Table 1.
Success rate, complications, and tolerability of arthroscopic and US-guided synovial biopsies [1, 3, 13–21]
Arthroscopic | US-guided biopsy semi-automatic needle | US-guided biopsy portal and forceps | |
---|---|---|---|
Success rate | > 90% | Around 80–90% depends on US grey scale synovitis grade, joint size, and operator experience | Around 80–90% |
Complications | 1.51% complication rate, haemarthrosis 0.9%, DVT 0.2%, wound infection 0.1%, joint infection 16 0.1%, thrombophlebitis 0.08%, flare of gout 0.06%, syncope/vasovagal 0.02%, neurological 0.02% | Minor bleeding up to 7.8%, haemarthrosis 0.3–1.3%, neurological up to 3.1%, vasovagal symptoms 0.8 to 3.2%, rare: tenosynovitis | Skin infection (1 of 37 procedures in one study) |
Tolerability | 62% no or mild discomfort | 70–92.8% no or mild discomfort | 71% no or mild discomfort |
Willingness of repeat biopsy | 64% likely or somewhat likely | 57–74% likely or somewhat likely | 85% likely or somewhat likely |
Fewer studies have reported on US-guided port-and-forceps biopsies than arthroscopic and US-guided needle biopsies