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Heterotrophic ossification in a patient suspected of having osteomyelitis: additional value of SPECT/CT
Fahim Ul Hassan1, Mohammed Enayat, Fathia Mohammed
1Department of Nuclear Medicine, Guy's and St Thomas' Hospital NHS Foundation Trust, London, United Kingdom. drfahim.hassan@gmail.com
Abstract:
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.

