carpal & tarsal tunnel syndrome

8/16/2019 Carpal & Tarsal Tunnel Syndrome

1/16

CARPAL & TARSAL TUNNEL SYNDROME


2/16

DEFINISI : merupakan focal perp!eralneuropa"!# #an$ paln$ umum% !alkompre 'ar araf me'anu

per$elan$an "an$an(

CARPAL TUNNELSYNDROME


3/16


4/16

• 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


5/16

• P!alen/ maneu0er• Tnel/ $n

• 1eak "!um+ a+'uc"on

• "1o2pon" 'crmna"on

Pemerkaan Fk

Tinel’s sign


6/16


7/16

• Ten'on"

• Teno#no0"

• Da+e"c neuropa"!#

• 4en+ock5 'eae

• Compreon of "!e Me'an ner0e a""!e el+o1

DD


8/16

• 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


9/16

• 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


10/16

6RIST SPLINTS

• 4emun$knan#an$ paln$efek"f *ka'lakukan ;+ulan per"amamula 'armunculn#a$e*ala


11/16

• 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


12/16

TARSAL TUNNEL

SYNDROME


13/16

Loka n#er: Me'alCalcaneuBMe'al

Arc!

DefinisiN#er ner0u "+al pa'a maleolu me'al


14/16

)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


15/16

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.


16/16

Ta"a Lakana

• 4ompre 'n$n,men$$unakan e

+a"u.• NSAID

• Or"!o"c

• Sur$cal releae,+e+erapa kau.

carpal & tarsal tunnel syndrome

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