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- increased ulnar variance leads to loading of the ulnocarpal joint and resultant lunotriquetral disruption, lunate chondral lesion, and triangular fibrocartilage complex tears - during marked ulnar deviation, compressive load on TFCC, particularly w/ positive ulnar variance, may increase markedly RADIOGRAPHIC FINDINGS - may show flattening, subchondral sclerosis or cysts, and/or lytic changes in lunate and/or triquetrum with similar changes seen over the distal ulna - patients may have positive ulnar variance - in subtle cases, a pronation grip radiograph may demonstrate ulnar variance Note the positive ulnar variance and lunotriquetral impaction on this patient