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.
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.
1Sports Medicine and Shoulder & Elbow Division; Department of Orthopaedic Surgery, Rothman Orthopaedic Institute, Tarrytown, New York
2Division of Sports and Shoulder, Hospital for Special Surgery, New York, New York
E-mail address for B.J. Erickson: email@example.com
Investigation performed at the Hospital for Special Surgery, New York, New York
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/A816).