Evidence map›Paper›PMID 41219236›Full record

ArticleNPJ vaccines2025

More than half of shoulder vaccinations may end up in the subacromial space.

Halah Kutaish, Pierre-Alban Bouché, Paolo Miguel Rivera, Anne Cornevin, Andres Borgonovo, Shana Mombelli, Rodrigo Brandariz, Benjamin De Pree, Anthony L Cunningham, Gregory Cunningham

Abstract read
In one paragraph

Article in NPJ vaccines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Halah KutaishDivision of Orthopaedic and Trauma Surgery, Geneva University Hospitals, Geneva, Switzerland.
Pierre-Alban BouchéDivision of Orthopaedic and Trauma Surgery, Geneva University Hospitals, Geneva, Switzerland.
Paolo Miguel RiveraLa Colline Shoulder and Elbow Center (CEPCO), Geneva, Switzerland.
Anne CornevinLa Colline Shoulder and Elbow Center (CEPCO), Geneva, Switzerland.
Andres BorgonovoLa Colline Shoulder and Elbow Center (CEPCO), Geneva, Switzerland.
Shana MombelliLa Colline Shoulder and Elbow Center (CEPCO), Geneva, Switzerland.
Rodrigo BrandarizLa Colline Shoulder and Elbow Center (CEPCO), Geneva, Switzerland.
Benjamin De PreeFaculty of Medicine, Geneva, Switzerland.
Anthony L CunninghamCentre for Virus Research, The Westmead Institute for Medical Research, Westmead, and Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, Australia.
Gregory CunninghamDivision of Orthopaedic and Trauma Surgery, Geneva University Hospitals, Geneva, Switzerland. gregory.james.cunningham@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Shoulder Injury Related to Vaccine Administration (SIRVA) can occur as subacromial bursitis, frozen shoulder, or tendinopathy following deltoid intramuscular immunization. This study evaluated needle overpenetration into the subacromial space using a standard needle in 177 patients undergoing arthroscopic shoulder surgery from 2022 to 2024, with a median age of 55. Findings showed a mean needle length of 25.36 mm was required for subacromial penetration, occurring in 51.9% of cases. Significant associations with needle overpenetration included Body Mass Index (BMI), weight, deltoid thickness, fat thickness, and combined fat and deltoid thickness, all statistically significant (p < 0.05). These results suggest the standard needle length may be too long for most adults, increasing complication risks. To prevent subacromial injections, the study recommends vaccination guidelines to adopt a shorter 15 mm needle for most adults, ensuring proper vaccine delivery into the deltoid muscle and minimizing SIRVA risk.

Identifiers

PMID41219236
PMCPMC12606193

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.