Medicine · 2017
Intramuscular hematoma with motor weakness after trigger point injection: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Kim Sang Gyun, Shim Kwang Seok, Lee Dong Won, Kim Eun Ju, Lee Sang-Gon, Lee Ji-Hyang, An Ji Hyun
Аннотация
RATIONALE: Although trigger point injection is known as an easy and low-risk procedure, it is contraindicated to patients with hemorrhagic disorders or who regularly take anticoagulants/antiplatelets. However, taking clopidogrel is not a defined contraindication to this low-risk procedure.
PATIENT CONCERNS: The chief complaint of a 76-year old woman regularly taking clopidogrel was low back and left buttock pain which prolonged for several years.
DIAGNOSES: The patient was diagnosed with L4-5 and L5-S1 spinal stenosis at the orthopedics department and was referred for lumbar spinal epidural steroid injection.
INTERVENTION: She was treated with trigger point injection.
OUTCOMES: Three hours after the injection, she complained motor weakness and pain in the injection area. A hematoma on left gluteus medium muscle was detected with ultrasonography and ultrasound-guided needle aspiration was accomplished to relieve the symptom.
LESSONS: Trigger point injection for patients taking clopidogrel should be done with a caution to prevent such complication.
PATIENT CONCERNS: The chief complaint of a 76-year old woman regularly taking clopidogrel was low back and left buttock pain which prolonged for several years.
DIAGNOSES: The patient was diagnosed with L4-5 and L5-S1 spinal stenosis at the orthopedics department and was referred for lumbar spinal epidural steroid injection.
INTERVENTION: She was treated with trigger point injection.
OUTCOMES: Three hours after the injection, she complained motor weakness and pain in the injection area. A hematoma on left gluteus medium muscle was detected with ultrasonography and ultrasound-guided needle aspiration was accomplished to relieve the symptom.
LESSONS: Trigger point injection for patients taking clopidogrel should be done with a caution to prevent such complication.
Предметные рубрики MeSH
AgedBiopsy, Fine-NeedleButtocksClopidogrelDrug-Related Side Effects and Adverse ReactionsFemaleGlucocorticoidsHematomaHumansImage-Guided BiopsyInjections, EpiduralLow Back PainMuscle WeaknessMuscle, SkeletalPlatelet Aggregation InhibitorsSpinal StenosisTiclopidineTreatment OutcomeTrigger PointsUltrasonography