Experience after implementation of ultrasound-guided synovial biopsy in a Rheumatology Department

Ultrasound-guided synovial biopsy is a procedure for diagnostic and research purposes that is not yet available in most rheumatology departments.

We describe the experience with synovial biopsy procedures in our department.

Thirty-eight synovial biopsies were performed on 33 patients during observation. The patients' mean age (standard deviation) was 59 (17) years, ranging between 26 and 90 years. The most frequently biopsied territories were the carpus and the knee. No complications occurred during the procedures. Sixteen residents were trained in the procedure. Two joint sessions have been held with the Immunology and Anatomical Pathology services, and our service sessions have been organised based on the scope and usefulness of the procedures.

Our service's experience has been positive regarding patient care and resident training. The procedure has had no serious complications and has been, in general, very well tolerated.