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[新冠病毒疫苗接种后严重肩部损伤]

[Serious shoulder injury after COVID-19 vaccination].

作者信息

van der Kraats Annick M, Munk Simone, Hollman Freek, Staal Heleen M, Lambers Heerspink F O Okke

机构信息

VieCuri MC, afd. Orthopedie, Venlo.

Contact: Annick M. van der Kraats (

出版信息

Ned Tijdschr Geneeskd. 2022 May 2;166:D6665.

Abstract

BACKGROUND

Since January 2021, over 24 million COVID-19 vaccines have been administered. Rarely vaccination in the deltoid muscle may lead to complications in the shoulder, called SIRVA (shoulder injury related to vaccine administration). General knowledge on SIRVA amongst doctors and other healthcare workers is lacking. However, due to the large amount of vaccinations which have been administered over the last year, SIRVA is seen more often.

CASE REPORT

In this report, two cases of SIRVA due to septic arthritis and a shoulder abscess after administration of a COVID-19 vaccination, are described.

CONCLUSION

SIRVA should be considered in case of shoulder complaints which persist longer than 48 hours after vaccination. Timely diagnosis and treatment by either the general practitioner or orthopaedic surgeon should be conducted to prevent long-term damage to the shoulder joint. Use of the correct vaccination technique is important to prevent the occurrence of SIRVA.

摘要

背景

自2021年1月以来,已接种超过2400万剂新冠疫苗。在三角肌接种疫苗极少会导致肩部并发症,即疫苗接种相关肩部损伤(SIRVA)。医生和其他医护人员对SIRVA的常识了解不足。然而,由于去年接种了大量疫苗,SIRVA更为常见。

病例报告

本报告描述了2例接种新冠疫苗后因感染性关节炎和肩部脓肿导致SIRVA的病例。

结论

接种疫苗后肩部不适持续超过48小时应考虑SIRVA。全科医生或骨科医生应及时进行诊断和治疗,以防止肩关节长期受损。采用正确的接种技术对于预防SIRVA的发生很重要。

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