A blinded comparison of the Norgaard view (NV) and the standard posteroanterior view (PAV) in 34 patients with erosive arthritis was conducted to determine the added value of the NV in the diagnosis of erosive articular disease. Although the NV was better at detecting erosions in specific areas of the hand/wrist, overall it was not better than the PAV in detecting erosions in patients with early erosive disease. Moreover, there were problems with reproducibility and visualization of the carpal bones with the NV. Obtaining this additional radiograph in patients with early erosive disease does not seem to be justified.