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CASE REPORT
Year : 2012  |  Volume : 27  |  Issue : 1  |  Page : 45-47

Utility of 99m Tc-MDP SPECT-CT for the diagnosis of sesamoiditis as cause of metatarsalgia


Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Rakesh Kumar
E-81, Ansari Nagar (East) AIIMS Campus, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-3919.108865

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Metatarsalgia is a general term for pain in the area of the metatarsophalangeal joints. Sesamoiditis is an uncommon cause of metatarsalgia. It is pain at the sesamoid bones beneath the head of the first metatarsal with inflammation or fracture. The diagnosis is usually clinical, with localized tenderness on palpation. Diagnosing the cause of metatarsalgia in patients without this classical sign is difficult. We present here such a case of a 37-year-old lady in whom sesamoiditis was diagnosed with technetium-99m ( 99m Tc)-methylene diphosphonate (MDP) single photon emission tomography-computed tomography (SPECT-CT).


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