{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T18:35:47Z","timestamp":1787337347604,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","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 71-year-old woman sustained a left proximal humerus fracture dislocation. Imaging demonstrated displacement of the humeral head medial to the axillary artery without initial injury. To avoid iatrogenic injury, a separate medial axillary incision was successfully used to remove the humeral head and then reverse total shoulder arthroplasty was performed through a deltopectoral approach. At 1 year, the patient had excellent range of motion and PROMIS Physical Function CAT (v2.0) score was 46.2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A separate medial axillary approach can be used to safely remove anterior\/inferior humeral head fragments and avoid neurovascular injury in reverse total shoulder arthroplasty for proximal humerus fracture dislocations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.26.00145","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T18:00:39Z","timestamp":1787335239000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Avoiding Iatrogenic Axillary Artery Injury in Reverse Total Shoulder for Fracture: The Use of a Separate Axillary Incision"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7618-3681","authenticated-orcid":false,"given":"Patrick M.","family":"Wise","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, University of Missouri Health, Columbia, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9477-9777","authenticated-orcid":false,"given":"Douglas R.","family":"Haase","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University of Missouri Health, Columbia, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7]]},"reference":[{"issue":"1","key":"bib1-20260821","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1186\/s13018-021-02551-x","article-title":"Epidemiology of proximal humerus fractures","volume":"16","author":"Iglesias-Rodr\u00edguez","year":"2021","journal-title":"J Orthop Surg Res."},{"issue":"8","key":"bib2-20260821","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1007\/s12178-023-09846-y","article-title":"Fracture dislocations of the glenohumeral joint","volume":"16","author":"Labrum","year":"2023","journal-title":"Curr Rev Musculoskelet Med."},{"issue":"7","key":"bib3-20260821","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1016\/j.injury.2015.04.026","article-title":"Proximal humerus fracture with injury to the axillary artery: a population-based study","volume":"46","author":"Menendez","year":"2015","journal-title":"Injury."},{"issue":"6","key":"bib4-20260821","first-page":"136","article-title":"The circumflex nerve and dislocation of the shoulder","volume":"17","author":"Milton","year":"1954","journal-title":"Br J Phys Med."},{"key":"bib5-20260821","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1097\/00003086-196809000-00023","article-title":"Rupture of the axillary artery and brachial plexus palsy associated with anterior dislocation of the shoulder. Report of a case with successful vascular repair","volume":"60","author":"Brown","year":"1968","journal-title":"Clin Orthopa Relat Res."},{"issue":"11","key":"bib6-20260821","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1097\/BOT.0000000000000114","article-title":"Proximal humerus fractures with associated axillary artery injury","volume":"28","author":"Thorsness","year":"2014","journal-title":"J Orthop Trauma."},{"issue":"2","key":"bib7-20260821","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1007\/s00590-010-0675-8","article-title":"Axillary artery entrapment following proximal humeral fracture: a case report and review of the literature","volume":"21","author":"Keser","year":"2011","journal-title":"Eur J Orthopaedic Surg Traumatol."},{"issue":"6","key":"bib8-20260821","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1016\/0020-1383(87)90298-1","article-title":"Neurovascular injury complicating displaced proximal fractures of the humerus","volume":"18","author":"Str\u00f6mqvist","year":"1987","journal-title":"Injury."},{"issue":"3","key":"bib9-20260821","doi-asserted-by":"crossref","first-page":"e121","DOI":"10.1016\/j.jse.2020.10.019","article-title":"Reverse total shoulder arthroplasty after iatrogenic axillary artery injury: a case report","volume":"30","author":"O'Neill","year":"2021","journal-title":"J Shoulder Elbow Surg."},{"issue":"2","key":"bib10-20260821","first-page":"247","article-title":"Iatrogenic axillary artery injury from humeral neck fracture repair. A rare and unusual event in which an aggressive strategy was mandatory to save a child limb","volume":"58","author":"Veraldi","year":"2006","journal-title":"Chirurgia Italiana."},{"issue":"3","key":"bib11-20260821","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/j.jor.2017.06.001","article-title":"Axillary artery injury and brachial plexus palsy as a complication of proximal humerus fractures","volume":"14","author":"Bucci","year":"2017","journal-title":"J Orthop."},{"issue":"2","key":"bib12-20260821","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/j.jseint.2020.10.003","article-title":"A case of delayed axillary artery aneurysm after reverse shoulder arthroplasty for a shoulder fracture dislocation: a case report","volume":"5","author":"Hirata","year":"2021","journal-title":"JSES Int."},{"issue":"1","key":"bib13-20260821","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1186\/s13018-020-02094-7","article-title":"A novel surgical approach and technique and short-term clinical efficacy for the treatment of proximal humerus fractures with the combined use of medial anatomical locking plate fixation and minimally invasive lateral locking plate fixation","volume":"16","author":"Wang","year":"2021","journal-title":"J Orthop Surg Res."},{"issue":"4","key":"bib14-20260821","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1016\/j.jseint.2024.04.003","article-title":"Biceps tenotomy vs. tenodesis: an ACS-NSQIP analysis of postoperative outcomes and utilization trends","volume":"8","author":"Siddiq","year":"2024","journal-title":"JSES Int."},{"issue":"1","key":"bib15-20260821","doi-asserted-by":"crossref","first-page":"25","DOI":"10.2106\/JBJS.16.00124","article-title":"Return to function, complication, and reoperation rates following primary pectoralis major tendon repair in military service members","volume":"99","author":"Nute","year":"2017","journal-title":"J bone Jt Surg Am."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.26.00145","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T18:00:41Z","timestamp":1787335241000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.26.00145"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":15,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.26.00145","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}