Fig. 1. Sonographic-guided injection of steroid in the metacarpophalangeal joint of a patient with rheumatoid arthritis (8–16 MHz linear transducer, Diasus,

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Fig. 1. Sonographic-guided injection of steroid in the metacarpophalangeal joint of a patient with rheumatoid arthritis (8–16 MHz linear transducer, Diasus, Dynamic Imaging Ltd, UK). The tip of the needle is clearly visualized (→), as well as the steroid after the injection (*). MSUS improves the accuracy of joint and soft tissue injection and has the potential to produce major improvements in the efficacy of this routine procedure. From: Musculoskeletal ultrasound—a state of the art review in rheumatology. Part 1: Current controversies and issues in the development of musculoskeletal ultrasound in rheumatology Rheumatology (Oxford). 2004;43(7):823-828. doi:10.1093/rheumatology/keh214 Rheumatology (Oxford) | Rheumatology Vol. 43 No. 7 © British Society for Rheumatology 2004; all rights reserved

Fig. 2. Three-dimensional sonographic image of the second metacarpophalangeal joint in a patient with rheumatoid arthritis (D), compared with the longitudinal (A), transverse (B) and coronal views of the same area. Bone erosion (°) and synovial proliferation are clearly evident. m = metacarpal head; p = proximal phalanx (Voluson 730–Expert’, General Electric Medical Systems, Milwaukee, WI, USA). From: Musculoskeletal ultrasound—a state of the art review in rheumatology. Part 1: Current controversies and issues in the development of musculoskeletal ultrasound in rheumatology Rheumatology (Oxford). 2004;43(7):823-828. doi:10.1093/rheumatology/keh214 Rheumatology (Oxford) | Rheumatology Vol. 43 No. 7 © British Society for Rheumatology 2004; all rights reserved