{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T05:20:25Z","timestamp":1787808025814,"version":"build-2784847793"},"reference-count":23,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[1987,11,1]],"date-time":"1987-11-01T00:00:00Z","timestamp":562723200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[1987,11]]},"abstract":"<jats:p>Athletes participating in noncontact sports involving abduction and external rotation of the shoulder (e.g., throwing) may develop occult recurrent subluxation manifested only as pain. The lack of contact trauma preceding symptoms, the failure of the athlete to ap preciate the instability, the relative rarity that the lesion has been previously recognized and reported, and the lack of objective evidence of instability often lead to incorrect diagnosis by the physician.<\/jats:p>\n                  <jats:p>We report 30 shoulders in 28 patients with this lesion. Nineteen of these patients had been originally seen by other physicians prior to presenting to us and mis diagnosed. The newly described apical oblique roent genographic projection revealed Hill-Sach's lesions in 23 of 28 patients in this series. In addition, two of the five patients without Hill-Sach's lesions had bony changes pathognomonic for the Bankart lesion on the apical oblique projection. A total of 25 of the 28 patients had objective roentgenographic evidence of previous anterior subluxation. Eleven of the patients had arthros copic examinations confirming various pathology con sistent with anterior subluxation, including anterior or inferior labral tears, Hill-Sach's lesions, anterior inferior glenoid articular cartilaginous erosion, or Bankart le sions. Two of the twenty-eight patients had pathology in addition to evidence of previous occult subluxation which may have played a role in their symptoms, one having had osteolysis of the distal end of the clavicle and another having subacromical adhesions.<\/jats:p>","DOI":"10.1177\/036354658701500610","type":"journal-article","created":{"date-parts":[[2007,6,21]],"date-time":"2007-06-21T20:46:52Z","timestamp":1182458812000},"page":"579-585","source":"Crossref","is-referenced-by-count":110,"title":["Occult anterior subluxations of the shoulder in noncontact sports"],"prefix":"10.1177","volume":"15","author":[{"suffix":"JR","given":"William P.","family":"Garth","sequence":"first","affiliation":[{"name":"Kerner-Quarterback Sports Medicine Institute, University of Alabama at Birmingham, Birmingham, Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"JR","given":"Fred L.","family":"Allman","sequence":"additional","affiliation":[{"name":"The Sports Medicine Clinic, P.C., Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William S.","family":"Armstrong","sequence":"additional","affiliation":[{"name":"The Sports Medicine Clinic, P.C., Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1987,11,1]]},"reference":[{"key":"atypb1","unstructured":"Andrews JR, Carson WG The arthroscopic treatment of glenoid labrum tears in the throwing athlete Orthop Trans 8. 49, 1984"},{"key":"atypb2","unstructured":"Andrews JR, Carson WG, Hughston JC Operative arthroscopy of the shoulder A preliminary report Orthop Trans 7 384, 1983"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1177\/036354658501300508"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1177\/036354658401200408"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1177\/036354657800600205"},{"key":"atypb6","doi-asserted-by":"crossref","unstructured":"Barnett LS Little League shoulder syndrome Proximal humeral epiphysiolysis in adolescent baseball pitchers J Bone Joint Surg 67A: 495-496, 1986","DOI":"10.2106\/00004623-198567030-00025"},{"key":"atypb7","unstructured":"Bateman JE Fractures and dislocations, in Bateman JE (ed) The Shoulder and Neck Philadelphia , WB Saunders Co, 1972, pp 404-405"},{"key":"atypb8","doi-asserted-by":"crossref","unstructured":"Bateman JE Neurologic painful conditions affecting the shoulder Clin Orthop 173: 44-54, 1983","DOI":"10.1097\/00003086-198303000-00007"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1177\/036354658701500209"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466090-00020"},{"key":"atypb11","doi-asserted-by":"crossref","unstructured":"Jobe FW, Jobe CM Painful athletic injuries of the shoulder Clin Orthop 173: 117-124, 1983","DOI":"10.1097\/00003086-198303000-00015"},{"key":"atypb12","doi-asserted-by":"crossref","unstructured":"Lombardo SJ , Jobe FW, Kerlan RK, et al Posterior shoulder lesions in throwing athletes. Am J Sports Med 5 105-110, 1977","DOI":"10.1177\/036354657700500302"},{"key":"atypb13","doi-asserted-by":"crossref","unstructured":"McGlynn FJ, Caspari RB Arthroscopic findings in the subluxating shoulder. Clin Orthop 183 173-178,1984","DOI":"10.1097\/00003086-198403000-00028"},{"key":"atypb14","doi-asserted-by":"crossref","unstructured":"Neer CS Impingement lesions Clin Orthop 173 70-77, 1983","DOI":"10.1097\/00003086-198303000-00010"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)31484-X"},{"key":"atypb16","doi-asserted-by":"crossref","unstructured":"Neviaser RJ Painful conditions affecting the shoulder. Clin Orthop 173. 63-69, 1983","DOI":"10.1097\/00003086-198303000-00009"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1177\/036354657800600301"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1177\/036354658301100501"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1177\/036354658501300403"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198062060-00005"},{"key":"atypb21","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197201000-00012"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198163060-00001"},{"key":"atypb23","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198163080-00002"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/036354658701500610","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/036354658701500610","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:38:39Z","timestamp":1777369119000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/036354658701500610"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1987,11]]},"references-count":23,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1987,11]]}},"alternative-id":["10.1177\/036354658701500610"],"URL":"https:\/\/doi.org\/10.1177\/036354658701500610","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[1987,11]]}}}