{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T22:40:42Z","timestamp":1790980842068,"version":"4.1.0"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"4","license":[{"start":{"date-parts":[[1993,7,1]],"date-time":"1993-07-01T00:00:00Z","timestamp":741484800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[1993,7]]},"abstract":"<jats:p> Sickle-cell disease (SCD) is probably the commonest cause of avascular necrosis worldwide, and its prevalence appears to be rising in developed countries. Avascular necrosis of the humeral head is a common complication but has not been previously studied in detail. We have reviewed 138 patients with SCD for clinical, radiological and functional abnormalities of the shoulder, using a radiological classification designed for avascular necrosis of the shoulder. Radiographic lesions, frequently bilateral, were found in 28% and only 53% of patients had normal shoulder function. The management of this relatively common complication is difficult. Joint replacement is likely to fail and early diagnosis is important. <\/jats:p>","DOI":"10.1302\/0301-620x.75b4.8331106","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T11:56:03Z","timestamp":1519214163000},"page":"538-545","source":"Crossref","is-referenced-by-count":38,"title":["The shoulder in sickle-cell disease"],"prefix":"10.1302","volume":"75-B","author":[{"given":"HG","family":"David","sequence":"first","affiliation":[{"name":"Central Middlesex Hospital, London, England."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SA","family":"Bridgman","sequence":"additional","affiliation":[{"name":"Central Middlesex Hospital, London, England."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SC","family":"Davies","sequence":"additional","affiliation":[{"name":"Central Middlesex Hospital, London, England."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"AL","family":"Hine","sequence":"additional","affiliation":[{"name":"Central Middlesex Hospital, London, England."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RJ","family":"Emery","sequence":"additional","affiliation":[{"name":"Central Middlesex Hospital, London, England."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.75B4.8331106","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.75B4.8331106","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T19:14:40Z","timestamp":1629141280000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.75B4.8331106"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,7]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1993,7]]}},"alternative-id":["10.1302\/0301-620X.75B4.8331106"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.75b4.8331106","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[1993,7]]}}}