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[Bursitis after vaccination in the shoulder region]
Henning Bliddal1, Søren Torp-Pedersen, Birgit Falk-Riecke
1henning.bliddal@regionh.dk.
Ugeskrift for Laeger
|October 28, 2017
Summary
Shoulder pain after vaccination can occur if the vaccine is inadvertently injected into the subdeltoid bursa. This may lead to chronic shoulder pain, a reaction potentially more common than reported.
Area of Science:
- Orthopedics
- Immunology
- Public Health
Background:
- Vaccinations are typically administered intramuscularly in the deltoid region.
- The subdeltoid bursa is a fluid-filled sac near the shoulder joint that can become inflamed.
Observation:
- Two cases are presented where patients developed shoulder pain post-vaccination.
- The pain was suspected to be due to inadvertent vaccine injection into the subdeltoid bursa.
- The bursa's proximity to the skin may increase the risk of such occurrences.
Findings:
- Inadvertent deltoid area vaccination into the subdeltoid bursa can cause inflammatory reactions.
- While cortisone injections may offer temporary relief, chronic shoulder pain can persist.
- These vaccination reactions may be underreported and unrecognized by healthcare providers.
Implications:
- Increased awareness among healthcare professionals regarding potential vaccine injection site complications is crucial.
- Further investigation into the frequency and mechanisms of post-vaccination bursitis is warranted.
- Developing improved vaccination techniques or guidelines may help prevent these adverse events.
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