{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T03:15:24Z","timestamp":1767842124054,"version":"3.49.0"},"reference-count":5,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:p> We report an unusual case of spinal accessory nerve palsy sustained while transporting climbing gear. Spinal accessory nerve injury is commonly a result of iatrogenic surgical trauma during lymph node excision. This particular nerve is less frequently injured by blunt trauma. The case reported here results from compression of the spinal accessory nerve for a sustained period\u2014that is, carrying a load over the shoulder using a single nylon rope for 2.5 hours. This highlights the importance of using proper load-carrying equipment to distribute weight over a greater surface area to avoid nerve compression in the posterior triangle of the neck. The signs and symptoms of spinal accessory nerve palsy and its etiology are discussed. This report is particularly relevant to individuals involved in mountaineering and rock climbing but can be extended to anyone carrying a load with a strap over one shoulder and across the body. <\/jats:p>","DOI":"10.1016\/j.wem.2015.03.028","type":"journal-article","created":{"date-parts":[[2015,5,2]],"date-time":"2015-05-02T22:41:24Z","timestamp":1430606484000},"page":"384-386","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Complete Spinal Accessory Nerve Palsy From Carrying Climbing Gear"],"prefix":"10.1177","volume":"26","author":[{"given":"Jess M.","family":"Coulter","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington Medical Center, Seattle, WA (Dr Warme)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Winston J.","family":"Warme","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington Medical Center, Seattle, WA (Dr Warme)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,9,1]]},"reference":[{"key":"bibr1-jwem201503028","doi-asserted-by":"publisher","DOI":"10.1017\/S0317167100031905"},{"key":"bibr2-jwem201503028","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2008.2454"},{"key":"bibr3-jwem201503028","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199911000-00003"},{"key":"bibr4-jwem201503028","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200303000-00008"},{"key":"bibr5-jwem201503028","doi-asserted-by":"publisher","DOI":"10.1542\/peds.56.5.822"}],"container-title":["Wilderness &amp; Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1080603215001441?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1080603215001441?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1016\/j.wem.2015.03.028","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1016\/j.wem.2015.03.028","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1016\/j.wem.2015.03.028","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T05:42:42Z","timestamp":1741671762000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1016\/j.wem.2015.03.028"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9]]},"references-count":5,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,9]]}},"alternative-id":["10.1016\/j.wem.2015.03.028"],"URL":"https:\/\/doi.org\/10.1016\/j.wem.2015.03.028","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"value":"1080-6032","type":"print"},{"value":"1545-1534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9]]}}}