锡尔瓦:与疫苗接种相关的肩部损伤
Paul J Jenkins1,2, Andrew D Duckworth3
1Glasgow Royal Infirmary, University of Glasgow, Glasgow, UK.
The bone & joint journal
|July 31, 2023
概括
与疫苗接种相关的肩部损伤 (SIRVA) 在接种疫苗后导致长期的肩部功能障碍. 错误的注射部位放置可能导致炎症过程,增加SIRVA病例.
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) 具有疫苗接种后的肩部疼痛,硬和虚弱的特征.
- 报告的SIRVA病例有所增加,可能与大规模的COVID-19和流感疫苗接种计划有关.
- 确切的病理生理学仍然不清楚,但怀疑是错误的疫苗放置.
研究的目的:
- 审查目前对SIRVA的理解,包括其临床表现和潜在原因.
- 讨论诊断发现和对患者护理的影响.
- 检查SIRVA在英国的医疗法律方面.
主要方法:
- 对SIRVA病例和相关研究的文献综述.
- 对拟议的病理生理机制的分析.
- 检查诊断成像发现的结果.
- 审查医疗法律案例数据.
主要成果:
- 接种疫苗后24-48小时通常会出现SIRVA症状.
- 根据假设,注射部位的低最佳位置 (例如,在亚骨突囊中) 会引起炎症.
- 图像检查可能会显示出胸膜炎或旋转手套问题,但这些在无症状个体中也很常见.
- 由于注射部位不正确,英国对SIRVA的医疗法律索赔不太可能确定责任.
结论:
- SIRVA是已知的疫苗接种并发症,通常与注射技术有关.
- 虽然成像检测结果可能存在,但它们并不特定于SIRVA.
- 英国目前的法律框架可能无法充分解决仅基于注射部位错误的SIRVA索赔.
相关概念视频
SBAR II: Application of SBAR
4.5K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.5K
Vaccinations
44.7K
Overview
44.7K
Muscles of the Shoulder
3.9K
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...
3.9K
Myocarditis III: Medical Management
9
Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
9
Rous Sarcoma Virus (RSV) and Cancer
5.1K
Rous Sarcoma virus or RSV was discovered by F. Peyton Rous in the year 1911 as a filterable transmissible agent that could cause tumors in chickens. He won a Nobel Prize for this discovery in 1966. His experiments clearly demonstrated that some cancers could be caused by infectious agents and led to the discovery of many more cancer-causing viruses in animals as well as humans.
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
5.1K
Cancer Vaccines
405
Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
405


