Influence on Therapeutic Decision Making of SPECT-CT for Different Regions of the Foot and Ankle
Figure 1
(a) and (b) preoperative plain radiographs; (c) and (d) SPECT-CT; (e) and (f) postoperative plain radiographs. A 63-year-old woman with pes plano-valgus deformity described pain in the whole foot for many years. A conservative treatment with insoles and physiotherapy failed. After clinical examination and plane radiographs subtalar arthritis was the assumed diagnosis. Because of diagnostic uncertainty a SPECT-CT was performed resulting in an active arthritis of TMT II and III and arthritis of TMT-I. After fusion of TMT I-III the patient described pain relief five months after the operation.
