Meniscal lesion not qualified as accident

ATA/22/1996Tribunal de Justiça / Câmara Administrativa23 de jan. de 1996Dismissed

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Extraído pela Omnilex

Resumo Omnilex

The case concerns whether a meniscal lesion is an accident-related injury under accident insurance law. The decision holds that the lesion did not result from an accident within the meaning of Art. 9 al. 1 OLAA, so accident insurance benefits were refused.

Sumário Omnilex

Art. 9 al. 1 OLAA; meniscal lesion and notion of accident-related injury: a meniscal lesion is not covered merely because it is medically diagnosed as a lesion. Coverage requires that the injury fall within the legal notion of an accident or an equivalent accidental lesion. In the absence of such accidental genesis, accident insurance benefits may be refused (cf. consid. unspecified).

Texto completo

Descripteurs

ASSURANCE SOCIALE; ACCIDENT; AA; NOTION; ASSU

Normes

OLAA.9 al.1

Résumé

Lésion méniscale ne résultant pas d'un accident. Prestations refusées.

Palavras-chave

social insuranceaccident insurancemeniscusaccident notionbenefits refusal

Extraído pela Omnilex

Questão jurídica principal

Whether the meniscal lesion qualifies as an accident-related injury under accident insurance law.

Decisão extraída

The meniscal lesion did not result from an accident within the meaning of the applicable accident insurance rules.

Fundamentação extraída

The described injury did not meet the legal notion of an accident or an equivalent accidental lesion under the relevant ordinance provision.

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