Lytic Lesion in the Proximal Humerus After a Flu Shot: A Case Report. Issue 3 (July 2019)

• Record Type: Journal Article
• Authors: Erickson, Brandon J.; DiCarlo, Edward F.; Brause, Barry; Callahan, Lisa; Hannafin, Jo
• Is Part Of: JBJS case connector. Volume 9:Issue 3(2019)
• Publication Date: 2019-07
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.18.00248
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: There has been a recent campaign to vaccinate patients in an effort to prevent widespread flu pandemic. Although the complication rate after vaccine is low, there have been reports of Guillain-Barré syndrome and shoulder injury related to vaccine administration (SIRVA). In this case presentation, we discuss a patient who developed a large lytic lesion in the proximal humerus after a deeply administered flu shot. Conclusions: SIRVA is a rare cause of shoulder pain after injections, but one that progresses and often necessitates operative management. Clinicians should be wary of persistent shoulder pain after a flu shot.