Samuelson Eric R, Bano Joseph M, Gould Heath P, Levine Richard G
Georgetown University School of Medicine, Washington, District of Columbia, USA.
Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, Maryland, USA.
Case Rep Orthop. 2022 Aug 5;2022:1363462. doi: 10.1155/2022/1363462. eCollection 2022.
A 74-year-old female developed left shoulder pain after receiving an influenza vaccine. Her initial physical exam was suggestive of subacromial bursitis, and a corticosteroid injection into the subacromial space resulted in a 50% improvement in her pain. Subsequent MRI demonstrated myositis isolated to the infraspinatus muscle. She was successfully treated with anti-inflammatory medication and physical therapy.
Shoulder injury related to vaccine administration (SIRVA) is a rare clinical complication, and myositis in the rotator cuff musculature has not been previously reported. Proper administration of intramuscular vaccinations should be emphasized to prevent injury to structures surrounding the shoulder joint.
一名74岁女性在接种流感疫苗后出现左肩疼痛。她最初的体格检查提示肩峰下滑囊炎，向肩峰下间隙注射皮质类固醇使她的疼痛改善了50%。随后的磁共振成像（MRI）显示仅冈下肌发生了肌炎。她通过抗炎药物治疗和物理治疗获得了成功治愈。
与疫苗接种相关的肩部损伤（SIRVA）是一种罕见的临床并发症，肩袖肌肉组织的肌炎此前尚未见报道。应强调肌内接种疫苗的正确操作，以防止肩关节周围结构受到损伤。
