Injeksi Sendi Gleno-Humeral dan Bursa Subacromial disertai Blok Saraf Suprascapularis dengan Pulsed Radiofrequency pada Pasien dengan Nyeri Bahu Akibat Adhesive Capsulitis

Erwin Mulyawan, Antonius H Wijono

Abstract


Adhesive capsulitis adalah kondisi bahu dimana terdapat pengurangan range-of-motion (ROM) aktif dan pasif secara bertahap dan sakit pada semua bidang pergerakan sendi glenohumeral yang disebabkan oleh adanya fibrosis dan kontraktur. Kondisi ini terjadi sekitar 2% hingga 5% dari populasi umum, sering terjadi pada wanita berusia antara 40 dan 60 tahun.

 Pengobatan awal nyeri dan disabilitas fungsional adhesive capsulitis bahu antara lain kombinasi obat nonsteroidal anti-inflammatory (NSAIDs) dan terapi fisik. Pasien yang tidak respon terhadap pengobatan tersebut, dapat diberikan teknik intervensi. Manajemen intervensi untuk adhesive capsulitis dapat berupa injeksi kortikosteroid intra-artikular, injeksi bursa subacromial, atau blok saraf suprascapularis dengan pulsed radiofrequency (PRF).

Pada laporan kasus ini, akan dibahas pasien wanita berusia 60 tahun dengan adhesive capsulitis yang menjalani prosedur injeksi kortikosteroid sendi gleno-humeral dan bursa subacromial serta PRF saraf suprascapularis.


Keywords


Adhesive Capsulitis; Bursa Subacromial; Nyeri Bahu; Saraf Suprascapularis; Sendi Gleno Humeral;

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DOI: http://dx.doi.org/10.21776/ub.jap.2020.001.01.04

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