Efficacy of synovial fluid analysis and synovial biopsy in diagnosing joint pathologies

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Efficacy of synovial fluid analysis and synovial biopsy in diagnosing joint pathologies

Journal Title: IP International Journal of Orthopaedic Rheumatology - Year 2018, Vol 4, Issue 2

Abstract

Introduction Joint disease is a common orthopaedic problem They often occur in younger people and tend to be destructive This can lead to widespread disability and morbidity Diagnosis is clinical aided with conventional radiological and laboratory investigations They are sometime equivocal and treatment is empirical and symptomatic The evaluation of synovial fluid and synovial biopsy should be an important part of investigative procedure in patients presenting with joint effusionMaterials and Methods Fifty patients with joint diseases visiting orthopaedic OPD and admitted at orthopaedic wards of BGS Global Institute of Medical Sciences Bangalore formed the material of present study Patients were informed about study in all respects and informed written consent was obtained The period of study was from August 2013 to September 2016 Detailed clinical and radiological screenings were done This was followed by synovial fluid analysis and closed needle biopsy in each case The result of this study was then compared with that of previous studiesResults and analysis A complete correlation between clinicoradiological synovial fluid findings and closed needle biopsy for diagnosis of the definite pathology was seen in 34 68 cases In 8 cases 16 where the clinicoradiological and synovial analyses were equivocal and inconclusive synovial biopsy only gave conclusive diagnosis of definite pathology In another 8 cases 16 the clinical radiological synovial fluid findings and even the histologic study by closed needle biopsy were inconclusive for any definite disease and were labeled as chronic nonspecific synovitis These cases were proved chronic nonspecific synovitis also by open biopsyConclusion Synovial fluid analysis and synovial biopsy will help in coming to a conclusive diagnosis in cases where radiological and laboratory investigations are equivocal This can be done simultaneously through same site of aspiration with Parker Pearson needle The significance of the result of the study outweighs the effort of the procedure Thus it can be stated that evaluation of synovial fluid and synovial biopsy in joint diseases will stimulate its use as routine investigative procedure in the diagnosis of various puzzling joint disordersKeywords Synovial fluid Joint diseases Rheumatoid arthritis

Authors and Affiliations

Madhuchandra P. , Sunil Santhosh G. , Raju K. P.

Keywords

Synovial fluid Joint diseases Rheumatoid arthritis

EP ID EP486047
DOI 10.18231/2455-6777.2018.0015
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