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Purpose: Shoulder injury directly related to vaccination (SIRVA) occurs when a vaccine is administered too high in the shoulder. The primary aim of this study was to accurately detail the occurrence, symptoms, diagnosis, management and long-term outcomes of SIRVA cases in Victoria, Australia.
Principal Results: The study identified 102 SIRVA cases from 2007 to 2020 from the Surveillance of Adverse Events Following Vaccination in the Community (SAEFVIC) database. The majority [73/85; (86 %)] of cases resolved completely with a median time to resolution of 8 weeks and no statistically significant difference in recovery by immunisation provider type or baseline imaging.
Major Conclusions: This large case series includes long-term clinical progress in SIRVA, allowing accurate evaluation and analysis. Further evaluation is required to establish if other risk factors contribute to SIRVA, which may help with targeted, tailored education for providers on correct vaccine administration technique, including in large and rapid vaccine rollouts.
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http://dx.doi.org/10.1016/j.vaccine.2022.10.086 | DOI Listing |
JBJS Essent Surg Tech
September 2025
Division of Hand and Reconstructive Microsurgery, Department of Orthopedics, Olympia Hospital & Research Centre, Trichy, Tamilnadu, India.
Background: Extensor indicis proprius (EIP) transfer augmented with proximal extensor pollicis longus (EPL) stump lengthening restores thumb extension and optimizes function in cases of chronic EPL tendon ruptures, which impair hand dexterity and fine motor skills. Traditional EIP-to-EPL transfers often disrupt the natural oblique course of the EPL around the Lister tubercle, leading to functional deficits. This dual-tendon transfer preserves anatomical alignment and improves thumb biomechanics, enhancing extension strength and the adduction moment arm at the carpometacarpal (CMC) joint.
View Article and Find Full Text PDFOrthop J Sports Med
September 2025
American Sports Medicine Institute, Birmingham, Alabama, USA.
Background: The rates of ulnar collateral ligament injury and surgery continue to rise in baseball. Increased ball velocity and elbow varus torque may correlate with the increased risk of injury.
Hypothesis: Increased ball weight and/or size correlate with decreased elbow varus torque during pitching.
J Hand Surg Glob Online
November 2025
Cairns Base Hospital, Cairns North, Queensland, Australia.
High-pressure injection injuries to the hand are infrequent but potentially catastrophic injuries that have the potential for amputation or severe functional deficits. This is a case report on the management of a 28-year-old machinery operator who sustained a high-pressure grease gun injury to his dominant hand and underwent surgical debridement with a novel hydrosurgery technique. He had no complications and achieved a good functional outcome with a Disabilities of the Arm, Shoulder and Hand score of 1.
View Article and Find Full Text PDFJ ISAKOS
September 2025
McMaster University Division of Orthopaedic Surgery, Hamilton, ON, Canada; Oakville Trafalgar Memorial Hospital, Division of Orthopaedic Surgery, Oakville, ON, Canada.
Introduction/objectives: Irreparable subscapularis tears can cause severe functional impairment and present significant clinical challenges. Current treatment options include tendon transfers (TTs), anterior capsular reconstruction, and reverse shoulder arthroplasty. Each approach has distinct biomechanical advantages and limitations, but there remains no consensus regarding the optimal treatment.
View Article and Find Full Text PDFJ Pediatr Surg
September 2025
Division of Pediatric General and Thoracic Surgery, Seattle Children's Hospital, 4800 Sand Point Way NE, Ocean 9.A.220, Seattle, WA 98105, USA; Department of Surgery, University of Washington, 1959 Pacific Street, Box 356410, Seattle, WA 98195, USA.
Purpose: First rib fractures in children are typically associated with high-impact trauma; atraumatic etiologies remain understudied. The purpose of this study is to evaluate the presentation and management of pediatric first rib fractures in the absence of major trauma.
Methods: This is a retrospective study of pediatric patients diagnosed with first rib fractures between 2000-2023 at a quaternary, free-standing children's hospital.