Klabklay Prapakorn, Boonsri Pattira, Kanyakool Pathawin, Chuaychoosakoon Chaiwat
Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, 15 Karnjanavanich Road, Hat Yai, Songkhla, 90110, Thailand.
Department of Radiology, Faculty of Medicine, Prince of Songkla University, 15 Karnjanavanich Road, Hat Yai, Songkhla, 90110, Thailand.
Ann Med Surg (Lond). 2022 Feb;74:103347. doi: 10.1016/j.amsu.2022.103347. Epub 2022 Feb 5.
Shoulder pathology may be symptomatic or asymptomatic depending on the patient. We report the first case of a COVID-19 vaccination administration precipitating symptomatic calcific tendinitis from pre-existing, asymptomatic calcific tendinitis.
A 50-year-old Thai male began experiencing left shoulder pain about 3 hours following a COVID-19 vaccination. He waited at home for the pain to improve, and when it did not improve in about 3 days he decided to see a doctor at the orthopedics clinic. He was sent for ultrasonography of his shoulder, which revealed calcific tendinitis of the subscapularis tendon.
A SIRVA is normally considered if post-vaccination shoulder pain has not improved within a few days following a vaccination in a patient without shoulder pain prior to the vaccination. In our patient, a COVID-19 vaccination precipitated asymptomatic calcific tendinitis to symptomatic calcific tendinitis.
Previously asymptomatic shoulder pathologies can be precipitated to symptomatic by a COVID-19 vaccination.
肩部病变对患者而言可能有症状，也可能无症状。我们报告了首例因接种新冠病毒疫苗，使先前存在的无症状钙化性肌腱炎转变为有症状的钙化性肌腱炎的病例。
一名50岁的泰国男性在接种新冠病毒疫苗约3小时后开始出现左肩疼痛。他在家中等待疼痛缓解，但大约3天后疼痛未改善，于是决定前往骨科诊所就医。他接受了肩部超声检查，结果显示肩胛下肌腱钙化性肌腱炎。
如果接种疫苗前无肩部疼痛的患者在接种疫苗后数天内肩部疼痛未改善，通常会考虑是否为疫苗接种后肩痛不良反应（SIRVA）。在我们的患者中，新冠病毒疫苗接种使无症状钙化性肌腱炎转变为有症状的钙化性肌腱炎。
新冠病毒疫苗接种可能会使先前无症状的肩部病变转变为有症状的病变。
