{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T06:28:28Z","timestamp":1790231308333,"version":"4.1.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,3,13]],"date-time":"2020-03-13T00:00:00Z","timestamp":1584057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Shoulder &amp; Elbow"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Scapular fractures are relatively rare injuries usually associated with high-energy trauma and multiple concomitant injuries. Most of scapular fractures do not require surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient and clinical history<\/jats:title>\n                    <jats:p>A 42-year-old male sustained an extra-articular scapular body fracture along with multiple rib fractures with flail segments and right pneumothorax treated with intercostal drain. The scapula fracture was treated non-operatively initially, which resulted in very poor outcome. Operative intervention was planned following scans which showed a bony spike from the ventral surface impinging on the chest wall.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Surgical technique<\/jats:title>\n                    <jats:p>Bony spur was approached from dorsal side using a three-dimensional anatomical model as a guide for accurate localization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The patient\u2019s symptoms including shoulder stiffness and pain on deep inspiration settled down completely following removal of the spur.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case presents a new indication for surgical intervention in scapular body fracture which has not been published before. All the relevant measurements related to the fracture namely gleno-polar angle, lateral border offset and angulation were within published limits of indications for conservative treatment. Despite this, it resulted in poor outcome necessitating surgical intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1758573220906557","type":"journal-article","created":{"date-parts":[[2020,3,14]],"date-time":"2020-03-14T02:37:37Z","timestamp":1584153457000},"page":"534-537","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Case report of an unusual extra-articular scapular malunion: Rare indication for surgery"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6839-9658","authenticated-orcid":false,"given":"Bhanu","family":"Mishra","sequence":"first","affiliation":[{"name":"Hospital \u2013 University Hospital North Midlands, Stoke on Trent, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"Grocott","sequence":"additional","affiliation":[{"name":"Hospital \u2013 University Hospital North Midlands, Stoke on Trent, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Smith","sequence":"additional","affiliation":[{"name":"Hospital \u2013 University Hospital North Midlands, Stoke on Trent, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"McClelland","sequence":"additional","affiliation":[{"name":"Hospital \u2013 University Hospital North Midlands, Stoke on Trent, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,3,13]]},"reference":[{"key":"bibr1-1758573220906557","first-page":"59","volume-title":"Rockwood and Green\u2019s fractures in adults","author":"Court-Brown CM","year":"2015","edition":"8"},{"key":"bibr2-1758573220906557","author":"Ada JR","journal-title":"Clin Orthop Relat Res"},{"key":"bibr3-1758573220906557","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197506000-00002"},{"key":"bibr4-1758573220906557","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198010000-00011"},{"key":"bibr5-1758573220906557","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198911000-00006"},{"key":"bibr6-1758573220906557","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00881"},{"key":"bibr7-1758573220906557","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200006000-00003"},{"key":"bibr8-1758573220906557","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200108000-00008"},{"key":"bibr9-1758573220906557","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2005.03.004"},{"key":"bibr10-1758573220906557","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-005-0044-y"},{"key":"bibr11-1758573220906557","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274020-00019"},{"key":"bibr12-1758573220906557","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199304000-00001"},{"key":"bibr13-1758573220906557","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199802000-00015"},{"key":"bibr14-1758573220906557","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B2.0840173"},{"key":"bibr15-1758573220906557","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.66B5.6501369"},{"key":"bibr16-1758573220906557","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(03)00069-5"},{"key":"bibr17-1758573220906557","doi-asserted-by":"publisher","DOI":"10.1007\/s004020000224"},{"key":"bibr18-1758573220906557","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2004.09.013"},{"key":"bibr19-1758573220906557","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0651-3"},{"key":"bibr20-1758573220906557","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31820af67f"}],"container-title":["Shoulder &amp; Elbow"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1758573220906557","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1758573220906557","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1758573220906557","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:14:47Z","timestamp":1777587287000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1758573220906557"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,13]]},"references-count":20,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1177\/1758573220906557"],"URL":"https:\/\/doi.org\/10.1177\/1758573220906557","relation":{},"ISSN":["1758-5732","1758-5740"],"issn-type":[{"value":"1758-5732","type":"print"},{"value":"1758-5740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,13]]}}}