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Medicina Clínica (English Edition) Ultrasound in the study of soft tissue infections
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Vol. 165. Issue 6.
(December 2025)
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Vol. 165. Issue 6.
(December 2025)
Review
Ultrasound in the study of soft tissue infections
La ecografía en el estudio de las infecciones de tejidos blandos
Carlos Guillén-Astetea,b,
Corresponding author
caranguillen@gmail.com

Corresponding author.
, Esperanza Naredoc,d
a Department of Rheumatology, Ramón y Cajal University Hospital, Madrid, Spain
b Faculty of Biomedical and Health Sciences, European University of Madrid, Madrid, Spain
c Department of Rheumatology and Joint and Bone Research Unit, Fundacion Jimenez Diaz University Hospital and Health Research Institute FJD-UAM, Madrid, Spain
d Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain
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Table 1. Performance of ultrasound-guided synovial tissue biopsy.
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Abstract

Musculoskeletal ultrasound is a safe and easily accessible imaging technique that allows the study of suspected infections of the musculoskeletal system. Although no finding is specific to these types of processes, certain synovial characteristics may suggest an infectious process rather than a non-infectious inflammatory condition. The role of ultrasound in this group of diseases is also to facilitate the extraction of synovial fluid for microbiological study. Ultrasound-guided synovial tissue biopsy is a minimally invasive, feasible, safe, and well-tolerated procedure that provides high-quality tissue samples, enhancing diagnostic capabilities in cases of suspected infectious arthritis, especially when synovial fluid analysis is negative or inconclusive.

Keywords:
Musculoskeletal ultrasound
Septic arthritis
Infectious tenosynovitis
Synovial biopsy
Resumen

La ecografía musculoesquelética es una técnica de imagen inocua y de fácil acceso que permite el estudio de sospechas de infecciones del sistema musculoesquelético. Aunque ningún hallazgo es específico de este tipo de procesos, existen ciertas características sinoviales que pueden sugerir un proceso infeccioso en lugar de uno inflamatorio de otra naturaleza. El papel de la ecografía en este grupo de enfermedades es también facilitar la extracción de líquido sinovial para su estudio microbiológico. La biopsia sinovial guiada por ecografía es un procedimiento mínimamente invasivo, factible, seguro y cómodo para el paciente que proporciona muestras de tejido de alta calidad que mejoran la capacidad diagnóstica en casos de sospecha de artritis infecciosa, especialmente cuando el análisis del líquido sinovial es negativo o no concluyente.

Palabras clave:
Ecografía musculoesquelética
Artritis séptica
Tenosinovitis infecciosa
Biopsia sinovial

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