Shoulder Injury Related to Vaccine Administration: Case Series
Abstract Objective Shoulder pain is a common presentation in the primary care setting, and shoulder pain after vaccination has a growing body of literature. The present study sought to understand how a standardized treatment protocol would aid patients experiencing shoulder injury related to vaccin...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2023-08-01
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| Series: | Revista Brasileira de Ortopedia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000200279&tlng=en |
| _version_ | 1797225226171318272 |
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| author | Paul J. Cagle Christopher A. White Akshar V. Patel |
| author_facet | Paul J. Cagle Christopher A. White Akshar V. Patel |
| author_sort | Paul J. Cagle |
| collection | DOAJ |
| description | Abstract Objective Shoulder pain is a common presentation in the primary care setting, and shoulder pain after vaccination has a growing body of literature. The present study sought to understand how a standardized treatment protocol would aid patients experiencing shoulder injury related to vaccine administration (SIRVA). Methods Patients experiencing SIRVA were retrospectively recruited between February 2017 and February 2021. All patients were treated with physical therapy and offered a cortisone injection. Post-treatment range of motion (i.e., forward elevation, external rotation, internal rotation) and patients’ reported outcomes were collected with the visual analogue scale (VAS), American Shoulder and Elbow Surgeons (ASES), simple shoulder test (SST), and single assessment numeric evaluation (SANE) scores. Results A total of 9 patients were retrospectively examined. Among them, 6 patients presented within one month of a recent vaccination event, while 3 patients presented 67, 87, and 120 days after vaccination. Furthermore, 8 of the patients completed physical therapy, and 6 of them underwent a cortisone injection. The follow-up time averaged 8 months. At final follow-up, the mean external rotation was 61º (standard deviation, SD±3º) and the mean forward elevation was 179º (SD±45º). Internal rotation ranged between L3 and T10. The VAS pain scores were 3.5/10.0 (SD±2.4), the mean ASES score was 63.5/100.0 (SD±26.3), and the SST scores were 8.5/12.0 (SD±3.9). Finally, the SANE scores were 75.7/100.0 (SD±24.7) and 95.7/100.0 (SD±6.1) in the injured and contralateral shoulders respectively. Conclusion Shoulder pain after a vaccination treated with physical therapy and cortisone injection ultimately resulted in favorable shoulder range of motion and functional score outcomes. Level of Evidence IV |
| first_indexed | 2024-03-08T06:49:21Z |
| format | Article |
| id | doaj.art-a59e26b6000e45cd8d9d8a07dbba6613 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-04-24T14:05:38Z |
| publishDate | 2023-08-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-a59e26b6000e45cd8d9d8a07dbba66132024-04-03T10:35:38ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-43782023-08-0158227928310.1055/s-0042-1751022Shoulder Injury Related to Vaccine Administration: Case SeriesPaul J. Caglehttps://orcid.org/0000-0002-9617-8369Christopher A. Whitehttps://orcid.org/0000-0002-8582-6105Akshar V. Patelhttps://orcid.org/0000-0001-8620-4802Abstract Objective Shoulder pain is a common presentation in the primary care setting, and shoulder pain after vaccination has a growing body of literature. The present study sought to understand how a standardized treatment protocol would aid patients experiencing shoulder injury related to vaccine administration (SIRVA). Methods Patients experiencing SIRVA were retrospectively recruited between February 2017 and February 2021. All patients were treated with physical therapy and offered a cortisone injection. Post-treatment range of motion (i.e., forward elevation, external rotation, internal rotation) and patients’ reported outcomes were collected with the visual analogue scale (VAS), American Shoulder and Elbow Surgeons (ASES), simple shoulder test (SST), and single assessment numeric evaluation (SANE) scores. Results A total of 9 patients were retrospectively examined. Among them, 6 patients presented within one month of a recent vaccination event, while 3 patients presented 67, 87, and 120 days after vaccination. Furthermore, 8 of the patients completed physical therapy, and 6 of them underwent a cortisone injection. The follow-up time averaged 8 months. At final follow-up, the mean external rotation was 61º (standard deviation, SD±3º) and the mean forward elevation was 179º (SD±45º). Internal rotation ranged between L3 and T10. The VAS pain scores were 3.5/10.0 (SD±2.4), the mean ASES score was 63.5/100.0 (SD±26.3), and the SST scores were 8.5/12.0 (SD±3.9). Finally, the SANE scores were 75.7/100.0 (SD±24.7) and 95.7/100.0 (SD±6.1) in the injured and contralateral shoulders respectively. Conclusion Shoulder pain after a vaccination treated with physical therapy and cortisone injection ultimately resulted in favorable shoulder range of motion and functional score outcomes. Level of Evidence IVhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000200279&tlng=enbursitispain managementrotator cuff injuriesshoulder injuriesvaccination |
| spellingShingle | Paul J. Cagle Christopher A. White Akshar V. Patel Shoulder Injury Related to Vaccine Administration: Case Series Revista Brasileira de Ortopedia bursitis pain management rotator cuff injuries shoulder injuries vaccination |
| title | Shoulder Injury Related to Vaccine Administration: Case Series |
| title_full | Shoulder Injury Related to Vaccine Administration: Case Series |
| title_fullStr | Shoulder Injury Related to Vaccine Administration: Case Series |
| title_full_unstemmed | Shoulder Injury Related to Vaccine Administration: Case Series |
| title_short | Shoulder Injury Related to Vaccine Administration: Case Series |
| title_sort | shoulder injury related to vaccine administration case series |
| topic | bursitis pain management rotator cuff injuries shoulder injuries vaccination |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000200279&tlng=en |
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