{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:43:49Z","timestamp":1787755429147,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 9-year-old boy sustained intrasubstance tears of the rotator cuff and periscapular muscles due to a fall, resulting in scapular winging and severely decreased shoulder range of motion. Treatment consisted of a modified thoracolumbosacral orthosis (TLSO) with a shoulder immobilizer attachment (to reduce the scapula to the thoracic wall and hold the arm in 10\u00b0 of abduction). The brace was worn for 8 weeks. The patient recovered full, pain-free shoulder function and range of motion, and returned to high-level athletics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Pediatric massive intrasubstance rotator cuff and periscapular muscle tears can be treated nonoperatively with use of a modified TLSO.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.17.00122","type":"journal-article","created":{"date-parts":[[2018,3,13]],"date-time":"2018-03-13T13:17:14Z","timestamp":1520947034000},"page":"e14-e14","source":"Crossref","is-referenced-by-count":5,"title":["A Novel Treatment for a Rare Injury: Pediatric Massive Intrasubstance Rotator Cuff and Periscapular Muscle Tears Treated with a Custom Brace"],"prefix":"10.2106","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5571-4153","authenticated-orcid":false,"given":"Molly K.","family":"Lewis","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Loma Linda University Medical Center, Loma Linda, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Ramos-Williams","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Loma Linda University Medical Center, Loma Linda, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan M.","family":"Syed","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Loma Linda University Medical Center, Loma Linda, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore K.","family":"Gregorius","sequence":"additional","affiliation":[{"name":"Empire Orthopaedic Center, Colton, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,3,14]]},"reference":[{"issue":"4","key":"bib1-20230713","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1177\/0363546504269033","article-title":"Rotator cuff tears in adolescent athletes","volume":"33","author":"Tarkin","year":"2005","journal-title":"Am J Sports Med."},{"issue":"1","key":"bib2-20230713","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1097\/BPO.0b013e318279c2e0","article-title":"Partial rotator cuff tears in adolescents: factors affecting outcomes","volume":"33","author":"Eisner","year":"2013","journal-title":"J Pediatr Orthop."},{"issue":"5","key":"bib3-20230713","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1177\/03635465030310052401","article-title":"Rotator cuff tear in a 13-year-old baseball player: a case report","volume":"31","author":"Battaglia","year":"2003","journal-title":"Am J Sports 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