Boonsri Pattira, Chuaychoosakoon Chaiwat
Department of Radiology, Faculty of Medicine, Prince of Songkla University, 15 Karnjanavanich Road, Hat Yai, Songkhla, 90110, Thailand.
Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, 15 Karnjanavanich Road, Hat Yai, Songkhla, 90110, Thailand.
Ann Med Surg (Lond). 2021 Sep;69:102819. doi: 10.1016/j.amsu.2021.102819. Epub 2021 Sep 4.
After a vaccine administration, many people have localized symptoms such as pain, redness, warmth, swelling, itching and/or bruising, which usually improve in a few days. If the clinical symptoms do not improve in this period, a shoulder injury related to vaccine administration (SIRVA) should be ruled out. The most common cause of a SIRVA is an improper injection technique. Herein, we reported the first case of combined subacromial-subdeltoid bursitis and supraspinatus tendon tear which was apparently caused by an improper COVID-19 vaccination technique.
A 51-year-old Thai female began to experience severe right shoulder pain about 3 hours after receiving a COVID-19 vaccination. Ultrasonography showed combined subacromial-subdeltoid bursitis and supraspinatus tendon tear. Her clinical symptoms gradually improved after treatment with an oral non-steroidal anti-inflammatory drug. Our investigation found that an improper injection technique had been used, namely inserting the needle too deeply, and using an incorrect landmark.
We report a case of combined subacromial-subdeltoid bursitis and supraspinatus tendon tear following a second dose of the Oxford-AstraZeneca COVID-19 vaccine. This is a rare condition which is usually related to an incorrect injection technique. To reduce the chance of SIRVA, the healthcare worker giving the injection should pay careful attention to find the appropriate landmark, and ensuring the correct needle length and direction of the injection.
接种疫苗后，许多人会出现局部症状，如疼痛、发红、发热、肿胀、瘙痒和/或瘀伤，这些症状通常会在几天内改善。如果在此期间临床症状没有改善，则应排除与疫苗接种相关的肩部损伤（SIRVA）。SIRVA最常见的原因是注射技术不当。在此，我们报告了首例因不当的新冠病毒疫苗接种技术导致的肩峰下-三角肌下滑囊炎合并冈上肌腱撕裂病例。
一名51岁的泰国女性在接种新冠病毒疫苗约3小时后开始出现右肩部剧痛。超声检查显示肩峰下-三角肌下滑囊炎合并冈上肌腱撕裂。经口服非甾体抗炎药治疗后，她的临床症状逐渐改善。我们的调查发现，使用了不当的注射技术，即进针过深且使用了错误的体表标志。
我们报告了一例接种第二剂牛津-阿斯利康新冠病毒疫苗后出现肩峰下-三角肌下滑囊炎合并冈上肌腱撕裂的病例。这是一种罕见的情况，通常与错误的注射技术有关。为降低发生SIRVA的几率，进行注射的医护人员应仔细注意找到合适的体表标志，并确保正确的进针长度和注射方向。
