SIRVA
shoulder injury related to vaccine administration
Keywords:
SIRVA, vaccines, COVID-19, H1N1, ultrasound, corticosteroidAbstract
SIRVA is a rare injury that occurs in the shoulder after an error in the application of a vaccine that should be in the deltoid muscle but is injected into the subacromial- -subdeltoid bursa. A chronic inflammatory process then occurs in the bursa and the joint, with recurrent synovitis for months, leading to prolonged and intense pain and limitation. We present a rare bilateral case report in the shoulders of SIRVA, being on the right side more intense after application of the vaccine for COVID-19, and on the left side less intense for H1N1.
References
Arias LHM et al. Risk of bursitis and Other injuries and dysfunctions of the shoulder following vaccinations. Vaccine. 2017.
Macomb CV et al. Treating SIRVA early with corticosteroid injections: a case series. Mill Med. 2020.
Rodrigues TC et al. Subacromial-subdeltoid bursitis following COVID-19 vaccination: a case of shoulder injury related to vaccine administration (SIRVA). Skeletal Radiol. 2021.
Chow JCK, Koles SL, Bois AJ. Shoulder injury related to SARS-COV-2 vaccine administration. Canadian Medical Association Journal. 2022.