{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T15:26:53Z","timestamp":1775316413934,"version":"3.50.1"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T00:00:00Z","timestamp":1775260800000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Subscapular hematomas are rare entities that pose diagnostic and therapeutic challenges due to their deep anatomical location and nonspecific presentation. Delayed recognition may lead to abscess formation and long-term functional impairment. We report the case of an 18-year-old male who presented with progressive pain, swelling, and restricted range of motion of the right shoulder following blunt trauma. Imaging revealed a large subscapularis hematoma with an associated smaller intramuscular deltoid hematoma. The patient underwent expedited surgical evacuation using a modified dorsal scapular approach with two incisions, allowing safe and effective drainage while preserving surrounding neurovascular structures. A total of 450\u00a0ml of hematoma was evacuated. Postoperatively, inflammatory markers declined, pain resolved, and shoulder range of motion improved substantially with physiotherapy. No complications were observed during follow-up. This case highlights the importance of early diagnosis and supports the dorsal scapular approach as a safe and effective option for managing deep periscapular hematomas.<\/jats:p>","DOI":"10.1093\/jscr\/rjag221","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T15:37:47Z","timestamp":1773329867000},"source":"Crossref","is-referenced-by-count":0,"title":["Navigating rare terrain: successful management of subscapular and deltoid hematomas via the dorsal scapular approach"],"prefix":"10.1093","volume":"2026","author":[{"given":"Saad","family":"Riaz","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Rawalpindi Teaching Hospital , J373+6C8, Kashmiri Bazaar Road, Raja Bazar, Rawalpindi 46000, Punjab ,","place":["Pakistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osama","family":"Ijaz","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Rawalpindi Teaching Hospital , J373+6C8, Kashmiri Bazaar Road, Raja Bazar, Rawalpindi 46000, Punjab ,","place":["Pakistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasir","family":"Hidayat","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Rawalpindi Teaching Hospital , J373+6C8, Kashmiri Bazaar Road, Raja Bazar, Rawalpindi 46000, Punjab ,","place":["Pakistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6118-717X","authenticated-orcid":false,"given":"Abdur","family":"Rehman","sequence":"additional","affiliation":[{"name":"Department of ENT, Head & Neck Surgery, Benazir Bhutto Hospital , Chah Sultan, Murree Road, Rawalpindi 46000, Punjab ,","place":["Pakistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul","family":"Wahab","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Rawalpindi Teaching Hospital , J373+6C8, Kashmiri Bazaar Road, Raja Bazar, Rawalpindi 46000, Punjab 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