{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:06Z","timestamp":1787755326604,"version":"build-2784847793"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>The classic metaphyseal lesion, or corner fracture, is considered a strong indicator of nonaccidental trauma. In the present case, the parents brought their 8-month-old boy to a community hospital after he stopped crawling on the right leg. A knee radiograph demonstrated an isolated metaphyseal lesion, which prompted concern for child abuse. The patient was transferred to the nearest academic medical center; the pediatric radiology expert in child abuse determined that the lesion was a normal variant and not the result of abuse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>An isolated metaphyseal lesion is not pathognomonic for child abuse, and a thoughtful differential diagnosis should be considered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.16.00221","type":"journal-article","created":{"date-parts":[[2017,9,27]],"date-time":"2017-09-27T12:28:01Z","timestamp":1506515281000},"page":"e69-e69","source":"Crossref","is-referenced-by-count":5,"title":["The Risk of Assuming Abuse in an Infant with an Isolated Metaphyseal Lesion"],"prefix":"10.2106","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4932-9512","authenticated-orcid":false,"given":"Kirsten","family":"Norrell","sequence":"first","affiliation":[{"name":"Departments of Orthopaedic Surgery (K.N. and W.H.) and General Surgery (K.N.), Pennsylvania State University Milton S. 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