HAPPY NEW YEAR again!
A 2-year-old female with right knee LOM for 1 month
Current URI history 6 months ago (+)
TSGCT or TB?
Would you go for a US-guided synovial biopsy?
I am not sure if I can obtain any synovial tissue.
I have little experience of US guided biopsy on pediatric patients with poor cooperation.
Parents didn’t want to get any surgical/arthroscopic procedure under general anesthesia, considering going to bigger hospitals in the capital city.
Chloral hydrate (Pocral, rectally) failed to achieve adequate sedation when we tried to perform a US guided biopsy.
pvns.pdf 