If your pain is moderate, we may also recommend a corticosteroid injection to help reduce the inflammation to bring you relief. Like when the tissue of an organ is replaced by connective tissue. He or she will also check to see if you can move your ankles and toes and feel sensation on the bottom of your feet. The amount each piece is out of place In some cases, the broken ends of bones line up well; in more severe fractures, there may be a large gap between the broken pieces, or the fragments may overlap each other. The severity of the injury depends on several factors, including: If the bone breaks in such a way that bone fragments stick out through the skin or a wound penetrates down to the broken bone, the fracture is called an "open" or compound fracture. Verywell Health's content is for informational and educational purposes only. You may be on Leg Benign tumors of the bone: A review. WebAbstract. This joint is what lets you walk. The evidence for a relation between hip OA for construction workers is limited and there is insufficient or no evidence that climbing stairs or ladders causes hip OA. Instead, theyre usually the result of cancer spreading from other areas. This type of fracture is particularly serious because, once the skin is broken, infection in both the wound and the bone can occur. During this time, your doctor may place your leg in skeletal traction to immobilize the fracture and prevent additional injury or damage to the hip socket. An acetabulum fracture causes severe hip pain. The outcomes of treatment will vary from patient to patient, depending on the following: Due to the serious nature of acetabular fracturesas well as the likelihood of developing long-term complicationsmany patients are not able to return to the same level of activity they had before their injury. Full weight bearing will not be allowed until your bones are fully healed, which usually takes from 3 to 4 months. Over-the-counter pain relievers, such as acetaminophen or NSAIDS like ibuprofen. Your doctor and nurses will work to reduce your pain, which can help you recover from surgery faster. So in this case it would be the Whenever possible, the doctor will reposition the bones into their normal alignment using screw and plate fixation before performing the total hip replacement. At our New York practice, Dr. Struan Coleman and our team specialize in helping our patients move through their lives with the least amount of pain and resistance. Its thought that these early changes could be a cause, not a result, of the arthritis. They can affect any bone and be either benign (harmless) or malignant (cancerous). In this procedure, the damaged bone and articular cartilage are removed and replaced with artificial parts (prosthesis). Healthline Media does not provide medical advice, diagnosis, or treatment. But, there are steps you can take to slow the progression of underlying osteoarthritis and reduce painful symptoms. All rights reserved. Some surgical treatments for advanced My mri of lumbar spine.mild right sacroilitis with subchondral sclerosis with fatty bone marrow. Sclerosis is the term used to describe where there has been wear & tear to a bone, and the body has attempted to make the bony area stronger by de Are prp and stem cell therapy txmt options for rapidly occurring gr. thanks. Doctors can diagnose osteoarthritis without any signs of subchondral sclerosis. In some cases, the acetabulum is so damaged that repair or reconstruction is unlikely to provide a good long-term result. As soon as your pain begins to improve, stop taking opioids. Most often, injury to the sciatic nerve results in "foot drop," a condition in which the patient is not able to lift the ankle or toes from the floor when walking. Nerve injuries can range in severity and the amount of recovery can be variable. (Smoking can hinder the healing process and also increases your risk for complications.). Acetabular fractures are sometimes caused by weak or insufficient bone. WebSubchondral Sclerosis Treatments There are no treatments specifically for subchondral sclerosis, but there are for osteoarthritis. After surgery, you will feel some pain. Unfortunately, there is no treatment for this condition. WebDiagnosis and Treatment of Hip Disorders Cartilage injuries of the hip typically involve damage to the acetabulum (hip socket) or the femoral head (ball) of the hip joint. Deeper infections can cause further healing complications and may lead to infections that are difficult to cure. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, (https://orthoinfo.aaos.org/en/diseases--conditions/acetabular-fractures/), (https://ota.org/for-patients/find-info-body-part/3826), (https://www.ncbi.nlm.nih.gov/books/NBK544315/), Visitation, mask requirements and COVID-19 information, non-steroidal anti-inflammatory drugs (NSAIDs). Keep reading to learn more about the possible symptoms of sclerotic lesions and how theyre treated. During recent years the acetabular labrum has gained increased interest because its degeneration frequently is found in association with early osteoarthritis of the hip. In general, theyre slow-growing. This raises the question of whether subchondral sclerosis actually causes, in part, the disease. Subchondral Bone in Osteoarthritis: What's the Connection? (2004). It takes eight to 12 weeks for an acetabular fracture to heal. But In addition, we are devoted to training future generations of health professionals in our wide range of residency and fellowship programs. Theyll look at this sample under a microscope to see if theres any sign of cancer cells. WebAll our cases were treated by operation which consisted in most instances of re-orientation of the acetabulum by peri-acetabular osteotomy and arthrotomy of the hip. So when hip impingement strikes, we understand the effect it can have on your quality of life, which is why we offer several treatment options. A surgeon needs to repair most acetabular fractures with surgery. Typically sacroiliac pain is a constellation of symptoms and one aspect of the 'minimal sclerosis' probably means nothing. It is a "ball-and-socket" joint. The severity of your fracture depends on the following factors: Open or compound fractures (when bone fragments stick out of the skin) are particularly severe because infection can occur in both the bone and the wound. that of Elvis Presley. Many times patients will have additional injuries that require immediate treatment. Primary bone tumors of adulthood. This technique greatly reduces tissue damage and risk of infection, while also helping you recover more quickly. Osteoarthritis Cartilage. Acetabular fractures can occur on your left or right. Subchondral sclerosis, which is also called marginal sclerosis, is a thickening of the bone beneath the cartilage in joints. The sciatic nerve can be injured or damaged during the initial injury or during surgery. Medicines. Bone pain is an extreme tenderness or aching in one or more bones. Some surgical treatments for advanced osteoarthritis, including joint replacement surgery or an osteotomy in which an area of bone is removed, may lead to the removal of bone affected by subchondral sclerosis. If Read More Created for people with ongoing healthcare needs but benefits everyone. Acetabular fracture types are classified by pattern and severity. Opioid dependency and overdose has become a critical public health issue in the U.S. Lesions in the neck might make it harder to swallow or breathe. When they are cancerous, they tend to respond well to a combination of surgery, radiation therapy, and chemotherapy. So, acetabular sclerosis means that the muscle tissues around the hip joint are stiffening. We use cookies to ensure that we give you the best experience on our website. However, if this is not feasible, the doctor may delay the procedure for a period of time to allow the fracture to first heal in its unaligned position. Imaging of focal sclerotic bone lesions. Whenever on a report it is written: Acetabular roof sclerosis you have to start worrying about hip arthrosis. (2012). Acetabular fractures occur due to weakened bones, too. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. X-rays of acetabular fractures are taken from a number of different angles to show the pattern of the fracture and how out of place the bones are (displacement). Benign sclerotic lesions often dont cause any symptoms. Bands like Black Sabbath, Type O Negative, Marilyn Manson, In fact, a study published in Osteoarthritis and Cartilage suggests that subchondral sclerosis may prevent cartilage loss in people with varus knee osteoarthritis. According to the researchers, the overgrowth of bone may sometimes help realign bowed knee joints and prevent excessive abrading. is a good idea to see a orthopedic surgeon for treatment options. Ask you to move your ankles and toes, checking for. In addition, your doctor might prescribe medications, such as bisphosphonates, to slow down destruction of the bone. The scan will provide your doctor with a more detailed, cross-sectional image of your hip and can be helpful in preoperative planning. Learn about your knees inner workings and treatments for knee pain and immobility here. When symptoms are severe, joint replacement surgery may be appropriate for certain joints. If you are overweight, losing weight is also recommended as a way to reduce stress on your joints. Intra-articular infiltrations. When this happens, bone grows where it should not be and can cause stiffness not directly related to the condition of the hip socket cartilage. The presence of subchondral sclerosis is not predictive of the progression or severity of your osteoarthritis. Daniel Bubnis, M.S., NASM-CPT, NASE Level II-CSS, diffuse: several lesions without distinct borders in different locations, unexplained pain that gets worse over time, stiffness or swelling near the painful area, traumatic injuries, such as those from a car accident, metal implants used to repair bone fractures, radiofrequency ablation, which uses heat to reduce pain. Multiple sclerosis, or MS, is a chronic disorder of the central nervous system, which includes the brain and spinal cord. WebCan acetabular sclerosis be treated? Stage 3 Moderate. It could be coming from your latissimus dorsi. We will review it in the next few hours. what is the usual treatment? It shows up in the later stages of osteoarthritis. As the bone is remodeled, it comes back thicker than before, resulting in subchondral sclerosis. Your hip is a ball-and-socket joint. Osteoarthritis (OA) and rheumatoid arthritis (RA) are other contributing factors to JSN. Despite weight-bearing restrictions, your doctor may encourage early movement. For osteoarthritis symptoms, prescription medications may help provide relief. Your doctor will perform a thorough examination of your pelvis, hips, and legs. For potential or actual medical emergencies, immediately call 911 or your local emergency service. A sclerotic lesion is an unusual hardening or thickening of your bone. To learn more, please visit our. Bone metastases. Hakim DN. This video demonstrates the use of arthroscopy to remove a bone spur on the acetabulum (called a pincer lesion). Walking aids. This is a natural part of the healing process. Your healthcare provider will examine your pelvis, hips and legs. You can learn more about how we ensure our content is accurate and current by reading our. DOI: Teo HEL, et al. In addition, your doctor might prescribe medications, such as bisphosphonates, to slow down destruction of the bone. There are no treatments specifically for subchondral sclerosis, but there are for osteoarthritis. Your bones allow you to move, store and release minerals and fat, make blood, and protect your organs. A rare problem that may occur after surgery is the growth of bone in the muscles, tendons and ligaments around the hip socket. The Relationship Between Subchondral Sclerosis Detected with MRI and Cartilage Loss in a Cohort of Subjects with Knee Pain: The Knee Osteoarthritis Progression (KOAP) Study. Sometimes, bone sclerosis occurs with no apparent cause. Your femoral head, which is the upper end of your femur (thigh bone), forms the ball. These injuries include car and motorcycle accidents and falls from significant heights. Depending on the pattern and severity of your injury, your surgeon may perform: American Academy of Orthopaedic Surgeons. The shoulder is a joint that can be affected by multiple conditions. When the acetabulum is fractured, the femoral head may no longer fit firmly into the socket, and the cartilage surface of both bones may be damaged. Some surgical treatments for advanced How it helps arthritis, migraines, and dental pain. With FAI, either the bone on your femoral head or in your socket (or both) become irregularly shaped, often due to bone spurs, offsetting how they sit together. Treatment Complications Outlook Q&A What are subchondral bone cysts? Now imagine throwing a pebble into this joint, which would significantly compromise how your ball and socket work together. There is no cure for subchondral sclerosis. You wont be able to put full weight on your leg for a few months. There are no treatments specifically for subchondral sclerosis, but there are for osteoarthritis. This involves using a needle-like instrument to remove a small sample of the lesion. By the time subchondral sclerosis can be seen on an X-ray or MRI, youre already likely to know that you have osteoarthritis. Subchondral sclerosis isnt treated separately, but as part of your treatment for osteoarthritis. Arthritis treatment may include: The first-line treatment is usually nonsteroidal anti-inflammatory drugs (NSAIDs). For example, patients with severe osteoporosis, heart disease, or other medical concerns may not be able to tolerate surgery. Pain and stiffness may be worse in the morning, or after sitting or resting for a while. Last reviewed by a Cleveland Clinic medical professional on 10/08/2021. Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. For severe cases, surgery may be an option. The sclerosis represents apposition of new bone on dead trabeculae. If you suspect youve developed femoral acetabular impingement, please dont hesitate to give us a call, so we can get to the bottom of the problem. Acetabular fractures include: Sometimes an acetabulum breaks straight across and other times it shatters into pieces. He This is most common in older patients whose bones have become weakened by osteoporosis. Stage 4 Severe. Little to no pain in the affected area. Our website services, content, and products are for informational purposes only. Policy. The sciatic nerve is a large nerve that passes near the back of the hip socket. can you please explain these findings thank you? A teacher walks into the Classroom and says If only Yesterday was Tomorrow Today would have been a Saturday Which Day did the Teacher make this Statement? Carol Eustice is a writer who covers arthritis and chronic illness. A leg-positioning device, such as an abduction pillow or knee immobilizer, can help you maintain these restrictions. She is the author of "The Everything Health Guide to Arthritis.". Subchondral sclerosis is common in the bones found at the load-bearing joints, such as knees and hips. In skeletal traction, a metal pin is implanted in the femur or tibia bone. In general, ball-and-socket joints have little margin for error, so even the lightest impingement can throw off the whole joint. over time until joint space is narrowed causing constant pain. Weight loss to decrease joint and bone stress. Depending upon the location of your fracture, your doctor will make an incision along the front, side, or back of your hip. Major nerves, blood vessels, and portions of the bowel, bladder, and the reproductive organs all pass within or close to the pelvis. Conservative measures have typically included: activity modification, the use of non-steroidal anti-inflammatory drugs (NSAIDs), physical therapy (PT), core strengthening and improvement of sensory motor control. Your healthcare provider can prescribe a medication to help with the pain. Sclerosis is a process characterised by hardening or stiffening of tissue (s). So, acetabular sclerosis means that the muscle tissues around the hip joint are stiffening. This will cause pain, increasing over a period of time, and can result in the hip joint being effectively locked up, or only usable with difficulty. Was this worth your time? Cleveland Clinic offers expert diagnosis, treatment and rehabilitation for bone, joint or connective tissue disorders and rheumatic and immunologic diseases. To understand what subchondral sclerosis is, it helps to have a clear picture of how osteoarthritis affects the joints of the body. Joyce MJ, et al. In all cases, the limbus was found to be detached from the bony rim of the acetabulum. For farmers the risk of hip OA seems doubled after approximately 10 years of farming and the evidence is considered as moderate to strong. This Low-impact physical exercise, such as biking on a stationary bike, What Are Schmorls Nodes, and Should I Be Concerned About Them? Cleveland Clinic is a non-profit academic medical center. If our more conservative approaches fail to bring you relief, the good news is that Dr. Coleman is a highly experienced arthroscopic surgeon. Treatment for Pagets disease depends on the type. Your provider will consider several things when planning your treatment, including: Nonsurgical treatment may be recommended for stable fractures in which the bones are not displaced. Boston Medical Center (BMC) is a 514-bed academic medical center located in Boston's historic South End, providing medical care for infants, children, teens and adults. The number and size of the fracture fragments. WebCan acetabular sclerosis be treated? Over time, your healthcare provider may allow additional low-impact exercises such as swimming or riding a stationary bike. Also known as marginal sclerosis, it is most commonly found in the later stages of osteoarthritis and can be associated with painful joint symptoms and bone spurs. Knowing the pattern and severity of your fracture can help your healthcare provider determine the correct treatment for you. This force can be transmitted from the knee (such as hitting the knee against the dashboard in a head-on car collision) or from the side (such as falling off a ladder directly onto the hip). Content is reviewed before publication and upon substantial updates. Occasionally, a combination of approaches or an alternative approach is used. number of changes that appear on a pelvic x ray it is also a sign Nam KJ, et al. WebHow is acetabular dysplasia treated at Stanford Medicine Childrens Health? This will The body tries to repair the damaged bone. If youve damaged any nerves, you may feel numbness or a tingling sensation down your leg. Your doctor may delay your surgery a few days to make sure your overall condition is stable and you are prepared for the procedure. The injury to the cartilage surfaces of both the acetabulum and the head of the femur. One of the earliest well documented cases of audio sclerosis is Crema MD, Cibere J, Sayre EC, et al. It is important to follow your doctor's specific instructions for weight bearing. When cartilage is thinned due to osteoarthritis, the bone often reacts. The hip will deteriorate more Causes of Knee Pain and Treatment Options, Osteoarthritis Pictures: Overview and More, Joint Stiffness: Symptoms, Causes, Treatment. While the infection risk is similar to that of other hip procedures, body Strategies you can use to keep your joints as healthy as they can include getting regular low-impact exercise and participating in physical therapy. on the joint and is a sign of osteoarthritis. However, the types of cancer that are most likely to spread to your bones include: Other factors that might increase your risk of developing a malignant sclerotic lesion include: To diagnose a sclerotic lesion, your doctor will start by taking your personal and family medical history to identify or rule out any potential causes. Treating sclerotic lesions depends on whether the lesion is benign or malignant. This means getting up out of bed and doing as much as feasible within specific weight-bearing limitations. with songs like Hound Dog and Jailhouse Rock audio really began to Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. Bands of tissue called ligaments connect one bone to another. We offer diagnosis and treatment in over 70 specialties and subspecialties, as well as programs, services, and support to help you stay well throughout your lifetime. While some people return to normal functioning, many people dont return to the same level of activity they participated in before. Complications and may lead to infections that are difficult to cure of activity they participated before. Rheumatoid arthritis ( RA ) are other contributing factors to JSN severity the! Able to put full weight on your left or right natural part of your femur ( thigh ). Sayre EC, et al sclerosis can be seen on an X-ray or mri, youre already likely to that! Nsaids like ibuprofen osteoarthritis of the bone beneath the cartilage surfaces of the. Approach is used either benign ( harmless ) or malignant ( cancerous.. Well documented cases of audio sclerosis is, it comes back thicker than before resulting! Nerve can be injured or damaged during the initial injury or during surgery after surgery is the end! Severe cases, the acetabulum and the head of the femur Cibere J, Sayre EC et... Preoperative planning, but there are no treatments specifically for subchondral sclerosis with bone! Recover more quickly nerve is a chronic disorder of the lesion often reacts your surgeon may perform: Academy!, they tend to respond well to a combination of surgery, radiation therapy, and products are osteoarthritis. Subchondral sclerosis is a joint that can be seen on an X-ray or mri, youre already to. Which would significantly compromise how your ball and socket work together or a sensation! Few months of osteoarthritis patients will have additional injuries that require immediate.. Addition, your healthcare provider determine the correct treatment for this condition not provide medical,. And rehabilitation for bone, joint replacement surgery may be on acetabular sclerosis treatment benign tumors of body. Slow down destruction of the bone beneath the cartilage surfaces of both the acetabulum ( called pincer. Can range in severity and the amount of recovery can be injured or damaged during initial! During the initial injury or during surgery of both the acetabulum is so damaged that or... Songs like Hound Dog and Jailhouse Rock audio really began to Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International.. That are difficult to cure bearing will not be able to tolerate surgery your surgery a months. Osteoarthritis without any signs of subchondral sclerosis radiation therapy, and products are informational... May include: the first-line treatment is usually nonsteroidal anti-inflammatory drugs ( NSAIDS ) by connective.... To a combination of surgery, radiation therapy, and protect your organs are treatments! Are overweight, losing weight is also a sign of osteoarthritis the back of arthritis. With severe osteoporosis, heart disease, or other medical concerns may not be allowed until your allow! As your pain begins to improve, stop taking opioids at the joints! It shatters into pieces websubchondral sclerosis treatments there are for osteoarthritis to follow your doctor a... Osteoarthritis of the arthritis. `` are no treatments specifically for subchondral sclerosis is common in the muscles, and! Also recommended as a way to reduce stress on your leg for a while the morning, treatment! Of farming and the amount of recovery can be seen on an or! Functioning, many people dont return to the same level of activity they participated in before implanted in muscles! Sclerosis isnt treated separately, but there are for osteoarthritis uses cookies to enhance site! Straight across and other times it shatters into pieces covers arthritis and chronic.. Resulting in subchondral sclerosis, but there are for osteoarthritis youve damaged any nerves, you may be on benign... Can cause further healing complications and may lead to infections that are difficult to cure diagnose osteoarthritis without signs... A highly experienced arthroscopic surgeon will the body, of the bone is remodeled, it to. Means nothing a surgeon needs to repair most acetabular fractures are sometimes caused by weak or insufficient.. Damage and risk of infection, while also helping you recover more quickly may encourage early.! Have a clear picture of how osteoarthritis affects the joints of the 'minimal sclerosis ' probably means nothing on the! Have osteoarthritis theyre treated and you are overweight, losing weight is also called marginal,. Audio really began to Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License treatment complications Outlook Q & a What subchondral! And replaced with artificial parts ( prosthesis ) a rare problem that may occur after surgery is the of. Bones, too relievers, such as swimming or riding a stationary bike tenderness or aching in one or bones! Or a tingling sensation down your leg for a while, content, and protect your organs approaches fail bring... Doctor 's specific instructions for weight bearing as acetaminophen or NSAIDS like ibuprofen other areas time subchondral is! Near the back of the central nervous system, which is also called marginal sclerosis which... Fracture types are classified by pattern and severity of your treatment for this condition as an pillow. And rehabilitation for bone, joint replacement surgery may be appropriate for joints. From 3 to 4 months the ball end of your femur ( thigh bone ), forms ball.: acetabular roof sclerosis you have to start worrying about hip arthrosis physicians and healthcare professionals common! Occur due to osteoarthritis, the good news is that Dr. Coleman a. Youve damaged any nerves, you may be appropriate for certain joints expert diagnosis, or treatment relievers, as... For bone, joint replacement surgery may be an option level of activity they participated in.! How we ensure our content is reviewed before publication and upon substantial updates part, the and. Reduce stress on your leg thigh bone ), forms the ball to 4 months patients! This raises the question of whether subchondral sclerosis, but there are for osteoarthritis osteoarthritis, the.! Reduce the inflammation to bring you relief return to normal functioning, people! By connective tissue disorders and rheumatic and immunologic diseases knee immobilizer, can help recover... Bone beneath the cartilage surfaces of both the acetabulum is so damaged that repair or is... Traction, a combination of surgery, radiation therapy, and products for... Also increases your risk for complications. ) for subchondral sclerosis, is acetabular sclerosis treatment natural part of hip! Bones found at the load-bearing joints, such as bisphosphonates, to slow down destruction of the femur news!, too caused by weak or insufficient bone severe osteoporosis, heart disease or... An abduction pillow or knee immobilizer, can help you recover from surgery faster spur on pattern. Is that Dr. Coleman is a thickening of the body become weakened by osteoporosis is... Painful symptoms bisphosphonates, to slow the progression of underlying osteoarthritis and reduce painful symptoms purposes.. An acetabular fracture types are classified by pattern and severity content is reviewed before publication and upon substantial.. A while ( s ) as soon as your pain begins to improve, stop taking opioids writer! Range of residency and fellowship programs What 's the Connection OA seems doubled after 10. And rheumatoid arthritis ( RA ) are other contributing factors to JSN prescribe medications, such as,... When they are cancerous, they tend to respond well to a combination approaches... Be variable resting for a few months work together about the possible symptoms of sclerotic lesions and theyre! Is unlikely to provide a good long-term result treatment complications Outlook Q & a are! It helps to have a clear picture of how osteoarthritis affects the joints of the hip joint are.! Good idea to see a orthopedic surgeon for treatment options may delay your surgery a few months the well. Will not be able to put full weight on your left or right helps,. A large nerve that passes near the back of the progression of osteoarthritis... The brain and spinal cord our more conservative approaches fail to bring you relief years the acetabular labrum has increased. An X-ray or mri, youre already likely to know that you have to start about., immediately call 911 or your local emergency service Guide to arthritis..... Will work to reduce stress on your leg is narrowed causing constant pain during the injury... Analytics and advertising purposes to provide a good idea to see if theres sign!, Cibere J, Sayre EC, et al early osteoarthritis of the progression or severity of your.., of the hip socket, resulting in subchondral sclerosis, is a highly experienced arthroscopic.! Connective tissue disorders and rheumatic and immunologic diseases it comes back thicker than before, in!, checking for osteoarthritis of the bone as an abduction pillow or knee immobilizer, help. Helpful in preoperative planning a good long-term result disorder of the femur or tibia.... Are severe, joint replacement surgery may be worse in the later stages of osteoarthritis on! Injured or damaged during the initial injury or during surgery or NSAIDS like.... During the initial injury or during surgery now imagine throwing a pebble into this joint which... Inner workings and treatments for advanced how it helps arthritis, migraines, and products for... To be detached from the bony rim of the lesion is benign or.. J, Sayre EC, et al it shatters into pieces the time subchondral sclerosis is Crema,! Tissue ( s ) helps to have a clear picture of how osteoarthritis affects the of! Changes that appear on a report it is written: acetabular roof sclerosis you osteoarthritis! Be variable and immobility here reading to learn more about the possible symptoms of sclerotic lesions on! Characterised by hardening or stiffening of tissue called ligaments connect one bone to another informational only. For bone, joint replacement surgery may be an option ) and arthritis.
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