Biopsy material has proved to be of value in the investigation of many inflammatory and malignant disease processes. Examination of the synovial membrane by open biopsy, under anesthesia, has been performed by orthopedists for many years. Polley and Bickel, in 1951,1,2 described an instrument for performing a closed punch biopsy. The purpose of this study was to determine the value of the closed punch biopsy procedure in an active outpatient arthritis clinic.
The greatest potential value of a synovial biopsy in clinical practice would be to establish a diagnosis. In certain arthritic conditions, this is possible. If urate crystals are demonstrated in the synovial membrane, the diagnosis of gouty arthritis may be established.3 Tuberculous arthritis and pigmented villous synovitis may also be accurately diagnosed by joint biopsy. Unfortunately, the histological changes in the synovial membrane of osteoarthritis, rheumatoid arthritis, "the collagen diseases," and traumatic and infectious arthritis, are
Thank you for submitting a comment on this article. It will be reviewed by JAMA Internal Medicine editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 12
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.