{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T08:51:30Z","timestamp":1787820690746,"version":"build-2784847793"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,8,31]],"date-time":"2016-08-31T00:00:00Z","timestamp":1472601600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2018,4]]},"abstract":"Background<\/jats:title>To compare shoulder morbidity between patients who received transverse rectus abdominis myocutaneous (TRAM<\/jats:styled-content>) flaps after mastectomy (MX<\/jats:styled-content>\u2009+\u2009TRAM<\/jats:styled-content>) and patients who underwent mastectomy only (MX<\/jats:styled-content>).<\/jats:p><\/jats:sec>Methods<\/jats:title>Thirty patients in each group were followed for a minimum of 2 postoperative years. Visual analog scale (VAS<\/jats:styled-content>) score, restricted range of motion (ROM<\/jats:styled-content>), rotator cuff disease, muscle strength, shoulder function scores (American Shoulder and Elbow Score and Shoulder Pain and Disability Index), measurement of scapular tilt on chest radiography and standing position in each group were compared.<\/jats:p><\/jats:sec>Results<\/jats:title>There were no significant differences in VAS<\/jats:styled-content>, restricted ROM<\/jats:styled-content>, rotator cuff disease, muscle strength, shoulder function scores or scapula tilt on physical examination. However, lower angles of the scapula on chest radiography (4.0\u2009\u00b1\u200913.2 versus \u22123.4\u2009\u00b1\u200912.4\u2009mm; P<\/jats:italic>\u2009=\u20090.029) and pectoralis minor index (0.4\u2009\u00b1\u20097.7\u2009mm versus 7.8\u2009\u00b1\u20099.1\u2009mm; P<\/jats:italic>\u2009=\u20090.001) were significantly different between the two groups.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Immediate breast reconstruction after a MX had advantages for preserving scapular resting alignment but did not provide benefits for shoulder morbidity on short\u2010term follow\u2010up.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.13735","type":"journal-article","created":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:17:00Z","timestamp":1472689020000},"page":"363-368","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Is immediate reconstruction after mastectomy in breast cancer patients beneficial to shoulder function?"],"prefix":"10.1111","volume":"88","author":[{"given":"Bong Gun","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, College of Medicine Hanyang University Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joon Kuk","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, College of Medicine Hanyang University Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung Hyouk","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine Hanyang University Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hee Chang","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, College of Medicine Hanyang University Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min Sung","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine Hanyang University Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,8,31]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2005.12.017"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20090104"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2011.04.006"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2011.08.126"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2014.2895"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.21435"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mehy.2011.06.015"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.20782"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1807-59322010000800007"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1790040403"},{"key":"e_1_2_6_12_1","first-page":"287","article-title":"Body posture in women after mastectomy and its changes as a result of rehabilitation","volume":"51","author":"Rostkowska E","year":"2006","journal-title":"Adv. Med. Sci."},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200303000-00008"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01836960"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-012-2061-1"},{"key":"e_1_2_6_16_1","first-page":"180","article-title":"Impairments, activity limitations and participation restrictions 6 and 12 months after breast cancer operation","volume":"37","author":"Karki A","year":"2005","journal-title":"J. Rehabil. Med."},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0906-6705.2004.00164.x"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(03)00198-X"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.142.1.40"},{"key":"e_1_2_6_20_1","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1093\/ptj\/86.4.549","article-title":"Resting position variables at the shoulder: evidence to support a posture\u2010impairment association","volume":"86","author":"Borstad JD","year":"2006","journal-title":"Phys. Ther."},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2009.2808"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.13735","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.13735","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.13735","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T14:28:28Z","timestamp":1695565708000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.13735"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8,31]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,4]]}},"alternative-id":["10.1111\/ans.13735"],"URL":"https:\/\/doi.org\/10.1111\/ans.13735","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,8,31]]},"assertion":[{"value":"2015-12-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-07-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-08-31","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}