{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T20:49:00Z","timestamp":1724359740208},"reference-count":5,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Emerg Med J"],"accepted":{"date-parts":[[2017,1,4]]},"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:sec id=\"s1\"><jats:title>Clinical introduction<\/jats:title><jats:p>A 74-year-old\u00a0woman was brought to the ski clinic shortly after a fall on her left shoulder while skiing. She did not remember the exact fall mechanism. She felt a popping sensation in her left shoulder and was unable to move her left arm due to severe pain. Her medical and social histories were unremarkable. On physical examination, she had a deformity in her left shoulder (figure 1). Her neurovascular examination was intact.<\/jats:p><jats:fig id=\"F1\" position=\"float\" orientation=\"portrait\"><jats:label>Figure 1<\/jats:label><jats:caption><jats:p>Photograph of the left shoulder on arrival showing an anterior \u2018dimple\u2019.<\/jats:p><\/jats:caption><jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"emermed-2016-206560f1.tif\" position=\"float\" orientation=\"portrait\"\/><\/jats:fig><\/jats:sec><jats:sec id=\"s2\"><jats:title>Question<\/jats:title><jats:p>What is the most likely diagnosis of the injury?<jats:list list-type=\"alpha-upper\"><jats:list-item><jats:p>An acromioclavicular joint\u00a0(ACJ) sprain (shoulder separation)<\/jats:p><\/jats:list-item><jats:list-item><jats:p>A proximal humerus fracture<\/jats:p><\/jats:list-item><jats:list-item><jats:p>A distal clavicle fracture<\/jats:p><\/jats:list-item><jats:list-item><jats:p>A posterior glenohumeral dislocation<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1136\/emermed-2016-206560","type":"journal-article","created":{"date-parts":[[2017,10,23]],"date-time":"2017-10-23T17:13:01Z","timestamp":1508778781000},"page":"740-740","update-policy":"http:\/\/dx.doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Dimple on the shoulder after a ski injury"],"prefix":"10.1136","volume":"34","author":[{"given":"Morteza","family":"Khodaee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armando","family":"Vidal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Greg","family":"Gutierrez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,10,23]]},"reference":[{"key":"2024052701583243000_34.11.740.1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-22-03-145"},{"key":"2024052701583243000_34.11.740.2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-20-10-615"},{"key":"2024052701583243000_34.11.740.3","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B3.14985"},{"key":"2024052701583243000_34.11.740.4","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3182243909"},{"key":"2024052701583243000_34.11.740.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.06.015"}],"container-title":["Emergency Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/emermed-2016-206560","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T08:58:38Z","timestamp":1716800318000},"score":1,"resource":{"primary":{"URL":"https:\/\/emj.bmj.com\/lookup\/doi\/10.1136\/emermed-2016-206560"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,23]]},"references-count":5,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2017,10,23]]},"published-print":{"date-parts":[[2017,11]]}},"alternative-id":["10.1136\/emermed-2016-206560"],"URL":"https:\/\/doi.org\/10.1136\/emermed-2016-206560","relation":{},"ISSN":["1472-0205","1472-0213"],"issn-type":[{"value":"1472-0205","type":"print"},{"value":"1472-0213","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,23]]}}}