From the Departments of Nuclear Medicine.
Orthopedic Surgery, and.
Clin Nucl Med. 2018 Sep;43(9):e314-e315. doi: 10.1097/RLU.0000000000002178.
Heel pain is a common symptom in foot and ankle disorders. Typical heel pain can be assessed according to the patient's history and the location of pain. In some atypical inconclusive cases, bone SPECT/CT is the upcoming imaging modality for the detection of causes of heel pain. We present the case of 57-year-old man with atypical heel pain, plantar and Achilles spurs. SPECT/CT images demonstrated increased bony activity in arthritis of midfoot, not plantar and Achilles spurs. It suggests potential role of SPECT/CT in the evaluation and management of heel pain by showing hidden pathology of foot and ankle.
足跟痛是足部和踝关节疾病的常见症状。根据患者的病史和疼痛位置，可以对典型的足跟痛进行评估。在一些不典型的不确定病例中，骨 SPECT/CT 是检测足跟痛原因的新兴成像方式。我们报告了一例 57 岁男性的非典型足跟痛、足底和跟腱骨刺。SPECT/CT 图像显示中足关节炎处的骨活性增加，而不是足底和跟腱骨刺。这表明 SPECT/CT 在评估和管理足跟痛方面具有潜在作用，能够显示足部和踝关节的隐匿性病变。
