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Lytic Lesion in the Proximal Humerus After a Flu Shot: A Case Report
Brandon J Erickson1, Edward F DiCarlo2, Barry Brause2
1Sports Medicine and Shoulder & Elbow Division; Department of Orthopaedic Surgery, Rothman Orthopaedic Institute, Tarrytown, New York.
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.
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