{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T18:32:48Z","timestamp":1758479568636,"version":"3.40.5"},"reference-count":16,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2003,7,1]]},"abstract":"<jats:p>Bone fractures in children without a history of injury are highly suspicious for child abuse. Biliary atresia is a disorder associated with metabolic bone disease, and there are numerous reports of osteopenia, rickets, and\/or fractures in this population. We report 3 cases of children with biliary atresia who had bony fractures as well as osteopenia whose caretakers were investigated for child abuse. Pediatricians should be aware of an increased incidence of fractures and overall prevalence of bone disease in this population.<\/jats:p>","DOI":"10.1542\/peds.112.1.185","type":"journal-article","created":{"date-parts":[[2004,8,14]],"date-time":"2004-08-14T00:43:47Z","timestamp":1092444227000},"page":"185-188","source":"Crossref","is-referenced-by-count":20,"title":["Fractures in Biliary Atresia Misinterpreted as Child Abuse"],"prefix":"10.1542","volume":"112","author":[{"given":"Patricia A.","family":"DeRusso","sequence":"first","affiliation":[{"name":"Department of Pediatrics&#x2028; Division of Pediatric Gastroenterology and Nutrition&#x2028; Johns Hopkins School of Medicine&#x2028; Baltimore, MD 21287"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa R.","family":"Spevak","sequence":"additional","affiliation":[{"name":"Division of Pediatric Imaging&#x2028; Russell H. Morgan Department of Radiology and Radiological Science&#x2028; Johns Hopkins Hospital&#x2028; Johns Hopkins University&#x2028; Baltimore, MD 21287"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen B.","family":"Schwarz","sequence":"additional","affiliation":[{"name":"Department of Pediatrics&#x2028; Division of Pediatric Gastroenterology and Nutrition&#x2028; Johns Hopkins School of Medicine&#x2028; Baltimore, MD 21287"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2003,7,1]]},"reference":[{"key":"2021121003395836700_R1","doi-asserted-by":"crossref","unstructured":"Thomas SA, Rosenfield NS, Leventhal JM, Markowitz RI. Long-bone fractures in young children: distinguishing accidental injuries from child abuse. Pediatrics.1991;88:471\u2013476","DOI":"10.1542\/peds.88.3.471"},{"key":"2021121003395836700_R2","doi-asserted-by":"crossref","unstructured":"Skellern CY, Wood DO, Murphy A, Crawford M. 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