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Current Case:
A 62-yrs old presented with left hip infective arthritis.
The patient was sent for a biopsy. What would you target? Fluid? Synovium? Bone lesion?
The CT showed a large acetabular roof osteolytic lesion. Does that now change your approach?
The video discusses the case, the biopsy approach and a discussion of how to go about performing a biopsy in a setting of a suspected infective arthritis
Please note that the video only plays within this browser page and not outside of this browser page. If the video does not autoplay in your email, then you will need to open this page in your browser, by clicking "View Online", in the 2nd line below the title of the post and next to my name.
Region: Hip
Age: 62
Findings: Infective arthritis
Lesion Biopsied: Acetabular roof osteolytic lesion
Size of Lesion: Not relevant
Gun: 11G Cook bone biopsy and 16G BARD 20mm throw, long
No of cores: 2 for histopath and 2 for microbiology mixed in the aspirate for microbiology
Sedation: Yes
Position & Approach: Supine, trans anteroinferior iliac spine
Time Taken (marker to wash-out): 11 mins
Complication: None
Level of Difficulty: 3/5
Diagnosis: Tuberculosis