Wrist pain is a common patient complaint with a myriad of clinical conditions that can
explain the underlying cause. Short of wrist arthroscopy, no technique other than formal wrist arthrotomy
exists for direct examination of the hyaline cartilage coating the articular surfaces of the
carpal bones. Magnetic resonance imaging (MRI) has been proven accurate in evaluating joint surfaces
of large joints such as the shoulder, hip, and knee with articular cartilage surface thickness is
in excess of 1 mm. However, in the carpus the thickness of the cartilage and the contours present
have precluded accurate imaging. Advances in MRI technology over the last several decades are
now making imaging of small joint surfaces, such as the carpus, an area worth revisiting. Herein we
provide a review of these efforts with a specific focus on the evaluation of the wrist.