4,469 results match your criteria cuff review

3D MRI of the Shoulder.

Semin Musculoskelet Radiol 2021 Jun 21;25(3):480-487. Epub 2021 Sep 21.

Department of Radiology, New York University Grossman School of Medicine, New York University, New York, New York.

Magnetic resonance imaging provides a comprehensive evaluation of the shoulder including the rotator cuff muscles and tendons, glenoid labrum, long head biceps tendon, and glenohumeral and acromioclavicular joint articulations. Most institutions use two-dimensional sequences acquired in all three imaging planes to accurately evaluate the many important structures of the shoulder. Recently, the addition of three-dimensional (3D) acquisitions with 3D reconstructions has become clinically feasible and helped improve our understanding of several important pathologic conditions, allowing us to provide added value for referring clinicians. Read More

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Medialized versus Lateralized Humeral Implant in Reverse Total Shoulder Arthroplasty: The Comparison of Outcomes in Pseudoparalysis with Massive Rotator Cuff Tear.

J Shoulder Elbow Surg 2021 Sep 17. Epub 2021 Sep 17.

Department of Orthopaedic Surgery, Myongji Hospital, 697-24 Hwajung-dong, Deokyang-gu, Goyang-si, Gyeonggi-do 412-270, Republic of Korea. Electronic address:

Background: With the increasing use of the lateralized humeral implants in reverse total shoulder arthroplasty (RTSA), it is still unclear whether or not this design will be as advantageous as the medialized humeral implants in the setting of pseudoparalysis (PP).

Methods: A total of 51 eligible RTSA cases for PP signs due to massive rotator cuff deficiency were selected for the retrospective review. Twenty-five patients were allocated to Group L in which the isolated humeral side lateralization was performed (neck-shaft angle of 145°), and 26 patients were allocated to Group M (neck-shaft angle of 155°). Read More

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September 2021

Ultrasound of the symptomatic shoulder arthroplasty: Spectrum and prevalence of periarticular soft tissue pathology.

J Clin Ultrasound 2021 Sep 18. Epub 2021 Sep 18.

Department of Radiology, Langone Orthopedic Hospital, New York, New York, USA.

Purpose: To describe our experience using ultrasound (US) to evaluate postoperative complications in the presence of in situ shoulder arthroplasty.

Methods: Review of patients who underwent US evaluation following total shoulder arthroplasty (TSA), reverse total shoulder arthroplasty (RTSA) or hemiarthroplasty from 2007 to 2020. All studies were reviewed independently by two musculoskeletal radiologists to assess for joint effusion, periarticular collection, and characterization of associated rotator cuff tears. Read More

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September 2021

Tolerance to Intermittent vs. Continuous Blood Flow Restriction Training: A Meta-Analysis.

Int J Sports Med 2021 Sep 17. Epub 2021 Sep 17.

Department of Institute of Sports and Exercise Health (ISEH), University College London, London, United Kingdom of Great Britain and Northern Ireland.

The proven beneficial effects of low-load blood flow restriction training on strength gain has led to further exploration into its application during rehabilitation, where the traditional use of heavy loads may not be feasible. With current evidence showing that low-load blood flow restriction training may be less well tolerated than heavy-load resistance training, this review was conducted to decipher whether intermittently deflating the pressure cuff during rest intervals of a training session improves tolerance to exercise, without compromising strength. Four databases were searched for randomized controlled trials that compared the effect of intermittent versus continuous blood flow restriction training on outcomes of exercise tolerance or strength in adults. Read More

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September 2021

Clinical Outcomes of Interposition Graft Versus Superior Capsular Reconstruction in Patients With Irreparable Rotator Cuff Tears: A Systematic Review and Meta-analysis.

Orthop J Sports Med 2021 Sep 9;9(9):23259671211022241. Epub 2021 Sep 9.

Department of Orthopaedic Surgery, Konkuk University School of Medicine, Seoul, Republic of Korea.

Background: Interposition grafting (IG), also called bridging grafting, and superior capsular reconstruction (SCR) are the most commonly used joint-preserving surgical methods for irreparable rotator cuff tears (RCTs).

Purpose: To compare the effectiveness of IG versus SCR to treat patients with irreparable RCTs.

Study Design: Systematic review; Level of evidence, 4. Read More

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September 2021

Comparative effectiveness of treatment options for subacromial shoulder conditions: a systematic review and network meta-analysis.

Ther Adv Musculoskelet Dis 2021 9;13:1759720X211037530. Epub 2021 Sep 9.

Primary Care Centre Versus Arthritis, School of Medicine, Keele University, Keele, Staffordshire, UK.

Background: There are currently many treatment options for patients with subacromial shoulder conditions (SSCs). Clinical decision-making regarding the best treatment option is often difficult. This study aims to evaluate the comparative effectiveness of treatment options for relieving pain and improving function in patients with SSCs. Read More

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September 2021

Diagnosis and Management of Partial Thickness Rotator Cuff Tears: A Comprehensive Review.

J Am Acad Orthop Surg 2021 Sep 13. Epub 2021 Sep 13.

From the Department of Orthopaedic Surgery, Albert Einstein College of Medicine, New York, NY (Plancher), the Orthopaedic Surgery, Weill Cornell Medical College, New York, NY (Plancher), the Plancher Orthopaedics & Sports Medicine, New York, NY (Plancher and Shanmugam), and the Orthopaedic Foundation Stamford, CT (Plancher, Shanmugam, Briggs, and Petterson).

Partial thickness rotator cuff tears (PRCTs) are a challenging disease entity. Optimal management of PRCTs continues to be controversial. Although advances in magnetic resonance imaging and ultrasonography have aided in early diagnosis, arthroscopic evaluation remains the benchmark for diagnosis. Read More

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September 2021

nnnnThe Weekend Warrior: Common Shoulder and Elbow Injuries in the Recreational Athlete.

Am J Med 2021 Sep 8. Epub 2021 Sep 8.

Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, 1100 Virginia Ave, Columbia MO, USA 65212.

"Weekend warriors" are recreational athletes who compress their physical activity into 1-2 weekly exercise sessions. These individuals are generally older than the conventionally discussed athlete, and can live otherwise sedentary lifestyles that contribute to limited opportunities for regular exercise. The combination of high-energy physical activity with relative deconditioning, as well as older age and a potential history of competitive athletic play, can predispose these weekend warriors to a plethora of sports injuries. Read More

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September 2021

Large to massive rotator cuff tendon tears: a protocol for a systematic review investigating the effectiveness of exercise therapy on pain, disability and quality of life.

HRB Open Res 2021 15;4:75. Epub 2021 Jul 15.

School of Allied Health, University of Limerick, Castletroy, Munster, V94T9PX, Ireland.

Rotator cuff tendon tears are inextricably linked with the natural process of aging often resulting in severe disability, poor quality of life and an added burden to the health care system. The occurrence of rotator cuff tendon tears increases exponentially with every decade of life to approximately 60% in individuals over 80 years of age. Exercise is a commonly prescribed intervention although research on its efficacy is in its infancy and often conflicting. Read More

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Engineering Musculoskeletal Grafts for Multi-Tissue Unit Repair: Lessons From Developmental Biology and Wound Healing.

Front Physiol 2021 24;12:691954. Epub 2021 Aug 24.

Institute for Tissue Engineering and Regenerative Medicine, The Chinese University of Hong Kong, Shatin, China.

In the musculoskeletal system, bone, tendon, and skeletal muscle integrate and act coordinately as a single multi-tissue unit to facilitate body movement. The development, integration, and maturation of these essential components and their response to injury are vital for conferring efficient locomotion. The highly integrated nature of these components is evident under disease conditions, where rotator cuff tears at the bone-tendon interface have been reported to be associated with distal pathological alterations such as skeletal muscle degeneration and bone loss. Read More

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Absolute Reliability and Concurrent Validity of Hand-Held Dynamometry in Shoulder Rotator Strength Assessment: Systematic Review and Meta-Analysis.

Int J Environ Res Public Health 2021 Sep 3;18(17). Epub 2021 Sep 3.

Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago 7591538, Chile.

The purpose of this study is to establish the absolute reliability between hand-held dynamometers (HHDs) and concurrent validity between HHDs and isokinetic dynamometers (IDs) in shoulder rotator strength assessment. The Medline, CINAHL, and Central databases were searched for relevant studies up to July 2020. Absolute reliability was determined by test-retest studies presenting standard error of measurement (SEM%) and/or minimal detectable change (MDC%) expressed as percentage of the mean. Read More

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September 2021

Mesenchymal Stem Cells Use in the Treatment of Tendon Disorders: A Systematic Review and Meta-Analysis of Prospective Clinical Studies.

Ann Rehabil Med 2021 Aug 30;45(4):274-283. Epub 2021 Aug 30.

Department of Rehabilitation Medicine, Seoul National University College of Medicine, SMG-SNU Boramae Medical Center, Seoul, Korea.

Objective: To evaluate the efficacy and safety of mesenchymal stem cells (MSCs) therapy in patients with tendon disorders enrolled in prospective clinical studies.

Methods: We systematically searched prospective clinical studies that investigated the effects of MSC administration on human tendon disorders with at least a 6-month follow-up period in the PubMed-MEDLINE, EMBASE, and Cochrane Library databases. The primary outcome of interest was the change in pain on motion related to tendon disorders. Read More

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Noninvasive Continuous Blood Pressure Estimation from Pulse Transit Time: A review of the calibration models.

IEEE Rev Biomed Eng 2021 Sep 6;PP. Epub 2021 Sep 6.

Noninvasive continuous blood pressure estimation is a promising alternative to minimally invasive blood pressure measurement using cuff and invasive catheter measurement, because it opens the way to both long-term and continuous blood pressure monitoring in ecological situation. The most current estimation algorithm is based on pulse transit time measurement where at least two measured signals need to be acquired. From the pulse transit time values, it is possible to estimate the continuous blood pressure for each cardiac cycle. Read More

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September 2021

Methodological Quality Analysis of Systematic Review for the Treatment of Rotator Cuff Disease.

Rev Bras Ortop (Sao Paulo) 2021 Aug 29;56(4):485-489. Epub 2020 May 29.

Departamento de Ciências do Movimento Humano, Universidade Federal de São Paulo, Santos, SP, Brasil.

 To evaluate the methodological quality of systematic reviews for the surgical and nonsurgical treatment of individuals with rotator cuff syndrome; to compare, through the (AMSTAR) instrument, the quality of studies found in the Cochrane Library, PubMed (Publisher ), EMBASE andQinsightdatabases.  This is a descriptive and comparative cross-sectional study, in which two independent authors analyzed, through the AMSTAR instrument, the methodological quality of Cochrane and non-Cochrane systematic reviews on the treatment of individuals diagnosed with rotator cuff syndrome.  A total of 76 systematic reviews were evaluated by the AMSTAR instrument. Read More

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Medical Journals Should Be a Forum for Disruptive Research.

Arthroscopy 2021 09;37(9):2723-2725

Disruptive innovation completely changes the traditional way that we operate and may only be realized in retrospect. For example, shoulder superior capsule reconstruction (SCR) is a complete change from the traditional methods of treating massive, irreparable rotator cuff tears and pseudoparalysis. Classic examples of disruptions in orthopaedic surgery include distraction osteogenesis, total hip joint replacement arthroplasty, and modern orthopaedic trauma care. Read More

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September 2021

Results of Arthroscopic Rotator Cuff Repair for Calcific Tendonitis: A Comparative Analysis.

J Shoulder Elbow Surg 2021 Sep 1. Epub 2021 Sep 1.

Steadman Philippon Research Institute, Vail, CO, USA; The Steadman Clinic, Vail, CO, USA. Electronic address:

Background: Outcomes following arthroscopic excision of calcific tendonitis and arthroscopic rotator cuff repair (CT-ARCR) are relatively limited without comparison analysis to standard arthroscopic rotator cuff repair (ARCR). The purpose of this study was to evaluate patient reported outcomes (PROs) after CT-ARCR compared against a matched cohort who received standard ARCR.

Methods: An institutional review board-approved retrospective review was performed for patients aged 18-80 receiving CT-ARCR by a single surgeon from 2006-2018. Read More

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September 2021

Shoulder Surgery as an Effective Treatment for Shoulder-Related Sleep Disturbance: A Systematic Review.

Arthroscopy 2021 Aug 31. Epub 2021 Aug 31.

University of Colorado School of Medicine, Department of Orthopedics, Aurora.

Purpose: The purpose of this systematic review is to evaluate the current literature in an effort to investigate sleep quality and disturbances and the association with clinical outcomes of patients undergoing shoulder surgery.

Methods: A systematic review of the PubMed, Embase, and Cochrane Library databases was performed according to PRISMA guidelines. All English-language literature reporting clinical outcomes and sleep quality and disturbance after shoulder surgery was reviewed by 2 independent reviewers. Read More

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Correction to: Conservative versus surgical management for patients with rotator cuff tears: a systematic review and META-analysis.

BMC Musculoskelet Disord 2021 Sep 2;22(1):752. Epub 2021 Sep 2.

Department of Orthopaedics and Trauma Surgery, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, 00128, Rome, Trigoria, Italy.

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September 2021

Preoperative opioid usage predicts markedly inferior outcomes two years after reverse total shoulder arthroplasty.

J Shoulder Elbow Surg 2021 Aug 30. Epub 2021 Aug 30.

Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee University of Tennessee-Campbell Clinic, Memphis, TN, USA. Electronic address:

Background: Reverse total shoulder arthroplasty (RTSA) has proven to be a highly effective treatment for rotator cuff deficient conditions and other end-stage shoulder pathologies. With value-based care emerging, identifying predictive factors of outcomes are of great interest. Although preoperative opioid use has been shown to predict inferior outcomes after anatomic total shoulder arthroplasty and rotator cuff repair, there is a paucity of data regarding its effect on outcomes after RTSA. Read More

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Changes From Baseline in Patient- Reported Outcomes at 1 Year Versus 2 Years After Rotator Cuff Repair: A Systematic Review and Meta-analysis.

Am J Sports Med 2021 Sep 2:3635465211023967. Epub 2021 Sep 2.

Department of Orthopaedic Surgery, Orthopaedic & Rheumatologic Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Background: Most orthopaedic journals currently require reporting outcomes of surgical interventions for at least 2 postoperative years, but there have been no rigorous studies on this matter. Various patient-reported outcome (PRO) measures (PROMs) have been used to assess the status of the shoulder after rotator cuff repair (RCR).

Hypothesis: We hypothesized that the mean shoulder-specific PROMs at 1 year improve substantially over baseline but that there is no clinically meaningful difference between the mean 1- and 2-year PROMs after RCR. Read More

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September 2021

Artificial intelligence for MRI diagnosis of joints: a scoping review of the current state-of-the-art of deep learning-based approaches.

Skeletal Radiol 2021 Sep 1. Epub 2021 Sep 1.

New York University Grossman School of Medicine, New York University, New York, NY, 10016, USA.

Deep learning-based MRI diagnosis of internal joint derangement is an emerging field of artificial intelligence, which offers many exciting possibilities for musculoskeletal radiology. A variety of investigational deep learning algorithms have been developed to detect anterior cruciate ligament tears, meniscus tears, and rotator cuff disorders. Additional deep learning-based MRI algorithms have been investigated to detect Achilles tendon tears, recurrence prediction of musculoskeletal neoplasms, and complex segmentation of nerves, bones, and muscles. Read More

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September 2021

Retear rates after rotator cuff surgery: a systematic review and meta-analysis.

BMC Musculoskelet Disord 2021 Aug 31;22(1):749. Epub 2021 Aug 31.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Álvaro del Portillo, 200, Trigoria, 00128, Rome, Italy.

Background: Rotator cuff retear (RCR) is one of the main postoperative drawbacks. RCR can be considered a multifactorial issue, which causes are related either to biological than biomechanical factors. The aim of this study was to define the incidence of RCR after surgical treatment at different time points and to identify the main factors influencing the postoperative rotator cuff (RC) healing. Read More

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Clinical Outcomes of Reverse Total Shoulder Arthroplasty for Elective Indications versus Acute Three and Four-Part Proximal Humerus Fractures: A Systematic Review and Meta-Analysis.

J Shoulder Elbow Surg 2021 Aug 25. Epub 2021 Aug 25.

Department of Orthopaedic Surgery, University of Pittsburgh Medical Center for Sports Surgery, Pittsburgh, PA, USA. Electronic address:

Background: The reverse total shoulder arthroplasty (RTSA) has continued to increase in clinical utility and popularity as an effective treatment for cuff tear arthropathy (CTA), irreparable rotator cuff tear (RCT), osteoarthritis, and acute three and four-part proximal humeral fractures. Performing RTSA for acute proximal humeral fractures (RTSA-F) presents the unique challenges of tuberosity management, bone loss, and instability compared to elective indications such as CTA or irreparable rotator cuff tears (RTSA-E). The purpose of this study is to compare the clinical outcomes, active range of motion, radiographic outcomes, and complications between RTSA-E and RTSA-F patients. Read More

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Deltoid Fatigue Part 2: A Longitudinal Assessment of Anatomic Total Shoulder Arthroplasty Over Time.

J Shoulder Elbow Surg 2021 Aug 24. Epub 2021 Aug 24.

Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, FL, USA; Department of Orthopedic Surgery, Hopital Ambroise Paré, Boulogne-Billancourt, France.

Background: Gradual loss of overhead range of motion (ROM) has been observed following reverse shoulder arthroplasty (RSA). It remains unclear if this is caused by the effect of RSA design on muscle fiber lengthening or is part of the natural aging process of the shoulder musculature. Although studies have attempted to evaluate deltoid fatigue after RSA, there is a paucity of literature evaluating this effect after anatomic shoulder arthroplasty (aTSA), which would be expected to occur due to aging alone. Read More

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Better Short-Term Outcomes After Rotator Cuff Repair in Studies with Poorer Mean Shoulder Scores and Predominantly Small to Medium-Sized Tears at Baseline. A Systematic Review and Meta-Analysis.

Arthroscopy 2021 Aug 25. Epub 2021 Aug 25.

Department of Physical Medicine and Rehabilitation, Institute of Clinical Medicine, Medical Faculty, Oslo universitetssykehus Ulleval, Oslo, Norway.

Purpose: To perform a meta-analysis to explore factors associated with clinical and structural short-term outcomes in randomized and nonrandomized prospective studies of rotator cuff repair.

Methods: Medline, clinicaltrials.gov, and Mendeley were searched for literature published from January 2000 to December 2020 to identify randomized controlled trials (RCT) and nonrandomized prospective cohort studies (PCS) describing the outcome of surgical repair of full-thickness rotator cuff tears. Read More

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Image-guided glucocorticoid injection versus injection without image guidance for shoulder pain.

Cochrane Database Syst Rev 2021 08 26;8:CD009147. Epub 2021 Aug 26.

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University; Monash-Cabrini Department of Musculoskeletal Health and Clinical Epidemiology, Cabrini Health, Melbourne, Australia.

Background: Despite widespread use, our 2012 Cochrane review did not confirm that use of imaging to guide glucocorticoid injection for people with shoulder pain improves its efficacy.

Objectives: To update our review and assess the benefits and harms of image-guided glucocorticoid injection compared to non-image-guided injection for patients with shoulder pain.

Search Methods: We updated the search of the Cochrane Central Register of Controlled Trials (CENTRAL, via Ovid), MEDLINE (Ovid), Embase (Ovid) and clinicaltrials. Read More

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Controversy on the Association of the Critical Shoulder Angle and the Development of Degenerative Rotator Cuff Tears: Is There a True Association? A Meta-analytical Approach.

Am J Sports Med 2021 Aug 25:3635465211027305. Epub 2021 Aug 25.

Department of Orthopedics and Traumatology, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia.

Background: The role of the critical shoulder angle (CSA) as a risk factor for rotator cuff tear (RCT) remains controversial. Studies on the association between the CSA and RCT show considerable differences in design, and this could be responsible for the variation in study results.

Purpose: To (1) describe the reliability of CSA measurement and (2) evaluate the results of the studies reporting the association between the CSA and RCT using meta-analytical techniques to explore potential sources of variation of study results. Read More

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Tenotomy or Tenodesis for Tendinopathy of the Long Head of the Biceps Brachii: An Updated Systematic Review and Meta-analysis.

Arthrosc Sports Med Rehabil 2021 Aug 3;3(4):e1199-e1209. Epub 2021 Jul 3.

Department of Orthopaedic Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands.

Purpose: The purpose of this meta-analysis was to provide an up-to-date comparison of clinical outcomes of tenotomy and tenodesis in the surgical treatment of long head of the biceps brachii (LHB) tendinopathy.

Methods: A literature search was conducted in EMBASE, Pubmed/Medline and the Cochrane database from January 2000 to May 2020. All studies comparing clinical outcomes between LHB tenotomy and tenodesis were included. Read More

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Benzoyl Peroxide is Cost-Effective for Preventing Infection by in Arthroscopic Rotator Cuff Repair.

Arthrosc Sports Med Rehabil 2021 Aug 15;3(4):e1119-e1123. Epub 2021 May 15.

Department of Orthopaedics, Augusta University Medical Center, Augusta, Georgia, U.S.A.

Purpose: To evaluate the cost-effectiveness of benzoyl peroxide (BPO) in decreasing postoperative infections through a mathematical model in the setting of arthroscopic rotator cuff repair (RCR).

Methods: A break-even equation compared the costs associated with perioperative BPO use and postoperative infection following an arthroscopic RCR. The postoperative infection rate used for calculations was 0. Read More

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