Does COVID-19 vaccine exacerbate rotator cuff symptoms? A prospective study
Abstract Background Shoulder injury related to vaccine administration (SIRVA) is a rare but increasing complication after vaccination. The aim of this study was to increase awareness of post-vaccination shoulder pain and to investigate the effect of the clinical condition of the shoulder before vacc...
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-023-06660-y |
| _version_ | 1797784829226385408 |
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| author | Servet İğrek İbrahim Ulusoy Aytek Hüseyin Çeliksöz |
| author_facet | Servet İğrek İbrahim Ulusoy Aytek Hüseyin Çeliksöz |
| author_sort | Servet İğrek |
| collection | DOAJ |
| description | Abstract Background Shoulder injury related to vaccine administration (SIRVA) is a rare but increasing complication after vaccination. The aim of this study was to increase awareness of post-vaccination shoulder pain and to investigate the effect of the clinical condition of the shoulder before vaccination on the loss of function that may occur after vaccination. Methods This prospective study included 65 patients aged > 18 years who were diagnosed with unilateral shoulder impingement and/or bursitis. The first vaccination was performed on the shoulders with rotator cuff symptoms, then the second vaccination was performed on healthy shoulders of same patients as soon as the health system allowed. Pre-vaccination MRI of the symptomatic shoulders of the patients was performed and VAS, ASES and Constant scores were evaluated. At 2 weeks after vaccination of the symptomatic shoulder, scores were reassessed. For the patients with changes in the scores, MRI was performed again and the treatment of all patients was started. A second vaccination was given to asymptomatic shoulders and the patients were recalled two weeks later and their scores were evaluated. Results After vaccination, the symptomatic shoulder of 14 patients was affected. No clinical changes were observed in the asymptomatic shoulders after vaccination. The VAS scores of the symptomatic shoulders evaluated after vaccination were significantly higher than the scores evaluated before vaccination (p = 0.001). The ASES and Constant scores of symptomatic shoulders evaluated after vaccination were significantly decreased compared to the scores evaluated before vaccination (p = 0.001). Conclusions Exacerbation of symptoms may occur if symptomatic shoulders are vaccinated. Before vaccination, a detailed anamnesis should be taken from the patients and vaccination should be performed to the asymptomatic side. |
| first_indexed | 2024-03-13T00:45:29Z |
| format | Article |
| id | doaj.art-6df2677b3df144889a5611aeb439bbb6 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-13T00:45:29Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-6df2677b3df144889a5611aeb439bbb62023-07-09T11:03:19ZengBMCBMC Musculoskeletal Disorders1471-24742023-07-012411610.1186/s12891-023-06660-yDoes COVID-19 vaccine exacerbate rotator cuff symptoms? A prospective studyServet İğrek0İbrahim Ulusoy1Aytek Hüseyin Çeliksöz2Department of Orthopaedics and Traumatology, Selahaddin Eyyubi State HospitalDepartment of Orthopaedics and Traumatology, Selahaddin Eyyubi State HospitalDepartment of Orthopaedics and Traumatology, Eskisehir City HospitalAbstract Background Shoulder injury related to vaccine administration (SIRVA) is a rare but increasing complication after vaccination. The aim of this study was to increase awareness of post-vaccination shoulder pain and to investigate the effect of the clinical condition of the shoulder before vaccination on the loss of function that may occur after vaccination. Methods This prospective study included 65 patients aged > 18 years who were diagnosed with unilateral shoulder impingement and/or bursitis. The first vaccination was performed on the shoulders with rotator cuff symptoms, then the second vaccination was performed on healthy shoulders of same patients as soon as the health system allowed. Pre-vaccination MRI of the symptomatic shoulders of the patients was performed and VAS, ASES and Constant scores were evaluated. At 2 weeks after vaccination of the symptomatic shoulder, scores were reassessed. For the patients with changes in the scores, MRI was performed again and the treatment of all patients was started. A second vaccination was given to asymptomatic shoulders and the patients were recalled two weeks later and their scores were evaluated. Results After vaccination, the symptomatic shoulder of 14 patients was affected. No clinical changes were observed in the asymptomatic shoulders after vaccination. The VAS scores of the symptomatic shoulders evaluated after vaccination were significantly higher than the scores evaluated before vaccination (p = 0.001). The ASES and Constant scores of symptomatic shoulders evaluated after vaccination were significantly decreased compared to the scores evaluated before vaccination (p = 0.001). Conclusions Exacerbation of symptoms may occur if symptomatic shoulders are vaccinated. Before vaccination, a detailed anamnesis should be taken from the patients and vaccination should be performed to the asymptomatic side.https://doi.org/10.1186/s12891-023-06660-ySIRVACOVID-19VaccineSubacromial-subdeltoid bursitisPainShoulder |
| spellingShingle | Servet İğrek İbrahim Ulusoy Aytek Hüseyin Çeliksöz Does COVID-19 vaccine exacerbate rotator cuff symptoms? A prospective study BMC Musculoskeletal Disorders SIRVA COVID-19 Vaccine Subacromial-subdeltoid bursitis Pain Shoulder |
| title | Does COVID-19 vaccine exacerbate rotator cuff symptoms? A prospective study |
| title_full | Does COVID-19 vaccine exacerbate rotator cuff symptoms? A prospective study |
| title_fullStr | Does COVID-19 vaccine exacerbate rotator cuff symptoms? A prospective study |
| title_full_unstemmed | Does COVID-19 vaccine exacerbate rotator cuff symptoms? A prospective study |
| title_short | Does COVID-19 vaccine exacerbate rotator cuff symptoms? A prospective study |
| title_sort | does covid 19 vaccine exacerbate rotator cuff symptoms a prospective study |
| topic | SIRVA COVID-19 Vaccine Subacromial-subdeltoid bursitis Pain Shoulder |
| url | https://doi.org/10.1186/s12891-023-06660-y |
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