Melissa R. Spevak

Physiologic subperiosteal new bone formation: prevalence, distribution, and thickness in neonates and infants (2002)

Kwon, David S., Spevak, Melissa R., Fletcher, Kenneth E., Kleinman, Paul K.

OBJECTIVE: The objective of our study was to determine the prevalence, distribution, and thickness of physiologic subperiosteal new bone formation in neonates and infants. MATERIALS AND METHODS:...

Fractures of the hands and feet in child abuse: imaging and pathologic features (1997)

Nimkin, Katherine, Spevak, Melissa R., Kleinman, Paul K.

PURPOSE: To determine the imaging and histopathologic appearance of fractures of the hands and feet in abused infants. MATERIALS AND METHODS: The imaging findings in 11 abused infants with fractures...

Follow-up skeletal surveys in suspected child abuse (1996)

Kleinman, Paul K., Nimkin, Katherine, Spevak, Melissa R., Rayder, Shawn M., Madansky, Deborah L., Shelton, Yvonne A., ...

OBJECTIVE: The purpose of this study was to assess the additional yield of a repeat skeletal survey in identifying and dating skeletal injury for cases in which child abuse was strongly suspected....

Tailored low-dose fluoroscopic voiding cystourethrography for the reevaluation of vesicoureteral reflux in girls (1994)

Kleinman, Paul K., Diamond, David A., Karellas, Andrew, Spevak, Melissa R., Nimkin, Katherine, Belanger, Patricia L.

OBJECTIVE. Radionuclide voiding cystography is generally advocated for the reevaluation of proved vesicoureteral reflux. The purpose of this study was to assess the efficacy of tailored low-dose...

Adrenal hemorrhage in abused children: imaging and postmortem findings (1994)

Nimkin, Katherine, Teeger, Susan, Wallach, Michael T., DuVally, John C., Spevak, Melissa R., Kleinman, Paul K.

OBJECTIVE. Adrenal hemorrhage associated with child abuse has received little attention in published reports. We review imaging studies or pathologic findings of adrenal hemorrhage in five cases of...

Fractures of the rib head in abused infants (1992)

Kleinman, Paul K., Marks, Sandy C., Spevak, Melissa R., Richmond, Joann M.

Fractures of the posterior ribs are well-recognized sequelae of infant abuse. Previous reports have indicated a predilection for fracture near the costotransverse process. This study expands the...

Sonography of hypertrophic pyloric stenosis: frequency and cause of nonuniform echogenicity of the thickened pyloric muscle (1992)

Spevak, Melissa R., Ahmadjian, Jonathan M., Kleinman, Paul K., Henriquez, Gisela, Hirsh, Michael P., Cohen, Ian T.

In hypertrophic pyloric stenosis, the muscle is typically described as hypoechoic on sonography. However, we have frequently noted a nonuniform pattern; the pyloric muscle seen in the transverse...

Variations in acromial ossification simulating infant abuse in victims of sudden infant death syndrome (1991)

Kleinman, Paul K., Spevak, Melissa R.

A variation in ossification of the acromial process of the scapula is described. Postmortem radiographs, obtained in 78 infants who died of sudden infant death syndrome, showed an ossific opacity...

Normal metaphyseal radiologic variants not to be confused with findings of infant abuse (1991)

Kleinman, Paul K., Belanger, Patricia L., Karellas, Andrew, Spevak, Melissa R.

Postmortem high-detail skeletal radiography of 78 infants who died of the sudden infant death syndrome was performed during a 3-year period. Review of the studies reveals a variety of distinct...

Extension of growth-plate cartilage into the metaphysis: a sign of healing fracture in abused infants (1991)

Kleinman, Paul K., Spevak, Melissa R., Belanger, Patricia L., Richmond, Joann M.

The present study was carried out to determine if healing metaphyseal injury in abused infants is accompanied by an increase in the thickness of the growth-plate zone of hypertrophic cartilage and if...