Ostycut?

Hi,

We rarely do FNAC- only as part of sclerotic bone lesion.

We used osteocyt for ribs, stermum, skull, fingers and toes.

But several cases were being referred for exposed bone- we punt those back to clinical service/podiatry for point-of-care service. So, the need became less. We use bonopty to get into a non-broken bone and soft tissue needle through it (monopty/technacut/another one- can’t remember thr name). Techacut also has vaccum much like breast mammotome) to aspirate cores from broken bone or through the bonopty outer needle.

Best!
AC

Avneesh Chhabra, M.D. M.B.A.
Professor, Radiology & Orthopedic Surgery
Chief, Musculoskeletal Radiology
Department of Radiology
5323 Harry Hines, Blvd. Dallas, Tx-75390-9316
Office: 214-648-2122
http://www.utsouthwestern.edu/radiology<http://www.utsouthwestern.edu/education/medical-school/departments/radiology/>

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Toes are scary… I’ve heard of one case where the toe fell off during the procedure (I assume followed by a ‘Mr Bean’-like effort to put the toe back in position)

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Bill – this is going to be a big problem for us here at HFHS as well… the 17G short ostycut is definitely preferred gauge and length for fingers/toes.

Is anyone else even getting asked to biopsy these areas routinely? If so what are you using?

I doubt the clinical services will be happy with FNA as an alternative, although truthfully most of the time they’re just looking to culture an organism…

DS

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Daniel Siegal, MD
Vice Chair, Radiology
Clinical Associate Professor, WSU School of Medicine
Department of Radiology – Musculoskeletal Division
Henry Ford Hospital & Health Network | 2799 West Grand Blvd | Detroit, MI 48202
313-916-3344 (office) | 313-916-9475 (fax) | dans (at) rad.hfh.edu​

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I wouldn’t use it the same way it is used for other bone biopsies. The coaxial aspect is not required. You can use the penetration set which is 14G/6.5 cm OR biopsy set 15G/13cm. I agree Ostycut is probably best for small parts.

Kevin

But that’s a bit long, and it’s coaxial which is a bit cumbersome for fingers, toes, etc

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The older Bonopty penetration/biopsy set can serve a similar purpose.

Kevin McGIll
UCSF

Hi all,

Word on the street is that Bard is discontinuing their Ostycut bone biopsy needle, which we used for biopsy of superficial extremity lesions (i.e., hands and feet) because of its short length, small gauge and low profile.

Did anyone else use Ostycut?
What are you planning on replacing it with?

Thank you! Feel free to ‘reply all’ so we can share info.

Best regards,
Bill Morrison
Jefferson Hospital
Philadelphia
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