{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T02:10:07Z","timestamp":1793326207059,"version":"4.5.0"},"reference-count":2,"publisher":"Journal of Orthopaedic & Sports Physical Therapy (JOSPT)","issue":"11","content-domain":{"domain":["www.jospt.org"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:p> A 30-year-old woman was referred to physical therapy for bilateral shoulder and thoracic spine pain concurrent with loss of range of motion. Notable medical history included surgical removal of a pituitary adenoma that had resulted in excessive growth hormone secretion, developing into acromegaly with hallmark physical features. Following examination, radiographs were requested to evaluate the extent of arthropathies associated with acromegaly. Radiographs revealed advanced arthropathies of the bilateral acromioclavicular and glenohumeral joints, along with loss of disc height and anterolisthesis throughout the thoracic spine. J Orthop Sports Phys Ther 2019;49(11):864. doi:10.2519\/jospt.2019.8302 <\/jats:p>","DOI":"10.2519\/jospt.2019.8302","type":"journal-article","created":{"date-parts":[[2019,11,1]],"date-time":"2019-11-01T06:31:12Z","timestamp":1572589872000},"page":"864-864","update-policy":"https:\/\/doi.org\/10.2519\/jospt.crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Acromegalic Arthropathy"],"prefix":"10.2519","volume":"49","author":[{"given":"Jason T.","family":"Cirolia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1394","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/839282"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rdc.2010.09.004"}],"container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jospt.org\/doi\/pdf\/10.2519\/jospt.2019.8302","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T13:57:04Z","timestamp":1724680624000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jospt.org\/doi\/10.2519\/jospt.2019.8302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11]]},"references-count":2,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.2519\/jospt.2019.8302"],"URL":"https:\/\/doi.org\/10.2519\/jospt.2019.8302","relation":{},"ISSN":["0190-6011","1938-1344"],"issn-type":[{"value":"0190-6011","type":"print"},{"value":"1938-1344","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11]]},"assertion":[{"value":"2019-10-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}