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A high field (1.5T or greater) strength, dedicated wrist coil, and high in\u2010plane and through\u2010plane resolution must be utilized to successfully visualize the relatively thin cartilage of the wrist. MRI can be used to detect occult carpal bone fractures, identify complications following scaphoid fractures, and assess for avascular necrosis in the setting in Kienb\u00f6ck's and Preiser's disease. MRI is useful to identify secondary soft tissue and chondral pathology in impaction\/impingement syndromes. The use of an intermediate\u2010echo time fast spin echo sequence allows for accurate assessment of articular cartilage, allowing evaluation of chondral wear in the setting of primary osteoarthritis and posttraumatic degenerative arthrosis. MRI is the most sensitive imaging modality for the detection of early inflammatory arthropathies and can detect synovitis, bone marrow edema, and early erosions in the setting of negative radiographs. J. Magn. Reson. 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