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Front. Med. | doi: 10.3389/fmed.2019.00002

Ultrasound-guided synovial biopsies of wrists, metacarpophalangeal, metatarsophalangeal, interphalangeal joints, and tendon sheaths

  • 1Geneva University Hospitals (HUG), Switzerland
  • 2Barts Health NHS Trust, United Kingdom
  • 3Catholic University of Louvain, Belgium

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: Ultrasound- guided, Synovial biopsy, Ultrasound-guided synovial biopsy, Wrist, MCP (metacarpophalangeal joint), PIP, DIP, small joint

Received: 14 Nov 2018; Accepted: 04 Jan 2019.

Edited by:

João E. Fonseca, Faculdade de Medicina, Universidade de Lisboa, Portugal

Reviewed by:

Mihir D Wechalekar, Flinders Medical Centre, Australia
Vasco C. Romão, Institute of Molecular Medicine, Faculty of Medicine, University of Lisbon, Portugal  

Copyright: © 2019 Lazarou, Kelly and Meric De Bellefon. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: MD. Ilias Lazarou, Geneva University Hospitals (HUG), Genève, Switzerland,