Needle Versus Forceps Technique in Ultrasound-Guided Synovial Biopsy of the Knee Joint

Authors: Thomas Hügle, Piotr Urbaniak, Magdalena Müller-Gerbl, Christian Marx, Giorgio Tamborrini

Objectives: Ultrasound-guided synovial biopsy is increasingly applied in rheumatology. Usually forceps- or needle-based techniques are used. So far there has been no direct comparison of different devices regarding their suitability in high resolution musculoskeletal ultrasound (hrMSUS)-guided synovial biopsy. Methods: A core needle biopsy (Quickcore, Cook Medical, Bloomington, IN, USA), an anterograde arthroscopy forceps (Karl Storz GmbH, Tuttlingen, Germany), a retrograde forceps (Retroforce, KarlStorz GmbH Tuttlingen, Germany) and an convexly shaped integrated core needle system (Synovex, Hipp Medical, Kolbingen, Germany) were tested for ultrasound-guided synovial biopsy of the suprapatellar recess in cadaver knee joints. Four senior rheumatologists scored each intervention from 0-5 regarding the following characteristics: visualization, handiness, accuracy, synovial tissue yield, invasiveness and overall suitability. Each intervention was recorded as static images and video clips. You can submit your Manuscripts at: 

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[v1] 2017-08-29 06:58:24

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