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8/10/2019 Rupture Tendon Achilles
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Rupture Tendon Achilles
GROUP 5Anggota : 1. Galang Kharisma Putra 11310139
2. Intan Nabilah Pratiwi 11310170
3. Solehudin Widya Putra 11310360
4. Agung Istiawan 11310016
5. M Bagus Aryo 11310235
Language Centre Of
Universitas Malahayati
2014
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BAB 1
1.1 CASE
A 12-year-old boy is brought to the physicians office with right thigh pain
and a limp. His mother has noticed him limping for the past week or so. He deniesany injury to his leg but says that it hurts some when he plays basketball with his
friends. He denies back pain, hip pain, or ankle pain. He occasionally gets somepain in the right knee but does not have any swelling or bruising. He has no
significant medical history, does not take any medications regularly, and otherwisefeels fine. On examination, he is an overweight adolescent. His vital signs and a
general physical examination are normal. When you have him walk, he has a
prominent limp. You note that he seems to keep his weight on his left leg for agreater proportion of his gait cycle than he does on the right leg. Examination ofhis back reveals a full range of motion, no tenderness, and no muscle spasm. He
gets pain in the right hip when it is passively internally rotated. When the hippassively flexed there is a noticeable external rotation. There is no thigh muscle
atrophy. His right knee and the remainder of his orthopedic examination arenormal.
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1.2 KEYWORDS
1.
A 12-year-old
2. Right tight pain and a limp3.
Him limping for the past week or so
4. He denies back pain, hip pain, or ankle pain5.
He has no significant medical history
6. His vital signs and a general physical examination are normal7.
He is overweight adolescent
8. His right knee and the remainder of his orthopedic examination are normal
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1.3 Definition rupture tendo Achilles
Rupture tendo Achilles is the Achilles tendon rupture or injury that affectsthe bottom rear of the foot.
1.4 Theory
Epidemiology
Achilles tendinopathy affects competitive and recreational athletes as well as
people who are not active. The incidence of Achilles tendon rupture in the general
population is 7 per 100.000. ove r 80% of rupture occur during recreational sports.Approximately 10% of patients who sustain an Achilles tendon rupture had
preexisting Achilles tendon problem. This incident is more common in men thanwomen.
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1.5 Object of study
Knowing all about of disease rupture tendo Achilles
Provide information about disease rupture tendo Achilles
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BAB II
DISCUSSION
2.1 Causes an Rupture tendo Achilles
1.
Certain diseases
2. Drugs
3.
Injuries in sport4. Sharp force trauma5. Obesitas
6. Tendo receives less blood flow
2.2 Symptoms
1.
Swelling, stiff and bruised
2. Sudden severe pain, felt in the back of the ankle or calf
3.
The heel can not be moved up and down4. Depression seen in the tendon 3-5 cm above the heel bone
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2.3 Complications of an Rupture tendo Achilles
1.
Permane damage or damage to tendons2. Skin infections
3. The loss flexibility and reduced strength
4.
Stiff joints
2.4 Clasification or type
Rupture tendo Achilles tears may be grouped into 4 types :
1.
Type 1 : partial rupture
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2.5 Risk factor
1.
Achilles tendinopathy2. Recent increase in activity level
3. Weak or inflexible calf muscles4. Previous Achilles tendon rupture
5.
Involvement in sports that involve running, jumping, twisting, or lunging
improper footwear
6. Obesity7.
Certain medications, such as quinolone antibiotics or corticosteroids, which
weaken the tendon
8.
Collagen vascular disease, such as rheumatoid rheumatoid arthritis, lupus,diabetes and scleroderma
2.6 Laboratory Diagnose
1. Radografii
2. CT scan
3. USG
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2.7 Diagnose
1. Commonly the pasien feel like kick in his back foot2.
And abscess can be seen in entire achiles tendon
3.
In the physical examination, we can found some space in the achilestendon
2.8 Treatment
1. Surgery can be performed, severed ends of the tendon be reconnected with
suturing techniques
2. Actions with non-surgical physical therapy : not done for athletes because
the long healing3. Exercise is very important moves in the healing process
4. Be the installation of gyps
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2.9 Prevention or education
1. Warming up and stretching before exercise
2.
Do not force a workout if your feet feel tired
3. Get used to aggravate a calf exercise4.
Keep your weight to avoid obesity
2.10 Prognosis
Most people who experience a rupture achilles tendo, tendo will return to
normal. If the operation or surgery is done tendo will be stronger and less likely to
rupture again
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BAB III
Rupture tendo Achilles is the Achilles tendon rupture or injury that affects
the bottom rear of the foot. Rupture tendo achiless is not a deadly disease with
proper handing tendo will return to normal and heal in about 6 weeks.
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References
Chiodo DG, Glazebrook M, Bluman EM, Cohen BE, Femino JE, Giza E.
The diagnostic and treatment of acute Achilles tendon rupture.AmericanAcademy of Orthopaedic Surgeons; 2009
Jung, Lee K, Cho S, Yoon T. Outcome of Achilles tendon ruptures treated
by a limited open technique. Foot and Ankle International, 2008 Aug; 29(8)
.