Ultrasound-Guided Synovial Biopsies of Wrists, Metacarpophalangeal, Metatarsophalangeal, Interphalangeal Joints, and Tendon Sheaths

Ilias Lazarou; Stephen Gerard Kelly; Laurent Meric de Bellefon

doi:10.3389/fmed.2019.00002

Ultrasound-Guided Synovial Biopsies of Wrists, Metacarpophalangeal, Metatarsophalangeal, Interphalangeal Joints, and Tendon Sheaths

Front Med (Lausanne). 2019 Jan 21:6:2. doi: 10.3389/fmed.2019.00002. eCollection 2019.

Authors

Ilias Lazarou¹, Stephen Gerard Kelly², Laurent Meric de Bellefon³

Affiliations

¹ Department of Rheumatology, University Hospitals of Geneva, Geneva, Switzerland.
² Department of Rheumatology, Barts Health NHS Trust, Mile End Hospital, London, United Kingdom.
³ Department of Rheumatology, Cliniques Universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium.

Abstract

Ultrasound-guided synovial biopsy (UGSB) is a minimally-invasive procedure which allows quality synovial tissue retrieval. In this article, we will discuss overarching principles of the procedure performed in wrists, metacarpophalangeal (MCP), metatarsophalangeal (MTP), interphalangeal joints (IP), and tendon sheaths, including basic sonoanatomy, entry site and biopsy technique, as well as special considerations for each structure whenever relevant.

Keywords: metacarpophalangeal; metatarsophalangeal; proximal interphalangeal; ultrasound-guided synovial biopsy; wrist.

Publication types

Review