carpal & tarsal tunnel syndrome
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CARPAL & TARSAL TUNNEL SYNDROME
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DEFINISI : merupakan focal perp!eralneuropa"!# #an$ paln$ umum% !alkompre 'ar araf me'anu
per$elan$an "an$an(
CARPAL TUNNELSYNDROME
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• N#er
• Ma" raa keemu"an
• Peraaan per!
• )e*ala +aa mem+uruk pa'a
malam !ar & 'apa" mem+an$unkanpen'er"a 'ar "'urn#a
• Un"uk mern$ankan $e*ala +aan#apen'er"a men$$erakkanper$elan$an "an$an eper"men$ocok e+ua! "ermome"er ,-ck
$n.(
)e*ala kln
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• P!alen/ maneu0er• Tnel/ $n
• 1eak "!um+ a+'uc"on
• "1o2pon" 'crmna"on
Pemerkaan Fk
Tinel’s sign
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• Ten'on"
• Teno#no0"
• Da+e"c neuropa"!#
• 4en+ock5 'eae
• Compreon of "!e Me'an ner0e a""!e el+o1
DD
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• PERA6ATAN 4ONSER7ATIF• Secara umum
• 6r" pln"
• Pen$o+a"an oral• IN8E4SI LO4AL ,+ukan 'ok"er umum.
• ULTRASOUND T9ERAPY ,+ukan 'ok"erumum.
• SUR)ERY ,ukan 'ok"er umum.
TATA LA4SANA
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• Sn$krkan fak"or2fak"or reko
• 9n'ar $erak per$elan$an +erulan$ &per$erakan "an$an #an$
men#e+a+kan muncul $e*ala• T'ak men$$unakan ala" #an$
+er$e"ar
SECARA UMUM
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6RIST SPLINTS
• 4emun$knan#an$ paln$efek"f *ka'lakukan ;+ulan per"amamula 'armunculn#a$e*ala
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• Dure"c
• Non"ero'al an"2n-amma"or# 'ru$,NSAID.
• p#r'o.• Pre'nolone
• ?@ m$ per !ar elama ? mn$$u• 4emu'an 'ku" @ m$ per !ar elama ?
mn$$u
PEN)OATAN ORAL
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TARSAL TUNNEL
SYNDROME
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Loka n#er: Me'alCalcaneuBMe'al
Arc!
DefinisiN#er ner0u "+al pa'a maleolu me'al
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)e*ala
• N#er pa'a aa" -ek%ma" raa,keemu"an.% a"aupara"!ea epan*an$
me'al a"au u'u"plan"ar kak
• One"
Aku"4ronk
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Fak"or reko
• Permukaan p*akankak #an$ "'ak ra"a
•Pen$$unaan epa"u• Oran$ 'en$an Peplanu ,"'akmemlklen$kun$an +a$an
me'al kak.
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Ta"a Lakana
• 4ompre 'n$n,men$$unakan e
+a"u.• NSAID
• Or"!o"c
• Sur$cal releae,+e+erapa kau.
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