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Related Experiment Videos

Vaccination-related shoulder dysfunction.

Marko Bodor1, Enoch Montalvo

  • 1Queen of the Valley Hospital, Napa, CA 94558, USA. mbodor@post.harvard.edu

Vaccine
|October 27, 2006
PubMed
Summary
This summary is machine-generated.

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Improper vaccine injection site can cause shoulder pain and dysfunction. Avoid injecting high into the deltoid muscle to prevent rotator cuff issues and bursitis.

Area of Science:

  • Orthopedics
  • Immunology
  • Radiology

Background:

  • Vaccine administration guidelines recommend intramuscular injection into the deltoid muscle.
  • Shoulder pain is a common post-vaccination complaint, but severe dysfunction is rare.

Observation:

  • Two cases of significant shoulder pain and weakness occurred after influenza and pneumococcal vaccinations.
  • Ultrasound revealed inflammation consistent with subdeltoid bursitis, bicipital tendonitis, and adhesive capsulitis, suggesting injection into the subdeltoid bursa.

Findings:

  • High deltoid muscle injections may lead to periarticular inflammatory responses and shoulder dysfunction.
  • Symptoms resolved with corticosteroid injections and physical therapy, targeting the subacromial space, bicipital tendon sheath, and glenohumeral joint.

Related Experiment Videos

Implications:

  • The upper third of the deltoid muscle should be avoided for vaccine administration.
  • Consider vaccination-related shoulder dysfunction in patients with shoulder pain post-vaccination.