Technique for Percutaneous Biopsy of the Synovium of the Elbow Joint

The biopsy is performed at the posterolateral aspect of the elbow, between the olecranon process medially and the lateral epicondyle anteriorly. The patient is placed supine with the elbow semipronated and flexed approximately 60°. The needle is inserted 1 cm lateral and 1 cm proximal to the upper extremity of the olecranon process and advanced downward with slight (20-30°) anterior inclination to cross the posterolateral aspect of the joint (Fig. 10).

FIGURE 9 Percutaneous biopsy of the synovium of the shoulder.

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Dealing With Back Pain

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