{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T18:08:58Z","timestamp":1777918138232,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100002560","name":"soonchunhyang university","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/501100002560","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Pain management is crucial in palliative care for patients with advanced cancer. Here, we report a case of shoulder pain in a patient with renal cell carcinoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 36-year-old male diagnosed metastatic renal cell carcinoma presented with pain and weakness on left shoulder for more than 6 months. Physical examination showed limited range of motion and atrophic changes on supraspinatus and infraspinatus muscles. Weakness in shoulder abduction and external rotation was also noted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Possible courses of action:<\/jats:title>\n                    <jats:p>In this case, suprascapular neuropathy, adhesive capsulitis of shoulder and metastatic lesions involving shoulder joint were suspected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Formulation of a plan:<\/jats:title>\n                    <jats:p>We planned imaging studies including X-ray, bone scan, magnetic resonance imaging, and electrodiagnostic studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome:<\/jats:title>\n                    <jats:p>Imaging and electrodiagnostic studies showed suprascapular neuropathy by bone metastasis. Conservative treatment including injection and rehabilitation therapy reduced the patient\u2019s pain and improved the range of motion limitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Lessons from the case:<\/jats:title>\n                    <jats:p>Clinicians should be aware that bone metastasis in patients with advanced cancer can cause suprascapular neuropathy, shoulder pain and shoulder dysfunction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>View on research problems, objectives, or questions generated by the case:<\/jats:title>\n                    <jats:p>More research is expected on development of an early surveillance model, barriers to cancer pain management, communication from patients\u2019 perspectives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163211024104","type":"journal-article","created":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T11:55:01Z","timestamp":1631706901000},"page":"1629-1633","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Shoulder pain in a patient with renal cell carcinoma? Suprascapular neuropathy caused by bone metastasis of renal cell carcinoma: A case report"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4529-3225","authenticated-orcid":false,"given":"Jeong-Se","family":"Noh","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong Hyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology, Seoul Metropolitan Government - Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seong-Min","family":"Chun","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6651-7908","authenticated-orcid":false,"given":"Yoon-Hee","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,9,15]]},"reference":[{"key":"bibr1-02692163211024104","doi-asserted-by":"publisher","DOI":"10.3390\/ijms17060987"},{"key":"bibr2-02692163211024104","first-page":"379","volume":"19","author":"Zekri J","year":"2001","journal-title":"Int J Oncol"},{"key":"bibr3-02692163211024104","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-018-0920-0"},{"key":"bibr4-02692163211024104","first-page":"128","volume":"9","author":"Gosk J","year":"2007","journal-title":"Ortop Traumatol Rehabil"},{"key":"bibr5-02692163211024104","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200911000-00001"},{"key":"bibr6-02692163211024104","first-page":"453","volume":"77","author":"Burbank KM","year":"2008","journal-title":"Am Fam Physician"},{"key":"bibr7-02692163211024104","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2014.01.016"},{"key":"bibr8-02692163211024104","first-page":"5","volume":"34","author":"Meislin RJ","year":"2005","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"bibr9-02692163211024104","doi-asserted-by":"publisher","DOI":"10.1002\/mus.26630"},{"key":"bibr10-02692163211024104","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.01743"},{"key":"bibr11-02692163211024104","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001711010140"},{"key":"bibr12-02692163211024104","doi-asserted-by":"publisher","DOI":"10.1007\/s00795-013-0064-6"},{"key":"bibr13-02692163211024104","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2019.01.221"},{"key":"bibr14-02692163211024104","doi-asserted-by":"crossref","unstructured":"Post M. 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Clin Orthop Relat Res 1999: 92\u2013100, https:\/\/pubmed.ncbi.nlm.nih.gov\/10613156\/","DOI":"10.1097\/00003086-199911000-00011"}],"container-title":["Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692163211024104","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02692163211024104","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692163211024104","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:31:47Z","timestamp":1777660307000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02692163211024104"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":14,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1177\/02692163211024104"],"URL":"https:\/\/doi.org\/10.1177\/02692163211024104","relation":{},"ISSN":["0269-2163","1477-030X"],"issn-type":[{"value":"0269-2163","type":"print"},{"value":"1477-030X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}