{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:44:17Z","timestamp":1777859057432,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p>A healthy 15-year-old right-hand dominant football player presented to the clinic for a preparticipation examination (PPE) with an exam notable for reduced right shoulder range of motion. The patient reported no complaints, including no pain. Upon questioning, he noted a remote non-sports related injury to that shoulder with unremarkable radiographs at that time. Subsequent X-ray imaging showed a bony abnormality thought to be consistent with an osteochondroma. However, advanced imaging identified it as a heterotrophic ossification center that required a complex, multidisciplinary surgical team to correct. This case of a high school football player\u2019s routine PPE that resulted in surgery highlights not only whether sport participation is safe, but also the importance of direct, specific language that asks about the history of any injuries, rather than specifically sports related.<\/jats:p>","DOI":"10.1177\/21501319231201092","type":"journal-article","created":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T22:38:37Z","timestamp":1694817517000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Young Adolescent With Restricted Arm Motion During a Preparticipation Physical Exam"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-6867-1431","authenticated-orcid":false,"given":"Audrey A.","family":"Potts","sequence":"first","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madison L.","family":"McLachlan","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca J.","family":"Stoll","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Billings","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4646-1748","authenticated-orcid":false,"given":"Nathaniel E.","family":"Miller","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,9,15]]},"reference":[{"key":"bibr1-21501319231201092","volume-title":"The Preparticipation Sports Evaluation","author":"Mirabelli MH","year":"2015"},{"issue":"9","key":"bibr2-21501319231201092","first-page":"539","volume":"103","author":"MacDonald J","year":"2021","journal-title":"Am Fam Physician"},{"key":"bibr3-21501319231201092","volume-title":"PPE: Preparticipation Physical Evaluation: Vol. 5th edition","author":"American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, &amp; American Medical Society for Sports Medicine","year":"2019"},{"issue":"2","key":"bibr4-21501319231201092","first-page":"149","volume":"92","author":"Khodaee M","year":"2015","journal-title":"Am Fam Physician"},{"key":"bibr5-21501319231201092","volume-title":"Nonmalignant Bone Lesions in Children and Adolescents","author":"Tis J.","year":"2022"},{"issue":"3","key":"bibr6-21501319231201092","first-page":"346","volume":"43","author":"Shehab D","year":"2002","journal-title":"J Nucl Med"},{"key":"bibr7-21501319231201092","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2019.05.019"},{"key":"bibr8-21501319231201092","doi-asserted-by":"publisher","DOI":"10.1002\/jbm4.10172"},{"key":"bibr9-21501319231201092","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199102000-00003"},{"key":"bibr10-21501319231201092","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-015-0764-2"},{"key":"bibr11-21501319231201092","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2014.08.025"},{"key":"bibr12-21501319231201092","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2000.11753507"}],"container-title":["Journal of Primary Care &amp; Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319231201092","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501319231201092","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319231201092","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:24:15Z","timestamp":1777508655000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501319231201092"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":12,"alternative-id":["10.1177\/21501319231201092"],"URL":"https:\/\/doi.org\/10.1177\/21501319231201092","relation":{},"ISSN":["2150-1319","2150-1327"],"issn-type":[{"value":"2150-1319","type":"print"},{"value":"2150-1327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"21501319231201092"}}