Case 152: Hip Joint Biopsy

Bhavin Jankharia -

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CT Guided BiopsyBhavin Jankharia

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
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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

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Table of Contents and Other Bone and Joint Biopsies

Table of Contents
Table of Contents
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