Download - PPT OA
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OsteoartritisOsteoartritisPriskillia Alberta
Pembimbing:Dr. R. Suhana, Sp.OT (K) SPINE
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Anatomi Tulang RawanAnatomi Tulang Rawan
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DefinisiDefinisi
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EpidemiologiEpidemiologi
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EtiologiEtiologi
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KlasifikasiKlasifikasi
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OA Sekunder
•Trauma
•Genetik1.Dysplasia epifisial2.Dysplasia asetabulum3.Penyakit legg-calve perthes 4.Dislokasi sendi panggul congenital5. Slipped epifisis
•Penyakit metabolik / endokrin
•Osteonekrosis
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PatofisiologiPatofisiologi
Produksi kolagen berlebihan
Sintesis proteoglikan pendek
Perubahan serat kolagen
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Sinovitis
• proses sekunder degenerasi dan fragmentasi• mempercepat proses pengerusakan rawan• Cairan ini akan didesak ke dalam celah-celah tulang
subkondral dan akan menimbulkan kantong yang disebut kista subkondral
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Predileksi OAPredileksi OA
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Gejala KlinisGejala Klinis
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Derajat Oseteoarthritis Derajat Oseteoarthritis Perubahan Radiologis Perubahan Radiologis Menurut Kellgren & LawrenceMenurut Kellgren & Lawrence
Derajat OA Deskripsi
0 Normal
1 Osteoarthritis meragukan, terdapat osteofit minimal
2Osteoartritis minimal dengan osteofit pada 2 tempat,
celah sendi baik
3
Osteoartritis moderat dengan osteofit moderat,
deformitas ujung tulang, celah sendi sempit
4
Osteoarthritis berat dengan osteofit besar, deformitas
tulang, celah sendi hilang , sclerosis dan kista
subkondral
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DiagnosisDiagnosis
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Diagnosis OA lutut dengan kriteria Altman
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LaboratoriumLaboratorium
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Foto RontgenFoto Rontgen
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- Gambar atas kiri : pandangan anteroposterior menunjukkan menyempitnya celah sendi (tanda panah)
- Gambar bawah kiri : pandangan lateral menunjukkan sklerosis yang ditandai terbentuknya osteofit (tanda panah)
- Gambar atas kanan : menyempitnya celah sendi (tanda panah putih) menyebabkan destruksi padapada kartilago dan sunchondral (tanda panah terbuka)
- Gambar bawah kanan : ditemukan kista subchondral (tanda panah) Sumber : LS, Daniel, Deborah Hellinger. 2001. Radiographic Assessment of Osteoarthritis. American Family Physician. 64 (2) : 279-286
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Adanya pembentukan osteofit dan penyempitan celah sendi pada sendi tungkai
Gambaran sendi tungkai normal
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Gambaran sendi panggul normal Adanya pembentukan osteofit pada sendi panggul
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Osteofit pada sendi jari tangan (DIP 1) Pembentukan sklerosis subkondral
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KomplikasiKomplikasi
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TatalaksanaTatalaksana
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Non FarmakologisNon Farmakologis
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FarmakologiFarmakologi
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BedahBedah
Osteotomi tinggi pada tibia bila belum ada kerusakan yang menyolok
Hemiartroplasti bila ada satu kompartmen sendi yang rusak
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Artrodesis bila terdapat kerusakan sendi dan sendi tidak stabil pada orang muda.
Artroplasti total bila seluruh kompartmen sendi rusak
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KesimpulanKesimpulan OA : penyakit sendi degeneratif dengan
yang ditandai dengan kehilangan tulang rawan sendi secara bertingkat
Kelainan pada OA
OA tidak dapat disembuhkan tetapi keluhan OA dapat dikontrol dengan obat, jika nyeri masih menetap maka bisa dilakukan operasi
Kerusakan rawan sendi
Kerusakan ligamen &
peradangan sinovium
Pembentukan osteofit
Pembentukan osteofit
Penebalan tulang
subkondral
Penebalan tulang
subkondral
Pembentukan efusi
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