Adhesive Capsulitis in a Healthcare Professional After COVID-19 Vaccination (SIRVA)
DOI:
https://doi.org/10.25759/spmfr.440Keywords:
Bursitis/etiology, Bursitis/therapy, COVID-19 Vaccines/adverse effects, Shoulder Injuries/etiologyAbstract
Shoulder injury related to vaccine administration (SIRVA) are rare events that can lead to multiple diagnosis, such as bursitis, muscle rupture, adhesive capsulitis, chondral injury and infection.
The authors describe the case of a 39-year-old nurse, who developed severe left omalgia shortly after receiving the second dose of COVID-19 vaccine. She attended an Occupation Health consultation, after four weeks of clinical worsening and was referred for a Physical Medicine and Rehabilitation consultation. On objective examination she presented pain during the mobilization of her left shoulder and loss of mobility, and it was made the diagnosis of adhesive capsulitis. Ultrasound guided suprascapular nerve block and hydrodistension of the joint capsule were performed with immediate symptomatic relief. She started later physiotherapy sessions that are still being performed.
The correct anatomical positioning of the needle as well as the choice of its length are essential to prevent this type of injury, since deeper inoculations can contribute to the immune response to the injected material. It is also essential to alert and train health professionals responsible for administering vaccines, in order to carry out rapid diagnosis and appropriate treatment.
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