Heterotrophic ossification in a patient suspected of having osteomyelitis: additional value of SPECT/CT.
A 46-year-old man, with a history of bilateral amputations, presented with a long-standing chronic nonhealing wound at the left below-knee amputation, which was sustained after a crush injury. The patient was referred for a bone scan to exclude osteomyelitis of the left stump. The bone scan showed increased uptake in the left below-knee amputation stump, raising the possibility of an infection. However, SPECT/CT of this area confirmed the uptake to correspond to the heterotrophic ossification of the left below-knee stump and no evidence of osteomyelitis.
Department of Nuclear Medicine, Guy's and St Thomas' Hospital NHS Foundation Trust, London, United Kingdom. drfahim.hassan@gmail.com
Fahim
F
Ul Hassan
Mohammed
M
Enayat
Fathia
F
Mohammed
Sanjay
S
Vijayanathan
Gopinath
G
Gnanasegaran
D000671:Amputation, Surgical; D006801:Humans; D008297:Male; D008875:Middle Aged; D009999:Ossification, Heterotopic / Q000150:complications / Q000000981:diagnostic imaging*; D010019:Osteomyelitis / Q000150:complications / Q000000981:diagnostic imaging*; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed