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Costocondrite

  • Visão geral
  • Teoria
  • Diagnóstico
  • Tratamento
  • ACOMPANHAMENTO
  • Recursos
Última revisão: 16 Aug 2025
Última atualização: 28 Oct 2024

Resumo

Definição

Анамнез и осмотр

Ключевые диагностические факторы

  • presença de fatores de risco
  • dor torácica
  • sensibilidade da parede torácica
Полная информация

Другие диагностические факторы

  • edema da parede torácica
Полная информация

Факторы риска

  • microtrauma
  • sexo feminino
  • idade >40 anos
  • infecção na ferida de esternotomia
  • uso de substâncias por via intravenosa
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • tratamento empírico com anti-inflamatórios não esteroidais
Полная информация

Исследования, проведение которых нужно рассмотреть

  • ensaio com anestésico local e corticosteroide
  • radiografia torácica
  • tomografia computadorizada (TC) do tórax
  • ressonância nuclear magnética (RNM) do tórax
  • hemocultura e/ou cultura da ferida
Полная информация

Алгоритм лечения

Острый

inflamatória

infecciosa

Составители

Авторы

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

Раскрытие информации

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

Рецензенты

Don L. Goldenberg, MD

Emeritus Professor of Medicine

Tufts University School of Medicine

Boston

MA

Раскрытие информации

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

Раскрытие информации

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

Раскрытие информации

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.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

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

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

Статьи, указанные как источники

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