Ultrasound (US) examination of the elbow and parasternal joints is very useful to detect synovitis, degenerative changes, intrarticular calcification or soft tissue abnormalities. More recently new fields of research involving the sacroiliac and temporomandibular (TM) joints have evolved. Moreover, important information has been obtained about vascularization of the synovial joint in the sacroiliac region and structural modification such as internal derangement in the TM joint.. In this paper, we review and discuss the role of US in the evaluation of elbow, sacroiliac, parasternal and TM joint pathology.