SIRVA: Shoulder injury related to vaccine administration.
Bone Joint J
; 105-B(8): 839-842, 2023 Aug 01.
Article
in En
| MEDLINE
| ID: mdl-37524358
ABSTRACT
Shoulder injury related to vaccine administration (SIRVA) is a prolonged episode of shoulder dysfunction that commences within 24 to 48 hours of a vaccination. Symptoms include a combination of shoulder pain, stiffness, and weakness. There has been a recent rapid increase in reported cases of SIRVA within the literature, particularly in adults, and is likely related to the mass vaccination programmes associated with COVID-19 and influenza. The pathophysiology is not certain, but placement of the vaccination in the subdeltoid bursa or other pericapsular tissue has been suggested to result in an inflammatory capsular process. It has been hypothesized that this is associated with a vaccine injection site that is "too high" and predisposes to the development of SIRVA. Nerve conduction studies are routinely normal, but further imaging can reveal deep-deltoid collections, rotator cuff tendinopathy and tears, or subacromial subdeltoid bursitis. However, all of these are common findings within a general asymptomatic population. Medicolegal claims in the UK, based on an incorrect injection site, are unlikely to meet the legal threshold to determine liability.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Shoulder Joint
/
Bursitis
/
Shoulder Injuries
/
COVID-19
Type of study:
Etiology_studies
Limits:
Adult
/
Humans
Language:
En
Journal:
Bone Joint J
Year:
2023
Document type:
Article
Affiliation country: