99 SPECT/CT in post-operative hand and wrist pain Figure 1 Forty-seven-year-old male patient 4 months after volar plate osteosynthesis of a distal radius fracture with pain. Conventional X-ray (A) shows impaction (arrow) of long ulna against the lunate bone. Planar bone scan (B) shows increased uptake in the distal ulna and lunate (arrow). SPECT/CT arthrography with CT images (C) after intraarticular contrast and fused SPECT/CT (D) images show defect in the triangular fibrocartilage complex, and cartilage defect in the distal ulna and lunate (arrows). 4