Percutaneous bone biopsy

Tuberculosis of the scaphoid and lunate posing a diagnostic challenge – an orthopaedic surgeon’s perspective

“…Complications are rare during the process of bone biopsy, accounting for an overall incidence of only 0.52%. 6 Although a percutaneous approach to the scaphoid through the anatomical snuff box is straightforward, one must be aware of iatrogenic injury to the radial artery, as is what happened in our case. Retrospectively speaking, the procedure ought to have been done under CT or USG guidance by an expert in this area.…”

“…For TB, the essence of diagnosis is culture of Mycobacterium tuberculosis from the tissue specimens. Complications are rare during the process of bone biopsy, accounting for an overall incidence of only 0.52% 6 . Although a percutaneous approach to the scaphoid through the anatomical snuff box is straightforward, one must be aware of iatrogenic injury to the radial artery, as is what happened in our case.…”

Biopsy of bone tumors: a literature review

“…Fluoroscopy, computed tomography (CT), magnetic resonance imaging (MRI), single photon emission CT (SPECT), SPECT/CT, and positron emission tomography–CT (PET/CT) enable precise orientation of percutaneous bone biopsies. The quality and availability of imaging modalities vary between practices—logistical details may limit your choice 13 – 23 .…”

“…A large needle is inserted through a small incision in the site planned for biopsy, preferably guided by imaging modalities 13 – 23 . Multiple samples are obtained, in different directions, through a single bone hole, reducing the risk of iatrogenic fracture.…”

“…The advantages of CNB are as follows: (a) minimally invasive, outpatient procedure; (b) lower cost; (c) low risk of route contamination; (c) tumor samples collection in places that are difficult to locate more safely and accurately, when guided by imaging tests; and (d) lower risk for complications than incisional biopsies (0–10% vs. 16%) 13 – 23 , 25 .…”