Point-of-care Ultrasound for Diagnosis and Management of Chronic Inflammatory Monoarthropathy of the Shoulder after Combined Influenza and COVID-19 Vaccination: A Case Report
Bibliographic record
Abstract
Shoulder injury related to vaccine administration (SIRVA) is a rare but preventable injury, resulting in severe shoulder pain. It is thought to be due to improper needle placement into the surrounding shoulder structures and can result in serious and debilitating injury. This case report describes a patient who developed a rare case of chronic inflammatory nonseptic monoarthropathy after combined influenza and COVID-19 vaccination. The diagnosis was suspected using point-of-care ultrasound, with findings of cortical erosions of the humeral head, which was confirmed with magnetic resonance imaging. After a primary autoimmune condition was excluded, the patient underwent ultrasound-guided intra-articular corticosteroid injection of the shoulder, which provided good pain relief. The role of ultrasound has not been reported in SIRVA-related conditions. Point-of-care ultrasound can potentially be useful in the evaluation and management of SIRVA-related shoulder pathologies.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".