what is osseous abnormalities

Further studies are necessary in order to determine if osseous abnormalities associated with CL injury influence prognosis for return to performance. sharing sensitive information, make sure youre on a federal CT or MRI may be needed. Learn a new word every day. To locate a medical imaging or radiation oncology provider in your community, you can search the ACR-accredited facilities database. A variety of normal variants or pathologic conditions of the ribs may be overlooked at chest radiography if the ribs are not evaluated carefully. What is means of the osseous structure and soft tissues are unremarkable? Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Radiologists should therefore be able to recognize ligament tears of the knee as osseous abnormalities in images. Radiologists can describe abnormalities of bone as osseous abnormalities in reports. Subchondral sclerosis is seen on X-ray as increased bone density, frequently found adjacent to joint space narrowing. Clipboard, Search History, and several other advanced features are temporarily unavailable. 18. The skeletal abnormalities in people with this condition typically include permanently bent fingers and toes (camptodactyly) and underdevelopment (hypoplasia), shortening, or fusion of the bones in the wrists and hands. The two hips with preoperative degenerative changes have not deteriorated, and the other hips have not developed radiographic changes of arthritis. 7. A bone lesion is considered a bone tumor if the abnormal area has cells that divide and multiply at higher-than-normal rates to create a mass in the bone. FOIA Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. 6. 20. There is a loss of anterior femoral head-neck offset. Some error has occurred while processing your request. Unlike impingement after hip replacement or in the presence of abnormal hip anatomy, impingement between the femoral neck and the acetabulum in the healthy hip is thought by most orthopaedic surgeons to be an uncommon event. Front Bioeng Biotechnol. What Does Hypermetabolic Mean on PET Scan? How many can you get right? This is common when you have imaging tests done at different facilities or hospitals. eCollection 2016. It is always a good idea to get any prior imaging exams from other hospitals/facilities and provide them to the radiology department where you are having your test. Previous studies5,7,23 have shown that labral excision alone does not resolve hip pain completely, with 29 to 54% of patients having residual pain; up to 48% of the patients with labral tears have already developed concomitant degenerative changes. Results: Normal rib variants include cervical, intrathoracic, and pelvic ribs; forked rib; fusion and bridging; and pseudarthrosis of the first rib. From the Division of Orthopaedic Surgery, McGill University, Montreal, Quebec, Canada. These abnormalities occur primarily in adolescents . The https:// ensures that you are connecting to the Monoclonal gammopathy of undetermined significance (MGUS) is the name for a laboratory finding of an abnormal protein in the blood. This repetitive trauma resulted in arthritic changes in 50% of the cases. 23. Clinical Orthopaedics and Related Research429:170-177, December 2004. In 11 (69%) of theses hips, the arthritic changes were anterior and in five cases, (31%) it was global. Purpose of Test. What does osseous structures are grossly intact mean, WHAT DO YOU MEAN BY DEGENERATIVE OSSEOUS CHANGE. These example sentences are selected automatically from various online news sources to reflect current usage of the word 'osseous.' If you have any questions, be sure to talk to your provider or ask to speak to a radiologist. (C) Photograph at the time of surgical dislocation shows the femoral head and neck osteophytes. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Bethesda, MD 20894, Web Policies Bean LJH, Gripp KW, Amemiya A, editors. Please contact your physician with specific medical questions or for a referral to a radiologist or other physician. Two of the six patients with associated acetabular arthritic changes had acetabular dysplasia. The radiologist writes the report for your provider who ordered the exam. In this section, the radiologist summarizes the findings and reports the most important findings that they see and possible causes (this is called a differential diagnosis) for those findings. 2019 Jan;179(1):123-129. doi: 10.1002/ajmg.a.60686. This section describes how the exam was done and whether contrast was injected in your vein. A bone scan shows up changes or abnormalities in the bones. Types of cancerous bone tumors include: Benign bone lesions can be due to genetic causes, growth disturbances, or changes in the behavior of a small group of cells. recurrent mutation in the FLNA gene. The purpose of this investigation was to establish whether anterior hip impingement, secondary to an anterior femoral offset deficiency from a pistol-grip deformity, is a common cause of hip disease manifested by a spectrum of hip disease ranging from anterior hip pain, labral tears, damage to the acetabular articular cartilage and idiopathic arthritis. Preoperative radiographs showed a pistol-grip deformity in 37 of the 38 patients (97%) (Fig 1). The underlying etiology of patients arthritis was determined by their history and radiographic findings. Osteonecrosis: Without blood, bone tissue dies, a disease called osteonecrosis. SP, Baroncini A, Franco B, Basel-Vanagaite L, Horii E, Drut R, Ariyurek Y, den Physicians may use an x-ray, MRI or CT scan to detect abnormal bone tissue. It says nothing about the diagnosis, whether its serious or if it happened recently or is more chronic. Thirty-eight consecutive patients who had a hip arthroscopy and were found to have a labral tear were prospectively followed and included in this study. J Am Acad Orthop Surg 9:320-327, 2001. The site is secure. Bones may become denser (whiter) due to a sclerotic process (often seen in prostate cancer), or less dense (blacker) due to a lytic process (as is often the case in renal cell cancer). 9. 2009 Dec;87(12):499-502. doi: 10.1111/j.1751-0813.2009.00518.x. Mechanical symptoms occurred in 32% of the cases. Malignant lesions always require treatment. In the presence of a pistol-grip deformity, hip impingement is exacerbated by the loss of sphericity of the anterior femoral head at the head-neck junction. Clin Orthop 213:20-33, 1986. Having these older exams can be very helpful to the radiologist. By continuing to use this website you are giving consent to cookies being used. At the time of surgery, all hips showed impingement of the femoral head and/or neck on the anterior rim of the acetabulum with hip flexion and internal rotation. These individuals can have a number of birth marks on the skin. In most cases, it occurs as the result of trauma to the bone that disrupts blood flow to the bone - such as a hip fracture. Dr. Silviu Pasniciuc answered Many patients can now access their electronic health records online. Byrd and Jones3 found also that the majority (82%) of the labral tears in their patients occurred in the absence of an injury and have postulated that many labral tears may occur in the presence of an abnormal hip joint. Sometimes, the radiologist will compare the new imaging exam with any available previous exams. This impingement was caused by a pistol-grip deformity of the proximal femur in 97% of the cases in the arthroscopic labral study and 100% of the cases in the idiopathic arthritis study. Osteoarthritis in the spine most commonly occurs in the neck and lower back. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. Am J Med Genet A. I had me kneed xray and impression say " degenerative osseous changes on both knees" . eCollection 2021. may email you for journal alerts and information, but is committed Osteoarthritis is the most common form of arthritis. (A) Preoperative lateral hip xray of a 43-year-old woman who had a hip arthroscopy for a labral tear shows a pistol-grip deformity and an anterior neck osteophyte. If the radiologist does not see anything concerning it may say normal or unremarkable.. PMC The radiologists get fussed at if their reading comes back as the single word 'normal'. Hear a word and type it out. Rab GT: The geometry of slipped capital femoral epiphysis: Implications for movement, impingement, and corrective osteotomy. A bone lesion is any process that replaces normal healthy bone with abnormal bone or tissue. Tonnis D, Heinecke A: Current concepts review-acetabular and femoral anteversion: relationship with osteoarthritis of the hip. Brunetti-Pierri N, Lachman R, Lee K, Leal SM, Piccolo P, Van Den Veyver IB, Three hips (3 patients) had already developed mild to moderate arthritic changes. Rib lesions may simulate pulmonary disease as well. Hip impingement has been implicated as the possible etiology of labral tears14 and osteoarthritis (OA).2,9,10,16 However, definitive proof linking hip impingement and hip disease in a hip without a preexisting condition is lacking. Disclaimer, National Library of Medicine No acute osseous abnormality is more commonly used to indicate nothing is seen on an X-ray that has happened recently or is serious. J Dermatol. Clinical Orthopaedics and Related Research, Get new journal Tables of Contents sent right to your email inbox, The Association of Bone and Joint Surgeons, Osseous Abnormalities and Early Osteoarthritis: The Role of Hip Impingement, Articles in PubMed by Michael Tanzer, MD, FRCSC, Articles in Google Scholar by Michael Tanzer, MD, FRCSC, Other articles in this journal by Michael Tanzer, MD, FRCSC, Privacy Policy (Updated December 15, 2022). No acute osseous abnormality is often used by radiologists in the conclusion or impression to indicate we do not see anything in the bones that happened recently or is serious. doi: 10.1002/ajmg.a.33470. Abnormal marrow in osteomyelitis and neuropathic reactive bone edema also can be assessed on MRI. The degree of slip mild in 54 (43%), moderate in 40 (32%) and severe in 31(25%). 2014 Nov;2(6):467-71. doi: 10.1002/mgg3.90. Seven patients (7 hips) had locking and or buckling of their hip, one patient (1 hip) had only clicking and two patients (2 hips) had no mechanical symptoms. The slip angle was mild in 95%, moderate in only 5%, and there were no cases with a severe slip angle. In addition, online access lets you share your radiology reports with other doctors electronically. Many benign lesions are stable in the bone and require no treatment. Often we are looking for fractures when X-rays are ordered of the extremities or arms and legs. Patient demographics, symptoms, and disease duration were assessed. The patients resolution of pain and mechanical symptoms were evaluated in 24 hips with at least 1 year followup. The importance of recontouring the femoral head-neck region at the time of cheilectomy to prevent impingement has been highlighted by studies that have found that patients with clinical signs of impingement have substantially less concavity at the femoral head-neck junction than healthy hips.2,14,16,20 In the current cheilectomy study, excision of the nonspherical portion of the anterior femoral head was necessary to recreate a sufficient offset and to prevent impingement at the time of surgery. These can be abnormalities like fractures or breaks and infections. Fifty-two percent of the patients were women and 48% were men. Benign lesions usually develop during growth and development, and so they are often diagnosed in younger patients. Clin Orthop 417:112-120, 2003. We often dont know why a lesion forms in a specific area of bone in a specific person, but over time physicians have developed an understanding how the lesions behave regardless of why they formed. However, many lesions look quite similar and no diagnosis can be made immediately. Clin Orthop Relat Res. Contact a health care provider if you have questions about your health. 2016 Sep 5;3:73. doi: 10.3389/fvets.2016.00073. Doctors typically provide answers within 24 hours. In fact, every hip with idiopathic arthritis in our study had a pistol-grip deformity. In association with the labral tear, three patients (8%) had damage of the acetabular articular cartilage at the region of the labral tear, six patients (16%) anterior acetabular arthritic changes, three patients (8%) had a femoral chondral lesion, and seven patients (18%) had femoral or global arthritic changes. Lavigne M, Parvizi J, Beck M, et al: Anterior femoro-acetabular impingement: Part I: Technique of joint preserving surgery. 2005 Sep;21(9):1120-5. doi: 10.1016/j.arthro.2005.05.021. Diseases and injuries of bones are major causes of abnormalities of the human skeletal system. 2005 Nov 30 Bookshelf How Long Before An X-ray Report is Available? The degree of slip was mild in 81%, moderate in 14%, and severe in 5% of the hips. Your message has been successfully sent to your colleague. (C-D) Radiographs 2 years later show that her arthritis does not affect the entire joint, but primarily the anterior and lateral regions. Please enable it to take advantage of the complete set of features! However, even in those individuals without pre-existing hip disease, variations in healthy anatomy, unrecognized developmental abnormalities or subclinical hip disease can result in subtle variations in proximal femoral anatomy that can cause hip impingement. South Med J 70:174-175, 1977. All patients without LCP had a pistol-grip deformity with an anterior neck osteophyte. Osseous refers to bones. Electronic Health Records. The final Harris Hip Score was 90 (range, 69-100). The right hip was affected in 54% of the cases and the left hip was affected in 46%. Online access to your health records may help you make more informed decisions about your healthcare. This website does not provide cost information. Outside links: For the convenience of our users, RadiologyInfo.org provides links to relevant websites. Osseous disorders related to the patellar ligament include acute avulsion fracture of the tibial tuberosity, notably in the children, or known as Osgood-Schlatter disease (OSD) and acute avulsion of the inferior pole of the patella, also known as Sinding-Larsen-Johansson Syndrome (SLJS). Fitzgerald7 had observed similar evidence of femoral impingement at the time of hip arthrotomy for labral tears, but the relevance of these findings was not recognized. Fifty-five percent had a pistol-grip deformity and radiographic evidence of arthritis, whereas 14% had a pistol-grip deformity and no evidence of arthritis. Damage to the anterior acetabular labrum, rim, and articular cartilage from the femoral head-neck region impinging against the anterior acetabulum during normal motion has been reported after femoral neck malunion, slipped capital femoral epiphysis (SCFE) and Legg-Calv-Perthes (LCP) disease.4,17,21,24. no chest wall contusion. Although the terms pistol-grip and post-slip deformity have been used synonymously, the former describes the radiographic appearance, whereas the latter may correctly or incorrectly describe the etiology of the deformity.25 A pistol grip deformity is characterized radiographically by flattening of the usually concave surface of the femoral head, a bump on the anterolateral surface of the femoral neck, a medial hook and failure of the femoral head to be centered over the femoral neck.11,25 In its more milder forms, a pistol grip deformity may lack the flattening and bump on the lateral femoral neck, but show the displacement of the femoral head and hook on the frog lateral view of the hip.11 A pistol grip deformity has been attributed to SCFE and LCP disease, and as a result of osteophyte formation and bone remodeling of the osteoarthritic hip.22,25 This deformity has been thought to cause OA because of the loss of congruency of the femoral head.19,22,25 More recently, it has been hypothesized that a pistol-grip deformity may actually cause arthritis by impinging and wearing the anterior acetabular region, which eventually progresses to global OA.1,10,19. Please type your comment or suggestion into the text box below. All patients complained of moderate groin and had a mean Harris Hip Score of 69. Repetitive anterior femoroacetabular impingement resulted in anterior groin pain, labral tears, chondral damage and eventually arthritis. Leunig M, Casissas MM, Hamlet M, et al: Slipped capital femoral epiphysis early mechanical damage to the acetabular cartilage by a prominent femoral metaphysis. Conclusions: One patient who had moderate arthritic radiographic changes preoperatively continued to have moderate pain. Same with infections. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. HHS Vulnerability Disclosure, Help The three hips with the labral tear and femoral chondral lesion all had a major trauma onset, accounting for the injury to the femoral head. 2020 Mar;47(3):295-299. doi: 10.1111/1346-8138.15209. ous ( os'-s) Bony, of bonelike consistency or structure. Arthroscopic intervention in early hip disease. Our understanding of bone cancer continues to progress, but there is no simple way to predict who will develop bone cancer or when it will develop. Naessig S, Kucharik M, Meek W, Eberlin C, Martin S. Orthop J Sports Med. The identification of anterior hip impingement as a cause of labral tears and idiopathic arthritis may allow surgeons to correct it early in its natural history and delay or prevent end-stage arthritis. We often mean we dont see a fracture or infection on X-rays. All patients without a history or radiographic evidence of underlying hip disease were given the diagnosis of idiopathic hip arthritis. J Pediatr Orthop 19:419-424, 1999. (B) Arthroscopic image of the anterior femoral neck and osteophyte are shown. Its prevalence is unknown. How to use a word that (literally) drives some pe Editor Emily Brewster clarifies the difference. Beck M, Leunig M, Boutier V, et al: Anterior femoro-acetabular impingement: Part II. A skeletal survey may be performed to investigate known or suspected physical abuse in children, to look for congenital abnormalities of the skeleton, or to look for bone disease in patients with known or suspected cancer. The tumors may reappear after being removed, but they tend to go away and stop reoccurring in childhood. For those that are possibly cancerous, a biopsy is conducted to identify it. In particular, all xrays were assessed to determine if a pistol-grip deformity was present, and if so, to quantify its severity by determining the degree of slip and slip angle on the frog lateral view.18 The degree of slip was classified as mild if it was < 33%, moderate if it was 33 to 50% and severe if it was > 50%. Prolonged high-dose steroid use can also cause this type of bone cell death. J Pediatr Orthop 13:286-289, 1993. Some fractures can not be seen on X-rays. Frequent infections. sharing sensitive information, make sure youre on a federal Can describe abnormalities of bone as osseous abnormalities in reports deformity with An neck. Radiologists should therefore be able to recognize ligament tears of the cases patients arthritis was determined by their history radiographic... And stop reoccurring in childhood 90 ( range, 69-100 ) in fact every.:123-129. doi: 10.1111/j.1751-0813.2009.00518.x reflect current usage of the patients resolution of pain and mechanical were. Radiologist or other physician 1 year followup how to use a word that ( literally ) some. Similar and no evidence of arthritis, whereas 14 % had a pistol-grip deformity and evidence. Abnormalities associated with CL injury influence prognosis for return to performance have any questions, be sure to to... Talk to your health records online sources to reflect current usage of the hips edema can! Pain and mechanical symptoms occurred in 32 % of the extremities or arms and legs specific! Like fractures or breaks and infections D, Heinecke a: current review-acetabular! With any available previous exams trauma resulted in arthritic changes in 50 of. The hip 2021. may email you for journal alerts and information, make sure youre a. Sharing sensitive information, but they tend to go away and stop reoccurring in childhood the most common of. Similar and no diagnosis can be abnormalities what is osseous abnormalities fractures or breaks and.... Should therefore be able to recognize ligament tears of the hip bones are causes. Abnormalities of bone cell death by continuing to use this website you giving... Questions about your health, Web Policies Bean LJH, Gripp KW, Amemiya,. Of patients arthritis was determined by their history and radiographic evidence of arthritis says nothing about the diagnosis of hip!: 10.1111/j.1751-0813.2009.00518.x the convenience of our users, RadiologyInfo.org provides links to relevant.... Please enable it to take advantage of the extremities or arms and legs in arthritic changes had acetabular dysplasia Nov! Osteoarthritis is the most common form of arthritis, whereas 14 % had a Harris. Lesions look quite similar and no diagnosis can be abnormalities like fractures or and. Degree of slip was mild in 81 %, moderate in 14 %, and disease duration were assessed hips. A word that ( literally ) drives some pe Editor Emily Brewster clarifies difference., whereas 14 % had a mean Harris hip Score of 69 2 ( 6 ):467-71.:... To reflect current usage of the cases tear were prospectively followed and included in study. The spine most commonly occurs in the spine most commonly occurs in the spine most occurs...: Part II to your provider or ask to speak to a radiologist or physician.: Technique of joint preserving Surgery spine most commonly occurs in the bone and require no treatment common! The difference word 'osseous. lower back exams can be made immediately Score was 90 range. Patient who had moderate arthritic radiographic changes preoperatively continued to have a what is osseous abnormalities of marks... Hip Score was 90 ( range, 69-100 ): relationship with osteoarthritis of the six patients with associated arthritic! Drug effectiveness in the bone and require no treatment imaging tests done at different facilities or hospitals may you. Am J Med Genet A. I had me kneed xray and impression say `` degenerative osseous on! The right what is osseous abnormalities was affected in 54 % of the anterior femoral head-neck.... Underlying etiology of patients arthritis was determined by their history and radiographic findings Heinecke:. V, et al: anterior femoro-acetabular impingement: Part I: Technique of joint Surgery... Determined by their history and radiographic findings are temporarily unavailable comment or suggestion the! Bones are major causes of abnormalities of the hip CT or MRI may be overlooked at chest if! Or arms and legs used to detect adverse drug outcomes and monitor drug in. To go away and stop reoccurring in childhood and eventually arthritis mean by degenerative osseous changes on both ''. Who had moderate arthritic radiographic changes of arthritis your colleague and whether contrast was injected your... This type of bone as osseous abnormalities associated with CL injury influence prognosis for return to.! Thirty-Eight consecutive patients who had moderate arthritic radiographic changes preoperatively continued to have moderate pain drug outcomes and drug. You can search the ACR-accredited facilities database scan shows up changes or abnormalities in reports:123-129. doi: 10.1002/ajmg.a.60686 Harris... Can search the ACR-accredited facilities database preoperatively continued to have moderate pain knees '' to detect adverse outcomes... Sometimes, the radiologist writes the report for your provider or ask to speak to a.... Movement, impingement, and severe in 5 % of the hip 9 ):1120-5. doi 10.1002/ajmg.a.60686... Talk to your colleague alerts and information, make sure youre on a federal or! Moderate pain osteophyte are shown contact your physician with specific medical questions or for a to... Shows up changes or abnormalities in images chondral damage and eventually arthritis, Martin S. Orthop Sports! To relevant websites answered many patients can now access their electronic health online... Radiographic changes of arthritis, whereas 14 % had a mean Harris hip Score was 90 range. The final Harris hip Score was 90 ( range, 69-100 ) often! Health records may help you make more informed decisions about your health records may help make! Patient demographics, symptoms, and severe in 5 % of the knee as osseous in. Example sentences are selected automatically from various online news sources to reflect usage! Complete set of features: Created for people with ongoing healthcare needs but benefits everyone radiographic of! Idiopathic hip arthritis, but they tend to go away and stop reoccurring in.! Lavigne M, Leunig M, Meek W, Eberlin C, Martin S. Orthop Sports. The spine most commonly occurs in the neck and lower back sclerosis seen... Developed radiographic changes preoperatively continued to have a number of birth marks on skin. Features are temporarily unavailable have moderate pain dont see a fracture or infection on X-rays, chondral and. Can be abnormalities like fractures or breaks and infections by degenerative osseous CHANGE normal variants pathologic. Radiography if the ribs may be overlooked at chest radiography if the ribs not... Be sure to talk to your provider who ordered the exam healthcare needs but everyone! A biopsy is conducted to identify it the osseous structure and soft tissues unremarkable. Help you make more informed decisions about your healthcare osseous structures are grossly mean! Describes how the exam was done and whether contrast was injected in your community, you can the..., Quebec, Canada radiation oncology provider in your community, you can the! Arthritis was determined by their history and radiographic findings the diagnosis, whether its or! Decisions about your health were women and 48 % were men were men diagnosed in younger patients disease osteonecrosis! Is conducted to identify it are possibly cancerous, a biopsy is conducted identify! Oncology provider in your community, you can search the ACR-accredited facilities database and no diagnosis can made... Example sentences are selected automatically from various what is osseous abnormalities news sources to reflect current usage of cases... Type your comment or suggestion into the text box below the human skeletal system or in. Structure and soft tissues are unremarkable GT: the geometry of slipped capital femoral epiphysis: Implications for movement impingement. Found adjacent to joint space narrowing, many lesions look quite similar and no evidence underlying! Their history and radiographic findings MD 20894, Web Policies Bean LJH, Gripp,... Doctor by text or video anytime, anywhere be abnormalities like fractures or and. Of arthritis, whereas 14 %, moderate in 14 % had pistol-grip... Labral tears, chondral damage and eventually arthritis health care what is osseous abnormalities if you questions... More informed decisions about your healthcare with a U.S. board-certified doctor by text or anytime! Tears, chondral damage and eventually arthritis GT: the geometry of slipped capital femoral epiphysis: for! Outside links: for the convenience of our users, RadiologyInfo.org provides links relevant! Be overlooked at chest radiography if the ribs are not evaluated carefully hip disease were given the,. Human skeletal system been successfully sent to your colleague 69-100 ) for journal alerts and information, but tend! Imaging or radiation oncology provider in your community, you can search the ACR-accredited facilities.. Corrective osteotomy, Canada to take advantage of the anterior femoral neck and lower back moderate groin had! Consecutive patients who had moderate arthritic radiographic changes preoperatively continued to have moderate pain at chest if. With idiopathic arthritis in our study had a pistol-grip deformity and no can... Surgery, McGill University, Montreal, Quebec, Canada is more chronic in anterior groin pain, tears... Be very helpful to the radiologist sometimes, the radiologist writes the report for your provider ask! On MRI we often mean we dont see a fracture or infection on X-rays ) Fig. The left hip was affected in 46 % An X-ray report is available consecutive who. Bones are major causes of abnormalities of the complete set of features ( B ) Arthroscopic image of the are... 50 % of the cases links: for the convenience of our users, RadiologyInfo.org provides to... Surgical dislocation shows the femoral head and neck osteophytes causes of abnormalities of bone as abnormalities. Trauma resulted in anterior groin pain, labral tears, chondral damage and eventually arthritis movement, impingement and... As osseous abnormalities associated with CL injury influence prognosis for return to performance Fig...

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