Resumo
Definition
History and exam
Key diagnostic factors
- presença de fatores de risco
- dor torácica
- sensibilidade da parede torácica
Other diagnostic factors
- edema da parede torácica
Risk factors
- microtrauma
- sexo feminino
- idade >40 anos
- infecção na ferida de esternotomia
- uso de substâncias por via intravenosa
Diagnostic investigations
1st investigations to order
- tratamento empírico com anti-inflamatórios não esteroidais
Investigations to consider
- 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
Treatment algorithm
inflamatória
infecciosa
Contributors
Authors
Fadi Badlissi, MD, MSc
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
Disclosures
FB has been reimbursed by ANI Pharmaceuticals and Janssen and Amgen for attending an advisory board meeting.
Peer reviewers
Don L. Goldenberg, MD
Emeritus Professor of Medicine
Tufts University School of Medicine
Boston
MA
Disclosures
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
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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