{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T07:50:33Z","timestamp":1781423433952,"version":"3.54.1"},"reference-count":12,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2008,7,14]],"date-time":"2008-07-14T00:00:00Z","timestamp":1215993600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2008,11]]},"abstract":"<jats:p>Background Pelvic radiographs are obtained frequently in pediatric blunt trauma. The authors hypothesize that there are clinical indicators that can predict pelvic fracture on a pelvic radiograph in the pediatric blunt trauma patient with a Glasgow Coma Scale score of 14 or 15.<\/jats:p>\n                  <jats:p>Methods A retrospective case-control study of 33 patients with pelvic fractures and 63 patients without pelvic fractures was performed.<\/jats:p>\n                  <jats:p>Results 8 evaluated clinical indicators showed that pelvic contusions and abrasions ( P = .026), hip\/pelvic pain ( P&lt;.001), abdominal pain and distension ( P = .006), back pain ( P = .080), hip held in rotation at presentation ( P = .026), and femur deformity\/pain ( P = .002) were independently predictive of pelvic fracture. In combination, absence of hip\/pelvic pain, pelvic contusions and abrasions, abdominal pain\/distension, and femur deformity\/pain showed a negative predictive value of 87%.<\/jats:p>\n                  <jats:p>Conclusion Clinical indicators may be useful in determining the need for pelvic radiographs in awake and alert pediatric blunt trauma patients.<\/jats:p>","DOI":"10.1177\/0009922808320598","type":"journal-article","created":{"date-parts":[[2008,6,20]],"date-time":"2008-06-20T21:09:35Z","timestamp":1213996175000},"page":"935-940","source":"Crossref","is-referenced-by-count":16,"title":["Necessity of Routine Pelvic Radiograph in the Pediatric Blunt Trauma Patient"],"prefix":"10.1177","volume":"47","author":[{"given":"Dana W. E.","family":"Ramirez","sequence":"first","affiliation":[{"name":"Johns Hopkins Department of Pediatric Emergency Medicine Johns Hopkins University School of Medicine,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer J.","family":"Schuette","sequence":"additional","affiliation":[{"name":"Johns Hopkins Department of Pediatric Emergency Medicine Johns Hopkins University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinita","family":"Knight","sequence":"additional","affiliation":[{"name":"Johns Hopkins Department of Pediatric Surgery Johns Hopkins University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Johnson","sequence":"additional","affiliation":[{"name":"M. S. Bloomberg School of Public Health Johns Hopkins University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Denise","sequence":"additional","affiliation":[{"name":"Johns Hopkins University Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allen R.","family":"Walker","sequence":"additional","affiliation":[{"name":"Johns Hopkins Department of Pediatric Emergency Medicine Johns Hopkins University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2008,7,14]]},"reference":[{"key":"atypb1","volume-title":"Advanced Trauma Life Support","author":"American College of Surgeons Committee on Trauma.","year":"1997"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200209000-00011"},{"key":"atypb3","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1177\/000313480106700907","volume":"67","author":"Duane TM","year":"2001","journal-title":"Am Surg"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(01)01153-X"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-003-0631-8"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199510000-00020"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1007\/s002470100473"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1097\/00006565-200102000-00004"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200107000-00010"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1097\/00006565-200204000-00003"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2004.10.013"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B4.15595"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922808320598","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922808320598","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:27:55Z","timestamp":1777393675000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0009922808320598"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,7,14]]},"references-count":12,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2008,11]]}},"alternative-id":["10.1177\/0009922808320598"],"URL":"https:\/\/doi.org\/10.1177\/0009922808320598","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,7,14]]}}}