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The Utility of Tc-99m Hydroxymethylene Diphosphonate Single-photon Emission Computed Tomography/Computed Tomography in Symptomatic Os Trigonum

Os trigonum is a congenital condition in which a bone ossicle fails to fuse to a secondary ossification center in the posterior aspect of the talar bone. Repetitive plantar flexion of the foot may elicit inflammation of the ossicles fibrous connective band, subsequently causing pain. It is common to...

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Autores principales: Usmani, Sharjeel, Essa, Noora Bin, Marafi, Fahad, Rasheed, Rashid, Al kandari, Fareeda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5883446/
https://www.ncbi.nlm.nih.gov/pubmed/29643689
http://dx.doi.org/10.4103/ijnm.IJNM_165_17
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author Usmani, Sharjeel
Essa, Noora Bin
Marafi, Fahad
Rasheed, Rashid
Al kandari, Fareeda
author_facet Usmani, Sharjeel
Essa, Noora Bin
Marafi, Fahad
Rasheed, Rashid
Al kandari, Fareeda
author_sort Usmani, Sharjeel
collection PubMed
description Os trigonum is a congenital condition in which a bone ossicle fails to fuse to a secondary ossification center in the posterior aspect of the talar bone. Repetitive plantar flexion of the foot may elicit inflammation of the ossicles fibrous connective band, subsequently causing pain. It is common to misdiagnose os trigonum as an avulsion fracture. We report a case of a 23-year-old male with symptomatic os trigonum diagnosed on Tc-99m hydroxymethylene diphosphonate single-photon emission computed tomography-computed tomography (SPECT-CT). We also wish to emphasize on the use of SPECT/CT in not only allocating the ossicle anatomically but also for the purpose of evaluation an active source of pain in a region of multiple complex small bones.
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spelling pubmed-58834462018-04-11 The Utility of Tc-99m Hydroxymethylene Diphosphonate Single-photon Emission Computed Tomography/Computed Tomography in Symptomatic Os Trigonum Usmani, Sharjeel Essa, Noora Bin Marafi, Fahad Rasheed, Rashid Al kandari, Fareeda Indian J Nucl Med Interesting Image Os trigonum is a congenital condition in which a bone ossicle fails to fuse to a secondary ossification center in the posterior aspect of the talar bone. Repetitive plantar flexion of the foot may elicit inflammation of the ossicles fibrous connective band, subsequently causing pain. It is common to misdiagnose os trigonum as an avulsion fracture. We report a case of a 23-year-old male with symptomatic os trigonum diagnosed on Tc-99m hydroxymethylene diphosphonate single-photon emission computed tomography-computed tomography (SPECT-CT). We also wish to emphasize on the use of SPECT/CT in not only allocating the ossicle anatomically but also for the purpose of evaluation an active source of pain in a region of multiple complex small bones. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC5883446/ /pubmed/29643689 http://dx.doi.org/10.4103/ijnm.IJNM_165_17 Text en Copyright: © 2018 Indian Journal of Nuclear Medicine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Interesting Image
Usmani, Sharjeel
Essa, Noora Bin
Marafi, Fahad
Rasheed, Rashid
Al kandari, Fareeda
The Utility of Tc-99m Hydroxymethylene Diphosphonate Single-photon Emission Computed Tomography/Computed Tomography in Symptomatic Os Trigonum
title The Utility of Tc-99m Hydroxymethylene Diphosphonate Single-photon Emission Computed Tomography/Computed Tomography in Symptomatic Os Trigonum
title_full The Utility of Tc-99m Hydroxymethylene Diphosphonate Single-photon Emission Computed Tomography/Computed Tomography in Symptomatic Os Trigonum
title_fullStr The Utility of Tc-99m Hydroxymethylene Diphosphonate Single-photon Emission Computed Tomography/Computed Tomography in Symptomatic Os Trigonum
title_full_unstemmed The Utility of Tc-99m Hydroxymethylene Diphosphonate Single-photon Emission Computed Tomography/Computed Tomography in Symptomatic Os Trigonum
title_short The Utility of Tc-99m Hydroxymethylene Diphosphonate Single-photon Emission Computed Tomography/Computed Tomography in Symptomatic Os Trigonum
title_sort utility of tc-99m hydroxymethylene diphosphonate single-photon emission computed tomography/computed tomography in symptomatic os trigonum
topic Interesting Image
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5883446/
https://www.ncbi.nlm.nih.gov/pubmed/29643689
http://dx.doi.org/10.4103/ijnm.IJNM_165_17
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