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Mulya Santausa, Febrian
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Health Professions Medicine & Pharmacology Public Health

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Peranan USG Muskuloskeletal di Bidang Rehabilitasi Medik pada Pasien Diduga Cedera Anterior Cruciate Ligament: An Evidence – Based Case Report Tamin, Tirza Z.; Ricky, Andreas; Wreksoatmodjo, Edbert S.; Mulya Santausa, Febrian; Maharani, Intan Sari; Ramadhany, Mellisya; Widyaningrum, Satyanaya; Takwarif, Tesa; -, Tiffany; Sabansya, Tsaqyla
Cermin Dunia Kedokteran Vol 46, No 1 (2019): Obstetri - Ginekologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.909 KB) | DOI: 10.55175/cdk.v46i1.538

Abstract

Latar Belakang. Anterior cruciate ligament (ACL) sering mengalami cedera. Cedera ACL dapat mengganggu aktivitas fungsional sehari-hari. Di bidang rehabilitasi medik, modalitas USG muskuloskeletal merupakan salah satu pilihan untuk penegakan diagnosis cedera ACL. Studi ini bertujuan untuk mengetahui peranan USG muskuloskeletal dalam penegakan diagnosis pasien diduga cedera ACL dan sebagai panduan; dilakukan melalui telusur Pubmed®, Cochrane®, EBSCO®, SCOPUS®, ProQuest®, dan Springerlink®. Artikel terpilih akan ditelaah kritis melalui lembar kerja diagnostik dan systematic review berdasarkan Oxford Centre for Evidence-based Medicine Levels of Evidence. Hasil. Didapatkan empat studi terpilih yang membandingkan akurasi penggunaan USG dengan MRI. Studi pertama mendapatkan sensitivitas dan spesifisitas diagnostik 91% dan 100%. Studi kedua mendapatkan sensitivitas, spesifisitas, LR +, LR –, PPV, dan NPV sebesar 91,9%, 95,6%, 20,9, 0,1, 94,4%, dan 93,9%. Studi ketiga mendapatkan sensitivitas, spesifisitas, LR +, LR –, PPV, dan NPV sebesar 96,9%, 87,5%; 7,75, 0,035, 26,9%, dan 12,5%. Studi keempat berupa systematic review-meta analysis dengan hasil kombinasi sensitivitas dan spesifisitas, LR +, LR -, dan heterogenitas sebesar 90% dan 97%, dan 31,08 dan 0.11 63.69 (24.27 hingga 100.00). Simpulan. Pemeriksaan USG muskuloskeletal merupakan pemeriksaan non-invasif yang akurat untuk mendiagnosis cedera ACL.Background: Anterior cruciate ligament (ACL) is a knee ligament that often injured. ACL injury can cause limitation of daily activities. In physical medicine and rehabilitation, musculoskeletal ultrasonography (USG) is a promising diagnostic tool for musculoskeletal injury. This study assess the role of musculoskeletal USG in the diagnosis of ACL injury and as a guide to perform intraarticular injection. Article search was performed using Pubmed®, Cochrane®, EBSCO®, SCOPUS®, ProQuest®, and Springerlink®. Four selected articles were reviewed using appraisal sheet from Oxford Centre for Evidence-based Medicine Levels of Evidence. Result: Three primary studies showed excellent sensitivity (0.91-0.97) and specificity (0.88-1.00), as well as positive predictive value (0.97-1.00). One systematic review also showed excellent sensitivity (0.90) and specificity (0.97) but with high heterogeneity (I2=63.69). Conclusion: Musculoskeletal USG is an accurate, non-invasive diagnostic tool for ACL injury. 
Injeksi Steroid sebagai Tatalaksana Awal Nyeri pada Shoulder Impingement Syndrome: Laporan Kasus Berbasis Bukti Mulya Santausa, Febrian
Cermin Dunia Kedokteran Vol 45, No 5 (2018): Nutrisi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (117.2 KB) | DOI: 10.55175/cdk.v45i5.679

Abstract

Shouder impingement syndrome adalah sindrom nyeri bahu disebabkan penyempitan celah subakromion. Injeksi steroid adalah prosedur sederhana yang bisa dilakukan pada fasilitas kesehatan primer, tetapi jarang pada pasien SIS di Indonesia. Studi ini bertujuan untuk mengevaluasi efektivitas injeksi steroid bersama program latihan fisik jika dibandingkan dengan latihan fisik saja pada pasien SIS usia >40 tahun. Pencarian artikel sistematis pada tiga basis data: PubMed®, Cochrane Library®, dan TRIP Database®. Dua uji acak terkontrol dipilih untuk dievaluasi berdasarkan kriteria Center of Evidence-based Medicine, University of Oxford. Kedua studi mendapatkan bahwa injeksi steroid efektif menurunkan gejala nyeri dan meningkatkan fungsi bahu hingga enam minggu setelah injeksi. Efek tersebut diprediksi lebih baik jika dosis steroid setara triamsinolon 40-80 mg dengan pendekatan posterolateral.Shoulder impingement syndrome (SIS) is a syndrome characterized by shoulder pain caused by impingement of subacromial space. Steroid injection is a simple procedure feasible in primary health care, yet seldom used for SIS patients in Indonesia. This study evaluate the efficacy of steroid injection combined with exercise program compared to exercise alone in SIS patients aged >40 years old. Systematic searching was conducted on three databases: PubMed®, Cochrane Library®, and TRIP Database®. Two randomized clinical trials were selected to be appraised based on the criteria from Center of Evidence-based Medicine, University of Oxford. Both studies found that steroid injection is effective in reducing pain and improving shoulder function up until six weeks after the injection. The effect is predicted to be better if steroid dose equals to 40-80 mg triamcinolone with posterolateral approach injection.
Co-Authors -, Tiffany Maharani, Intan Sari Ramadhany, Mellisya Ricky, Andreas Sabansya, Tsaqyla Takwarif, Tesa Tirza Z. Tamin Widyaningrum, Satyanaya Wreksoatmodjo, Edbert S.