Ultrasound Guided

Synovial Biopsies


Welcome to our department

The aim of this site is to give fellows visiting our unit an opportunity to see a ultrasound guided synovial biopsy before arriving. There are a number of videos available showing both small and large joint synovial biopsies

We currently preform knee, MCP, PIP, wrist, elbow and MTP synovial biopsies under ultrasound guidance. Whilst visiting our department we hope you will have an opportunity to see an number of procedures and learn the basic skills required to perform this intervention.

Directions to the Rheumatology Department can be found below

Dr Stephen Kelly MB ChB, MRCP

Consultant Rheumatologist

Clinical Trial Lead

Barts Health NHS Trust

Department of Rheumatology

Mile End Hospital


The images above show (clockwise from the left):Biopsy forceps and introducer, local anesthetic administration prior to a wrist biopsy, US image of a MCP joint with active RA and histological analysis of synovial tissue


Location of Mile End hospital, London, E1 4DG


Tube: Take the District line to Stepney Green tube station. On exiting the station turn left an walk approximately 400m on Mile End Road. Turn left into Bancroft Road. Walk straight ahead for 400m and Mile End Hospital is situated on the right.

The Rheumatology Department can be located by entering the main entrance and following the signs to Rheumatology and Phlebotomy.

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