{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T18:20:19Z","timestamp":1757614819221,"version":"3.44.0"},"reference-count":3,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Emerg Med J"],"accepted":{"date-parts":[[2018,8,10]]},"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec id=\"s1\">\n                  <jats:title>Clinical\u00a0introduction<\/jats:title>\n                  <jats:p>A healthy 8-year-old boy presented to the ED with acute left shoulder pain. He had been playing football and his left arm was pulled by an opposition team member. He fell to the ground and landed on his left shoulder causing pain. On examination after analgesia, active and passive movement of the shoulder joint was possible in all directions but range of motion was limited by pain. There was no visible swelling or bruising throughout the shoulder girdle. A radiograph of the shoulder was obtained (figure 1).<\/jats:p>\n                  <jats:fig id=\"F1\" position=\"float\" orientation=\"portrait\">\n                     <jats:label>Figure 1<\/jats:label>\n                     <jats:caption>\n                        <jats:p>Plain radiograph of the left shoulder.<\/jats:p>\n                     <\/jats:caption>\n                     <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"emermed-2018-207987f1\" position=\"float\" orientation=\"portrait\"\/>\n                  <\/jats:fig>\n               <\/jats:sec>\n               <jats:sec id=\"s2\">\n                  <jats:title>Question<\/jats:title>\n                  <jats:p>What radiographic finding is seen for this patient?<jats:list list-type=\"alpha-upper\">\n                        <jats:list-item>\n                           <jats:p>Glenohumeral lipohaemarthrosis.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                           <jats:p>Acromioclavicular joint disruption.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                           <jats:p>Intra-articular gas.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                           <jats:p>Intra-articular loose body.<\/jats:p>\n                        <\/jats:list-item>\n                     <\/jats:list>\n                  <\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/emermed-2018-207987","type":"journal-article","created":{"date-parts":[[2023,4,4]],"date-time":"2023-04-04T03:20:28Z","timestamp":1680578428000},"page":"77-88","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Paediatric shoulder injury: don\u2019t get sucked in!"],"prefix":"10.1136","volume":"36","author":[{"given":"Peter Michael","family":"Kilgour","sequence":"first","affiliation":[{"name":"Emergency Department, Wythenshawe Hospital, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lesley","family":"Watson","sequence":"additional","affiliation":[{"name":"Emergency Department, Wythenshawe Hospital, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Williams","sequence":"additional","affiliation":[{"name":"Radiology, Wigan and Leigh Foundation Trust, Wigan, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,1,29]]},"reference":[{"key":"2025090502370530000_36.2.77.1","unstructured":"Haller JO , Slovis TL . Paediatric Radiology. 2nd Ed: Springer Science and Business Media, 2013."},{"key":"2025090502370530000_36.2.77.2","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1002\/ca.22334","article-title":"Vacuum phenomenon: Clinical relevance","volume":"27","author":"Gohil","year":"2014","journal-title":"Clin Anat"},{"key":"2025090502370530000_36.2.77.3","first-page":"9","article-title":"The spectrum of vacuum phenomenon and gas in spine","volume":"87","author":"Coulier","year":"2004","journal-title":"JBR-BTR"}],"container-title":["Emergency Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/emermed-2018-207987","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T09:37:13Z","timestamp":1757065033000},"score":1,"resource":{"primary":{"URL":"https:\/\/emj.bmj.com\/lookup\/doi\/10.1136\/emermed-2018-207987"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,29]]},"references-count":3,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2019,1,29]]},"published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1136\/emermed-2018-207987"],"URL":"https:\/\/doi.org\/10.1136\/emermed-2018-207987","relation":{},"ISSN":["1472-0205","1472-0213"],"issn-type":[{"type":"print","value":"1472-0205"},{"type":"electronic","value":"1472-0213"}],"subject":[],"published":{"date-parts":[[2019,1,29]]}}}