Adhesive Capsulitis Secondary to COVID-19 Vaccination - A Case Series
Introduction: Shoulder injury related to vaccine administration (SIRVA) is a group of pathologies defined by pain and stiffness after intramuscular administration of vaccine to the upper arm and has been reported after COVID-19 vaccination. We aim to discuss its pathophysiology, clinical presentat...
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| Format: | Article |
| Language: | English |
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Malaysian Orthopaedic Association
2023-07-01
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| Series: | Malaysian Orthopaedic Journal |
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| Online Access: | https://morthoj.org/2023/v17n2/capsulitis-COVID-vaccination.pdf |
| _version_ | 1797742681090162688 |
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| author | Foong BCM Ho SWL Tan LTJ Lee KT Jegathesan T |
| author_facet | Foong BCM Ho SWL Tan LTJ Lee KT Jegathesan T |
| author_sort | Foong BCM |
| collection | DOAJ |
| description | Introduction:
Shoulder injury related to vaccine administration (SIRVA) is a group of pathologies defined by pain and stiffness after intramuscular administration of vaccine to the upper arm and has been reported after COVID-19 vaccination. We aim to discuss its pathophysiology, clinical presentation, treatment and outcomes.
Materials and methods:
We retrospectively identified patients presenting with adhesive capsulitis within four weeks of administration of COVID-19 vaccine to the affected arm at our tertiary institution from March 2021 to December 2022.
Result:
Based on the above criteria, we identified seven cases of adhesive capsulitis, comprising one male and six female patients, with average age of 60 years. We present initial symptoms, signs and the duration from when the vaccine was administered. We have highlighted our treatment strategies as well as the clinical and functional outcomes reported by these patients after treatment. We have reported improvement in both Visual Analogue Scale (VAS) and range of motion (ROM) in all our patients after non- surgical management which included physiotherapy and, in some cases, hydrodilatation.
Conclusion:
SIRVA related adhesive capsulitis is rare and under-reported with limited information in current literature. This study highlights that adhesive capsulitis is a potential complication arising from improper COVID-19 vaccine administration and reinforces traditional wisdom of administering vaccinations on the non-dominant arm. Conservative treatment strategies appear to be effective, particularly hydrodilatation combined with physiotherapy, and patients are expected to have a good return of function. |
| first_indexed | 2024-03-12T14:44:04Z |
| format | Article |
| id | doaj.art-87b3b376369e4c3e806408e599877c00 |
| institution | Directory Open Access Journal |
| issn | 1985-2533 2232-111X |
| language | English |
| last_indexed | 2024-03-12T14:44:04Z |
| publishDate | 2023-07-01 |
| publisher | Malaysian Orthopaedic Association |
| record_format | Article |
| series | Malaysian Orthopaedic Journal |
| spelling | doaj.art-87b3b376369e4c3e806408e599877c002023-08-16T03:03:55ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2023-07-01172434810.5704/MOJ.2307.007Adhesive Capsulitis Secondary to COVID-19 Vaccination - A Case SeriesFoong BCM0Ho SWL1Tan LTJ2 Lee KT3Jegathesan T4Department of Orthopaedic Surgery, Tan Tock Seng Hospital, SingaporeDepartment of Orthopaedic Surgery, Tan Tock Seng Hospital, SingaporeDepartment of Orthopaedic Surgery, Tan Tock Seng Hospital, SingaporeDepartment of Orthopaedic Surgery, Tan Tock Seng Hospital, SingaporeDepartment of Orthopaedic Surgery, Tan Tock Seng Hospital, SingaporeIntroduction: Shoulder injury related to vaccine administration (SIRVA) is a group of pathologies defined by pain and stiffness after intramuscular administration of vaccine to the upper arm and has been reported after COVID-19 vaccination. We aim to discuss its pathophysiology, clinical presentation, treatment and outcomes. Materials and methods: We retrospectively identified patients presenting with adhesive capsulitis within four weeks of administration of COVID-19 vaccine to the affected arm at our tertiary institution from March 2021 to December 2022. Result: Based on the above criteria, we identified seven cases of adhesive capsulitis, comprising one male and six female patients, with average age of 60 years. We present initial symptoms, signs and the duration from when the vaccine was administered. We have highlighted our treatment strategies as well as the clinical and functional outcomes reported by these patients after treatment. We have reported improvement in both Visual Analogue Scale (VAS) and range of motion (ROM) in all our patients after non- surgical management which included physiotherapy and, in some cases, hydrodilatation. Conclusion: SIRVA related adhesive capsulitis is rare and under-reported with limited information in current literature. This study highlights that adhesive capsulitis is a potential complication arising from improper COVID-19 vaccine administration and reinforces traditional wisdom of administering vaccinations on the non-dominant arm. Conservative treatment strategies appear to be effective, particularly hydrodilatation combined with physiotherapy, and patients are expected to have a good return of function.https://morthoj.org/2023/v17n2/capsulitis-COVID-vaccination.pdfshoulder jointadhesive capsulitiscovid-19 vaccines |
| spellingShingle | Foong BCM Ho SWL Tan LTJ Lee KT Jegathesan T Adhesive Capsulitis Secondary to COVID-19 Vaccination - A Case Series Malaysian Orthopaedic Journal shoulder joint adhesive capsulitis covid-19 vaccines |
| title | Adhesive Capsulitis Secondary to COVID-19 Vaccination - A Case Series |
| title_full | Adhesive Capsulitis Secondary to COVID-19 Vaccination - A Case Series |
| title_fullStr | Adhesive Capsulitis Secondary to COVID-19 Vaccination - A Case Series |
| title_full_unstemmed | Adhesive Capsulitis Secondary to COVID-19 Vaccination - A Case Series |
| title_short | Adhesive Capsulitis Secondary to COVID-19 Vaccination - A Case Series |
| title_sort | adhesive capsulitis secondary to covid 19 vaccination a case series |
| topic | shoulder joint adhesive capsulitis covid-19 vaccines |
| url | https://morthoj.org/2023/v17n2/capsulitis-COVID-vaccination.pdf |
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