Intramuscular hematoma with motor weakness after trigger point injection: A case report.
Medicine (Baltimore)
; 96(39): e8135, 2017 Sep.
Article
em En
| MEDLINE
| ID: mdl-28953648
ABSTRACT
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.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Estenose Espinal
/
Injeções Epidurais
/
Ticlopidina
/
Dor Lombar
/
Biópsia por Agulha Fina
/
Glucocorticoides
/
Hematoma
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Idioma:
En
Revista:
Medicine (Baltimore)
Ano de publicação:
2017
Tipo de documento:
Article