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Preliminary Experience With SPECT/CT to Evaluate Periarticular Arthritis Progression and the Relationship With Clinical Outcome Following Ankle Arthrodesis.
Foot Ankle Int. 2020 Apr; 41(4):392-397.FA

Abstract

BACKGROUND

Single photon emission computed tomography combined with computed tomography (SPECT/CT) could potentially aid in diagnosing periarticular arthritis/activity and progression, facilitate effective treatment options, and evaluate the effect surgery has on the clinical outcome of patients with ankle arthritis. The goal of our study was to assess SPECT/CT activity in the ankle and periarticular joints before and after ankle fusion surgery and determine whether it was associated with clinical pain and function scores.

METHODS

Thirty-four patients recruited into this study underwent either arthroscopic or open ankle fusion. X-ray (XR) and SPECT/CT imaging was obtained as well as completion of patient Ankle Osteoarthritis Scale (AOS) and 36-item Short Form Survey (SF-36) questionnaires preoperatively and at 6 months postoperatively. Ankle, subtalar, and talonavicular joint arthritis grading on XR and CT, along with SPECT/CT activity, was evaluated by 2 nuclear medicine radiologists. Data were assessed for normality and analyzed with the appropriate comparative test. P value was set at <.05. Thirty patients (31 ankles) completed follow-up and were analyzed.

RESULTS

SPECT/CT activity showed no significant difference in the ankle joint at 6 months postoperatively while periarticular joint activity significantly increased (P < .05). Six months postoperatively, patients had significant improvements in their AOS and SF-36 scores (P < .05). SPECT/CT grading of all joints analyzed, however, was not associated with AOS or SF-36 scores preoperatively or at 6 months postoperatively.

CONCLUSION

In this study, intensity of activity as evaluated by SPECT/CT in periarticular hindfoot joints in patients who had ankle arthrodesis was not associated with clinical/functional scores at 6 months postoperatively.

LEVEL OF EVIDENCE

Level IV, diagnostic study.

Authors+Show Affiliations

Department of Orthopedic Surgery, College of Medicine, University of Arizona, Phoenix, AZ, USA.Division of Orthopedic Surgery, Nova Scotia Health Authority, Dalhousie University, Halifax, NS, Canada.Department of Diagnostic Radiology, Dalhousie University, Halifax, NS, Canada.Department of Diagnostic Radiology, Dalhousie University, Halifax, NS, Canada.Division of Orthopedic Surgery, Nova Scotia Health Authority, Dalhousie University, Halifax, NS, Canada.Division of Orthopedic Surgery, Nova Scotia Health Authority, Dalhousie University, Halifax, NS, Canada.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31904265

Citation

DeSutter, Christopher, et al. "Preliminary Experience With SPECT/CT to Evaluate Periarticular Arthritis Progression and the Relationship With Clinical Outcome Following Ankle Arthrodesis." Foot & Ankle International, vol. 41, no. 4, 2020, pp. 392-397.
DeSutter C, Dube V, Ross A, et al. Preliminary Experience With SPECT/CT to Evaluate Periarticular Arthritis Progression and the Relationship With Clinical Outcome Following Ankle Arthrodesis. Foot Ankle Int. 2020;41(4):392-397.
DeSutter, C., Dube, V., Ross, A., Boyd, G., Morash, J., & Glazebrook, M. (2020). Preliminary Experience With SPECT/CT to Evaluate Periarticular Arthritis Progression and the Relationship With Clinical Outcome Following Ankle Arthrodesis. Foot & Ankle International, 41(4), 392-397. https://doi.org/10.1177/1071100719898279
DeSutter C, et al. Preliminary Experience With SPECT/CT to Evaluate Periarticular Arthritis Progression and the Relationship With Clinical Outcome Following Ankle Arthrodesis. Foot Ankle Int. 2020;41(4):392-397. PubMed PMID: 31904265.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Preliminary Experience With SPECT/CT to Evaluate Periarticular Arthritis Progression and the Relationship With Clinical Outcome Following Ankle Arthrodesis. AU - DeSutter,Christopher, AU - Dube,Vincent, AU - Ross,Andrew, AU - Boyd,Gordon, AU - Morash,Joel, AU - Glazebrook,Mark, Y1 - 2020/01/06/ PY - 2020/1/7/pubmed PY - 2020/1/7/medline PY - 2020/1/7/entrez KW - SPECT/CT scan KW - ankle arthritis KW - ankle fusion KW - periarticular arthritis SP - 392 EP - 397 JF - Foot & ankle international JO - Foot Ankle Int VL - 41 IS - 4 N2 - BACKGROUND: Single photon emission computed tomography combined with computed tomography (SPECT/CT) could potentially aid in diagnosing periarticular arthritis/activity and progression, facilitate effective treatment options, and evaluate the effect surgery has on the clinical outcome of patients with ankle arthritis. The goal of our study was to assess SPECT/CT activity in the ankle and periarticular joints before and after ankle fusion surgery and determine whether it was associated with clinical pain and function scores. METHODS: Thirty-four patients recruited into this study underwent either arthroscopic or open ankle fusion. X-ray (XR) and SPECT/CT imaging was obtained as well as completion of patient Ankle Osteoarthritis Scale (AOS) and 36-item Short Form Survey (SF-36) questionnaires preoperatively and at 6 months postoperatively. Ankle, subtalar, and talonavicular joint arthritis grading on XR and CT, along with SPECT/CT activity, was evaluated by 2 nuclear medicine radiologists. Data were assessed for normality and analyzed with the appropriate comparative test. P value was set at <.05. Thirty patients (31 ankles) completed follow-up and were analyzed. RESULTS: SPECT/CT activity showed no significant difference in the ankle joint at 6 months postoperatively while periarticular joint activity significantly increased (P < .05). Six months postoperatively, patients had significant improvements in their AOS and SF-36 scores (P < .05). SPECT/CT grading of all joints analyzed, however, was not associated with AOS or SF-36 scores preoperatively or at 6 months postoperatively. CONCLUSION: In this study, intensity of activity as evaluated by SPECT/CT in periarticular hindfoot joints in patients who had ankle arthrodesis was not associated with clinical/functional scores at 6 months postoperatively. LEVEL OF EVIDENCE: Level IV, diagnostic study. SN - 1944-7876 UR - https://www.unboundmedicine.com/medline/citation/31904265/Preliminary_Experience_With_SPECT/CT_to_Evaluate_Periarticular_Arthritis_Progression_and_the_Relationship_With_Clinical_Outcome_Following_Ankle_Arthrodesis L2 - https://journals.sagepub.com/doi/10.1177/1071100719898279?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -
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