kelainan kongenital tulang

8/19/2019 Kelainan Kongenital Tulang

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RUANG LINGKUPORTHOPAEDI

1. KELAINAN BAWAAN

- CTEV ( CONGENITAL TALIPES EQUENO VARUS ) / CLUB FOOT

- CONGENITAL DYSPLASIA OF THE HIP

- POLYDACTILY

- TORTICOLIS

- SPINA BIFIDA DLL


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. INFEKSI

OSTEOMYELITIS

!. TRAUMA

FRAKTUR DAN DISLOKASI

". TUMOR

#. DEGENERATIF

- OSTEOARTHRITIS $. MICELENIOUS

- PENYAKIT METABOLIK

- CEREBRAL PALSY

- POST POLIOMYELITIS


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ORTHOPAEDI TIDAK HANYAMENGURUSI TULANG SAJA%%%.&

DEFINISINYA 'Consist of art and science of prevention, investigation,diagnosis, and treatment ofdisorders and injuries of themusculoskeletal system bymedical, surgical, and physicalmeans


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CONGENITAL TALIPES EQUENUSVARUS ( CLUB FOOT )


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THE NORMAL FOOT

Complex organ tat !" re#$!re% to &e

Sta&le' * +,*0 23 456 732 0+8050

Re"!l!ent' * 789:0 805 *,000

o&!le' 8;;


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CTEV/CLUB FOOT


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C90;89 38,*3+?

1. 80:93 + 0 3@,0,+

. 23 2339 + 0=3*35

!. 23 *3 855,;35 805 +,0835

". 23 2339 ,++,8996 +


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Planus: +at,oot

Cavus: !gl- ar*e% ,ootVarus: eal go!ng to.ar%"te m!%l!ne

Valgus: eel go!ng a.a-,rom te m!%l!ne

Adduction: ,ore,oot go!ng

to.ar%" te m!%l!ne Abduction: ,ore,oot go!ng a.a-

From te m!%l!ne Fore,oot /!n%

,oot

P980,+ ? :398+ C8=,+ ? V8*,+ +808


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EtiologySome o, te"e ,a*tor" are '

A&normal !ntra$ter!ne ,or*e"Arre"te% ,etal %e6elopment

A&normal m$"*le an% ten%on !n"ert!on"

A&normal rotat!on o, te tal$" !n te

mort!"eGerm pla"m %e,e*t"

800 D80:8 O 580 3050 0+3*+ A40*


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IncidenceO**$r" approx!matel- !n one o, e6er-7888 l!6e &!rt

In a9e*te% ,am!l!e"3 *l$&,eet are a&o$t

:8 t!me" more ,re#$ent !n o9"pr!ngale are a9e*te% !n a&o$t ; ?8 =


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Geographic Distribution

!%%le Ea"t 3 @SA *ommon

e%!terranean Coa"t NortA,r!*a

!te ra*e


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DiagnosisGeneral Exam!nat!on ' Ex*l$%e

Ne$rolog!*al le"!on tat *an *a$"e te %e,orm!t-Sp!na B!2%aDOter a&normal!t!e" tat *an expla!n te %e,orm!t-Artrogr-po"!"3 -elo%-"pla"!aDPre"en*e o, *on*om!tant *ongen!tal anomal!e"

Prox!mal ,emoral ,o*al %e2*!en*-DS-n%romat!* *l$&,oot

Lar"en" "-n%rome3 Amn!ot!* &an% S-n%romeD


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Sp!na B!2%a Paral-t!* TEV


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Diagnosis

Cara*ter!"t!* 1e,orm!t- '/!n% ,oot

E#$!n$" (An5le o!nt)

Var$" (S$&talar o!nt)

Fore ,ootA%%$*t!on (e% tar"al o!nt)

S$p!nat!on ,ore ,oot

Ca6$"


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DIAGNOSIS

HINDFOOT ? EQUINUS VARUS FOREFOOT ?

ADDUCTIONSUPINATIONCAVUS


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9 4 9 : H 9 A4 9 9 5 2 : : F 9 42


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Diagnosis

Sort A*!lle" ten%on/!g an% "mall eelNo *rea"e" &e!n% /eelA&normal *rea"e !n m!%%le o, te ,ootFoot !" "maller !n $n!lateral a9e*t!on

Callo"!t!e" at a&normal pre""$re area"Internal tor"!on o, te legCal, m$"*le" .a"t!ng1e,orm!t!e" %ont pre6ent .al5!ng

9880 4398:80 H339 A40*


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Treatent

Te goal o, treatment ,or *l$&,oot!" to o&ta!n a plant!gra%e ,oot tat!" ,$n*t!onal3 pa!nle""3 an% "ta&le

o6er t!me

A *o"met!*all- plea"!ng appearan*e

!" al"o an !mportant goal "o$gt &-

te "$rgeon an% te ,am!l-

>


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Treatent

Non surgical treatent should begin shortly a!ter birth7H Gentle man!p$lat!on

H Immo&!l!Jat!on

0 Strapp!ng KKKK

0 POP or "-ntet!* *a"t

0 PONSETI eto%e

304880 P304880 43582 N0 28*,+ 5


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TreatentNon surgical treatent should begin shortly a!terbirth

:H Spl!nt" to ma!nta!n *orre*t!on

0 1enn!" Bro.n "pl!nt

304880 P304880 43582 N0 28*,+ 5


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W28 + '

A9+ :070 8+ W*603;:

H385 805 ;20 8*3 935 8+3 8093+ ;8,+0 2385 7+

A+6


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+398


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W28 + '

C80 3+ 43*3 * 8 4*2

C03089 M,+;,98* T*;99+

C80 ;;,* 5,*0 ;29525 , 2*,285,9 83

A;@,*35/N0;03089 M,+;,98* T*;99+

Both cause asymmetrical appearance andfunction in the neck and head of those aicted

+398


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P*3=8930;3

L3++ 280 ." 0374*0+

T*;99+ 53+ 0 *33* 03 +53 2385 * 23 23*

I0 CMT *8 46+ *9+ + !?I0;*38+35 2385 +3 0


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P*3=8930;3

I0 85,9+ 00;03089


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C8,+3+'

N 7399 ,053*+5

A9


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O23* C8,+3+

G303; 533;

I080+ +0 5,*0 *3080;6 *539=3*6

T,


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S6


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S6


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P*0++

M+ 239,9 580++ +


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T*38


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T*38


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