{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T09:03:04Z","timestamp":1789376584496,"version":"build-2803163510"},"reference-count":30,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009633","name":"National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R24HD098415"],"award-info":[{"award-number":["R24HD098415"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009633","name":"National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R03HD119150"],"award-info":[{"award-number":["R03HD119150"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["K08HS028847"],"award-info":[{"award-number":["K08HS028847"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["K08HS028682"],"award-info":[{"award-number":["K08HS028682"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Child Abuse & Neglect"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.chiabu.2026.108217","type":"journal-article","created":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T19:18:34Z","timestamp":1786216714000},"page":"108217","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Outcomes of indeterminate fractures identified on skeletal surveys obtained during non-accidental trauma evaluations"],"prefix":"10.1016","volume":"180","author":[{"given":"Sabrina M.","family":"Darwiche","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irit R.","family":"Rasooly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne N.","family":"Wood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hansel J.","family":"Otero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helina","family":"Afework","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Edozie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Lopez-Rippe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amina N.","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Leonard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Katherine","family":"Henry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.chiabu.2026.108217_bb0005","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1016\/j.jpeds.2016.01.017","article-title":"Effective radiation dose in a skeletal survey performed for suspected child abuse","volume":"171","author":"Berger","year":"2016","journal-title":"The Journal of Pediatrics"},{"issue":"5","key":"10.1016\/j.chiabu.2026.108217_bb0010","article-title":"The evaluation of suspected child physical abuse","volume":"135","author":"C. W. & Committee on Child Abuse and Neglect","year":"2015","journal-title":"Pediatrics"},{"issue":"1","key":"10.1016\/j.chiabu.2026.108217_bb0015","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1097\/TA.0b013e3182984831","article-title":"Mortality increases with recurrent episodes of nonaccidental trauma in children","volume":"75","author":"Deans","year":"2013","journal-title":"Journal of Trauma and Acute Care Surgery"},{"issue":"7","key":"10.1016\/j.chiabu.2026.108217_bb0020","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1016\/j.chiabu.2005.12.008","article-title":"Analysis of caretaker histories in abuse: Comparing initial histories with subsequent confessions","volume":"30","author":"Flaherty","year":"2006","journal-title":"Child Abuse & Neglect"},{"issue":"2","key":"10.1016\/j.chiabu.2026.108217_bb0025","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2024-070074","article-title":"Evaluating young children with fractures for child abuse: Clinical report","volume":"155","author":"Haney","year":"2025","journal-title":"Pediatrics"},{"issue":"2","key":"10.1016\/j.chiabu.2026.108217_bb0030","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014A metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"Journal of Biomedical Informatics"},{"issue":"7","key":"10.1016\/j.chiabu.2026.108217_bb0035","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1001\/jama.281.7.621","article-title":"Analysis of missed cases of abusive head trauma","volume":"281","author":"Jenny","year":"1999","journal-title":"JAMA"},{"issue":"4","key":"10.1016\/j.chiabu.2026.108217_bb0040","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1007\/s00247-011-2248-3","article-title":"Long bone fracture detection in suspected child abuse: Contribution of lateral views","volume":"42","author":"Karmazyn","year":"2012","journal-title":"Pediatric Radiology"},{"issue":"8","key":"10.1016\/j.chiabu.2026.108217_bb0045","doi-asserted-by":"crossref","first-page":"1123","DOI":"10.1007\/s00247-020-04671-8","article-title":"Accuracy of ultrasound in the diagnosis of classic metaphyseal lesions using radiographs as the gold standard","volume":"50","author":"Karmazyn","year":"2020","journal-title":"Pediatric Radiology"},{"issue":"5","key":"10.1016\/j.chiabu.2026.108217_bb0050","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1007\/s00247-017-3783-3","article-title":"Double-read of skeletal surveys in suspected non-accidental trauma: What we learned","volume":"47","author":"Karmazyn","year":"2017","journal-title":"Pediatric Radiology"},{"issue":"2","key":"10.1016\/j.chiabu.2026.108217_bb0055","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1007\/s00247-018-4276-8","article-title":"The added value of a second read by pediatric radiologists for outside skeletal surveys","volume":"49","author":"Karmazyn","year":"2019","journal-title":"Pediatric Radiology"},{"issue":"4","key":"10.1016\/j.chiabu.2026.108217_bb0060","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1097\/01.pec.0000208180.94166.dd","article-title":"Child Abuse fatalities: Are we missing opportunities for intervention?","volume":"22","author":"King","year":"2006","journal-title":"Pediatric Emergency Care"},{"key":"10.1016\/j.chiabu.2026.108217_bb0065","doi-asserted-by":"crossref","DOI":"10.1016\/j.chiabu.2022.105653","article-title":"The CAPNET multi-center data set for child physical abuse: Rationale, methods and scope","volume":"131","author":"Kratchman","year":"2022","journal-title":"Child Abuse & Neglect"},{"key":"10.1016\/j.chiabu.2026.108217_bb0070","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The measurement of observer agreement for categorical data","volume":"33","author":"Landis","year":"1977","journal-title":"Biometrics"},{"key":"10.1016\/j.chiabu.2026.108217_bb0075","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.chiabu.2016.09.001","article-title":"Prior opportunities to identify abuse in children with abusive head trauma","volume":"60","author":"Letson","year":"2016","journal-title":"Child Abuse & Neglect"},{"issue":"3","key":"10.1016\/j.chiabu.2026.108217_bb0080","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1542\/peds.2007-1959","article-title":"Incidence of fractures attributable to abuse in young hospitalized children: Results from analysis of a United States database","volume":"122","author":"Leventhal","year":"2008","journal-title":"Pediatrics"},{"issue":"4","key":"10.1016\/j.chiabu.2026.108217_bb0085","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1097\/01.bpb.0000271328.79481.07","article-title":"Orthopaedic injuries in children with nonaccidental trauma: Demographics and incidence from the 2000 kids\u2019 inpatient database","volume":"27","author":"Loder","year":"2007","journal-title":"Journal of Pediatric Orthopaedics"},{"issue":"1","key":"10.1016\/j.chiabu.2026.108217_bb0090","doi-asserted-by":"crossref","first-page":"e40","DOI":"10.1016\/j.crad.2021.09.019","article-title":"Value of additional lateral radiographs in paediatric skeletal surveys for suspected physical abuse","volume":"77","author":"Meshaka","year":"2022","journal-title":"Clinical Radiology"},{"issue":"5","key":"10.1016\/j.chiabu.2026.108217_bb0095","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1007\/s00247-009-1157-1","article-title":"Skeletal imaging of child abuse (non-accidental injury)","volume":"39","author":"Offiah","year":"2009","journal-title":"Pediatric Radiology"},{"issue":"4","key":"10.1016\/j.chiabu.2026.108217_bb0100","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.5832","article-title":"Validation of a clinical decision rule to predict abuse in young children based on bruising characteristics","volume":"4","author":"Pierce","year":"2021","journal-title":"JAMA Network Open"},{"issue":"1","key":"10.1016\/j.chiabu.2026.108217_bb0105","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.annemergmed.2015.06.021","article-title":"The prevalence of bruising among infants in pediatric emergency departments","volume":"67","author":"Pierce","year":"2016","journal-title":"Annals of Emergency Medicine"},{"issue":"6","key":"10.1016\/j.chiabu.2026.108217_bb0110","doi-asserted-by":"crossref","first-page":"1798","DOI":"10.1002\/ppul.26943","article-title":"Radiographic uncertainty and outcomes of children with lower respiratory tract infections","volume":"59","author":"Ramgopal","year":"2024","journal-title":"Pediatric Pulmonology"},{"issue":"9","key":"10.1016\/j.chiabu.2026.108217_bb0115","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1136\/archdischild-2018-316286","article-title":"Radiation doses in diagnostic imaging for suspected physical abuse","volume":"104","author":"Rao","year":"2019","journal-title":"Archives of Disease in Childhood"},{"issue":"1","key":"10.1016\/j.chiabu.2026.108217_bb0120","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1542\/peds.2008-3794","article-title":"Delayed identification of pediatric abuse-related fractures","volume":"125","author":"Ravichandiran","year":"2010","journal-title":"Pediatrics"},{"key":"10.1016\/j.chiabu.2026.108217_bb0125","unstructured":"Royal College of Radiologist. The radiological investigation of suspected physical abuse in children. (n.d.). Retrieved October 7, 2025, from https:\/\/www.rcr.ac.uk\/our-services\/all-our-publications\/clinical-radiology-publications\/the-radiological-investigation-of-suspected-physical-abuse-in-children\/."},{"issue":"2","key":"10.1016\/j.chiabu.2026.108217_bb0130","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1097\/PEC.0000000000000608","article-title":"Characteristics of rib fractures in child abuse\u2014The role of low-dose chest computed tomography","volume":"34","author":"Sanchez","year":"2018","journal-title":"Pediatric Emergency Care"},{"issue":"5","key":"10.1016\/j.chiabu.2026.108217_bb0135","doi-asserted-by":"crossref","first-page":"1430","DOI":"10.1542\/peds.2009-0558","article-title":"Diagnostic imaging of child abuse","volume":"123","author":"Section on Radiology","year":"2009","journal-title":"Pediatrics"},{"issue":"4","key":"10.1016\/j.chiabu.2026.108217_bb0140","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1542\/peds.2012-2780","article-title":"Sentinel injuries in infants evaluated for child physical abuse","volume":"131","author":"Sheets","year":"2013","journal-title":"Pediatrics"},{"issue":"2","key":"10.1016\/j.chiabu.2026.108217_bb0145","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1016\/j.acap.2022.07.001","article-title":"Child abuse pediatrics research network: The CAPNET core data project","volume":"23","author":"Wood","year":"2023","journal-title":"Academic Pediatrics"},{"issue":"5","key":"10.1016\/j.chiabu.2026.108217_bb0150","doi-asserted-by":"crossref","first-page":"S338","DOI":"10.1016\/j.jacr.2017.01.036","article-title":"ACR appropriateness criteria \u00ae suspected physical abuse\u2014child","volume":"14","author":"Wootton-Gorges","year":"2017","journal-title":"Journal of the American College of Radiology"}],"container-title":["Child Abuse & Neglect"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0145213426003376?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0145213426003376?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T08:06:48Z","timestamp":1789373208000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0145213426003376"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":30,"alternative-id":["S0145213426003376"],"URL":"https:\/\/doi.org\/10.1016\/j.chiabu.2026.108217","relation":{},"ISSN":["0145-2134"],"issn-type":[{"value":"0145-2134","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Outcomes of indeterminate fractures identified on skeletal surveys obtained during non-accidental trauma evaluations","name":"articletitle","label":"Article Title"},{"value":"Child Abuse & Neglect","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.chiabu.2026.108217","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"108217"}}