tugas skillslab ipm muskuloskeletal

7/24/2019 Tugas Skillslab IPM Muskuloskeletal

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Daftar Isi

ULKUS TUNGKAI (4A)...........................................................................................................1

LIPOMA (4A)............................................................................................................................8

ARTRITIS & OSTEOARTRITIS (3A)......................................................................................9

FRAKTUR KLAIKULA (!A)...............................................................................................1!

OSTEOPOROSIS (!A)............................................................................................................1"

LESI MENISKUS (!A)...........................................................................................................#$

TENOS%NOITIS SUPURATIF (!A)...................................................................................#4

RUPTUR TENDO (!A)...........................................................................................................#"

TRAUMA SENDI (!A)...........................................................................................................#9

FRAKTUR TERUKA (!)...................................................................................................!1

FRAKTUR TERTUTUP (!)..................................................................................................!'

OSTEOMIELITIS (!)...........................................................................................................!8


2/39

ULKUS TUNGKAI (4A)

sis*a

A. Eti+,+-i P/a0it a 2 is3fisisi aU,03s a

o Misa, 5i6rtsi a a0i7at DT (6 i t5r+7+sis)

o a ari0+sa

P/a0it artriU,03s artri

o O0,3si atr+s0,r+ti0 6aa 673,35 ara5 7sar ata3 artritis 6aa 673,35

ara5 0*i,: -a0i7at0a is0ia ;ari-a.

Dia7ts ,it3sU,03s ia7ti0a

U,03s 0-aasa

o 0arsi+a s, s03a+sa

o 0arsi+a s, 7asa,o ,a+a a,i-a

U,03s ,air+5.

. G;a,a

G;a,a ii 7rasar 6/7a7 3,03s a ,ta0/a

1. U,03s a

- L+0asi 3,03s ia, t3-0ai 7a=a5 (7tis): iatas 6r-,a-a 0a0i

- Ka,aa a-0a, -a t6i ,aai

- t30 tia0 trat3r: s3a 303ra

- Dasar 3,03s ;ari-a -ra3,asi


3/39

- t30 73,at

- Dasar 3,03s 63*at sa6ai 5ita a -a-r 03i-

- Ea iia,

- D/3t ai 7r03ra- ata3 5i,a-

- Kara0tr 03,it r37+r: 0a0i 63*at saat iti--i0a: 0303 7a,: 03,it

0ri-: -0i,a6: ;ai i-i isaat 3ara i-i

- N/ri 0,a3i0si+ itritt: sa-at /ri: 0+sta

- r5373-a -a -a7ara is0ia: isa, 0,a3i0asi+: /3t ai

-5i,a-: 63*at

- Pasi /a- 7r3sia ,a;3t 3-0i ata- -a sir+ ;ari 0a0i 7ir3 (7,3

t+ s/r+)

!. U,03s ia7ti03

- Is0i0 saa s6rti 3,03s artri

- N3r+6ati0

L+0asi 3,03s 6aa 7a-ia 6,atar 0a0i ata3 ;ari 0a0i Ka,aa a,a

N/ri tia0

D/3t ai 3-0i a6at tra7a

Kara0tr 03,it 5a-at

7r5373-a -a s,3,itis a a7ss ;ari-a a,a

4. U,03s 0-aasa

- Karsi+a s, s03a+sa

Da6at tr;ai ++ ata3 6r37a5a 0-aasa 6aa 3,03s ata3 ,30a

7a0ar 0r+is (3,03s Mar;+,i) sar

M3630

T6i *03-

Lifa+6ati ? sa-at i*3ri-ai

- Karsi+a s, 7asa,

ara- 6aa t3-0ai 7a=a5

T6i ,i-0ar

r=ara 63ti5 3tiara

- M,a+a a,i-a

L+0asi 6a,i- sri- i t3-0ai 7a=a5 Prti7a-0a 0-aasa ;i0a tra6at 6i-0ata 303ra ata3

6i-tasi

Prara5a

Gata,

U,03s

>. Pri0saa Fisi0

- Stat3s 33

2


4/39

- Is60si -aati tra6at ,30a ata3 3,03s 6aa 03,it ata3 ;ari-a

t3735 6aa 0a0i: a a*a *iri /a- tra6at i -;a,a asi-0 ss+ris +t+ri0

- >0 3r+6ati

-Pri0saa ssasi i7rasi2rasa 7r03ra-ata3 5i,a-

D. Pri0saa P3;a-

1. Dara5 6rifr ,-0a6 if0si

parameter Laki-Laki Perempuan

@it3- s, ara5 63ti5 ( 1$!2BL) C.8 (4.4?11.!)

@it3- s, ara5 ra5 ( 1$'2BL) ".#1 (4."#?".9$) 4.'$ (4.1$?".1$)

@+-,+7i (-2,) 1".C (14.$?1C.") 1!.8 (1#.!?1".!)

@at+0rit () 4' (4#?"$) 4$ (!'?4")

M> (fL) 88.$ (8$.$?9'.1)

M>@ (6-) !$.4 (#C."?!!.#)

M>@> !4.4 (!!.4?!".")

RD () 1!.1 (11."?14.")

@it3- tr+7+sit ( 1$!2BL) !11 (1C#?4"$)

#. G,30+sa ia7ts

s=a0t3 #$$ -2L

63asa 1#' -2L i 6,asa a

1$$ -2L i 0a6i,r

- Ts ara5 s6sifi0 TP@A (sifi,is): AN>A (SLE)

TP@A

Tr6+a Pa,,i3 @a--,3tiati+ Assa/

Sa6, ara5 6,asa2sr3

Prisi6 --3a0a t+ 5a-,3tiasi tia0 ,a-s3- 3t30

t0ai ati7+/ s6sifi0 tr5aa6 Tr6+a Pa,,i3

Di,a030a 0ara 03-0ia 3,03s is7a70a +,5 sifi,is.

- AN>A

3


5/39

Ati3tr+65i, >/t+6,asi* Ati7+is

Sa6, ara5 6,asa2sr3

Prisi6 6ri0saa ati7+i

Di,a030a 0ara 03-0ia 3,03s is7a70a +,5 SLE.

!. U,tras++-rafi D+66,r

Pi,aia 6/a0it a: 6i,aia 6/a0it artri (i atas ,3t3t). 3-a i,ai

aa/a tr+73s. Mr36a0a ts s0rii- /a- sr5aa: 3ra5: sa-at ssitif:

a 7a-3s.

4. i+6si

K-aasa. M,a+a s,a,3 0sisi 7i+6si. %a- ,ai 3-0i isisi263*5

". +-rafi2a-i+-ra-fi t30a ,3as a 06ara5a 6/a0it.

'. Pr5it3-a i0s t0aa 6r-,a-a 0a0i 7ra0ia,is (a0,


6/39

Pi,i5 t0aa ara5 s/st+,i* 7ra*5ia,is trti--i (iatara ,-a 0aa a

0iri) a t0aa ara5 s/st+,i* a0, trit--i (iatara 0a0i 0aa a 0a0i

0iri).

Nilai ABPI = Tekanan darah sistlik !ra"hialis# Tekanan darah sistlik

ankle

INT$%P%$TASI NILAI ABPI

API H 1.# 7rarti artri tia0 a6at tr0+6rsi: Dia7ts ,,it3s:

6/a0it -i;a, ata3 0a,sifi0asi artri 7rat.

API 1.#


7/39

F. E30asi

1. La030a 67rsi5a ,30a a 6r-atia 6r7a stia6 5ari

#. O,a5ra-a trat3r a 3r30a 7rat 7aa

!. A-0at t3-0ai saat istira5at a 7a,3t t0a (0ai 0asa /a- tia0 ,-0t ata3

6arafi): st,a5 i7rsi50a s*ara t+6i0a, ata3 --3a0a +7at 7rit

3t30 ra-sa- 67t30a ;ari-a -ra3,asi

4. as6aai ;i0a aa taa if0si: isa, ra5: 7-0a0: /ri: 0,3ar aa5.

S-ra 0 +0tr

6


8/39

LIP&'A (4A)

@66i aaia

Li6+a aa,a5 t3+r ;ia0 /a- -a3- ata3 triri ari ;ari-a ,a0. (Sumber:

Patologi. Bagian Patologi,Anatomi FKUI)

$tili

? tia0 i0ta53i -a 6asti:

? 7a5a 0iia:

? ,i-03-a:

? -ti0:

? i3+,+-i: ir3s.

Tanda dan Geala

Aa63 eala-eala lipma atara ,ai

L+0asi. Li6+a tr,ta0 i 7a=a5 03,it a tia0 +;+,.. Li6+a sri- tr;ai i

,5r: 63--3-: ,-a a 6a5a.

Rasa. Li6+a ;i0a ist35 trasa 630 a 3a5 7r-ra0 ;i0a si0it it0a -a

;ari.

U03ra. Pa,i- sri- ,i6+a 7r303ra 0*i,: -a iatr 03ra- ari # i*i (" *).

Ta6i ,i6+a a6at t3735 7sar -a iatr *a6ai ,7i5 ari 4 i*i (1$ *).

Sa0it. Li6+a 7isa ;3-a /a0it0a ;i0a t3+r ,a0 ii t3735 a it0a i 0at

saraf: ata3 ;i0a -a3- 7a/a0 673,35 ara5.

Kara 6rt3735a/a ,a7at: Aa 3-0i 7ar3 ta53 i,i0i ,i6+a st,a5 7rta53T


13/39

Tra6i ii 7rt3;3a 3t30 -3ra-i /ri sis5i--a 7isa 07a,i

7ra0tiitas : ,a030a ,ati5a tr5aa6 +t+tO1 (Di0,+fa0: I736r+f: Pir+0si0a: Mfaat:

Mta6ir+)

tra6i ii 7rt3;3a 3t30

selective >O# (M,+0si0a)

G, $*UKASI

0, Kntrl

- a6a7i,a -;a,a 0,iis OA 7rat -;a,a /ri ta6 ata3 7rta7a5 7rat

st,a5 a6at 6-+7ata /a- staar .

- 6asi -a,ai 0,35a 6r+-rsif a --a--3 a0tiitas fisi0 s5aria,*it+i ;3-a a6at ;ai +7at 6ra rasa sa0it /a- is7a70a

+,5 fra0t3r a0i7at 0+6rsi s6ia,.

4. D+s3a7 (6r+,ia).Di-3a0a 3t30 -+7ati +ra- -a rsi0+ ti--i 3t30 -a,ai

6ata5 t3,a- /a- 7r5373-a -a 7r03ra/a sitas t3,a-.

". Tri6arati (F+rt+).

'. Di-3a0a 3t30 -+7ati 6ria a =aita 6+st+6a3s /a- -a,ai

severe osteoporosisa /a- 63/ai rsi0+ ti--i 3t30 -a,ai 6ata5

t3,a-.

7. N+


20/39

- 7rta7a5 6ara5 -a 7riri ata3 7r;a,a

- s3,it a sa0it 3t30 73-030

- 7r03ra- ti--i 7aa

- 0a7+ra,a 7t30 t3735 (0if+sis)

19


21/39

L$SI '$NISKUS (2A)

+ia, >5arisa

A. P-rtia

Mis*3s ,i3-i t3,a- ra=a arti03,ar 6aa 6r30aa t3,a- f3r a t3,a-

ti7ia.Arti03,ar t3,a- ra=a aa,a5 atri 5a,3s: ,i*i /a- 3t36i 3;3- t3,a- /a-

7t30 si ,3t3t. Arti03,ar t3,a- ra=a si 3-0i0a 6r30aa 3t30 sa,i-

7r-s00a tr5aa6 sat3 saa ,ai ta6a r3sa0 6r30aa

. Eti+,+-i2Fa0t+r Rsi0+

>ra 6aa str30t3r ii sa-at sri- tr;ai a s7a-ia 7sar i0ara0a +,a5 ra-a atara

,ai s6a07+,a2 f3tsa,: tis: 7ait+ a 7+,a 7as0t. iasa/a 7r36a *ra saat ,3t3t

tr63tir (t=ist 0) aa0 a sat3 ata3 03a is*3s tr6ra-0a6 iatara t3,a-

f3r a t3,a- ti7ia.

Mis*3s ii 63 a6at r+70 0ti0a 7a-ia a,a ,i-at a s0itar ,3t3t tr+70. Paa

3sia ,a;3t is*3s a6at 05i,a-a 0+sistsi ,astisitas a 0,3a0a/a. D-a

0,a5a str30t3r ii a0a is*3s a0a ,7i5 3a5 tr+70

>. G;a,a

>ra is*3s: 7iasa/a a0a i73,0a rasa /ri ta;a 6aa sisi ,3t3t /a-

-a,ai *ra. N/ri a=a, a 7-0a0 a0a 5i,a-: a0a tta6i a0a tr3s rr3s

rasa0a /ri ta;a 0ti0a 7r63tar aa0. L3t3t 3-0i a0a tr03*i 0ti0a

7r-ra0 f,0si ata3 0stsi: ata3 aa 3-0i tia0 a0a a63 7r-ra0 f,0si ata3

0stsi s*ara 77as.

Prta/aa/a

a-aiaa ssasi /ri 6aa r+70 is03s

Masa,a5 /a- 6a,i- 33 is7a70a +,5 r+70 is03s aa,a5 rasa sa0it. Rasa sa0it

a6at irasa0a i s6a;a- t6i si ,3t3t /a- 6a,i- 0at -a t6at is03s

7raa. Ata3 rasa sa0it 3-0i ,7i5 ;,as a ,i7at0a s,3r35 ,3t3t.

20


22/39

L3t3t 3-0i 7-0a0: 73at/a rasa 0a03 a 0tat. @a, ii 7iasa/a 0ara

*aira 3630 i a,a si ,3t3t. Ii 0aa-


23/39

s6rti air ata a,a is*i ata3 ,i-a ,3t3t. Ts ii tia0 r,30a ;ar3 ata3 *aira

053s3s a tia0 i73,0a rasa sa0it.

F. Tra6i

N+s3r-i*a, Tratt

Pra=ata ii 3t30 r+70 is03s 7rf+03s 6aa 3r3/a rasa sa0it a 7-0a0

6aa ,3t3t. Istira5at a +7at ati if,aasi: s6rti as6iri: a6at 7at3 -3ra-i

-;a,a ii. Aa 3-0i 6r,3 --3a0a t+-0at 6/a--a sa6ai Aa 7isa 7r;a,a

ta6a 6i*a-.

7ra6a 6asi 3-0i ria tra6i fisi0 is*a, 6-+7ata 3t30 asa,a5. Tra6is

-+7ati 67-0a0a a rasa sa0it -a 6--3aa s: sti3,asi ,istri0: a =a0t3

istira5at -a 0a0i Aa i303- a,a 0ti--ia. Lati5a ii i-3a0a 3t30

7at3 Aa 6r+,5 07a,i +ra,: -ra0a si a +t+t.

a5

i0a ,3t3t tta6 -3*i a tia0 a6at i,3r3s0a: tia0a +6rasi 3-0i i6r,30a

s*6at 3-0i *3036 3t30 -5a63s 7a-ia /a- r+70 /a- sa0i tr6ra-0a6

a,a si ,3t3t. Tta6i 7a50a /a- ,7i5 6ara5 r+70 is03s 3-0i tia0

/7350a siri. i0a -;a,a 7r,a;3t st,a5 +s3r-i*a, 6-+7ata: 67a5a

3-0i a0a /ara0a 3t30 -5a63s ata3 6r7ai0i 7ai0 /a- r+70 is03s

7a-ia.

A5,i 7a5 --3a0a art5r+s*+6 (is73t0a s7,3/a) s,aa +6rasi 3t30 *ra

is03s. Isisi 0*i, i73at i ,3t3t 3t30 3-0i0a as30/a 0ara 0 a,a si.

Partia, is0t+i

Pr+s3r 3t30 -a7i, 7a-ia /a- r3sa0 ari is03s is73t is0t+i 6arsia,.

D+0tr 7a5 73at sa/ata 0*i, ,ai/a. P730aa ii i6r,30a 3t30 as300a

a,at 7a5 0 a,a si ,3t3t. Istr3 ii i-3a0a 3t30 -5a63s 7a-ia r+70

is03s: stara art5r+s*+6 i-3a0a 3t30 ,i5at a6a /a- tr;ai.

A5,i 7a5 ,7i5 s30a tia0 -a7i, s,3r35 is03s. @a, ii 0ara is03s

7at3 /ra6 0;3ta a a7a5 sta7i,itas ,3t3t. P-5a63sa ari is03s

22


24/39

i-0at0a risi0+ raa- si ,3t3t asa 6a. @a/a ;i0a s,3r35 is03s r3sa0

i6r7ai0i aa,a5 s,3r35 is03s i5a63s.

Mis*a, Pr7ai0a

i,a 3-0i: a5,i 7a5 ,7i5 s30a 3t30 6r7ai0i r+70 is03s: ari6aa 7a50a

-5a63s s6+t+- 0*i,. Ora- 3a /a- 7ar3 sa;a r+70 is03s 33/a r0a

*a,+ /a- 7ai0 3t30 i6r7ai0i. T3a 6asi -a air ata -ratif tia0.

M6r7ai0i is03s /a- r+70: a5,i 7a5 as300a a 6aa-a art5r+s*+6

is03s /a- r+70. 7ra6a a5,i 7a5 i-3a0a 3t30 ;a5it ;a5ita t6i r+70

is03s 7rsaa


25/39

T$N&S:N&ITIS SUPU%ATI (2A)

+ia, >5arisa

A. Eti+,+-i

-L30a T3s30a

- Lasrasi

M/ia0a 6it3 as30 7a0tri tr3taa sta65/,+*+**3s a3r3s 3;3 sar3- t+

. G;a,a K,iis

- P7-0a0a ,+*a,

- K+sistsi ,3a0

- Sa-at /ri saat i,a030a -ra0a 0stsi 6asif

>. Pri0saa Fisi0

- Kaa, f+3r si- ()

1. ari


26/39

%UPTU% T$N*& (2A)

Ar/a=a

1. Eti+,+-i a. P/a0it trtt3: s6rti art5ritis a ia7ts

7. O7at a s6rti 0+rti0+str+i

*. >ra , +,5 ra-a: s6rti ,+6at a 7r63tar 6aa +,5 ra-a 7ait+:

tis : 7as0t a s6a0 7+,a

. Tra3a 7a ta;a ata3 t363, 6aa 7a=a5 7tis

#. Taa a -;a,a

a. Rasa sa0it aa0 a 7rat a6at irasaa i 7a-ia 7,a0a- 6r-,a-a

0a0i ata3 7tis

7. Tr,i5at 7r-0a0 a 0a03 srta ta6a0 ar a 0,a5a

*. S73a5 0s;a-a ata3 6rsi a6at i,i5at i t+ s0itar #* i atast3,a- t3it

. T3it tia0 a6at i-ra0a t3r3 ata3 ai0

!. Pri0saa fisi0

a. La030a 6ri0saa 33 0a0i a 6r-,a-a 0a0i: 7r0+strasi 6aa ara

trtt3 s7a-ai 7ri03t

7. Pri0sa 3t30 0,73ta 6r-,a-a 0a0i 6+stri+r: 7-0a0: ata3 ;a /a-

tra7a i t+.

*. Pri0sa 003ata +t+t. Pasi asi5 3-0i a6at 6,atarf, 6r-,a-a

0a0i -a 0+6sasi -a +t+t ,ai: tta6i 003ata a0a ,a5.

Si-,


27/39

0a0i tr,30a. Pasi ;3-a a0a a6at 7riri i 3;3- 0a0i it3: a 3;30 0a0i

0 7a=a5 (6,atarf,i+) a0a tr-a--3. N/ri 7isa ;ai 7rat a

67-0a0a aa,a5 33

4. Pri0saa 63;a-

A. USG

USG a6at i-3a0a 3t30 t30a 0t7a,a t+: 0ara0tr: a 05aira

air ata. Ia 70r;a -a -iri0a fr03si /a- sa-at ti--i s3ara ,a,3i

t3735 Aa. 7ra6a s3ara /a- i6at3,0a 07a,i ari r3a- atara *aira

itrstisia, a ;ari-a ,3a0 ata3 t3,a-. Ga7ar


28/39

P*itraa ii +a,itas 3ra5: tia0 ,i7at0a raiasi 6-i+ a: i ta-a

3,tras++-ra65rs tra6i,: 3-0i sa-at 5aa,.

D. F+t+ RVt-

F++ r+t- i-3a0a 3t30 ,i5at t+ /a- r3sa0 6aa 7a-ia +t+t t3735.

". Tra6i

A. + +6ras

a) Sta7i,isasi a=a,

St,a5 ia-+sis i73at: 6r-,a-a 0a0i 5ar3s s6,it a,a W3i3s -a 7ai0

630 3t30 7at3 ,asi -a,i0a 67-0a0a.

7) N++6rati

+rt5+sis 6r-,a-a 0a0i

ii0asi tratt 5ar3s iii3a, 06aa 6asi S,aa 1$ i--3 7ri03t/a:

6r-,a-a 0a0i s*ara 7rta5a6 i7a=a 0 6+sisi 6,ati-ra -a 6r37a5a *+r

0ira


29/39

T%AU'A S$N*I (2A)

Ar/a=a

1. Eti+,+-ia. Kara ,,a5 t6 ;3-a 7isa tr;ai 0ara +,a5 ra-a ,6ar: 7ra- ,,

7. Dari 0stra, *+t+5s6a0 7+,a

#. G;a,a

a. N/ri 57at

7. S6as +t+t s0itar

!. Pri0saa fisi0

a. Df+ritas i,i5at a6a0a5 aa 6r37a5a 6aa si /a- tr0a tra3a

7. Disf3-si i,i5at a6a0a5 si tia0 7isa i-ra0a

*. 0s6,+rasi ri=a/at (histor) /ait3 0;aia /a- ,i63ti 0,35a a0ais tra3a. iasa/a 6rita -,35 /ri a 6rita

saar 7a5=a si/a 0,3ar ari 0330a ssti/a (-+ out o!

place) a isrtai s6as +t+t a0i7at ista7i,itas si ata3 05i,a-a

str30t3r si

4. 6ri0saa 63;a-

a, Pri0saa"#ra a0a 730a ta7ir s37,30sasi ata3 is,+0asi.

Pr+/0si 0+ti+a, AP a ,atra, *3036 aai. Kaa-0a,a

73t350a 6r+/0si a0sia, s6rti si 7a53 ,,. Ata3 t0i0 strs

3t30 aa/a 0r3sa0a sta7i,itas si trs73t.!, radiograph /a- 6ri3 i6r5ati0a aa,a5 ra;at

6r-sra: r+--a si $space)%6r30aa si: fra0t3r /a-

/rtai/a (,+0asi): a6a0a5 aa tra6 i6r30aa si it3

". Tra6i

a. N+ fara0+

Maa; isi+0asi si 7a53 a6at i,a030a s*ara tari0a a

0+tra tari0a (traction I countertraction) s6rti t+ @i66+*rati*: Stis+

-a *ara 6rita ti3r trt,3-036 $prone) a 7a53 /a- -a,ai ,si

it3 7raa i t6i t6at ti3r 6ri0sa s5i-a ,-a ;at35 0 7a=a5: ata3

t+ Mi,*5. -a *ara ,-a atas si0it a730si a r+tasi 0sta a

si0it tra0si 7rsaaa si03 i7a=a 0 ia, iatas aa a r+tasi itra:

a0a 0a63t 53r3s a0a tr30si. I+7i,isasi -a &elpeau bandage

s,aa # < ' i--3 a 03ia i,a030a r5a7i,itasi. P7a5a

i,a030a 3t30 /a- -a-a, 6aa tia0a r6+sisi: reccurrent $'raumatic

Unilateral% (ankart tession)% isi+0asi 6+stri+r ,7i5 ari ! i--3.

28


30/39

7. O6rasi

s-ra ,a030a r6+sisi trt3t36 astsi ,+0a, 2 +7at sasi: a st,a5 r6+sisi

. ;a-a ,36a ri0sa sta7i,itas si it3: 03ia 7ri0a i+7i,isasi

-a 67iaia s,aa 5ari a st,a5 it3 i,a030a r5a7i,itasi. R6+sisi

tr730a i,a030a 6aa is,+0asi unstable ata3 tr;ai entrapment t3,a- ata3

;ari-a ,3a0

'. E30asi

a-a ,a030a 7a/a0 a0tifitas 0ara it3 7isa 6r6ara5 0+is

29


31/39

%AKTU% T$%BUKA (2B)

Maria Sisi,ia

A. Eti+,+-i2fa0t+r rsi0+

1. Tra3a ,a-s3-

Tra3a ,a-s3- /7a70a t0aa ,a-s3- 6aa t3,a- . @a, trs73t a6at

-a0i7at0a tr;ai/a fra0t3r 6aa ara5 t0aa. Fra0t3r /a- tr;ai 7iasa/a

7rsifat 0+i3tif a ;ari-a ,3a0 i03t -a,ai 0r3sa0a.

#. Tra3a tia0 ,a-s3-

A6a7i,a tra3a i5atar0a 0ara5 /a- ,7i5 ;a35 ari ara5 fra0t3r. Misa,/a:

;at35 -a ta-a 0stsi a6at /7a70a fra0t3r 6aa 0,ai03,a. Paa0aaa ii 7iasa/a ;ari-a ,3a0 tta6 3t35.

. G;a,a: tr;ai 0ara

TIPE 1

L30a 0*i, 03ra- r 1* 6a;a-/a: 7iasa/a 0ara ,30a t3s30a ari fra-

t3,a- /a- 73s 03,it tra6at si0it 0r3sa0a ;ari-a a tia0 tra6at

taa# tra3a /a- 57at 6aa ;ari-a ,3a0. fra0t3r /a- tr;ai 7iasa/a 7rsifat

si6,: trasrsa,: +7,i0 60 ata3 si0it 0+3itif.TIPE #

Lasrasi 03,it ,7i5i 1* tta6i tia0 aa 0r3sa0a ;ari-a /a- 57at ata3 a3,si

03,it tra6at 0r3sa0a /a- sa- ari ;ari-a -a si0it 0+taiasi fra0t3r.

TIPE !

Tra6at 0r3sa0a /a- 57at ari ;ari-a ,3a0 tras30 +t+t: 03,it a str30t3r

3r+as03,r -a 0+taiasi /a- 57at. ti6 ii 7iasa/a i s7a70a +,5

0ara tra3a -a 0*6ata ti--i.

ti6 ! i 7a-i a,a ! s37ti6

TIPE ! a

ari-a ,3a0 *3036 3t36 t3,a- /a- 6ata5 =a,a363 tra6at ,asrasi

/a- 57at ata363 aa/a f,a6. fra0t3r 7rsifat s-ta, ata3 0+3itif

/a- 57at

TIPE ! 7

Fra0t3r i srtai -a tra3a /a- 57at -a 0r3sa0a a 05i,a-a

;ari-a: tra6at 6+r+-a 6ri+st: t3,a- tr730a: 0+taiasi /a-

57at srta fra0t3r 0+3itif /a- 57at.

TIPE ! *

Fra0t3r tr730a /a- isrtai -a 0r3sa0a artri /a- r,30a

6r7ai0a ta6a 6r5ati0a ti-0at 0r3sa0a ;ari-a ,3a0.

30


32/39

>. Pri0saa fisi0:i,a030a -a *ara Da6at tr;ai 0ara

1. Is60si (*ook)

ai-0a -a 7a-ia /a- s5at

Pr5ati0a 6+sisi a--+ta -ra0

Kaaa 33 6rita s*ara 0s,3r35a

E0s6rsi =a;a5

Lia5 0ri- ata3 7asa5

Aa/a taa


33/39

a6at /7a70a 0r3sa0a 6aa ;ari-a ,3a0 s6rti 673,35 ara5

a saraf.

D. Pri0saa 63;a-: 6aa 6/a0it ii ia6ati 5asi, 7r36a Kara

a. Pri0saa rai+,+-i:

1. F+t+ 6+,+s

U3/a i,a030a 6ri0saa a,a 6r+/0si AP a ,atra,

#. Pri0saa rai+,+-i ,ai/a ss3ai ii0asi a6at i,a030a

6ri0saa 7ri03t: atara ,ai rai+is+t+6 s*ai- t3,a-:

t++-rafi: artr+-rafi: >T


34/39

a6a7i,a fra0t3r tr730a i+7ati a,a =a0t3 6ri+ as ('


35/39

%AKTU% T$%TUTUP (2B)

Maria Sisi,ia

A. Eti+,+-i2fa0t+r rsi0+

A. Tra3a La-s3-

t3ra 6aa t3,a- /a- /7a70a fra0t3r 6aa ara 7t3ra.

. Tra3a Tia0 La-s3-

Fra0t3r tia0 tr;ai 6aa t6at 7t3ra ta6i i t6at ,ai +,5 0ara

003ata tra3a itr3s0a +,5 s373 t3,a- 0 t6at ,ai.

>. Eti+,+-i ,ai

tra3a ta-a fisi0 (ta7ra0a:7t3ra)

6/a0it 6aa t3,a- (6r+ss.-ratif:0a0r t3,a-)

-rasi s6+ta

. G;a,a: tr;ai 0ara

Df+ritas

X F3-ti+,asia

X N/ri t0a

X N/ri 7i,a i-ra00a

X -0a0 a0i7at tra3a ;ar ,3a0 a 6rara5a

X S6as +t+t

X Kaa- aa 0r6itasi


Is60si ,i5at ra3t =a;a5 0,i a6a0a5 t,i5at 0sa0ita:*ara 7r;a,a:*ara

330 a *ara ti3r a ,i5at 0+isi fisi0 s6t 03,it (=ara:t0st3r 03,it):

;ari-a ,3a0 (6.ara5:+t+t: ,i-a: t+) tr5aa6 aa/a

7-0a0:6rara5a:*03-a ata3 a7+ra,itas:=ara 0ra5a ata3

07ir3a a f+ritas (0,aia 7t30)

Pa,6asi s353 03,it:/3t ai (a6a0a5 tra7a ata3 tia0 tra7a): s6as ata3

atr+6i +t+t: /ri t0a:6-303ra 6a;a- t3,a-.

X Pr-ra0a a,3asi -ra0a si:sta7i,itas si:ROM.


X R+t-:>T S*a:MRI

X Atra-ra2a+-ra

X La7 DL

X Kratii

E. Tra6i (fara0+2+ fara0+): t3;3a tra6i

a. REPOSISI 6-7a,ia fra- t3,a- 06+sisi s3,a1. R6+sisi trt3t36 i,a030a -a -7a,i0a fra-

34


36/39

t3,a- r6+sisi/a - ai63,asi a tra0si a3a,.

#. R6+sisi tr730a i,a030a -a 60ata 7a5:fra-

t3,a- ir6+si

7. IMOILISASI 6rta5a0a r6+sisi sa6ai ta5a6

6/735a.

1. K+sratif fi0sasi 0stra -i6s:7iai:tra0si#. ORIF(O6 R3*ti+ Itra, Fiati+) 6:f,at:s*r=

*. RE@AILITASI 63,i5a 07a,i26-7a,ia f3-si a

003ata +ra, 7a-ia /a- tr0a

. ,ai/a R6+sisi trt3t36 0+tr+, rai+,+-i ii03ti itria,.

F. E30asi

Laa/a

a) I+7i,isasi -a -i6s s6a;a- t3-0ai: -i6s i-3a0a !


37/39

< E ,+0a, /a- isrtai -a r/t a /ri 6aa

60aa.

6aa t3,a- 7,a0a-

< Ost/a 7rta5a6.

< Ri=a/at 6is+ 70trii a03t.

< K3-0ia 7r5373-a -a is3fisisi as03,ar.

< E ,+0a,: rit: a /ri 6aa 60aa.

Kr+i0 +st+/,itis

< U,03s /a- tia0 03;3- s735.

< Draias sa,3ra si3s.

< K,,a5a /a- 7r06a;a-a.

< Ma,ais.


Paa 6ri0saa fisi0 it30a

Da ( ti73, 5a/a 6aa "$ +at3s ).

E.

Trasa 5a-at.

rf,30t3asi.

N/ri 6aa 6a,6asi.

Tr7ata/a -ra0a 0stritas.

Draias sa,3ra si3s.


La7+rat+ri3

< Tr;ai 6r-sra s5if 00iri.

< >RP i-0at

< Paa 03,t3r 5asi, as6irasi ari t6at /a- trif0si

it30a +ra, 6aa #" 0as3s: a "$ 6+sitif 6aa 5at+-+3s +st+/,itis.

Pi-0ata ,a;3 a6 ara5

E. Tra6i (fara0+2+ fara0+): t3;3a tra6i

36


38/39

-it3 ia-+sis s*ara 0,iis it-a00a: 0stritas /a- tr0a iistira5at0a a

s-ra 7ri0a ati7i+ti0. i,a -a tra6i itsif s,aa #4 ;a tia0 ia6ati

6r7ai0a: ia;3r0a 3t30 -7+r t3,a- /a- tr0a. i,a aa *aira /a-

0,3ar 6r,3 i7+r i77ra6a ta6at 3t30 -3ra- t0aa itra+sta,. >aira

trs73t 6r,3 i7ia00a 3t30 t30a ;is 03a a rsistsi/a. i,a tra6at

6r7ai0a: ati7i+ti0 6artra, itr3s0a sa6ai # i--3: 03ia itr3s0a

s*ara +ra, 6a,i- si0it 6at i--3.

P/3,it 7r36a 00a735a /a- a6at *a6ai #$: *a*at 7r36a 0str30si

si: -a--3a 6rt3735a 0ara 0r3sa0a *a0ra 6ifisis: a +st+/,itis

0r+i0.

Paa asar/a 6a-aa /a- i,a030a aa,a5

1. Pra=ata ir3a5 sa0it.

#. 6-+7ata s36+rtif -a 67ria if3s a ati7i+ti0a.

!. Pri0saa 7ia0a ara5.

4. ati7i+ti0a /a- f0tif tr5aa6 -ra -atif a363 -ra 6+sitif i7ri0a

,a-s3- ta6a 3--3 5asi, 7ia0a ara5: a i,a030a s*ara 6artra,

s,aa !


39/39

M3r3t edukasi osteomielitis 5a, it3 tr;ai a0i7at ara5 /a- trif0si 3,ai

/7ar 0 +r-a t3735 ,ai/a.

Ut30 *-a5 63,ara/a a0a aa 77ra6a *ara /a- 7isa aa ,a030a. %a-

6rtaa ;i0a aa ata3 aa0 aa -a,ai ,30a: s-ra 7rsi50a ,30a/a 03ia

i3,a5 ati7i+ti0 3t30 ,i3-i t3735. K3ia ;i0a ,30a/a tr730a t3t36 -a

6r7a ata3 0ai a-ar tia0 tr0a 7a0tri ata3 0+t+ra /a- 3-0i sa;a 6,.

tugas skillslab ipm muskuloskeletal

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