接种COVID-19疫苗是否会加剧旋转手套的症状? 一个前性研究研究
Servet İğrek1, İbrahim Ulusoy2, Aytek Hüseyin Çeliksöz3
1Department of Orthopaedics and Traumatology, Selahaddin Eyyubi State Hospital, Diyarbakır, Turkey. servetigrek@gmail.com.
BMC musculoskeletal disorders
|July 4, 2023
概括
接种疫苗给有症状的肩膀可以加剧疼痛并降低功能. 医疗保健提供者应在接种疫苗之前评估肩部健康状况,并优先考虑无症状侧,以防止与疫苗接种相关的肩部损伤 (SIRVA).
科学领域:
- 整形外科 整形外科 整形外科
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
背景情况:
- 与疫苗接种相关的肩部损伤 (SIRVA) 是日益公认的并发症.
- 以前存在的肩部疾病可能会影响接种疫苗后肩部疼痛的风险和严重程度.
研究的目的:
- 为了提高人们对疫苗接种后肩部疼痛的认识.
- 为了确定疫苗接种前的肩膀临床状态是否会影响疫苗接种后的功能损失.
主要方法:
- 这是一项针对65名患有单边肩/胸膜炎的患者的前性研究.
- 在同一个患者中,疫苗首先被注射到有症状的肩膀,然后被注射到无症状的肩膀.
- 在接种疫苗之前和之后,使用VAS,ASES和Constant分数来评估疼痛和功能.
主要成果:
- 14名患者在接种疫苗的症状肩部出现了恶化的症状.
- 在接种疫苗后无症状的肩膀中没有发现任何不良影响.
- 接种疫苗后,有症状的肩膀显示VAS得分显著增加,ASES和Constant得分下降.
结论:
- 接种疫苗的肩膀与先前存在的症状可以导致症状恶化.
- 在接种疫苗之前,详细的患者病史关于肩膀状况至关重要.
- 理想情况下,应将疫苗注射到无症状的肩部,以减轻SIRVA风险.
相关概念视频
Muscles that Move the Arm
Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
Muscles of the Shoulder
The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...


