Department of Orthopedic Surgery, Baylor College of Medicine, Houston, TX.
JBJS Case Connect. 2022 May 25;12(2). doi: 10.2106/JBJS.CC.21.00550. eCollection 2022 Apr 1.
One week after receiving a COVID-19 vaccine in his left deltoid, a 34-year-old man developed severe right periscapular pain that lasted 2 weeks and was followed by profound right shoulder girdle atrophy and weakness. Both the pain and motor deficits resolved over the subsequent 4 months.
Parsonage-Turner syndrome (PTS) is an idiopathic brachial plexopathy that can develop in the setting of recent vaccination and lead to significant shoulder pain and weakness. Given the worldwide increase in newly vaccinated patients, orthopaedic surgeons should take detailed histories to identify potential triggers (recent vaccination or illness) that point toward PTS rather than musculoskeletal pathology.
一名 34 岁男性在其左三角肌接种 COVID-19 疫苗一周后,出现严重的右侧肩胛间疼痛,持续了 2 周,随后出现明显的右肩带萎缩和无力。此后的 4 个月中,疼痛和运动功能障碍逐渐缓解。
Parsonage-Turner 综合征(PTS)是一种特发性臂丛神经病,可在近期接种疫苗的情况下发生,并导致明显的肩部疼痛和无力。鉴于全球新接种疫苗的患者数量增加,骨科医生应详细询问病史,以确定潜在的触发因素(近期接种疫苗或患病),这些因素提示 PTS 而不是肌肉骨骼病理学。