109 SPECT/CT in post-operative hand and wrist pain Figure 7 Same patient as Figure 6 with persisting pain after proximal row carpectomy. Conventional X-ray (A) 4 months after surgery shows resected proximal carpal row. Planar bone scintigraphy (B) shows increased uptake at the contact zone between capitate and radius (arrow) and increased uptake in all finger joints. CT (C) and fused SPECT/CT (D) show bony contact between capitate and distal radius (arrow) and increased uptake (arrow) consisting of impingement or OA after carpectomy and suspicion for additional CRPS. 4