Article Sidebar

PDF
Date Published: 16/05/2023
Abstract Views: 379
Views PDF: 90
DOI: https://doi.org/10.51298/vmj.v526i1A.5277
Issue
Vol. 526 No. 1A (2023)
Section
Các bài báo
How to Cite
Hoàng , Đình Âu ., & Vương , T. H. . (2023). INITIAL RESULTS OF ULTRASOUND-GUIDED SYNOVIAL BIOPSY IN THE DIAGNOSIS OF SEVERAL COXO-FEMORAL JOINT DISEASES. Vietnam Medical Journal, 526(1A). https://doi.org/10.51298/vmj.v526i1A.5277

INITIAL RESULTS OF ULTRASOUND-GUIDED SYNOVIAL BIOPSY IN THE DIAGNOSIS OF SEVERAL COXO-FEMORAL JOINT DISEASES

Đình Âu Hoàng 1,, Thu Hà Vương 1
1 Hanoi medical university hospital

Main Article Content

Abstract

Purposes: To evaluate the initial results of ultrasound - guided synovial biopsy in the diagnosis of several coxofemoral joint diseases. Matherial and Method: The cross sectional descriptive study on the patients who had the indication and underwent the coxo-femoral joint ultrasound guided synovial biopsy. The biopsy samples were analyzed in the pathology, bacterial culture and tuberculosis PCR. Results: From 09/2020 to 10/2022, seventeen patients who had the indication and underwent the coxo-femoral ultrasound guided synovial biopsy at Hanoi Medical University Hospital. Among them, one patient was failed to get biopsy sample, three patients suffered a bacterial infection, two patients had a tuberculosis and 10 patients had non-bacterial inflammation. There was no important complication and/or hemorrhage in/after synovial biopsy procedure. Conclusion: The coxo-femoral ultrasound-guided synovial biopsy was a safe, relatively simpliste and high effective method for the diagnosis of several coxo-femoral joint diseases when the other methods could not provide the clear diagnosis.

Article Details

Keywords

ultrasound-guided synovial biopsy, coxofemoral joint biopsy, synovial joint

References

1. Quyền, N.Q., Bài giảng giải phẫu học. 2014. 28-67.
2. Jaganathan S, Goyal A, Gadodia A, Rastogi S, Mittal R, Gamanagatti S. Spectrum of synovial pathologies: a pictorial assay. Current Problems in Diagnostic Radiology. 2012;41(1):30-42.
3. Gerlag DM, Tak PP. How useful are synovial biopsies for the diagnosis of rheumatic diseases? Nat Rev Rheumatol. 2007;3(5):248-249. doi: 10.1038/ncprheum0485.
4. Parker RH, Pearson CM. A simplified synovial biopsy needle. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology. 1963; 6(2):172-176.
5. Kelly S, Humby F, Filer A, et al. Ultrasound-guided synovial biopsy: a safe, well-tolerated and reliable technique for obtaining high-quality synovial tissue from both large and small joints in early arthritis patients. Annals of the rheumatic diseases. 2015;74(3):611-617.
6. Sitt J, Griffith JF, Lai FM, et al. Ultrasound-guided synovial Tru-cut biopsy: indications, technique, and outcome in 111 cases. European radiology. 2017;27(5):2002-2010.
7. Bernd Fink, Alexander Gebhard and Peter Schäfer. High Diagnostic Value of Synovial Biopsy in Periprosthetic Joint Infection of the Hip. Clin Orthop Relat Res. 2013 Mar; 471(3): 956–964.
8. Cheng Li1, Donara Margaryan, Carsten Perka, Andrej Trampuz. The role of biopsy in diagnosing infection after hip and knee arthroplasty: a meta-analysis. Archives of Orthopaedic and Trauma Surgery https://doi.org/10.1007/s00402-021-04323-y
9. Zawin JK, Hoffer FA, Rand FF, Teele RL. Joint effusion in children with an irritable hip: US diagnosis and aspiration. Radiology. 1993;187(2):459-463.