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Marked loss of mobility in a patient suffering SIRVA.
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Local pain and loss of active ROM was present in all cases (Fig. 1).
a) Patient pointing at a high injection site. b) Oblique - coronal MRI image of the same patient.. shows subacromial bursitis and an area of bone edema in the proximal epiphysis.
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Of these, thanks to photographic material it was possible to verify a "too high" injection site of the vaccine (Fig. 2).
Signs of adhesive capsulitis on MRI sagittal plane.
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Arthroscopic subacromial bursectomy was performed due to the presence of chronic painful bursitis which was confirmed by pathological anatomy (Fig. 3).
Deltoid effusion on MRI coronal plane.
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A very particular finding among SIRVA patients is the presence of fluid collection within the fibers of the deltoid muscle (Fig. 4).