A 28-year-old male with suspected RC osteoarthritis after scaphoid fracture 6 years ago. The patient has a consolidated pseudoarthrosis of the scaphoid bone and persistent wrist pain. (A) Plain radiographs show focal sclerosis of the proximal pole of the scaphoid. (B) Planar bone scan revealed uptake in the scaphoid bone on late-phase images (left: early phase, right: late phase). (C) Coronal SPECT/CT images showed uptake in the proximal scaphoid (osseous remodeling) and a vital proximal scaphoid fragment. The patient received revisional osteosynthesis of the scaphoid.