{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:29Z","timestamp":1787755529026,"version":"build-2784847793"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 33-year-old man presented with a closed distal humerus fracture after a fall from scaffolding. Computed tomography demonstrated intra-articular gas, despite the lack of arthrotomy, open fracture, or skin defects. The \u201cvacuum phenomenon\u201d (VP), or the presence of intra-articular gas in closed injuries, has primarily been described in the axial skeleton. To our knowledge, there are no reports in fractures of the elbow.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The incidence of the VP is under-reported and represents a lack of physician awareness. The VP should remain a diagnosis of exclusion; however, physicians should be aware of this phenomenon to prevent unnecessary patient harm.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00203","type":"journal-article","created":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T15:56:04Z","timestamp":1598975764000},"page":"e20.00203-e20.00203","source":"Crossref","is-referenced-by-count":2,"title":["The Vacuum Phenomenon in the Elbow"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1881-2766","authenticated-orcid":false,"given":"Tyler J.","family":"Smith","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5861-779X","authenticated-orcid":false,"given":"Anthony","family":"Judice","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2815-3530","authenticated-orcid":false,"given":"Salvador","family":"Forte","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9225-8698","authenticated-orcid":false,"given":"Michael","family":"Boniello","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Cooper University Hospital, Camden, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6390-9161","authenticated-orcid":false,"given":"Matthew","family":"Kleiner","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Cooper University Hospital, Camden, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7930-9996","authenticated-orcid":false,"given":"David","family":"Fuller","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Cooper University Hospital, Camden, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"5","key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"W663","DOI":"10.2214\/AJR.12.9007","article-title":"Vacuum phenomenon on CT and fluid on MRI in degenerative disks","volume":"199","author":"Junhui","year":"2012","journal-title":"Am J 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