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. 2020 Dec 4;40(7):2593–2600. doi: 10.1007/s10067-020-05512-7

Table 1.

Success rate, complications, and tolerability of arthroscopic and US-guided synovial biopsies [1, 3, 1321]

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