{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T07:00:24Z","timestamp":1768892424195,"version":"3.49.0"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,11,7]],"date-time":"2014-11-07T00:00:00Z","timestamp":1415318400000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Forensic Sciences"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Bilateral symmetric bone nodules were observed in the anterolateral first ribs of an infant with shaking injuries at autopsy. The location prompted diagnostic considerations of healing fractures versus anomalous articulations with pseudarthroses. The forensic pathologist worked with forensic anthropologists and pediatric radiologists to evaluate autopsy findings and compare premortem and postmortem <jats:styled-content style=\"fixed-case\">X<\/jats:styled-content>\u2010rays. Gross examination of the bones by the pathologist and anthropologists confirmed bilateral, callus\u2010like bone nodules in first\u2010rib locations associated with pseudarthroses. Histologic examination of one of the bones further showed features most consistent with pseudarthrosis, not a healing fracture. Radiologists then compared multiple premortem and postmortem radiographs that showed no remodeling of the bone over a 2\u2010week interval between the time of injury and death, which would be unexpected for a healing fracture in an infant. This multidisciplinary approach resulted in the appropriate diagnosis of pseudarthroses due to anomalous articulations, an uncommon finding in forensic pathology.<\/jats:p>","DOI":"10.1111\/1556-4029.12609","type":"journal-article","created":{"date-parts":[[2014,11,7]],"date-time":"2014-11-07T22:49:26Z","timestamp":1415400566000},"page":"1668-1671","source":"Crossref","is-referenced-by-count":4,"title":["Bilateral First Rib Anomalous Articulations with Pseudarthroses Mimicking Healing Fractures in an Infant with Abusive Head Injury"],"prefix":"10.1111","volume":"59","author":[{"given":"Melissa A.","family":"Pasquale\u2010Styles","sequence":"first","affiliation":[{"name":"Fulton County Medical Examiner Center Atlanta GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian M.","family":"Crowder","sequence":"additional","affiliation":[{"name":"Office of the Armed Forces Medical Examiner Dover AFB DE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeannette","family":"Fridie","sequence":"additional","affiliation":[{"name":"Office of Chief Medical Examiner New York NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah S.","family":"Milla","sequence":"additional","affiliation":[{"name":"Department of Radiology New York University Langone Medical Center New York NY"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,11,7]]},"reference":[{"key":"e_1_2_4_2_1","volume-title":"Atlas of normal roentgen variants that may simulate disease","author":"Keats TE","year":"2001"},{"key":"e_1_2_4_3_1","volume-title":"Diagnostic imaging of child abuse","author":"Kleinman PK","year":"1998"},{"key":"e_1_2_4_4_1","first-page":"49","article-title":"Pseudarthrosis, synchondrosis and other anomalies of the first ribs","volume":"53","author":"Gershon\u2010Cohen LCJ","year":"1945","journal-title":"Am J Roentgenol"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.19.5.g99se011125"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1259\/0007-1285-23-265-15"},{"key":"e_1_2_4_7_1","first-page":"359","article-title":"Osseous abnormalities in the thoracic cage seen in forty thousand consecutive chest photoroentgenograms","volume":"51","author":"Etter LE","year":"1944","journal-title":"Am J Roentgenol Radium Ther"},{"key":"e_1_2_4_8_1","first-page":"160","article-title":"Anomalous development of the first rib simulating isolated fracture","volume":"53","author":"Bowie ER","year":"1945","journal-title":"Am J Roentgenol"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000068992.01030.A8"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.197.3.7480753"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0009922811430343"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-007-1142-1"},{"key":"e_1_2_4_13_1","volume-title":"Essentials of skeletal radiology","author":"Rowe LJ","year":"2005"}],"container-title":["Journal of Forensic Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1556-4029.12609","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1556-4029.12609","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T15:37:08Z","timestamp":1695483428000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1556-4029.12609"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,11]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2014,11]]}},"alternative-id":["10.1111\/1556-4029.12609"],"URL":"https:\/\/doi.org\/10.1111\/1556-4029.12609","archive":["Portico"],"relation":{},"ISSN":["0022-1198","1556-4029"],"issn-type":[{"value":"0022-1198","type":"print"},{"value":"1556-4029","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,11]]}}}