Figure 5

Imaging of the symptomatic wrist region of a 13-year-old girl with JIA. (A) Dorsal sagittal US scans of the radiocarpal (arrowhead, rc) and midcarpal (arrowhead, mc) joints showing synovial hypertrophy (syn, top image), with hyperemia (hyp) on color Doppler (bottom image), in the dorsal recesses (arrows). There are no visible erosions. (B) Overview of pathology in coronal MRIs of the hand and wrist. An erosion in the Hamate (arrow) and synovitis in the 2nd and 3rd DIP joints (arrows) are seen both in the coronal T1 SE image to the left, and in the coronal postcontrast 3D T1 GRE VIBE sequence in the middle. The axial STIR image (bottom image) reveals the bone marrow edema (arrow) surrounding the erosion of the Hamate. No pathology is displayed in the concurrent, posteroanterior X-ray (right image).