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Costochondritis

  • Visão geral
  • Teoria
  • Diagnóstico
  • Tratamento
  • ACOMPANHAMENTO
  • Recursos
Última revisão: 13 Sep 2025
Última atualização: 28 Oct 2024

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • chest pain
  • chest-wall tenderness
Detalhes completos

Outros fatores diagnósticos

  • chest-wall swelling
Detalhes completos

Fatores de risco

  • microtrauma
  • female sex
  • age >40 years
  • sternotomy wound infection
  • intravenous drug use
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • nonsteroidal anti-inflammatory drug trial
Detalhes completos

Investigações a serem consideradas

  • local anesthetic and corticosteroid trial
  • chest x-ray
  • CT chest
  • MRI chest
  • wound or blood cultures
Detalhes completos

Algoritmo de tratamento

AGUDA

inflammatory

infectious

Colaboradores

Autores

Fadi Badlissi, MD, MSc
Fadi Badlissi

Attending Physician

Medical Director of the Musculoskeletal Medical Unit

Department of Orthopedics & Division of Rheumatology

Beth Israel Deaconess Medical Center

Assistant Professor of Medicine

Harvard Medical School

Boston

MA

Declarações

FB has been reimbursed by ANI Pharmaceuticals and Janssen and Amgen for attending an advisory board meeting.

Revisores

Don L. Goldenberg, MD

Emeritus Professor of Medicine

Tufts University School of Medicine

Boston

MA

Declarações

DLG declares that he has no competing interests.

Richard G. Chang, MD, MPH, FAAPMR

Associate Program Director

Sports Medicine Fellowship

Assistant Professor of Medicine

Icahn School of Medicine at Mount Sinai

New York

NY

Declarações

RGC declares that he is the President of the New York Society Of Physical Medicine and Rehabilitation (2023-2025), is State Advocacy Chair and a Health Policy and Legislative Committee member for the American Academy of Physical Medicine and Rehabilitation, and is a Health Policy Division and Ultrasound Education Committee member for the Spine Intervention Society.

Richard Wakefield, BM, FRCP, MD

Senior Lecturer in Rheumatology

Section of Musculoskeletal Disease

Leeds Institute of Molecular Medicine

Chapel Allerton Hospital

Leeds

UK

Declarações

RW declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

Mott T, Jones G, Roman K. Costochondritis: rapid evidence review. Am Fam Physician. 2021 Jul 1;104(1):73-8.Texto completo

Proulx AM, Zryd TW. Costochondritis: diagnosis and treatment. Am Fam Physician. 2009 Sep 15;80(6):617-20.Texto completo  Resumo

Artigos de referência

Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.

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