> <h2>Hvad kan jeg selv gøre?</h2> <ul> <li>Aflastning er som regel nødvendigt. Du bør skåne knæet mod belastning, hvis det er smertefuldt. Det vil ofte være nok til, at generne går over af sig selv</li> <li>Ved at udføre såkaldte quadricepsøvelser styrkes knæet. Quadricepsøvelser vil sige, at du strammer lårmusklen mange gange om dagen uden at bøje knæet</li> <li>Du kan eventuelt tage et smertestillende middel, fx ibuprofen eller paracetamol</li> <li>Det kan være en god ide at tabe dig, hvis du er overvægtig</li> <li>Vurder om der bør skiftes træningssko </li> </ul> </td> </tr> </tbody> </table> <table summary="Tabel med gul baggrund"> <tbody> <tr> <td style="background-color: #fdf3d5;"> <h2>Kontakt egen læge</h2> <ul> <li>Hvis du har akutte skader som giver stærke knæsmerter, bør du blive undersøgt hos læge</li> <li>Længerevarende knæsmerter bør undersøges af læge</li> </ul> </td> </tr> </tbody> </table> <table summary="Tabel med rød baggrund"> <tbody> <tr> <td style="background-color: #ffbebe;"> <h2>Kontakt læge med det samme</h2> <ul> <li>Er der pludselig låsning af knæet, så der er væsentlige strække og bøjemangel efter vrid eller ulykke, skal du søge læge eller skadestue</li> </ul> </td> </tr> </tbody> </table> <ul> </ul> <h2>Hvad gør lægen?</h2> <h3>Sygehistorie</h3> <h4>Spørgsmål lægen ofte vil stille efter knæskade</h4> <ul> <li>Hvornår skete uheldet? </li> <li>Hvor gør det ondt? </li> <li>Hvordan skete uheldet? <ul> <li>I hvilken stilling stod knæet, og hvordan blev det vredet? </li> <li>Var det en kontaktskade? Hvordan?</li> </ul> </li> <li>Har der været hævelse af knæet? Hvor hurtigt kom hævelsen? </li> <li>Følte eller hørte du et smæld, da skaden skete? </li> <li>Har knæet været aflåst? (det vil sige, at du ikke kan strække ud i knæleddet) </li> <li>Er det vanskeligt at sidde på hug?</li> </ul> <h4>Spørgsmål lægen ofte vil stille dig, hvis der ikke har været en knæskade</h4> <ul> <li>Hvor længe har smerterne været tilstede? </li> <li>Hvor gør det ondt? </li> <li>Har du stående arbejde? </li> <li>Er der aktiviteter som belaster knæet ekstra meget? <ul> <li>Fx jogging, vægtløftning, cykling </li> </ul> </li> <li>Er det vanskeligt at gå op og ned ad trapper? </li> <li>Er det vanskeligt at hoppe? </li> <li>Forekommer smerterne hos et barn efter, at det har været i fysisk aktivitet? <ul> <li>Forsvinder smerterne i hvile?</li> </ul> </li> <li>Er der smerter i andre led end i knæet? </li> <li>Er der nogen i familien, som har gigtsygdomme (fx. leddegigt)? </li> <li>Har du selv haft gigtsygdomme eller andre sygdomme?</li> </ul> <h3>Lægeundersøgelsen</h3> <ul> <li>Knæledsundersøgelsen kan bestå af, at lægen mærker på strukturerne omkring leddet, tester kraft og bevægelighed og tester for påvisning af korsbåndsskader, meniskskader, andre ledbåndsskader </li> <li>Nogle gange er det nødvendigt for lægen at suge ledvæske ud. Det skal udføres, hvis der er voldsom ansamling af væske eller ved behov for at undersøge ledvæsken</li> </ul> <h3>Andre undersøgelser</h3> <ul> <li>Hvis lægen har mistanke om en anden sygdom som årsag til knæsmerterne, er det nødvendigt at tage blodprøver </li> <li>Når du skal udredes for skader i knæet, er følgende undersøgelser relevante: <a href="~/link.aspx?_id=9F430EA25AC644148D71F49BD7D77E49&_z=z">Røntgen</a>, CT-skanning, <a href="~/link.aspx?_id=D7C896A8BA2D4DD9B455C7F0BC678A5F&_z=z">MR-skanning</a> og eventuelt <a href="~/link.aspx?_id=0A5BE9075C604C54836CA5FC9081733F&_z=z">artroskopi</a></li> </ul> <h3>Henvisning til specialist eller sygehus</h3> <ul> <li>Ved skader vil du nogle tilfælde blive henvist til sygehuset til billedundersøgelser og eventuel blive vurderet af en ortopædkirurg </li> <li>Belastningslidelser kan i de fleste tilfælde håndteres af egen læge </li> <li>Det kan være relevant at blive henvist til en fysioterapeut mhp. instruktion i øvelser mm, hvis du har betydende bevægeproblemer eller som behandling af meniskskader eller ledbåndsskade</li> </ul> <h2>Vil du vide mere?</h2> <ul> <li><a href="~/link.aspx?_id=25696071434846BCA6A20B8998891C11&_z=z">Knæsmerter, forreste</a></li> <li><a href="~/link.aspx?_id=FE7EEFD2F63C4451A6761548D62F7DC4&_z=z">Knæskallen gået af led</a></li> </ul> <h3>Illustrationer</h3> <ul> <li> <a href="~/link.aspx?_id=C1EE331AA5674315B9148FC5FA4C99D5&_z=z">Tegning af knæled med sener og slimsække</a> </li> <li> <a href="~/link.aspx?_id=3CB8CB200E74425886B51B853CBCDA78&_z=z">Tegning af korsbånd og menisker</a> </li> <li> <a href="~/link.aspx?_id=0B16EB31CCDF4AEDA756590C6BE5B352&_z=z">Normalt røntgenbillede af knæleddet, side</a> </li> <li> <a href="~/link.aspx?_id=B5D70A93124A4AF9900236407A542F33&_z=z">Normalt røntgenbillede af knæleddet, forfra</a></li> </ul> <h3>Træningsfilm for knæet</h3> <ul> <li><a href="~/link.aspx?_id=F8EA408AB9F34E268A9A6A0FDA9E796E&_z=z">Øvelsesprogram, 3 øvelser</a><br> <br> <a href="~/link.aspx?_id=C73B900DE9C446C7A5A0A612CD36960C&_z=z"><img alt="" style="width: 135px; height: 84px;" src="AEEAFCA4C1CF41FBB5EF216AC4268EA8-135-84" height="84" width="135"></a></li> </ul> <ul> <li><a href="~/link.aspx?_id=D7AA1E606E0843E7829CD08F050580B5&_z=z">Øvelsesprogram, 3 øvelser med arabisk tale - فيديوهات تمارين رياضية باللغة العربية</a><br> <br> <a href="~/link.aspx?_id=7AF5525A96704D8985657CA6EB334FD7&_z=z"><img alt="" width="135" height="84" style="width: 135px; height: 84px;" src="985525327CA5433980B8954F35E047EA-135-84"></a></li> </ul>]]></HtmlField> <TextField Name="DoctorsHandbookID">1198</TextField> <TextField Name="PageTitle">Knæsmerter</TextField> <TextField Name="NavigationTitle">Knæsmerter</TextField> <CheckBoxField Name="ShowInMenu">true</CheckBoxField> <CheckBoxField Name="ShowInContentField">true</CheckBoxField> <DateTimeField Name="RevisedDate">2022-11-22T10:26:00</DateTimeField> <LinkListField Name="Authors"> <LinkField 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]]></Media> 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