Vaccination-related shoulder dysfunction

Bodor, Marko; Montalvo, Enoch

doi:10.1016/j.vaccine.2006.08.034

Cited by 95 publications

(132 citation statements)

References 2 publications

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“…2,11,12 In addition to the pain and decreased range of motion, one case report revealed that the shoulder dysfunction was accompanied by osteolysis and surface chondrolysis that may require surgical intervention; this was also associated with incorrect placement of the injection. 13 In an attempt to support this hypothesis, Lippert studied the deltoid fat pads through MRI imaging and showed that 5/8-in-, 7/8-in-, and 1-in-long needles led to overpenetration in 11%, 55%, and 61% of the pediatric population studied, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…2,[11][12][13] Given that the majority of primary and secondary causes of frozen shoulder are unknown, 11 there could be a yet undiscovered underlying cause leading to the presentation of our patients. However, to the best of our knowledge, vaccination was the cause of shoulder stiffness in our cases.…”

Section: Limitationsmentioning

confidence: 97%

“…1,2 They are frequently injected intramuscularly in the deltoid muscle. 1 There are guidelines set for the depth of the needle to be used.…”

Section: Introductionmentioning

confidence: 99%

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Onset of Frozen Shoulder Following Pneumococcal and Influenza Vaccinations

Saleh

Faruqui

Foad³

2015

Journal of Chiropractic Medicine

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Objective: Adhesive capsulitis has been suggested as an adverse effect of vaccine administration into the shoulder area. The purpose of this case series is to report 3 cases of acute onset of adhesive capsulitis following pneumococcal and influenza vaccines. Clinical Features: Patients reported painful shoulder and limited motion following routine vaccination. After clinical examination, a diagnosis of adhesive capsulitis was noted. Intervention and Outcome: All 3 patients were treated conservatively with physical therapy (active ranges of motion and active-assisted motion), nonsteroidal anti-inflammatory drugs, and activity modification with eventual resolution of symptoms. Conclusion: Reports implicating vaccination with adhesive capsulitis are rare. This case series raises the awareness of pneumococcal and influenza vaccinations as possible causes of adhesive capsulitis that appear to respond to standard treatment. Although vaccines are of tremendous importance in the prevention of serious illness, we emphasize the importance of administering them at the appropriate depth and location for each patient.

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Section: Discussionmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 97%

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Onset of Frozen Shoulder Following Pneumococcal and Influenza Vaccinations

Saleh

Faruqui

Foad³

2015

Journal of Chiropractic Medicine

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“…Erroneous administration of intramuscular vaccines, particularly too high on the deltoid, can result in serious shoulder injury (9,10,11,12). Suggested mechanisms of injury include injection of antigenic material into synovial tissues, including the subdeltoid bursa resulting in an immune-mediated inflammatory reaction, subacromial bursitis, bicipital tendonitis and adhesive capsulitis.…”

Section: Spotlight On Dpt-ipv/hib/hepb (Infanrix Hexa®) Investigationmentioning

confidence: 99%

Behind the scenes in public health: Adverse events following immunization (AEFI) signal investigation in British Columbia

MacDonald

Naus

2014

CCDR

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“…It may be associated with certain systemic diseases like poliomyelitis [1]. There are also some case reports of deltoid muscle dysfunction following intramuscular injections [2]. Duane's retraction syndrome (DRS) is a congenital disorder with a limitation of abduction and/or adduction of the eye.…”

Section: Introductionmentioning

confidence: 99%

Deltoid Hypoplasia in a 14 year old boy with Duane’s Syndrome

Houben¹,

Mckee²,

Vandeputte³

2017

JCR

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Background: Duane's retraction syndrome is a congenital ocular motility disorder characterized by limitation of abduction and/or adduction of the involved eye. Duane's syndrome is often associated with congenital musculo-skeletal (particularly upper limb) and neural malformations. Case Report: We describe the unusual association of a Type 1 unilateral Duane's with an atraumatic ipsilateral hypoplasia of the deltoid muscle in an otherwise active 14 year old boy. Conclusion: A child with upper limb musculo-skeletal abnormalities should undergo full orthopaedic, medical and ophthalmologic assessment.

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Vaccination-related shoulder dysfunction

Cited by 95 publications

References 2 publications

Onset of Frozen Shoulder Following Pneumococcal and Influenza Vaccinations

Onset of Frozen Shoulder Following Pneumococcal and Influenza Vaccinations

Behind the scenes in public health: Adverse events following immunization (AEFI) signal investigation in British Columbia

Deltoid Hypoplasia in a 14 year old boy with Duane’s Syndrome

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