RUPTURE TENDON ACHILES PUTRI AYU PUSP PUSPASA ASARI RI 207.311.086
ANATOMI •
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Tendon Tendon Ac!""e# $e%&" d&%! '&$(n'&n 3 o)o) *&!)( gastrocnemius+ soleus d&n otot plantaris. P&d& P &d& ,&n(#!&+"e)&-n*& )e&) d! $&'!&n e%'e"&n'&n-&-!. Tendon Tendon Ac!""e# &d&"& )endon )e%)e$&" d&n )e%-(&) )e%-(&) &d& )($( ,&n(#!&. P&n/&n'n*& #e-!)&% 1 #en)!,e)e%+ d!,("&! d&%! e%)en'&&n )(n'-&! $&&. $&& . e,(d!&n #)%(-)(%n*& ,&-!n ,en'(,(" d&n ,e"e-&) &d& $&'!&n )en'&$e"&-&n' )("&n' c&"c&ne(#
4UN5SI •
e)!-& o)o) ')%ocne,!(# d! $e)!# -on)%&"e$! ende-+ )endon *&n' ,e"e-&) d&%!o)o) -e )("&n' )(,!) -&"-&ne(# $e%'e%&-. Se$&'&! ,e,e%ende- o)o)+ )endon $e%'e%&- -e)!)!- -e $&& -&-!.
In! &d&"& )!nd&-&n *&n' ,e,(n'-!n-&n #e#eo%&n' (n)(- $e%d!%! d! &)-&-! #e#eo%&n'+ $e%"&%!+ ,e"o,&)+ $e%/&"&n no%,&"+ d&n (n)(- n&!- d&n )(%(n )&n''&.
9ENIS CEDERA •
Tendocalcaneal radang kandung lendir bursa &d&"& -&n)(n' $e%!#! c&!%&n *&n' d!%&nc&n'(n)(- ,e,$&)! 'e#e-&n &n)&%& $&'!&n 'o#o-. &n)(n' !n!+ &)&( $(%#&e+ d!)e,(-&n d! $&n*&- )e,&)d! d&"&, )($(. e)!-& $(%#& ,en/&d! ,e%&d&n'+ -ond!#! !n! d!#e$() $(%#!)!#. Tendoc&"c&ne&" $(%#!)!#&d&"& e%&d&n'&n &d& $(%#& d! $e"&-&n' )("&n' )(,!). $(%#& !n! $!&n*& ,e,$&)! 'e#e-&n d!,&n&Ac!""e# )endon :$%o#& )e$&" *&n' $e%/&"&n d! $&'!&n $e"&-&n' $e)!# ,e"(nc(% n&!- d&n )(%(n d!$e"&-&n' )(,!).
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Achilles Tendonitis Se$(& #)%&!n -e-e%&n d&&) ,en*e$&$-&n )%&(,& &d& o)o) $e)!# &)&()endon Ac!""e#. &d&n'-&d&n' !n! d!#e$() #e$&'&! )endon!)!#. cede%& !n! $!#& )e%/&d! #&&) -on)%&-#!-(&) d&%! o)o)+ #ee%)! -e)!-& $e%/&"&n &)&( $e%"&%!. Mend&%&) d! )&n& #e)e"& ,e"o,&) d&&) ,e,&-#&-&-! -e &)+ /('& ,en*e$&$-&n cede%&. 9en!# !n! d&&) ,e,en'&%(! $&'!&n $&'!&n *&n' $e%$ed&d&%! o)o)o)o) &)&( )endon. M!#&"n*&+ -e)e'&n'&n ,(n'-!n )e%/&d! d! )en'& o)o). A)&( ,(n'-!n )e%/&d!d! ,&n& o)o)o)o) )endon Ac!""e# $e%'&$(n' d!#e$() /(nc)!on ,(#c("o)end!no(#.
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Achilles Tendinopathy / Tendonosis berlebihan kronis dapat berkontribusi untuk perubahan pada tendon Achilles juga,menyebabkan degenerasi dan penebalan tendon. Studi menunjukkan tidak ada tandatanda peradangandengan luka terlalu sering menggunakan tendon. Kebanyakan ahli sekarang lihat kondisi ini sebagaitendinopathy atau tendonosis bukan tendonitis.
RUPTUR TENDON ACHIE! •
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Ro$e-+ ec& &)&( )e%()(#n*& )endon &c!""e#. Tendon ,e%(&-&n /&%!n'&n :$%o#& d! $&'!&n $e"&-&n' e%'e"&n'&n -&-! *&n' ,en'($(n'-&n o)o) $e)!# den'&n )("&n' )(,!).
T&nd& d&n 'e/&"& d&%! #(&)( %()(% )endon Ac!""e# ; < N*e%!+ ,(n'-!n &%&+ d&n e,$en'-&-&n d! de-&) )(,!) And& < e)!d&-,&,(&n (n)(- ,ene-(- -&-! And& -e $&& &)&( =(# o>? -&-! )e%"(-& -e)!-& And& $e%/&"&n < e)!d&-,&,(&n (n)(- $e%d!%! d! &) /&%!/&%! -&-! &d& -&-! *&n' )e%"(-& Se%!n' -&"! o%&n' ,e"&o%-&n ,enden'&% #(&%& o!n' &)&( &)& #&&) cede%& )e%/&d!. Den'&n ec& &%#!&" d&n ,en'&"&,! #ed!-!) %& #&-!) *&n' &%& d&n e,$en'-&-&n.
PENYE@A@ •
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Pen*&-!) )e%)en)(+ #ee%)! &%)%!)!# d&n d!&$e)e#. O$&)o$&)&n+ #ee%)! -o%)!-o#)e%o!d d&n $e$e%&& &n)!$!o)!- *&n' d&&) ,en!n'-&)-&n %!#!-o ec&. Cede%& d&"&, o"& %&'&+ #ee%)! ,e"o,&) d&n $e%()&% &d& o"& %&'& $&d,!n)on+ )en!#+ $-e) d&n #e&- $o"&. T%&(,& $end& )&/&, &)&( )(,(" &d& $&& $e)!
4ATOR RESIO < U,(%. U#!& (nc&- (n)(- %()(% )endon Ac!""e# 30 #&,&! 0. < Se-#. R()(% )endon Ac!""e# !n''& "!,& -&"! "e$! ,(n'-!n )e%/&d! &d& %!& d!$&nd!n'-&n &d& &n!)&. < O$e#!). Po(nd e-#)%& d&&) ,en!n'-&)-&n #)%e# d!)e,&)-&n &d& Ac!""e# )endon And&. O"&%&'& Re-%e! Cede%& )endon Ac!""e# )e%/&d! "e$! #e%!n' d&"&, o"&%&'& *&n' ,e"!$&)-&n $e%"&%!+ ,e"o,&) d&n ,("&! )!$&)!$& d&n $e%en)!. Con)o )e%,(-B 1. Se&-$o"& 2. @o"& @-e) 3. Ten!# . So)$&"" . Ho-! •
PEMERISAAN PENUN9AN5 1.Pe%'e%&-&n o)o) d&n )(,!)+ /!-& e%'e%&-&n )e%#e$() "e,& &)&( )!d&- &d& ,&-& d!c(%!'&! cede%& )endon Ac!""e# 2.Pe,e%!-#&&n den'&n #!n&% M&'ne)!c Re#on&nce I,&'!n' MRI #c&n+ %o#ed(% %& #&-!) *&n' ,en''(n&-&n 'e"o,$&n' %&d!o d&n ,ed&n ,&'ne) *&n' -(&) (n)(- ,enc!)&-&n c!)%& )e%-o,()e%!#! d&%! /&%!n'&n )($(.
PERAATAN DAN O@AT O@ATAN •
Operasi
Pe,$ed&&n &d&"& en'o$&)&n (,(, (n)(ec& "en'-& Ac!""e# )endon. P%o#ed(% !n! (,(,n*& ,e"!$&)-&n ,e,$(&) #&*&)&n d! $&'!&n $e"&-&n' -&-! $&& d&n /&!)&n %o$e)endon $e%#&,&#&,&. Te%'&n)(n' &d& -ond!#! /&%!n'&n *&n' %o$e-+ e%$&!-&n d&&) d!e%-(&) den'&n )endon "&!n. Se)e"& !)(+ PASIEN &%(# ,en'&$!#-&n &-)( #e-!)&% 6 #&,&! 8 ,!n''( den'&n -&-! d&"&, $oo) $e%/&"&n+ co%+ en/e!) &)&( $e"&).
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Nonsurgical pengobatan
Pende-&)&n !n! $!&n*& ,e"!$&)-&n ,en'en&-&n '!# &)&( $e%/&"&n $oo)+ *&n' ,e,(n'-!n-&n (/(n' )endon %o$e- And& (n)(- ,e,&n' -e,$&"! d!%! ,e%e-& #end!%!. Me)ode !n! $!#& ee-)!+ d&n ,en'!nd&%! %!#!-o+ #ee%)! !ne-#!+ )e%-&!) den'&n oe%!. N&,(n+ -e,(n'-!n&n %e ec& "e$! )!n''! den'&n ende-&)&n non#(%'!c&"+ d&n e,("!&n d&&) ,e,&-&n &-)( "e$! "&,&. 9!-& -e,$&"! ec& )e%/&d!+ e%$&!-&n $ed& ,(n'-!n "e$! #("!).
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Rehabilitasi
Se)e"& en'o$&)&n+ $&!- $ed& &)&( non#(%'!c&"+ And& &-&n e%'! ,e"&"(! %o'%&, %e&$!"!)! *&n' ,e"!$&)-&n "&)!&n )e%&! :#!(n)(- ,e,e%-(&) o)o) -&-! And& d&n Ac!""e# )endon. e$&n*&-&n o%&n' -e,$&"! -e "eFe" #e$e"(,n*& &-)!F!) ,e%e-& d&"&, &-)( e,&) #&,&! en&, $("&n.
PENCE5AHAN • Hindari kegiatan yang menempatkan stress berlebih pada tendon Achilles misalnya bukit-berlari dan melompat kegiatan. • Jika anda melihat rasa sakit selama latihan, istirahat. • Jika salah satu latihan atau kegiatan yang menyebabkan sakit terus-menerus, coba yang lain olahraga alternatif, seperti berlari, dengan olahraga-dampak rendah, seperti berjalan, bersepeda atau berenang • Menjaga berat badan yang sehat • Kenakan sepatu yang baik dengan bantalan yang tepat atletik di tumit.
TERIMA ASIH