{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:41Z","timestamp":1787755601776,"version":"build-2784847793"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>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-Barr\u00e9 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.18.00248","type":"journal-article","created":{"date-parts":[[2019,7,11]],"date-time":"2019-07-11T17:48:48Z","timestamp":1562867328000},"page":"e0248-e0248","source":"Crossref","is-referenced-by-count":19,"title":["Lytic Lesion in the Proximal Humerus After a Flu Shot"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3238-7839","authenticated-orcid":false,"given":"Brandon J.","family":"Erickson","sequence":"first","affiliation":[{"name":"Sports Medicine and Shoulder & Elbow Division; Department of Orthopaedic Surgery, Rothman Orthopaedic Institute, Tarrytown, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5775-3167","authenticated-orcid":false,"given":"Edward F.","family":"DiCarlo","sequence":"additional","affiliation":[{"name":"Division of Sports and Shoulder, Hospital for Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barry","family":"Brause","sequence":"additional","affiliation":[{"name":"Division of Sports and Shoulder, Hospital for Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7872-3191","authenticated-orcid":false,"given":"Lisa","family":"Callahan","sequence":"additional","affiliation":[{"name":"Division of Sports and Shoulder, Hospital for Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo","family":"Hannafin","sequence":"additional","affiliation":[{"name":"Division of Sports and Shoulder, Hospital for Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"8","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"e0182720","DOI":"10.1371\/journal.pone.0182720","article-title":"Equalizing access to pandemic influenza vaccines through optimal allocation to public health distribution points","volume":"12","author":"Huang","year":"2017","journal-title":"PLoS One."},{"issue":"16","key":"bib3-20230712","doi-asserted-by":"crossref","first-page":"1987","DOI":"10.1016\/j.vaccine.2015.01.080","article-title":"Post-licensure surveillance of quadrivalent live attenuated influenza vaccine United States, Vaccine Adverse Event Reporting System (VAERS), July 2013-June 2014","volume":"33","author":"Haber","year":"2015","journal-title":"Vaccine."},{"issue":"5","key":"bib4-20230712","first-page":"303","article-title":"Don't aim too high: avoiding shoulder injury related to vaccine administration","volume":"45","author":"Cross","year":"2016","journal-title":"Aust Fam Physician."},{"issue":"51","key":"bib5-20230712","doi-asserted-by":"crossref","first-page":"8049","DOI":"10.1016\/j.vaccine.2010.10.005","article-title":"Shoulder injury related to vaccine administration (SIRVA)","volume":"28","author":"Atanasoff","year":"2010","journal-title":"Vaccine."},{"issue":"3","key":"bib6-20230712","doi-asserted-by":"crossref","first-page":"605","DOI":"10.4161\/hv.27232","article-title":"Subdeltoid\/subacromial bursitis associated with influenza vaccination","volume":"10","author":"Cook","year":"2014","journal-title":"Hum Vaccin Immunother."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01709767-201909000-00003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:45:08Z","timestamp":1787751908000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01709767-201909000-00003"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":5,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.18.00248","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019]]}}}