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Vaccination-related shoulder dysfunction

机译:疫苗相关的肩部功能障碍

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摘要

We present two cases of shoulder pain and weakness following influenza and pneumococcal vaccine injections provided high into the deltoid muscle. Based on ultrasound measurements, we hypothesize that vaccine injected into the subdeltoid bursa caused a periarticular inflammatory response, subacromial bursitis, bicipital tendonitis and adhesive capsulitis. Resolution of symptoms followed corticosteroid injections to the subacromial space, bicipital tendon sheath and glenohumeral joint, followed by physical therapy. We conclude that the upper third of the deltoid muscle should not be used for vaccine injections, and the diagnosis of vaccination-related shoulder dysfunction should be considered in patients presenting with shoulder pain following a vaccination.
机译:我们介绍了两例肩痛和无力的情况,这些病例是在向三角肌提供高剂量的流感疫苗和肺炎球菌疫苗后进行的。根据超声测量,我们假设注射到三角肌下囊中的疫苗会引起关节周围炎性反应,肩峰下滑囊炎,双头肌腱炎和粘膜囊膜炎。皮质类固醇注射到肩峰下间隙,肱二头肌腱鞘和盂肱关节后,进行物理治疗,症状得到缓解。我们的结论是,不应将三角肌的上三分之一用于注射疫苗,并且在接种疫苗后出现肩部疼痛的患者中应考虑与疫苗接种相关的肩部功能障碍的诊断。

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