Plantar Faciitis &

Ruptur Tendon
Achilles
Rizky Rafiqoh Afdin
Andini Kartikasari
Pembimbing: dr. Frans Ferdinansyah, Sp.KFR
2 Anatomi
3 Definisi

Fasciitis Plantaris adalah proses

inflamasi pada fibrous band of tissue
(fascia) disepanjang permukaan
bawah telapak kaki yang
menghubungan calcaneus dengan
tulang jari-jari kaki.
 Etiologi dan Faktor
Risiko
4
▹ Kelainan anatomis
▹ Trauma
▹ Lengkungan kaki tinggi
▹ Usia
▹ Jenis kelamin
▹ Pola hidup memiliki penggaruh yang
besar terjadinya plantar fascitis
▹ Obesitas
▹ Kehamilan
 SSP: corteks
5 Patofisiologi sensorik,
hipothalamus &
limbic system
Faktor risiko:
obesitas,
Cornu dorsalis
penambahan
medula
beban kaki, dll Persepsi spinalis
nyeri

Tarikan pada Produksi “T”

fascia  Iritasi substance,
dan inflamasi merangsang
Mediator Impuls radang
fascia inflamasi dibawa ke
aktivasi akar ganglia
nosireseptor dorsal
 Manifestasi Klinis
6

▹ Nyeri:
▸ Dibawah tumit
▸ Terutama pagi hari atau
mencoba berdiri
▸ Terjadi sepanjang hari
terutama saat aktivitas
▸ Berkurang dengan istirahat
▹ Pembengkakan lokal dan
kekakuan ringan
 Pemeriksaan Fisik
▹ Windlass Test
7

▹ Inspeksi: Gait,
plantar: deformitas,
skin changes
▹ Palpasi kaki dan ▹ Perthes Test
pegelangan kaki 
nyeri
▹ ROM
 Pemeriksaan Penunjang
8 ▹ Labrotaorium:
kemungkinan
arthritis
▹ Rontgen: kelainan ▹ USG plantar:
tulang penebalan fascia,
hypoechoic, edema
fascia
 Tatalaksana
9

▹ Konservatif
▸ Medikamentosa
▸ Istirahat dan Modifikasi Kegiatan
▸ Rehabilitasi (Exercise dan
Modalitas)
▹ Operatif
 Medikamentosa
10
▹ NSAID
▹ Kortikosteroid: metilprednisolon
11

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