The development of high-resolution multifrequency linear probes has allowed ultrasound to accurately depict the normal anatomy and pathology of the wrist. The superficial nature of the anatomical structures of the wrist and hand is ideally suited to ultrasound, which offers high resolution and dynamic capabilities. The wrist is now the second commonest joint evaluated by ultrasound at our center. This is due to increasing rheumatology referral for the assessment of active inflammatory changes, synovitis and joint effusion, as well as the detection of early erosive changes. Ultrasound is inexpensive, portable, and equally effective in both the hospital and outpatient facility.