{"id":41976,"date":"2026-02-23T10:54:19","date_gmt":"2026-02-23T13:54:19","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=41976"},"modified":"2026-02-23T10:54:22","modified_gmt":"2026-02-23T13:54:22","slug":"entenda-mais-sobre-o-trauma-musculoesqueletico","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/entenda-mais-sobre-o-trauma-musculoesqueletico\/","title":{"rendered":"Entenda mais sobre o Trauma Musculoesquel\u00e9tico"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-mais-sobre-o-trauma-musculoesqueletico\/#Avaliacao_Primaria\" >Avalia\u00e7\u00e3o Prim\u00e1ria<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-mais-sobre-o-trauma-musculoesqueletico\/#Hemorragia_Exsanguinante_e_o_Uso_do_Torniquete\" >Hemorragia Exsanguinante e o Uso do Torniquete<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-mais-sobre-o-trauma-musculoesqueletico\/#Sindrome_do_Esmagamento_Crush_Syndrome\" >S\u00edndrome do Esmagamento (Crush Syndrome)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-mais-sobre-o-trauma-musculoesqueletico\/#Fraturas_Bilaterais_de_Femur\" >Fraturas Bilaterais de F\u00eamur<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-mais-sobre-o-trauma-musculoesqueletico\/#Amputacao_Traumatica\" >Amputa\u00e7\u00e3o Traum\u00e1tica<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-mais-sobre-o-trauma-musculoesqueletico\/#Avaliacao_Secundaria\" >Avalia\u00e7\u00e3o Secund\u00e1ria<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-mais-sobre-o-trauma-musculoesqueletico\/#Sindrome_Compartimental\" >S\u00edndrome Compartimental<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-mais-sobre-o-trauma-musculoesqueletico\/#_Lesoes_Vasculares_e_Fraturas_Expostas\" >&nbsp;Les\u00f5es Vasculares e Fraturas Expostas<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-mais-sobre-o-trauma-musculoesqueletico\/#O_Escore_MESS_e_a_Estrategia_de_Decisao_Cirurgica\" >O Escore MESS e a Estrat\u00e9gia de Decis\u00e3o Cir\u00fargica<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-mais-sobre-o-trauma-musculoesqueletico\/#O_Algoritmo_do_Politraumatizado_Fluxograma_de_Conduta\" >O Algoritmo do Politraumatizado (Fluxograma de Conduta)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-mais-sobre-o-trauma-musculoesqueletico\/#O_metodo_que_te_aprova\" >O m\u00e9todo que te aprova!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-23T105236.802-1024x576.jpg\" alt=\"\" class=\"wp-image-41981\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-23T105236.802-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-23T105236.802-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-23T105236.802-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-23T105236.802-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-23T105236.802-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-23T105236.802-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-23T105236.802-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-23T105236.802-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-23T105236.802.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>O <strong>trauma musculoesquel\u00e9tico<\/strong> complexo \u00e9 predominantemente causado por <strong>cinem\u00e1tica de alta energia,<\/strong> resultando em danos combinados a <strong>ossos, m\u00fasculos, vasos, nervos e partes moles<\/strong>. O grande desafio cir\u00fargico \u00e9 o manejo do <strong>choque hipovol\u00eamico<\/strong>, da <strong>rabdomi\u00f3lise<\/strong> grave e o risco iminente de perda do membro ou morte. A abordagem inicial \u00e9 sempre ditada pelo protocolo <strong>ABCDE<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-avaliacao-primaria\"><span class=\"ez-toc-section\" id=\"Avaliacao_Primaria\"><\/span><strong>Avalia\u00e7\u00e3o Prim\u00e1ria<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Para o controle do risco de morte, procuramos quatro les\u00f5es classicamente letais no contexto ortop\u00e9dico\/vascular:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-hemorragia-exsanguinante-e-o-uso-do-torniquete\"><span class=\"ez-toc-section\" id=\"Hemorragia_Exsanguinante_e_o_Uso_do_Torniquete\"><\/span><strong>Hemorragia Exsanguinante e o Uso do Torniquete<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>O controle inicial de sangramentos de extremidades deve ser feito com compress\u00e3o direta. Se falhar, o torniquete \u00e9 a medida salvadora.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Detalhe Cir\u00fargico:<\/strong> Ele deve ser posicionado proximalmente \u00e0 les\u00e3o (ou uma articula\u00e7\u00e3o acima) e apertado at\u00e9 a cessa\u00e7\u00e3o completa do sangramento.<\/li>\n\n\n\n<li><strong>Implica\u00e7\u00e3o:<\/strong> A aplica\u00e7\u00e3o do torniquete \u00e9 um indicativo absoluto de interven\u00e7\u00e3o cir\u00fargica. Ao ser retirado inadvertidamente, o sangramento exsanguinante retorna; se mantido por tempo prolongado, a isquemia leva \u00e0 perda irrevog\u00e1vel do membro. Portanto, \u00e9 uma ponte tempor\u00e1ria para a sala de cirurgia.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"900\" height=\"677\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-30.jpeg\" alt=\"\" class=\"wp-image-41977\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-30.jpeg 900w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-30-300x226.jpeg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-30-768x578.jpeg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-30-558x420.jpeg 558w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-30-80x60.jpeg 80w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-30-150x113.jpeg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-30-696x524.jpeg 696w\" sizes=\"auto, (max-width: 900px) 100vw, 900px\" \/><figcaption class=\"wp-element-caption\">Dispositivo de torniquete aplicado ao modelo e impedindo sangramento simulado. Fonte: <a href=\"https:\/\/doi.org\/10.1590\/0100-6991e-20192324\">https:\/\/doi.org\/10.1590\/0100-6991e-20192324<\/a><\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Sindrome_do_Esmagamento_Crush_Syndrome\"><\/span><strong>S\u00edndrome do Esmagamento (<\/strong><strong><em>Crush Syndrome<\/em><\/strong><strong>)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Comum em desabamentos. Consiste na associa\u00e7\u00e3o de sangramento profundo com intensa destrui\u00e7\u00e3o muscular (rabdomi\u00f3lise), desencadeando a S\u00edndrome de Resposta Inflamat\u00f3ria Sist\u00eamica (SIRS).<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Fisiopatologia Cl\u00ednica:<\/strong> A necrose muscular libera quantidades maci\u00e7as de <strong>mioglobina<\/strong> na circula\u00e7\u00e3o, o que precipita Insufici\u00eancia Renal Aguda (IRA) e agrava o choque.<\/li>\n\n\n\n<li><strong>Laborat\u00f3rio:<\/strong> Ocorre acidose metab\u00f3lica grave, hipercalemia (devido \u00e0 lise celular) e Coagula\u00e7\u00e3o Intravascular Disseminada (CIVD).<\/li>\n\n\n\n<li><strong>Manejo:<\/strong> Suporte em UTI, hidrata\u00e7\u00e3o venosa agressiva e administra\u00e7\u00e3o de bicarbonato (para alcalinizar a urina e evitar a precipita\u00e7\u00e3o da mioglobina nos t\u00fabulos renais).<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Fraturas_Bilaterais_de_Femur\"><\/span><strong>Fraturas Bilaterais de F\u00eamur<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>A apresenta\u00e7\u00e3o cl\u00ednica cl\u00e1ssica revela membros inferiores encurtados, rodados e com deformidade vis\u00edvel.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Risco Hemodin\u00e2mico:<\/strong> O compartimento da coxa pode comportar at\u00e9 <strong>1,5 litros de sangue por f\u00eamur fraturado<\/strong>. Uma fratura bilateral pode causar a perda de 3 litros de sangue, levando rapidamente a um choque hipovol\u00eamico classe III ou IV.<\/li>\n\n\n\n<li><strong>Conduta:<\/strong> Reposi\u00e7\u00e3o vol\u00eamica imediata, alinhamento com tra\u00e7\u00e3o e imobiliza\u00e7\u00e3o. A cirurgia deve ser precoce. Se for les\u00e3o isolada, opta-se pela fixa\u00e7\u00e3o definitiva (ex: haste intramedular); em pacientes inst\u00e1veis (politraumatizados), opta-se pelo <em>Damage Control<\/em> (Controle de Danos) com uso r\u00e1pido de fixador externo.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"767\" height=\"253\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-94.png\" alt=\"\" class=\"wp-image-41978\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-94.png 767w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-94-300x99.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-94-150x49.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-94-696x230.png 696w\" sizes=\"auto, (max-width: 767px) 100vw, 767px\" \/><figcaption class=\"wp-element-caption\">Na ordem vemos: fratura do colo do f\u00eamur; fratura transtrocant\u00e9rica; fratura sub-trocant\u00e9rica e fratura at\u00edpica de f\u00eamur. Fonte: <a href=\"https:\/\/www.drfelipebessa.com.br\/fraturas-do-femur\/\">https:\/\/www.drfelipebessa.com.br\/fraturas-do-femur\/<\/a><\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Amputacao_Traumatica\"><\/span><strong>Amputa\u00e7\u00e3o Traum\u00e1tica<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Acondicionamento do Coto:<\/strong> O membro amputado deve ser colocado em um inv\u00f3lucro pl\u00e1stico isolado, que ent\u00e3o \u00e9 submerso em um recipiente com \u00e1gua e gelo. <strong>Nunca<\/strong> coloque o tecido em contato direto com o gelo, para evitar les\u00e3o t\u00e9rmica (queimadura) que inviabilize o reimplante.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Avaliacao_Secundaria\"><\/span><strong>Avalia\u00e7\u00e3o Secund\u00e1ria<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Uma vez garantida a vida, o foco muda para evitar a amputa\u00e7\u00e3o (salvamento do membro) e envolve a anamnese focada (AMPLA) e o exame minucioso.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Sindrome_Compartimental\"><\/span><strong>S\u00edndrome Compartimental<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Mecanismo:<\/strong> A f\u00e1scia muscular e a pele formam um compartimento inel\u00e1stico fechado. O sangramento cont\u00ednuo ou o edema expansivo aumentam drasticamente a press\u00e3o intracompartimental. Esse aumento colapsa a microcircula\u00e7\u00e3o (vasos e nervos), gerando isquemia tecidual e necrose.<\/li>\n\n\n\n<li><strong>Diagn\u00f3stico Essencialmente Cl\u00ednico:<\/strong>\n<ul class=\"wp-block-list\">\n<li><em>Sinais precoces:<\/em> <strong>Dor desproporcional<\/strong> \u00e0 les\u00e3o e dor excruciante \u00e0 <strong>extens\u00e3o\/flex\u00e3o passiva<\/strong> dos dedos, associada a um edema r\u00edgido (&#8220;duro&#8221;) e parestesias.<\/li>\n\n\n\n<li><em>Sinais Tardios (Aten\u00e7\u00e3o para provas):<\/em> Palidez, cianose e <strong>aus\u00eancia de pulsos<\/strong>. Se voc\u00ea esperar o pulso sumir para dar o diagn\u00f3stico, o membro j\u00e1 estar\u00e1 necrosado.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Tratamento:<\/strong> Fasciotomia descompressiva de urg\u00eancia.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"693\" height=\"521\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-95.png\" alt=\"\" class=\"wp-image-41979\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-95.png 693w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-95-300x226.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-95-559x420.png 559w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-95-80x60.png 80w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-95-150x113.png 150w\" sizes=\"auto, (max-width: 693px) 100vw, 693px\" \/><figcaption class=\"wp-element-caption\">Fasciotomia descompressiva com quatro incis\u00f5es anterolaterais. Fonte: <a href=\"https:\/\/www.researchgate.net\/figure\/Figura-3-Fasciotomia-descompressiva-com-quatro-incisoes-anterolaterais_fig3_323211098\">https:\/\/www.researchgate.net\/figure\/Figura-3-Fasciotomia-descompressiva-com-quatro-incisoes-anterolaterais_fig3_323211098<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"_Lesoes_Vasculares_e_Fraturas_Expostas\"><\/span><strong>&nbsp;Les\u00f5es Vasculares e Fraturas Expostas<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Trauma Vascular:<\/strong> Sempre palpar os pulsos antes e ap\u00f3s imobilizar o membro. A simples manobra de tracionar e alinhar a fratura frequentemente desobstrui os vasos <em>kinkados<\/em> (dobrados) e melhora a perfus\u00e3o distal. Pacientes sintom\u00e1ticos v\u00e3o direto para cirurgia, enquanto os de alto risco assintom\u00e1ticos devem realizar imagem (ex: angio-TC). Em casos com les\u00e3o ortop\u00e9dica e vascular simult\u00e2neas, utiliza-se o <em>shunt<\/em> vascular tempor\u00e1rio, seguido de fixa\u00e7\u00e3o \u00f3ssea e posterior reparo vascular definitivo.<\/li>\n\n\n\n<li><strong>Fraturas Expostas:<\/strong> Caracterizam-se pela comunica\u00e7\u00e3o do foco de fratura com o ambiente. O manejo imediato exige lavagem exaustiva, antibioticoterapia precoce, profilaxia antitet\u00e2nica e desbridamento cir\u00fargico.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"411\" height=\"496\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-96.png\" alt=\"\" class=\"wp-image-41980\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-96.png 411w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-96-249x300.png 249w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-96-348x420.png 348w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-96-150x181.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-96-300x362.png 300w\" sizes=\"auto, (max-width: 411px) 100vw, 411px\" \/><figcaption class=\"wp-element-caption\">Fratura exposta de F\u00edbula e T\u00edbia. Fonte: <a href=\"https:\/\/share.google\/5BWgRcR9UlEQVimNv\">https:\/\/share.google\/5BWgRcR9UlEQVimNv<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Embolia Gordurosa:<\/strong> O atraso na fixa\u00e7\u00e3o de fraturas de ossos longos eleva significativamente o risco de \u00eambolos de gordura da medula \u00f3ssea ganharem a circula\u00e7\u00e3o sist\u00eamica.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"O_Escore_MESS_e_a_Estrategia_de_Decisao_Cirurgica\"><\/span><strong>O Escore MESS e a Estrat\u00e9gia de Decis\u00e3o Cir\u00fargica<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A decis\u00e3o de amputar, fazer <em>Damage Control<\/em> (controle de danos) ou realizar a cirurgia ortop\u00e9dica definitiva depende de tr\u00eas pilares: a Hemodin\u00e2mica (Press\u00e3o Arterial Sist\u00f3lica &#8211; PAS), o Escore de Severidade da Les\u00e3o Sist\u00eamica (ISS) e o Escore MESS (<em>Mangled Extremity Severity Score<\/em>).<\/p>\n\n\n\n<p><strong>O que o MESS avalia?<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Idade:<\/strong> Piora com o envelhecimento (&lt;30 anos = 0; > 50 anos = 2 pts).<\/li>\n\n\n\n<li><strong>Mecanismo do Trauma:<\/strong> De baixa energia (1 pt) at\u00e9 avuls\u00f5es de alt\u00edssima energia (4 pts).<\/li>\n\n\n\n<li><strong>Isquemia:<\/strong> Varia de boa perfus\u00e3o (1 pt) a membro frio e paralisado por mais de 6 horas (6 pts).<\/li>\n\n\n\n<li><strong>Status Cl\u00ednico (Choque):<\/strong> PAS normal = 0 pt; Choque persistente = 2 pts.<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"O_Algoritmo_do_Politraumatizado_Fluxograma_de_Conduta\"><\/span><strong>O Algoritmo do Politraumatizado (Fluxograma de Conduta)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><strong>1. Paciente Inst\u00e1vel (PAS &lt; 90 mmHg):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Se o membro tem chance de salva\u00e7\u00e3o (<strong>MESS &lt; 8<\/strong>): A conduta \u00e9 <strong>Damage Control<\/strong> (controle r\u00e1pido do sangramento e estabiliza\u00e7\u00e3o tempor\u00e1ria \u00f3ssea, para n\u00e3o aumentar o trauma cir\u00fargico).<\/li>\n\n\n\n<li>Se o membro est\u00e1 severamente destru\u00eddo (<strong>MESS > 8<\/strong>): A conduta \u00e9 <strong>Amputa\u00e7\u00e3o<\/strong> imediata para salvar a vida.<\/li>\n<\/ul>\n\n\n\n<p><strong>2. Paciente Est\u00e1vel (PAS &gt; 90 mmHg):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Membro com MESS &lt; 8:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Trauma sist\u00eamico leve (ISS &lt; 25): Fixa\u00e7\u00e3o <strong>Definitiva<\/strong>.<\/li>\n\n\n\n<li>Trauma sist\u00eamico grave (ISS > 25): Cirurgia <strong>Sequencial<\/strong> (faseada).<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Membro com MESS > 8 (Gravemente destru\u00eddo):<\/strong>\n<ul class=\"wp-block-list\">\n<li>Trauma sist\u00eamico leve (ISS &lt; 25): Tenta-se a corre\u00e7\u00e3o <strong>Definitiva em n\u00edveis<\/strong> (reconstru\u00e7\u00e3o complexa, pois o paciente aguenta a cirurgia).<\/li>\n\n\n\n<li>Trauma sist\u00eamico grave (ISS > 25): <strong>Amputa\u00e7\u00e3o<\/strong> (o corpo do paciente n\u00e3o suportar\u00e1 cirurgias de reconstru\u00e7\u00e3o prolongadas).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"o-m\u00e9todo-que-te-aprova\"><span class=\"ez-toc-section\" id=\"O_metodo_que_te_aprova\"><\/span><strong>O m\u00e9todo que te aprova!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Quer alcan\u00e7ar a aprova\u00e7\u00e3o nas provas de resid\u00eancia m\u00e9dica? Ent\u00e3o seja um&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/home\/\" target=\"_blank\" rel=\"noreferrer noopener\">MedCoffer<\/a>! Aqui te ajudaremos na busca da aprova\u00e7\u00e3o com conte\u00fados de qualidade e uma&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\" target=\"_blank\" rel=\"noreferrer noopener\">metodologia que j\u00e1 aprovou mais de 35 mil residentes no pa\u00eds!&nbsp;<\/a>Por fim, acesse o nosso<a href=\"https:\/\/www.youtube.com\/@GrupoMedcof\/featured\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;<strong>canal do youtube&nbsp;<\/strong><\/a>para ver o nosso material.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"5AMBPU11wNY\"><iframe loading=\"lazy\" title=\"REVIS\u00c3O definitiva de Trauma: TUDO o que voc\u00ea precisa saber para GABARITAR as quest\u00f5es da RESID\u00caNCIA\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/5AMBPU11wNY?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>O trauma musculoesquel\u00e9tico complexo \u00e9 predominantemente causado por cinem\u00e1tica de alta energia, resultando em danos combinados.<\/p>\n","protected":false},"author":21,"featured_media":41981,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[135],"tags":[3586,3584,3585],"ppma_author":[3617],"class_list":{"0":"post-41976","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-cirurgia-geral","8":"tag-crush-syndrome","9":"tag-escore-de-mess","10":"tag-fraturas-expostas"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.4) - 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