{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:49:31Z","timestamp":1787755771835,"version":"build-2784847793"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 17-year-old adolescent boy sustained right lateral clavicle physeal separation with the epiphysis displaced superiorly in the acromioclavicular joint (ACJ). The ossified epiphysis formed a painful nonunion with the clavicular metaphysis. Resection of the epiphysis has achieved an excellent outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Children and adolescents with lateral clavicle injuries often develop pseudodislocation of the ACJ in which the metaphysis is displaced due to physeal separation. By contrast, displacement of the unossified epiphysis is extremely difficult to diagnose both radiographically and clinically at the time of injury.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00492","type":"journal-article","created":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T14:00:57Z","timestamp":1740060057000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Extruded Epiphysis of the Distal Clavicle Resulting in Painful Nonunion"],"prefix":"10.2106","volume":"15","author":[{"given":"Kiyohisa","family":"Ogawa","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Eiju General Hospital, Taito-ku, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0491-1720","authenticated-orcid":false,"given":"Yusuke","family":"Kawano","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Fujita Health University Hospital, Kutsukake-cho, Toyoake, Japan"},{"name":"Department of Orthopedic Surgery, Shizuoka City Shimizu Hospital, Shizuoka, Shizuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4869-2307","authenticated-orcid":false,"given":"Hirokazu","family":"Tochigi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shizuoka City Shimizu Hospital, Shizuoka, Shizuoka, Japan"},{"name":"Department of Orthopedic Surgery, National Hospital Organization Saitama Hospital, Wako, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1]]},"reference":[{"issue":"09","key":"bib3-20250220","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1055\/s-2008-1063302","article-title":"The pseudoluxation of the acromio-clavicular joint\u2014a special type of epiphyseolysis [in German]","volume":"34","author":"Neu","year":"1981","journal-title":"Eur J Pediatr Surg."},{"issue":"3","key":"bib4-20250220","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1302\/0301-620X.64B3.7096407","article-title":"Pseudodislocation of the acromioclavicular joint","volume":"64","author":"Falstie-Jensen","year":"1982","journal-title":"J Bone Joint Surg Br."},{"key":"bib5-20250220","first-page":"68","article-title":"Distal clavicular physeal injury","volume":"188","author":"Ogden","year":"1984","journal-title":"Clin Orthopaedics Relat Res."},{"issue":"2","key":"bib6-20250220","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1097\/01241398-198903000-00019","article-title":"Injuries of distal clavicular physis in children","volume":"9","author":"Havr\u00e1nek","year":"1989","journal-title":"J Pediatr Orthop."},{"issue":"1","key":"bib7-20250220","first-page":"53","article-title":"Injury of the acromial end of the clavicle imitating dislocation of the acromio-clavicular joint [in Polish]","volume":"55","author":"Pizio","year":"1990","journal-title":"Chir Narzadow Ruchu Ortop Pol."},{"issue":"6","key":"bib8-20250220","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1177\/036354659101900616","article-title":"Traumatic pseudodislocation of the acromioclavicular joint in children. 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