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Case Report: SPECT/CT as the New Diagnostic Tool for Specific Wrist Pathology
Linde Musters1, M Ten Broek2, G A Kraan1
1Department of Orthopaedic Surgery, Reinier de Graaf Hospital Delft, The Netherlands.
Journal of Arthritis
|May 5, 2018
Summary
Single photon emission computed tomography/computed tomography (SPECT/CT) is a sensitive tool for diagnosing wrist pathology. This case report highlights its effectiveness in identifying a hamate bone cyst, leading to successful patient treatment and pain relief.
Area of Science:
- Orthopaedic Pathology
- Radiology
- Medical Imaging
Background:
- Single photon emission computed tomography/computed tomography (SPECT/CT) is an emerging diagnostic tool in orthopaedic pathology.
- While literature supports its use in wrist pathology, clinical application remains limited.
Purpose of the Study:
- To evaluate the diagnostic utility of SPECT/CT in a challenging case of persistent wrist pain.
- To demonstrate the precise localization and successful treatment of wrist pathology using SPECT/CT.
Main Methods:
- A 40-year-old patient with chronic right distal radius fracture pain underwent SPECT/CT.
- SPECT/CT identified a cyst in the hamate bone.
- The cyst was surgically enucleated, leading to pain resolution.
Main Results:
- SPECT/CT accurately localized a previously undiagnosed hamate bone cyst.
- Surgical enucleation of the cyst resulted in complete pain relief for the patient.
- The patient reported significant improvement in quality of life scores post-treatment.
Conclusions:
- SPECT/CT is a highly sensitive imaging modality for specific wrist pathologies.
- Precise localization with SPECT/CT facilitates accurate diagnosis and targeted treatment.
- This case underscores the clinical value of SPECT/CT in managing complex wrist conditions.
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