Department of Radiology, Hospital Do Coração (HCor) and Teleimagem, Rua Desembargador Eliseu Guilherme 53 7th floor, São Paulo, SP, 04004-030, Brazil.
Ortopedia São Marcos, Rua Raul Veiga, 35 Centro, Cabo Frio , RJ, 28907-090, Brazil.
Skeletal Radiol. 2021 Nov;50(11):2293-2297. doi: 10.1007/s00256-021-03803-x. Epub 2021 May 4.
Vaccination injection site adverse reactions are usually mild and transient, and post-vaccination musculoskeletal symptoms, such as myalgia and arthralgia, are very common. Shoulder injury related to vaccine administration (SIRVA), defined as shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm, is a well-established condition in the medical literature, yet underreported. In such cases, subacromial-subdeltoid bursitis may occur, leading to shoulder dysfunction and ongoing pain. Millions of doses of vaccines for the prevention of COVID-19 have been administered to adults worldwide during the pandemic. We report a case of subacromial-subdeltoid bursitis after COVID-19 vaccination, related to the unintentional injection of vaccine solution into the bursa resulting in a robust immune-mediated inflammatory reaction.
疫苗接种部位不良反应通常是轻微和短暂的，接种疫苗后的肌肉骨骼症状，如肌痛和关节痛，非常常见。与疫苗接种相关的肩损伤（SIRVA）定义为在上臂肌肉内接种疫苗后发生的肩部疼痛和运动范围受限，这在医学文献中是一种已确立的病症，但报告不足。在这种情况下，可能会发生肩峰下-三角肌下滑囊炎，导致肩部功能障碍和持续疼痛。在大流行期间，全世界已为成年人接种了数百万剂预防 COVID-19 的疫苗。我们报告了一例 COVID-19 疫苗接种后发生的肩峰下-三角肌下滑囊炎，这与疫苗溶液意外注入滑囊导致强烈的免疫介导的炎症反应有关。
