Shoulder Injuries Related to COVID-19 Vaccination
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Published:
Dec 16, 2021
Keywords:
COVID-19, bursitis, vaccine, shoulder pain
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Abstract
Shoulder injury attributable to vaccination (SIRVA) is an adverse event secondary to inoculation. Its most frequent cause has been vaccination against influenza, but the current massive campaign against the SARS-CoV-2 pandemic makes it an injury whose knowledge is of importance for specialists. It includes different structural lesions and has a torpid and prolonged evolution. SIRVAs must be reported to the sanitary control agencies. Their treatment is based on the use of corticosteroids and rehabilitation.
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How to Cite
Moya, D., Gómez, D., Ruíz, R. C., Balzarini, M., & Muñoz González, L. (2021). Shoulder Injuries Related to COVID-19 Vaccination. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(6), 842-849. https://doi.org/10.15417/issn.1852-7434.2021.86.6.1421
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Artículo Especial
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References
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https://doi.org/10.1016/0020-1383(76)90012-7
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vaccination: MR neurography. Radiology 2021;211374. https://doi.org/10.1148/radiol.2021211374
22. Salmon JH, Geoffroy M, Eschard JP, Ohl X. Bone erosion and subacromial bursitis caused by diphtheria-tetanuspoliomyelitis vaccine. Vaccine 2015;33(46):6152-5. https://doi.org/10.1016/j.vaccine.2015.09.090
23. Wright A, Patel R, Motamedi D. Influenza vaccine-related subacromial/subdeltoid bursitis: A case report. J Radiol Case Rep 2019;13(6):24-31. https://doi.org/10.3941/jrcr.v13i6.3656
24. Macomb CV, Evans MO, Dockstader JE, Montgomery JR, Beakes DE. Treating SIRVA early with corticosteroid
injections: A case series. Mil Med 2020;185(1-2):e298-e300. Erratum in: Mil Med. 2020;185(1-2):e325.
https://doi.org/10.1093/milmed/usz269
25. https://bancos.salud.gob.ar/sites/default/files/2020-12/ficha-notificacion-esavi.pdf. [Consulta: 21 de agosto, 2021.]
https://ourworldindata.org/covid-vaccinations
2. Shaw FE Jr, Guess HA, Roets JM, Mohr FE, Coleman PJ, Mandel EJ, et al. Effect of anatomic injection site, age
and smoking on the immune response to hepatitis B vaccination. Vaccine 1989;7(5):425-30.
https://doi.org/10.1016/0264-410x(89)90157-6
3. General Recommendations on Immunization. Recommendations of the Advisory Committee on Immunization
Practices. (ACIP) Center for Disease Control and Prevention. [Consulta: 21 de agosto, 2021]. Disponible en:
https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5515a1.htm
4. Atanasoff S, Ryan T, Lightfoot R, Johann-Liang R. Shoulder injury related to vaccine administration (SIRVA).
Vaccine 2010;28(51):8049-52. https://doi.org/10.1016/j.vaccine.2010.10.005
5. Martín Arias LH, Sanz Fadrique R, Sáinz Gil M, Salgueiro-Vazquez ME. Risk of bursitis and other injuries and
dysfunctions of the shoulder following vaccinations. Vaccine 2017;35(37):4870-6.
https://doi.org/10.1016/j.vaccine.2017.07.055
6. Cook IF. Subdeltoid/subacromial bursitis associated with influenza vaccination. Hum Vaccin Immunother
2014;10(3):605-6. https://doi.org/:10.4161/hv.27232
7. Kaur RJ, Dutta S, Bhardwaj P, Charan J, Dhingra S, Mitra P, et al. Adverse events reported from COVID-19 vaccine trials: A systematic review. Indian J Clin Biochem 2021;1-13. https://doi.org/10.1007/s12291-021-00968-z
8. Massel DH, Haziza S, Rivera S, Mohile N, Subhawong TK, Hernandez VH. Septic arthritis of the shoulder after
SARS-CoV-2 Pfizer vaccination: A case report. JBJS Case Connect 2021;11(3). https://doi.org/10.2106/JBJS.CC.21.00090
9. Hexter AT, Gee E,Sandher D. Management of glenohumeral synovitis secondary to influenza vaccination. Shoulder Elbow 2015;7(2):100-3. https://doi.org/10.1177/1758573214560258
10. Szari S, Belgard A, Adams K, Freiler J. Shoulder injury related to vaccine administration: A rare reaction. Fed Pract 2019;36(8):380-4. PMID: 31456630
11. Thompson AR, Ensrud ER. Bilateral adhesive capsulitis following influenza vaccination: A case report. Clin Case Rep 2020;8(11):2155-7. https://doi.org/10.1002/ccr3.3072
12. Chuaychoosakoon C, Parinyakhup W, Tanutit P, Maliwankul K, Klabklay P. Shoulder injury related to Sinovac
COVID-19 vaccine: A case report. Ann Med Surg (Lond) 2021;68:102622. https://doi.org/10.1016/j.amsu.2021.102622
13. Natanzi N, Hebroni F, Bodor M. Teres minor injury related to vaccine administration. Radiol Case Rep
2020;14;15(5):552-5. https://doi.org/10.1016/j.radcr.2020.02.009
14. Cagle PJ Jr. Shoulder injury after vaccination: A systematic review. Rev Bras Ortop (Sao Paulo) 2021;56(3):299-
306. https://doi.org/10.1055/s-0040-1719086
15. Cantarelli Rodrigues T, Hidalgo PF, Skaf AY, Serfaty A. Subacromial-subdeltoid bursitis following COVID-19
vaccination: a case of shoulder injury related to vaccine administration (SIRVA). Skeletal Radiol 2021;4:1-5.
https//doi.org/10.1007/s00256-021-03803-x
16. Okur G, Chaney KA, Lomasney LM. Magnetic resonance imaging of abnormal shoulder pain following influenza vaccination. Skeletal Radiol 2014;43(9):1325-31. https://doi.org/10.1007/s00256-014-1875-9
17. Smith SS, Lee Y, Wang L. Adolescent with osteomyelitis after intramuscular administration of a vaccine: A case
report. J Am Pharm Assoc (2003) 2020;60(6):e357-e360. https://doi.org/10.1016/j.japh.2020.03.015
18. Kuether G, Dietrich B, Smith T, Peter C, Gruessner S. Atraumatic osteonecrosis of the humeral head after influenza A-(H1N1) v-2009 vaccination. Vaccine 2016;29(40):6830-3. https://doi.org/10.1016/j.vaccine.2011.07.052
19. Meirelles H, Filho GRM. Lesão do nervo axillar causada pela injeção intramuscular no deltoid: relato de caso/
Axillary nerve Injury caused by deltoid muscle intramuscular injection: case report. Rev Bras Ortop 2004;39:615-9.
Disponible en: https://cdn.publisher.gn1.link/rbo.org.br/pdf/39-9/2004_out_07.pdf
20. Ling CM, Loong SC. Injection injury of the radial nerve. Injury 1976;8(1):60-2.
https://doi.org/10.1016/0020-1383(76)90012-7
21. Queler SC, Towbin AJ, Milani C, Whang J, Sneag DB. Parsonage-Turner syndrome following COVID-19
vaccination: MR neurography. Radiology 2021;211374. https://doi.org/10.1148/radiol.2021211374
22. Salmon JH, Geoffroy M, Eschard JP, Ohl X. Bone erosion and subacromial bursitis caused by diphtheria-tetanuspoliomyelitis vaccine. Vaccine 2015;33(46):6152-5. https://doi.org/10.1016/j.vaccine.2015.09.090
23. Wright A, Patel R, Motamedi D. Influenza vaccine-related subacromial/subdeltoid bursitis: A case report. J Radiol Case Rep 2019;13(6):24-31. https://doi.org/10.3941/jrcr.v13i6.3656
24. Macomb CV, Evans MO, Dockstader JE, Montgomery JR, Beakes DE. Treating SIRVA early with corticosteroid
injections: A case series. Mil Med 2020;185(1-2):e298-e300. Erratum in: Mil Med. 2020;185(1-2):e325.
https://doi.org/10.1093/milmed/usz269
25. https://bancos.salud.gob.ar/sites/default/files/2020-12/ficha-notificacion-esavi.pdf. [Consulta: 21 de agosto, 2021.]