The Role of SPECT/CT of Foot and Ankle in the Evaluation of Heel Pain

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Heel pain is a common symptom in foot and ankle disorders. Typical heel pain can be assessed according to the patient’s history and the location of pain. In some atypical inconclusive cases, bone SPECT/CT is the upcoming imaging modality for the detection of causes of heel pain. We present the case of 57-year-old man with atypical heel pain, plantar and Achilles spurs. SPECT/CT images demonstrated increased bony activity in arthritis of midfoot, not plantar and Achilles spurs. It suggests potential role of SPECT/CT in the evaluation and management of heel pain by showing hidden pathology of foot and ankle.

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