May 26, 2026 · JAAPA : official journal of the American Academy of Physician Assistants · DOI: 10.1097/01.JAA.0000000000000355

Needle to scalpel: Navigating the path from SIRVA to surgical intervention

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The authors investigate the progression of shoulder injury related to vaccine administration (SIRVA) from initial nonoperative management to potential surgical intervention in refractory cases. They emphasize the importance of accurate diagnosis and management strategies to prevent long-term complications and highlight a case that illustrates the challenges faced by patients who may ultimately require surgery after exhausting nonoperative treatments. The paper aims to raise awareness of surgical options for SIRVA, which is a relatively underexplored area in the existing literature.

Lori McGowan, Danielle O'Laughlin, Brittany Strelow

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