LEMBAR PENGESAHAN

REFERAT

MANAJEMEN DROP FOOT

Oleh:
Arief Indra Perdana Prasetya

Telah disahkan pada tanggal.2013

Pembimbing:

Dr. Tangkas SMHS Sibarani, Sp.OT (K-OSM), FICS

KATA PENGANTAR

Puji syukur kehadirat Allah S.W.T. yang telah melimpahkan anugerah dan karunianya
sehingga memungkinkan penulisan dapat selesai dengan baik. Penetapan judul untuk referat
ini dibuat untuk memahami Manajemen Drop Foot ditinjau dari sisi etiologi, patofisiologi
dan patoanatomi, penegakan diagnosis, hingga penatalaksanaan. Dengan pengetahuan ini,
diharapkan penguasaan materi tentang Manajemen Drop Foot dapat menjadi lebih baik.
Semoga penulisan ini bermanfaat, merangsang minat dan menjadi motivator pembaca untuk
selalu mengikuti perkembangan pengetahuan, khususnya di bidang orthopaedi dan
traumatologi.
Ucapan terima kasih kami ucapkan kepada dr. Tangkas SMHS Sibarani, Sp.OT (KOSM), FICS yang telah meluangkan waktu untuk membimbing sehinga penulisan ini
mencapai hasil yang optimal.
Dalam penulisan referat ini, tentu jauh dari kesempurnaan, sehingga kritik dan saran
yang membangun senantiasa kami harapkan. Semoga penulisan ini bermanfaat dan dapat
menjadi acuan pengembangan selanjutnya.

Desember 2013

Penulis

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DAFTAR ISI

Halaman Pengesahan ......................................................................................................

Kata Pengantar ................................................................................................................
Daftar Isi .........................................................................................................................
Daftar Gambar ................................................................................................................
Daftar Singkatan .............................................................................................................
BAB I PENDAHULUAN ............................................................................................
BAB II ANATOMI DAN FISIOLOGI........................................................................
II.A ANATOMI NERVUS PERONEUS ....................................................................
II.A.1 Nervus Peroneus Communis .............................................................................
II.A.2 Nervus Peroneus Profundus ..............................................................................
II.A.3 Nervus Peroneus Superficialis...........................................................................
II.A.4 Nervus Peroneus Aksesorius .............................................................................
II.B ANATOMI OTOT OTOT YANG DISARAFI NERVUS PERONEUS ..........
II.B.1 Otot otot kompartemen anterior cruris ...........................................................
II.B.2 Otot otot lateral cruris .....................................................................................
II.B.3 Otot otot dorsal pedis ......................................................................................
II.C FISIOLOGI NEURON .........................................................................................
II.C.1 Anatomi Serabut Saraf.......................................................................................
II.C.2 Metabolisme Saraf .............................................................................................
II.C.3 Cedera Saraf ......................................................................................................
BAB III GAIT ..............................................................................................................
III.A NORMAL GAIT .................................................................................................
III.A.1 Fase Stance .......................................................................................................
III.A.2 Fase Swing .......................................................................................................
III.B ABNORMAL GAIT PADA DROP FOOT ........................................................
BAB IV DROP FOOT .................................................................................................
IV.A ETIOLOGI ..........................................................................................................
IV.A.1 Stroke ...............................................................................................................
IV.A.2 Cerebral Palsy ..................................................................................................
IV.A.3 Multiple Sklerosis ............................................................................................
IV.A.4 Drop Foot Post Surgery ...................................................................................
IV.A.5 Trauma .............................................................................................................
IV.A.6 Compartment Syndrome ..................................................................................
IV.A.7 Diabetic Peripheral Neuropathy.......................................................................
IV.A.8 Charcot Marie Tooth Disease ..........................................................................
IV.B PATOFISIOLOGI DAN PATOANATOMI .......................................................
IV.B.1 Patofisiologi .....................................................................................................
IV.B.2 Patoanatomi ......................................................................................................
IV.C PENEGAKAN DIAGNOSIS ..............................................................................
IV.D PENATALAKSANAAN ....................................................................................
IV.D.1 Penatalaksanaan Non-Operatif ........................................................................
IV.D.2 Penatalaksanaan Operatif .................................................................................
BAB V KESIMPULAN ...............................................................................................

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DAFTAR PUSTAKA .....................................................................................................

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DAFTAR GAMBAR
Gambar 1. Percabangan Nervus Peroneus ...................................................................
Gambar 2. Otot Otot Kompartemen Anterior Cruris ................................................
Gambar 3. Otot Otot Kompartemen Lateral Cruris ..................................................
Gambar 4. Otot Otot Dorsal Pedis ............................................................................
Gambar 5. Otot Otot yang Disarafi Cabang Nervus Peroneus Communis (Tampak
Anterior) .....................................................................................................
Gambar 6. Otot Otot yang Disarafi Cabang Nervus Peroneus Communis (Tampak
Lateral) .......................................................................................................
Gambar 7. Degenerasi Waller ......................................................................................
Gambar 8. Fase Stance .................................................................................................
Gambar 9. Fase Swing .................................................................................................
Gambar 10. Tampak Klinis Dari Drop Foot ................................................................
Gambar 11. Salah Satu Tipe Ankle-Foot Orthosis ......................................................

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DAFTAR SINGKATAN
CMT = Charcot Marie Tooth Disease
AFO = Ankle Foot Orthosis
FES = Functional Electrical Stimulation
FHL = Fleksor Hallucis Longus
FDL = Fleksor Digitalis Longus