Última revisão: 26 Jun 2021
Última atualização: 16 Out 2019

Resumo

Definição

História e exame físico

Outros fatores diagnósticos

  • sinais de oxigenação comprometida
  • contratilidade paradoxal da parede torácica

Fatores de risco

  • traumatismo torácico contuso
  • abuso físico em crianças
  • osteoporose
  • idade >45 anos
  • atividades atléticas
  • tumores ósseos primários
  • tumores ósseos metastáticos
  • ressuscitação cardiopulmonar (RCP)
  • tosse intensa

Investigações diagnósticas

Investigações a serem consideradas

  • tomografia computadorizada (TC) do tórax
  • ultrassonografia do tórax
  • angiografia
  • TC do crânio, coluna cervical, tórax, abdome e pelve
  • radiografia de esqueleto (crianças)

Algoritmo de tratamento

Colaboradores

Autores

Peter Cundy, MBBS, FRACS

Associate Professor

Discipline of Orthopaedics & Trauma

University of Adelaide

Paediatric Orthopaedic Surgeon

Women's and Children's Hospital

Adelaide

Australia

Declarações

PC is on the boards of MIGA (medical indemnity insurance) and Orthopaedics SA. He owns stock though a personal superannuation fund. PC’s hospital, the Women's & Children's Hospital, Adelaide, receives institutional support from medical supply companies for salary of research scientists. PC received payment from a medical supplier for two lectures on wound dressings in 2017. PC declares that none of the above are relevant to the Rib Fractures topic and that he receives no other money from suppliers.

Nicole Williams, BMedSc (hons I), BMed, Grad Cert Sports Med, FRACS (Ortho)

Associate Professor

Orthopaedics and Trauma 

University of Adelaide

Head of Orthopaedic Surgery and Major Trauma Service Co-Director

Women's and Children's Hospital

Adelaide

Australia

Declarações

NW’s hospital, the Women's & Children's Hospital, Adelaide, receives institutional research support from medical supply companies and BioMarin Pharmaceutical Inc.

Agradecimentos

Dr Peter Cundy and Dr Nicole Williams would like to gratefully acknowledge Dr Paul Novakovich and Dr Brent Ponce, previous contributors to this topic. PN and BP declare that they have no competing interests.

Revisores

Gino Kerkhoffs, MD, PhD

Orthopaedic Surgeon

Department of Orthopaedic Surgery & Orthopaedic Research Center

Academic Medical Center

Meibergdreef

Amsterdam

The Netherlands

Declarações

GK declares that he has no competing interests.

James Puffer, MD

President and Chief Executive Officer

American Board of Family Medicine

Lexington

KY

Declarações

JP declares that he has no competing interests.

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