Nuclear Medicine for the Orthopedic Foot and Ankle Surgeon.

Foot & Ankle International
Joseph SerinoDaniel D Bohl

Abstract

Nuclear medicine has been widely applied as a diagnostic tool for orthopedic foot and ankle pathology. Although its indications have diminished with improvements in and the availability of magnetic resonance imaging, nuclear medicine still has a significant and valuable role. The present article offers a comprehensive and current review of the most common nuclear imaging modalities for the orthopedic foot and ankle surgeon. Methods discussed include bone scintigraphy, gallium citrate scintigraphy, labeled-leukocyte scintigraphy, and single-photon emission computed tomography (SPECT). We review the indications and utility of these techniques as they pertain to specific foot and ankle conditions, including osteomyelitis, stress fractures, talar osteochondral lesions, complex regional pain syndrome, oncology, plantar fasciitis, and the painful total ankle arthroplasty. We conclude with a discussion of our approach to nuclear medicine with illustrative cases. Level of Evidence: Level V, expert opinion.

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Citations

Dec 22, 2020·Foot & Ankle International·Nabil MehtaDaniel D Bohl
Feb 25, 2021·Postgraduate Medicine·Nicholas A AndrewsAshish Shah
May 8, 2021·The International Journal of Lower Extremity Wounds·Raju AhluwaliaMichael Edmonds
Jul 28, 2021·Biological Chemistry·Sabine SchulzeStefan Rammelt
Jul 29, 2021·Foot & Ankle International·Jensen K HenryConstantine Demetracopoulos

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Methods Mentioned

BETA
imaging techniques
imaging technique
X-Ray
amputation
total ankle arthroplasty

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