Rheumatoid disease affects almost all of the musculoskeletal system as wellas some internal organs.· The condition is widespread but the brunt of the attack fall on synovium.· Early symptoms are pain, swelling and stiffness of the wrist.· Serological tests for rheumatoid factor are positive in about 80% of patients.o Synovectomy,o Tendon repair or replacement,o Joint stabilization,o Arthrodesis,o Osteotomy and arthroplasty are treatment options.