{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T23:17:58Z","timestamp":1775690278887,"version":"3.50.1"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"published-print":{"date-parts":[[2009]]},"abstract":"<jats:p>A 15-month-old African\u2013American boy receiving chemotherapy for Wilms tumour was diagnosed to have a fracture of left femur at the emergency department (ED) of our hospital. A month earlier, the patient had been seen at the same ED for a fracture of right femur. The skeletal survey this time also showed an old posterior rib fracture. Child abuse was suspected. The child\u2019s custody was transferred to the maternal grandparents. However, 2 months later while with the grandparents, he sustained a fracture of the left distal tibia. This led to an investigation for osteogenesis imperfecta (OI). The child was found to have a collagen mutation, COL1A1, strongly suggesting that the child\u2019s multiple fractures were most likely due to OI.<\/jats:p><jats:p>The child had no physical stigmata of classical OI except for blue sclera. Multiple bone fractures alone without other physical signs of abuse should always raise a possibility of OI.<\/jats:p><jats:sec><jats:title>Trial registration number:<\/jats:title><jats:p>POG9440<\/jats:p><\/jats:sec>","DOI":"10.1136\/bcr.07.2008.0589","type":"journal-article","created":{"date-parts":[[2009,3,20]],"date-time":"2009-03-20T11:23:02Z","timestamp":1237548182000},"page":"bcr0720080589","source":"Crossref","is-referenced-by-count":5,"title":["Multiple fractures due to osteogenesis imperfecta mistaken as child abuse"],"prefix":"10.1136","volume":"2009","author":[{"given":"Philip","family":"Lamptey","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nkechi","family":"Onwuzurike","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susumu","family":"Inoue","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2009,3,20]]},"reference":[{"key":"2025042507403602000_2009.mar19_1.bcr0720080589.1","unstructured":"Marini JC . Osteogenesis imperfecta. In: Behrman RE Kliegman RM Jenson H , eds. Nelson textbook of pediatrics, 17th edn. Philadelphia, Pennsylvania, USA: WB Saunders, 2004: 2336\u00e2\u0080\u00938."},{"key":"2025042507403602000_2009.mar19_1.bcr0720080589.2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.20433"},{"key":"2025042507403602000_2009.mar19_1.bcr0720080589.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(96)70367-0"},{"key":"2025042507403602000_2009.mar19_1.bcr0720080589.4","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-1795"},{"key":"2025042507403602000_2009.mar19_1.bcr0720080589.5","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-0883"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.07.2008.0589","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T14:40:45Z","timestamp":1745592045000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.07.2008.0589"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009]]},"references-count":5,"alternative-id":["10.1136\/bcr.07.2008.0589"],"URL":"https:\/\/doi.org\/10.1136\/bcr.07.2008.0589","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009]]}}}