Shoulder Injury after Vaccination: A Systematic Review
Abstract Adverse reactions to vaccine injections are usually mild and incredibly rare in nature, but multiple cases of shoulder events including bursitis, generalized pain or decreased range of motion have been reported following routine vaccine administrations. These events are known as Shoulder In...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2021-08-01
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000300299&tlng=en |
| _version_ | 1797330473671720960 |
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| author | Paul J. Cagle Jr. |
| author_facet | Paul J. Cagle Jr. |
| author_sort | Paul J. Cagle Jr. |
| collection | DOAJ |
| description | Abstract Adverse reactions to vaccine injections are usually mild and incredibly rare in nature, but multiple cases of shoulder events including bursitis, generalized pain or decreased range of motion have been reported following routine vaccine administrations. These events are known as Shoulder Injury Related to Vaccine Administration or SIRVA. A systematic review of literature was performed to identify all published accounts of SIRVA. Twenty-seven papers reporting one or more accounts of SIRVA were identified. The most common vaccination involved was the Influenza vaccine. The most common symptoms were pain that began in 48 hours or less and loss of shoulder range of motion. The most common treatment modalities were physical therapy, corticosteroid injections and anti-inflammatory medication; but in some patients, surgery was required. Regardless of intervention, the vast majority of outcomes demonstrated improved pain and functional except in the occasions of nerve injury. The etiology of SIRVA injuries has multiple possibilities including needle length, mechanical injury from needle overpenetration and the possibility of an immune inflammatory response from the vaccine components, but a unique definitive test or quantifiably result does not yet exist. |
| first_indexed | 2024-03-08T07:20:21Z |
| format | Article |
| id | doaj.art-6e1d76dd602948109bf076648fc7b33a |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T07:20:21Z |
| publishDate | 2021-08-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-6e1d76dd602948109bf076648fc7b33a2024-02-02T23:43:30ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782021-08-0156329930610.1055/s-0040-1719086Shoulder Injury after Vaccination: A Systematic ReviewPaul J. Cagle Jr.https://orcid.org/0000-0002-9617-8369Abstract Adverse reactions to vaccine injections are usually mild and incredibly rare in nature, but multiple cases of shoulder events including bursitis, generalized pain or decreased range of motion have been reported following routine vaccine administrations. These events are known as Shoulder Injury Related to Vaccine Administration or SIRVA. A systematic review of literature was performed to identify all published accounts of SIRVA. Twenty-seven papers reporting one or more accounts of SIRVA were identified. The most common vaccination involved was the Influenza vaccine. The most common symptoms were pain that began in 48 hours or less and loss of shoulder range of motion. The most common treatment modalities were physical therapy, corticosteroid injections and anti-inflammatory medication; but in some patients, surgery was required. Regardless of intervention, the vast majority of outcomes demonstrated improved pain and functional except in the occasions of nerve injury. The etiology of SIRVA injuries has multiple possibilities including needle length, mechanical injury from needle overpenetration and the possibility of an immune inflammatory response from the vaccine components, but a unique definitive test or quantifiably result does not yet exist.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000300299&tlng=enbursitisimpingement, shouldershoulder paininfluenza vaccines |
| spellingShingle | Paul J. Cagle Jr. Shoulder Injury after Vaccination: A Systematic Review Revista Brasileira de Ortopedia bursitis impingement, shoulder shoulder pain influenza vaccines |
| title | Shoulder Injury after Vaccination: A Systematic Review |
| title_full | Shoulder Injury after Vaccination: A Systematic Review |
| title_fullStr | Shoulder Injury after Vaccination: A Systematic Review |
| title_full_unstemmed | Shoulder Injury after Vaccination: A Systematic Review |
| title_short | Shoulder Injury after Vaccination: A Systematic Review |
| title_sort | shoulder injury after vaccination a systematic review |
| topic | bursitis impingement, shoulder shoulder pain influenza vaccines |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000300299&tlng=en |
| work_keys_str_mv | AT pauljcaglejr shoulderinjuryaftervaccinationasystematicreview |