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Semin Musculoskelet Radiol 1997; 1(2): 189-196
DOI: 10.1055/s-2008-1080138
Percutaneous Biopsy

© 1997 by Thieme Medical Publishers, Inc.

Percutaneous Biopsy of the Synovial Membrane

Caroline Parlier-Cuau1 , Bassam Hamzé1 , Pierre Champsaur2 , Remi Nizard3 , Jean-Denis Laredo1
  • 1Department of Bone and Joint Radiology, Hôpital Lariboisière, Assistance Publique des Hôpitaux de Paris, Paris, France
  • 2Department of Radiology, Hôpital La Timone, Marseille, France
  • 3Department of Orthopedic surgery, Hôpital Lariboisière, Paris, France
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Publication History

Publication Date:
18 June 2008 (online)

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ABSTRACT

Techniques of percutaneous synovial biopsy under fluoroscopic control of large joints of the limbs (other than the knee) may be useful in arthritis of undetermined etiology especially when infection is considered. Main technical refinements include adequate selection of an optimal approach and biopsy site using new imaging methods, use of a Tru-Cut® needle, and placement of the cutting window tangential to the joint surface, and selection of an optimal approach and biopsy site. Detailed technique of the synovial biopsy of hip, ankle, shoulder, and elbow joints is discussed.

KEYWORDS

Biopsies - joints - synovium