The wrist is one of the most affected joints in rheumatoid arthritis. Distal radioulnar joint is involved even in the early stage of the disease. Rheumatoid arthritis causes both instability and arthrosis in the distal radioulnar joint. The treatment is determined due to stage of the disease, the stage of arthrosis, the age and activity level of the patient. While conservative treatments are used in the early stages, surgical treatments are used in the advanced stages.