Fig. 5

Ultrasound may depict both synovitis and bone destruction, particularly in small joints. a Ultrasound of the dorsal aspect of the wrist shows an irregular surface of the scaphoid (long arrow) suggestive of erosions. c There was thickened and hyperaemic synovium over the scaphoid, indicative of active inflammation. c Plain radiograph of the wrist confirmed squaring of the carpal bones, carpal crowding and a sclerotic, irregular bony surface