Ravin Patel*, Irfan Chhipa, Mitesh Patel and Sunny Gupta
Department of Family Medicine, Inspira Health Network, United States
*Corresponding Author: Ravin Patel, Department of Family Medicine, Inspira Health Network, United States.
Received: August 11, 2021; Published: September 09, 2021
Shoulder injury related to vaccine administration (SIRVA) describes the condition of injury to the shoulder joint after incorrect or inaccurate placement of intramuscular injections intended for the deltoid muscle. Vaccine placement inherently carry multiple risks given the vasculature, neural intervention and anatomy of the shoulder joint.
We present a patient that presented with a chief complaint of left shoulder pain occurring for two months. This patient failed conservative management with non-steroidal anti-inflammatory drugs and oral steroids which were recommended by his primary care physician. He was ultimately referred to orthopedics given his lack of improvement and persistence of pain with an active range of motion and overhead movements. After significant work including history taking, physical examination and imaging this patient was diagnosed with SIRVA. This patient was treated successfully with subacromial cortisone injection with complete resolution of his symptomatology.
Our aim with this case is to urge clinicians to maintain a high index of suspicion for SIRVA in individuals presenting for acute shoulder pain. It is important to consider recent administration of vaccines through a thorough history and physical exam in order to accurately diagnose SIRVA in patients. This is especially true with the increased prevalence of vaccinations against COVID-19 which we will see in the upcoming months.
Keywords: Vaccine; Subacromial Bursitis; Shoulder Injury Related to Vaccine Administration (SIRVA)
Citation: Ravin Patel., et al. “Vaccine Administration Leading to Subacromial Bursitis".Acta Scientific Orthopaedics 4.10 (2021): 28-32.
Copyright: © 2021 Ravin Patel., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.