| Rheumatoid arthritis has many forms of presentation. This patient has bilateral severe radiocarpal and distal radioulnar joint involvement, with relative sparing of the metacarpophalangeal and interphalangeal joints. |
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| Note the spontaneous radiolunate fusion. |
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| The radiolunate joint did not spontaneously fuse on this side, allowing a greater degree of ulnar translation of the carpus. Note the severe cystic carpal changes. |
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