Pemfis Pada Art.cubiti
2
Perkenalkan diri terlebih dahulu Jelaskan dan meminta izin kepada pasien bahwa akan diperiksa sikux Pasien harus membuka bajunya agar kedua sikux dapat dilihat, meminta izin terlebih dahulu. 1 Inspeksi a. Bandingkan siku kiri dan kanan Dislokasi, fraktur , bursitis, cubitus varus and cubitus valgus b. Kulit :perubahan warna, laserasi, ekimosis c. Bengkak dan deformitas d. Carrying angel : 5°-15° e. Atrofi otot Penjepitan pada saraf ( cubital tunnel syndrome ) 2. Palpasi Palpasi epicondylus dan olecranon yang membentuk segitiga sama sisi Subluksasi siku Palpasi epicondylus medialis dan garis supracondiler Nyeri : epicondylitis medialis ( golfer elbow), fraktur Palpasi epicondylus lateralis dan garis supracondyler Nyeri : epicondylitis lateralis ( tenis elbow), fraktur. 3. Range of Motion Fleksi dan ekstensi : ekstensi 0° ,fleksi 140-150 ° Pronasi dan supinasi: supinasi 80°- 85° ,pronasi 75°-80° 4. Tes khusus Tennis elbow : membuat kepalan, pronasi, kemudian ekstensi sendi pergelangan tangan dan jari melawan tahanan. Nyeri pada epicondiyus lateralis menandakan adanya epicondylitis lateralis Golfer’s elbow :supinasi brachium, ekstensi articulatio cubiti dan articulatio radiocarpalis Nyeri pada epicondiyus medialis
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