{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:43:50Z","timestamp":1787755430306,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report a case of an otherwise healthy 4-month-old male infant presenting with unexplained metaphyseal lucent bands and diaphyseal periosteal reactions in bilateral extremities upon radiograph, who was ultimately diagnosed with congenital syphilis. After subsequent workup and treatment, the patient had appropriate range of motion of all extremities within 2 weeks after discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The purpose of this report was to increase the awareness of the rising incidence of congenital syphilis in the United States and educate fellow orthopaedic surgeons on ways to differentiate the skeletal manifestations of congenital syphilis from other pathologies with significant bone involvement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00017","type":"journal-article","created":{"date-parts":[[2024,5,3]],"date-time":"2024-05-03T14:02:47Z","timestamp":1714744967000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Congenital Syphilis and the Orthopaedic Perspective"],"prefix":"10.2106","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2124-1674","authenticated-orcid":false,"given":"Madison","family":"Craft","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery & Rehabilitation, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6695-0083","authenticated-orcid":false,"given":"Prince","family":"Ohene-Nyako","sequence":"additional","affiliation":[{"name":"University of Oklahoma Health Sciences Center, College of Medicine, Oklahoma City, Oklahoma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3162-4487","authenticated-orcid":false,"given":"David","family":"Yung-Ping Chong","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery & Rehabilitation, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,4]]},"reference":[{"issue":"12","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"660","DOI":"10.4314\/eamj.v80i12.8785","article-title":"Congenital syphilis in an immunocompromised neonate: case report","volume":"80","author":"Shonubi","year":"2004","journal-title":"East Afr Med J."},{"issue":"9","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1007\/BF02762124","article-title":"Symptomatic congenital syphilis presenting at birth","volume":"68","author":"Narain","year":"2001","journal-title":"Indian J Pediatr."},{"issue":"5","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1302\/0301-620X.71B5.2584243","article-title":"The skeletal manifestations of congenital syphilis. A review of 197 cases","volume":"71-B","author":"Rasool","year":"1989","journal-title":"J Bone Jt Surg Br."},{"issue":"5","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.1542\/peds.88.5.1037","article-title":"Long-bone radiographic abnormalities as a sign of active congenital syphilis in asymptomatic newborns","volume":"88","author":"Brion","year":"1991","journal-title":"Pediatrics."},{"issue":"2","key":"bib7-20240805","first-page":"169","article-title":"Early congenital syphilis with isolated bone involvement: a case report","volume":"51","author":"Armangil","year":"2009","journal-title":"Turk J Pediatr."},{"issue":"4","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1007\/s10140-013-1112-1","article-title":"A case of congenital syphilis","volume":"20","author":"Mannelli","year":"2013","journal-title":"Emerg Radiol."},{"issue":"9","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"1283","DOI":"10.1097\/PAS.0000000000000893","article-title":"Congenital syphilis of bone: a potential mimicker of childhood histiocytoses","volume":"41","author":"Zou","year":"2017","journal-title":"Am J Surg Pathol."},{"issue":"1","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1186\/s12887-022-03789-y","article-title":"Congenital syphilis as the cause of multiple bone fractures in a young infant case report","volume":"22","author":"Koliou","year":"2022","journal-title":"BMC Pediatr."},{"issue":"4","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1007\/BF02386714","article-title":"Unusual bone involvement in congenital syphilis mimicking the battered child syndrome","volume":"7","author":"Horodniceanu","year":"1978","journal-title":"Pediatr Radiol."},{"issue":"1","key":"bib13-20240805","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1177\/00099228211059039","article-title":"A lucky break: a case of a 3-month-old female with a pathologic fracture","volume":"61","author":"Stubbs","year":"2021","journal-title":"Clin Pediatr."},{"issue":"2","key":"bib14-20240805","doi-asserted-by":"crossref","first-page":"63","DOI":"10.4055\/cios.2009.1.2.63","article-title":"Management of eosinophilic granuloma occurring in the appendicular skeleton in children","volume":"1","author":"Han","year":"2009","journal-title":"Clin Orthop Surg."},{"issue":"5","key":"bib15-20240805","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1007\/s00247-009-1157-1","article-title":"Skeletal imaging of child abuse (non-accidental injury)","volume":"39","author":"Offiah","year":"2009","journal-title":"Pediatr Radiol."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:42:59Z","timestamp":1787751779000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00017"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":12,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.24.00017","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4]]}}}