Kleinman, Patricia L., Kleinman, Paul K., Savageau, Judith A.
PURPOSE: To determine current national radiographic skeletal survey imaging practices, including migration to digital technologies, for evaluation of suspected infant abuse. MATERIALS AND METHODS: Of...
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:...
A regional approach to the classic metaphyseal lesion in abused infants: the distal femur (1998)
OBJECTIVE: The purpose of this study was to analyze the spectrum of morphologic alterations of the classic metaphyseal lesion involving the distal femur of abused infants and to identify features...
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...
A regional approach to the classic metaphyseal lesion in abused infants: the proximal humerus (1996)
OBJECTIVE: The purpose of this study was to systematically analyze the spectrum of morphologic alterations of the classic metaphyseal lesion (CML) involving the proximal humerus of abused infants and...
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....
Rib fractures in 31 abused infants: postmortem radiologic-histopathologic study (1996)
Kleinman, Paul K., Marks, Sandy C., Nimkin, Katherine, Rayder, Shawn M., Kessler, Stanton C.
PURPOSE: To examine the morphologic alterations of fractures of the lateral and anterior rib arcs and costochondral junction (CCJ) to better understand the factors that influence radiographic...
A regional approach to classic metaphyseal lesions in abused infants: the distal tibia (1996)
OBJECTIVE: The purpose of this study was to analyze systematically the spectrum of morphologic alterations of classic metaphyseal lesions (CML) involving the distal tibia of abused infants and to...
A regional approach to the classic metaphyseal lesion in abused infants: the proximal tibia (1996)
OBJECTIVE: The purpose of this study was to systematically analyze the spectrum of morphologic alterations of the classic metaphyseal lesion (CML) involving the proximal tibia of abused infants and...
Inflicted skeletal injury: a postmortem radiologic-histopathologic study in 31 infants (1995)
Kleinman, Paul K., Richmond, Joann M., Blackbourne, Brian D.
OBJECTIVE. The objective of this postmortem study was to use high-detail skeletal surveys, specimen radiography, and histopathologic analysis to determine the number, distribution, and age of...
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...
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...
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...
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...
Atretic esophagus: transgastric balloon-assisted hydrostatic dilation (1989)
Kleinman, Paul K., Waite, Richard J., Cohen, Ian T., Hirsh, Michael P., Belanger, Patricia L.
Esophageal atresia may be associated with a long interval or gap between the upper and lower pouches. Despite a variety of procedures to elongate the esophagus, surgeons have been unable to achieve...
Factors affecting visualization of posterior rib fractures in abused infants (1988)
Kleinman, Paul K., Adams, Vernard I., Blackbourne, Brian D.
Rib fractures frequently are encountered in abused infants and commonly occur in the posterior rib arcs. Fractures occurring near the costovertebral articulations are rarely identified...