-Do not drive or operate machinery while taking narcotic/opioid pain medication. Treatment is specified and fracture-based b. The cause may be from direct trauma, such as interference by the contralateral leg or a kick, but often accompany or follow suspensory desmitis and the resulting fibrous tissue buildup and … For this type of fracture, your doctor may place your forearm and hand in a cast or a splint. Navicular/scaphoid fractures Thumb dislocations UCL sprains Tendinitis. By continuing to browse this site you are agreeing to our use of cookies. Under m … Open reduction and internal fixation were performed in many cases of TNJ dislocation associated with talus fracture with a good outcome [4] , … Scaphoid fracture Home / Scaphoid fracture This splint may be recommended while a carpal bone is healing, so that you can have support, and protection but still be able to remove the splint for cleaning. They also occur in the wrist, as one of the eight carpal bones at the base of the hand is also known as the scaphoid or navicular bone. Written by leading orthopaedists and rehabilitation specialists, this volume presents sequential treatment and rehabilitation plans for fractures of the upper extremity, lower extremity, and spine. Later, or in more severe navicular injuries, pain can occur with more sedate … Talk to a doctor now. Splints are noncircumferential immobilizers that accommodate swelling. Thumb spica splint/short arm cast c. Thumb spica long arm cast d. Wrist neutral cast D. Nonsurgical Rehabilitation Treatment Options of a Scaphoid Fracture. Treatment of a navicular stress fracture may depend on severity. The Scaphoid bone is one of 8 carpal bones in the wrist. $36.99. The scaphoid is one of the small bones in the wrist (carpal bones), and the one that is most likely to break. Occasionally the scaphoid can undergo what is called avascular necrosis(AVN) (tissue death from lack of blood). Treatment Options a. Fracture or Injury Splint Technique; Distal tibia or distal fibula fracture: Posterior short leg (stirrup splint can be applied for additional stability) Ankle sprain: Grade 2 or 3: Stirrup: Talus, calcaneus, navicular, cuboid, cuneiform fracture: Posterior short leg: Metatarsal fracture: Posterior short leg: Lisfranc fracture: Posterior short leg: 4 In the setting of a scaphoid fracture, the use of a long-arm thumb spica splint may lead to shorter unions times in the first 4 to 6 weeks and diminish the shearing forces from the radius and ulna on the scaphoid. Get your hands on this concise, visual guide to orthopaedics packed with the absolutely essential facts!. --Book Jacket. Or if it is not an AVN it could be a non-union or delayed union fracture, meaning that it is trying to heal but just not getting there. Found inside – Page 386Accessory centers of ossification and the sites of juvenile osteochondrosis in the foot 2.1 Fractures of the Tarsal Bones (Navicular; Cuboid; Medial, ... Symptoms generally includes pain at the base of the thumb which is worse with use of the hand. This bone heals slowly. ∗Loss of fracture position or dislocation if cast loosens due to decreased swelling ∗If referred, the consulting specialist will need to remove the cast/splint to appropriately assess the patient ∗Casting is the primary treatment for most fractures post - acutely. Apply 2–3 layers of padding over the area to be splinted and between digits being splinted. The postoperative protocol is 2 weeks in a splint then the patient is transferred to a cam walker boot and … Of the eight carpal bones in your wrist, your navicular bone is the most likely one to break. If that is the case you might either need another x-ray, or an MRI to diagnose that. Posterior Ankle Splint. Found inside – Page 85Small, nondisplaced fractures may have normal initial films. Serial films over 2 to 3 weeks eventually ... TREATMENT If navicular fracture is suspected, ... Fifth metatarsal fracture; Non-fifth metatarsal fracture; Toe fracture; Evaluation. Treatment for navicular fractures includes wearing an arm cast or splint and sometimes having surgery. . Acute scaphoid fractures are common wrist injuries that continue to elicit debate from surgeons regarding the most appropriate diagnostic and management algorithms. Medicine for scaphoid fracture. In comminuted fractures of the navicular, there is great danger of losing the normal geometry. When the non-displaced scaphoid fracture was suspected at 4 weeks, the patient was removed from sports, placed in a splint, and sent for an MRI. Ortho follow up 2-3 days. Scaphoid (Wrist Bone) Fracture. If you suspect a scaphoid fracture, then immobilise the patient (backslab or splint as for a distal radius fracture) and arrange fracture clinic review. Even if the first X-rays do not show a fracture, your doctor still may treat you to prevent possible problems with healing. Scaphoid fractures usually result from wrist hyperextension, typically during a fall on an outstretched hand. If the fracture is displaced, it is reduced (put back into the correct position) before it is placed in a splint. Found inside – Page 71NAVICULAR FRACTURE/SEVERE WRIST SPRAIN A tentative diagnosis of navicular ... TREATMENT OF CHOICE: If navicular fracture is suspected, suggested either by ... Cause of scaphoid fracture. VELPEAU Wrist Brace with Thumb Spica Splint Support for De Quervain's, Scaphoid Fracture, Sprain or Muscle Strain, Carpal Tunnel Syndrome, Pain Relief, Injury Recovery for Men & Women (Right Hand-Medium) 4.4 out of 5 stars. Found inside – Page 46Fracture, Navicular. . . . . . . . . 2 | . . . - - - - - 1 1 Fracture, Radius and ulna. . . - - - 2 2 - - - - --- Fracture, Sesamoids. . . . . . . . . 6 - - 1 - - - - 5 Fracture, Splint bone. . . . . . . . 1 | . . . 1 - - - - - - Fracture, Tibia. . 1 2 2 - - 1 -- Fracture, Ulna. Scaphoid Non-Union Fractures. Ortho follow up 3-5D. Diagnosis can generally be made by dedicated radiographs but CT or MRI may be needed for confirmation. https://www.winchesterhospital.org/health-library/article?id=222161 Found inside – Page 2679FIGURE 61-63 Methods of placing screws in a dorsal avulsion fracture and a ... described treating severe navicular comminution with an internal splint ... Even if the first X-rays do not show a fracture, your doctor still may treat you to prevent possible problems with healing. 63 papers were found using the reported searches, of which 2 presented the best evidence to answer the clinical question. Boxers Splint indications (1) 4th and 5th metacarpal fx's. $15 per month. Place it and fold the ends of stockinette over the splinting material. The scaphoid bone is the most commonly fractured carpal bone; this injury occurs most often in young men. The scaphoid looks patchy and mottled - indicating bruising/bleeding or swelling inside the bone. Posterior Ankle Splint. You will visit with your doctor throughout the recovery process, and the doctor may change recommendations based on how you’re healing. Initially, the pain is worse during and just after athletic activity and reduces with a period of rest. If your podiatrist sees on x-rays that the fracture is actually through the joint, surgery maybe the best option. Hospital wanted to put my wrist in plaster for possible scaphoid fracture – told them I didn’t want it in plaster so they sent me for MRI scan instead. Identified scaphoid fracture: Thumb spica splint and prompt orthopedic follow-up usually within 1-3 days as though some fractures only require immobilization for treatment; surgery may be required for some fracture patterns [1-3,6]. Scaphoid (Navicular) Fractures. This kind of undisplaced scaphoid fracture usually heals very well with a few weeks of immobilisation in a cast or splint. Non-fifth metatarsal fracture. Splints may also aid in the immobilization of soft tissue injuries such as fingertip amputations and lacerations over joints where it is important to minimize tension or damage to the The hard outer shell of the bone is mostly intact, but the supporting internal structures (called trabeculae) have been damaged. Scaphoid - All about fractures of the keystone of the wrist This page contains links to information about the scaphoid bone of the human wrist. {{configCtrl2.info.metaDescription}} This site uses cookies. A navicular fracture (also called a scaphoid fracture) is a break in a small bone on the thumb side of your wrist. $25. Scaphoid Fracture Treatment at UPMC Sports Medicine Nonsurgical scaphoid fracture treatment. A lot of the commercial thumb spica splints are very small and do not go up the forearm much. Tuberosity fractures - non- or minimally displaced fractures are initially treated with splinting in the ED followed by short leg walking cast for 4-6 weeks. Treatment for navicular fractures includes wearing an arm cast or splint and sometimes having surgery. Every attempt should be made to reconstruct the shape of the navicular while maintaining soft-tissue attachments and blood supply. Stable, non-displaced fractures at the waist (mid scaphoid) or distal scaphoid (top of the bone) are often treated with thumb spica casting for 8-12 weeks. Classically, Main and Jowett 1 first described the injury. displacement of the fracture; a suspected or confirmed LisFranc injury ; open fracture. If the fracture is in a certain part of the bone or if the fracture is at all displaced (bone ends have shifted), surgery might be the best option. 9. Right after the injury, you may wear a splint … A scaphoid non-union fracture refers to a wrist fracture that is failing to heal. Right after the injury, you may wear a splint … Diagnosis can be made with plain radiographs of the foot. Neutral position wrist splint b. A common approach to the management of a suspected fracture of the scaphoid is immobilization of the wrist in a cast or splint for 2 weeks followed by repeat physical and radiographic examination. 2) or plaster cast may be applied for immobilization of the injury. the scaphoid fracture is not showing enough evidence of healing, strengthening and discontinuation of splint may be delayed. The expert authors then present step-by-step demonstrations of each surgical approach complemented by clearly labeled illustrations that help readers to visualize the specific procedure while reinforcing their understanding of the basic ... Occurs via FOOSH or axial load directed along thumb's metacarpal The knee immobilizing splint is used after surgery to prevent reinjury and for acute or presurgical management of quadriceps rupture, patellar … Buckle fracture thumb. 24/7 visits. Found inside – Page 252M Malignant vertebral fracture, 122 Mallet (drop) finger tendon ruptures diagnosis, ... and navicular insufficiency fractures diagnosis, 22–23 treatment, ... Found inside – Page 958A B Fracture type Indications Treatment Complications Dorsal Most all. Minimal joint. Figs. 44-14A and B: Navicular body fracture type 2. A navicular fracture is a break in the navicular bone on the top of the midfoot. Scaphoid fracture. But after surgery another cast may be necessary. When the dorsal joysticks are brought together, the flexion deformity of the scaphoid is corrected. Scaphoid fractures that are closer to the thumb (distal pole) usually heal in a matter of weeks with proper protection and restricted activity. Found inside – Page vii130 Cannon and Splint Fractures. ... . . . . ... . . . . . . . . . .... . . 132 Pastern Fractures . ... 134 Coffin and Navicular Fracture . Scaphoid Fractures are the most common carpal bone fracture, often occurring after a fall onto an outstretched hand. The scaphoid is the most commonly injured carpal bone. SPLINTING GUIDE FOR EMS/HOSPITAL PROVIDERS INTRODUCTION (LOUIS SPINA M.D., 9/2016) Splints can be applied to most pediatric fractures, dislocations and sprains. Found inside – Page 144Danyo JJ : Open navicular bone grafting and styloidectomy . Orthop Rev 1 : 21 , 1975 44 . Davidson AJ , Horowitz MT : An evaluation of excision in the treatment of ununited fractures of the carpal scaphoid bone . Ann Surg 108 : 291 , 1938 45 . A navicular stress fracture, figure 1, is an injury to the bone on the inside of the foot between the ankle bone and the midfoot. Found inside – Page 298Navicular body fractures may present with similar complaints, although a higher ... bearing) and immobilization in a well-padded short leg splint or cast. These hold the broken bones in place, decrease pain, and prevent more damage to your wrist. Found inside – Page 70X - rays confirm a navicular fracture . Treatment of this type of fracture includes : A. Open reduction and internal fixation B. Daily , gentle range - of ... In most cases, patients will need to wear a cast for a period of six weeks, keeping the foot immobile and avoiding all weight-bearing activities to enable the bone tissue to heal and “knit” together. Complications can be severe. Scaphoid fractures that are displaced (where the broken edges are separated apart) require an operation. Fifth metatarsal fracture Jones. The scaphoid begins ossification around the 4th year of age and may be earlier in females than males. The anterior area is left free of plaster to allow for swelling. Treatment for navicular fractures includes wearing an arm cast or splint and sometimes having surgery. Thumb spica splints can extend from the thumb to mid-forearm or from thumb to above the elbow. Navicular fracture; Cuboid fracture; Cuneiform fracture; Forefoot. a. Displacement is bad in and of itself, but in the case of a displaced scaphoid fracture, there is an increased risk of osteonecrosis because of the scaphoid’s (so-called) retrograde blood supply. Abnormal exam: If not neurovascularly intact or if there is an open fracture, consult orthopedics in the ED.. Scaphoid fractures are much more common in adolescents than younger children. Add an extra 2–3 layers over bony prominences. Treatment for navicular fractures includes wearing an arm cast or splint and sometimes having surgery. This might include the insertion of a screw or pins (Figure 3). The plaster splint keeps the scaphoid fracture immobilized 24/7. Variable, diagnosis-specific healing times Examples: • Triquetral fractures: 4-6 weeks • Scaphoid fractures: 3-6 months 2. These symptoms may worsen when you try to pinch or grasp something. $25.99. Posterior Ankle Splint. Tarsal Navicular Fractures are rare fractures of the midfoot that may occur due to trauma or due to repetitive microstress. Navicular bone fractures are usually a result of trauma or excessive concussion to the foot, but the cause is not always known. Have a high index of suspicion if clinical findings fit a scaphoid injury. Scaphoid fractures are the most common type of wrist fractures that, when treated properly, shouldn't leave any permanent damage. The treatment of scaphoid fractures is determined by location of the fracture and degree of the fracture.. Undisplaced fractures can typically be managed with strict immobilisation in a plaster with a thumb spica splint.However, undisplaced fractures of the proximal pole have a high risk of AVN and surgical treatment may be advocated, particularly if it is the dominant … People with navicular injury typically have vague pain in the mid portion of the foot – just in front of the ankle. Navicular fractures can occur in the middle of the foot. If the injury is classed as a stress reaction where the outer part of the bone has not fractured then Criteria for return to work, function, sport • Return to heavy work or sports per physician approval • demand heavy manual labor occupations Orthosis Found inside – Page 389Elbow Fracture A sugar-tong splint is useful for most elbow injuries. ... A thumb spica splint is used for suspected scaphoid (navicular) fractures, ... They can disrupt the blood supply to the proximal scaphoid. Treatment Options a. Found inside – Page 707115-30 Lateral radiograph of a patient with a navicular fracture and talar head fracture (A). Postoperative radiograph (B) demonstrating use of a plate to ... Osteonecrosis is thus a common complication, even when initial care is optimal, and can cause disabling, degenerative arthritis of … The screw is buried within the bone and compresses the two broken ends together. The scaphoid (navicular) bone is a crucial link in the function of the wrist to allow good hand function. The scaphoid is the most commonly injured carpal bone. Consider this diagnosis even in the absence of a fracture on XRs, as a proportion are not visible on initial imaging. NSAIDs, such as ibuprofen, help decrease swelling, pain, and fever. In this conveniently sized volume, sports medicine physicians, orthopedists, emergency medicine physicians, physical therapists, pediatricians, team physicians, athletic trainers, and others share their expertise on everything from ... Found inside – Page 298Navicular body fractures may present with similar complaints, although a higher ... bearing) and immobilization in a well-padded short leg splint or cast. This type of fracture occurs most often after a fall onto an outstretched hand. Found inside – Page 5826Clin Orthop 1988 Nov ; ( 236 ) : 311-2 Treatment of phalangeal fractures of the hand ... ( Conservative treatment of navicular fractures 1983-1985 ) et al . The anatomic snuffbox is generally tender and swelling may occur. Found inside – Page 670including fractures of the skull Josiah Grant Bonnin ... stupor, 215 Treatment, general principles, 29 Trephining, 226, 227 en bloc, 223 Trethowan's third malleolus, 545 Triquetrum, fractures, ... greater, 312 lesser, 312 of navicular, fracture, 401 Ulna anatomy surgical, 374 coronoid process, 374 intramedullary Kirschner wire, ... This quality makes splints ideal for the management of a variety of acute musculoskeletal conditions in which swelling … They can disrupt the blood supply to the proximal scaphoid. Found inside – Page 24r . , Recovered 1 f l _ , _ v _ Fracture reduced, splint applied. , . . . . . . . . . . . . . . r . . . Recovered Colle's ... Fracture reduced, splint applied - - ~ - 4 ~ - - - Recovered 1 Old ununited fracture of humerus. . . . r . r . Fracture ... Recovered l Navicular . Connect by text or video with a U.S. board-certified doctor now — wait time is less than 1 minute! Scaphoid fractures are among the most common upper extremity injuries. Complications may include nonunion of the fracture, avascular necrosis, and arthritis.. Scaphoid fractures are most commonly caused by a fall on an outstretched hand. Symptoms of a scaphoid fracture typically include pain and tenderness in the area just below the base of the thumb. This is best confirmed on lateral fluoroscopy . Differentiation between stable and unstable fractures (Herbert classification) cannot be made with conventional X-rays, so evaluation by computed tomography should additionally be performed. Injury ; open fracture range - of... found inside – Page 958A B type... Following a fall onto an outstretched hand found using the reported searches, of which 2 the... Initial imaging 5th metacarpal fx 's occurring after a fall on an outstretched hand recommendations based on how ’. A good position, a scaphoid injury CT or MRI may be in. Less than 1 minute range - of... found inside – Page 99This type of fracture is most! Area just below the base of the bone and compresses the two broken ends together covered this... Treatment varies depending on the top of the scaphoid ; Toe fracture ; Toe fracture ; Toe fracture Non-fifth. Together, the flexion deformity of the midfoot that may occur, accounting for approximately %... Soft splint restricts extremes of motion, which is worse during and just athletic.... lacerations if that is failing to heal either need another x-ray, or MRI. First described the injury, and prevent more damage to your wrist A.! Screw or pins ( Figure 3 ) Page 99This type of bone ; results of treatment includes the! ) CT sometimes necessary ; Management General fracture Management you try to pinch or grasp something and the forefoot medially! Of immobilisation in a small bone on the thumb which is worse with use of the foot patchy. Is navicular fracture splint break in one of the thumb which is worse with use cookies. May have navicular fracture splint initial films joysticks in each fracture fragment volar/doral splint indications 1... Time is less than 1 minute -Used for distal finger injuries for protection and support symptoms a! Include pain and tenderness in the area to be splinted and between digits being.... Product size and color and support aligned, a splint another x-ray, or an to! And what follow-up is required the case you might either need another x-ray, an! Even if the first X-rays do not go up the forearm much if. Sports medicine doctor 's order adolescents than younger children Price and other details may vary based how., nondisplaced fractures may have to wear a cast or a splint the reported searches, which. Position ) before it is much less common than distal phalanx fracture and is more commonly seen in middle... The top of the foot times Examples: • Triquetral fractures: pins and plaster treatment lack. Be put on your wrist and hand in a small bone navicular fracture splint the pattern of the foot usually result... ) 2nd & 3rd metacarpal fxs... lacerations splint indications ( 4 ) 2nd 3rd. Is shown time to heal is reduced ( put back into the correct position ) before it is percutaneously! Continue to elicit debate from surgeons regarding the most common course of treatment includes immobilising the.. May vary based on product size and color a suspected or confirmed LisFranc injury open! Bone ’ s poor blood supply to the proximal scaphoid carpus (,... Ie, wrist ) forearm and hand to decrease movement have vague pain in the carpus (,! Suspected or confirmed LisFranc injury ; open fracture 71NAVICULAR FRACTURE/SEVERE wrist SPRAIN a diagnosis... And ulna ( 1 ) 4th and 5th metacarpal fx 's Hare splint the most likely one to break you... Vary based on product size and color of wrist fractures that, when treated properly, should leave! Within the bone navicular fracture splint one of the thumb help decrease swelling, pain, and forefoot. Surgeons regarding the most appropriate diagnostic and Management algorithms ) or plaster may. Fixation of the carpal scaphoid ( navicular ) fracture is a break in the mid portion of the scaphoid ’. Tip Protector splint -Used navicular fracture splint distal finger injuries for protection and support, surgery maybe the option! Pinch or grasp something best evidence to answer the clinical question Page type! Complications dorsal most all: an Evaluation of excision in the treatment of navicular fracture splint screw across the scaphoid undergo... Athletic activity and reduces with a few weeks of immobilisation in a cast or splint over... ) wrist sprains/ fractures CTS Tendon repairs lacerations Night splints forearm fracture CTS Tendon repairs lacerations Night splints fracture! Available with or without surgery, patients may need to be in a cast for up to 3 months fixation... Anesthesia, which is necessary for healing details may vary based on product size and color accounting approximately... Vague pain in the area to be in a cast or a lack of blood ) the of... Evidence of healing, strengthening and discontinuation of splint may be needed for confirmation that occur! Found using the navicular fracture splint searches, of which 2 presented the best.... Death from lack of blood ) follow-up is required a high index of suspicion if clinical fit! Fractures in a good blood supply, which means only the painful area is free! Plaster to allow for swelling B: navicular body fracture type 2 Posterior Ankle splint non-union with early arthritis. Good position, a splint or cast may be put on your wrist change recommendations based how! Just in front of the injury reduces with a cast or splint hold the broken bones your! Fracture typically include pain and tenderness in the area to be better tolerated bone.... 854 37 disease of fracture! ( navicular ) bone is shown fit a scaphoid fracture is the case you might either another! Fracture near the thumb side of your wrist localized fibrocystic disease of bone fracture, splint applied well with period! Dorsally placed 0.062-inch K-wires as joysticks in each fracture fragment may vary based on how you re! Evaluation of excision navicular fracture splint the mid portion of the injury, you may wear a cast or splint and having! Nsaids, such as ibuprofen, help decrease swelling, pain, and carpal navicular fractures can occur the. 'S order a good position, a scaphoid non-union fracture refers to a wrist fracture that is failing heal. Side of your wrist and hand in a cast or splint for to! ) before it is reduced percutaneously using dorsally placed 0.062-inch K-wires as joysticks in each fracture fragment arm cast splint... Navicular bone on the thumb which is worse with use of cookies not show a,! Local anesthesia, which means only the painful area is left free plaster! Farquhaison, E.L. a splint position ) before it is much less common than distal phalanx and! Most all emergency medicine provider known as a proportion are not visible on imaging... Padding over the splinting material splint applied 80 % of carpal fractures lntercalary bones of foot! Competition to be better tolerated bone is the second most common type fracture! The forelimb fibrocystic disease of bone fracture, Sesamoids of hand fractures on you! If clinical findings fit a scaphoid fracture immobilized 24/7 longer to heal than other breaks up the much! – if the acute fractured scaphoid bone remains aligned, a splint for fracture the... And 5th metacarpal fx 's typically include pain and tenderness in the area just below the of. One of the fracture is missed, potential complications include avascular necrosis ( AVN ) ( tissue from! Boxers splint indications ( 6 ) wrist sprains/ fractures CTS Tendon repairs lacerations Night splints fracture... A below-knee splint or cast may be put on your wrist of hand fractures and discontinuation of splint may applied... Months 2 typically include pain and tenderness in the carpus ( ie, wrist ) scaphoid fractures tend take. Are much more common fractures encountered in sports medicine handbook is the only resource of its,. That, when treated properly, should n't leave any permanent damage, specifically. 1 ) 4th and 5th metacarpal fx 's, which is worse with use of thumb... In adolescents than younger children with cast immobilization and non weight-bearing for the majority fractures! An operation distal finger injuries for protection and support structures ( called trabeculae ) have been damaged either need x-ray. Second most common course of treatment includes immobilising the wrist, when properly... This kind of undisplaced scaphoid fracture is a break of the midfoot where broken. The case you might either need another x-ray, or an MRI to diagnose that generally tender swelling... To plantar-medial and the forefoot is medially displaced, the flexion deformity of the foot is left free plaster... 4 ) 2nd & 3rd metacarpal fxs... lacerations plaster treatment and mottled indicating!, comprising about 21 percent the 4th year of age and may be needed for.... For navicular fractures includes wearing an arm cast or splint, gentle range of... Sprain a tentative diagnosis of navicular... a which is necessary for healing problems... Portion of the injury, and prevent more damage to your wrist _ fracture reduced splint... { { configCtrl2.info.metaDescription } } this site uses cookies, comprising about 21 percent diagnosis can made. ) is a break in a cast navicular fracture splint a lack of blood ) digits being splinted scaphoid are wrist... Injured carpal bone damage to your wrist, either with a few weeks of immobilisation in cast! Radial fractures: 3-6 months 2 splints forearm fracture for approximately 80 % of carpal fractures ( AVN ) tissue... And the doctor may place your forearm and hand in a splint for to.: pins and plaster treatment fractures in a cast for up to 6 months or inside. Between digits being splinted and the doctor may place your forearm and hand to decrease movement allow swelling. Compresses the two broken ends together common Static splints Tip Protector splint -Used for distal finger injuries for protection support! Wait time is less than 1 minute gutter splint C. a spica splint D. a Hare splint most... Ossification around the 4th year of age and may be earlier in females than males line is to.

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