mucoid degeneration meniscus

24(2):152-7, 2012, Lee DH et al: Predictors of degenerative medial meniscus extrusion: radial component and knee osteoarthritis. The Knee Resource | Degenerative Meniscus Tear Poor results in older degenerative meniscal tears with related cysts. This was sustained at follow-up in 10 patients (56%). [Arthroscopic Finding of Knee Joint in Relation to Age and Its Comparison with Pre-Operative Clinical Finding - a Retrospective Study]. 2017;84(3):175-181. Bethesda, MD 20894, Web Policies Materials and methods: eCollection 2022. The detection and evaluation of meniscal changes are official website and that any information you provide is encrypted mucoid degeneration noun : tissue degeneration marked by conversion of cell substance into a glutinous substance like mucus Dictionary Entries Near mucoid degeneration mucoid mucoid degeneration mucoid tissue See More Nearby Entries Cite this Entry Style Mucoid degeneration. Epub 2017 Sep 2. By closing this message, you are consenting to our use of cookies. myofibrillar degeneration damage to selective cardiac cells when surrounding interstitial cells, nerves, and capillaries remain viable. Sharp dissection of cyst margins to the joint capsule. Bear weight (put weight on your knee while standing or walking). 135(9):1265-76, 2015, Fischenich KM et al: Effects of degeneration on the compressive and tensile properties of human meniscus. At Premier Pain Centers, we offer top quality pain management using some of the least invasive, most effective pain procedures possible. Meniscal cysts are associated with meniscal mucoid degeneration. 84(6):1098-104, 2015, Wang L et al: T1rho MRI at 3T of menisci in patients with acute anterior cruciate ligament (ACL) injury. This case shows a grade 3 MR signal intensity of the posterior horn. Value of different MR pulse sequences. MD of the meniscus can appear in one of two pathological forms: stromal MD and cystic parameniscal degeneration. The lateral meniscus is present with the anterior/anterolateral side of the anterior horn or the body. Biomechanical effects of medial meniscus radial tears on the knee joint during gait: A concurrent finite element musculoskeletal framework investigation. This condition should not be related to a bakers cyst. It can cause pain and to a meniscal tear. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). AJR Am J Roentgenol. Degenerative Changes of the Menisci of the Knee. It can also occur while bending the knee deeply. ADVERTISEMENT: Supporters see fewer/no ads. https://medical-dictionary.thefreedictionary.com/myxoid+degeneration. 10(6):634-40, 1994, Hodler J et al: Degenerative changes of the menisci of the knee. Arthroscopy, a tiny camera, is introduced into the knee pain joint, and other small openings are made to allow instruments to be led into the joint. Australas Radiol. J Biomech. Magnetic resonance evaluation and in vivo correlation. Am J Sports Med. Meniscal degeneration can occur together with degeneration of the patella, known as chondromalacia patellae. A torn meniscus mainly occurred severe pain in the knee. We believe that meniscal mucoid degeneration with tear is not uncommon. Rotating, turning sports, in which the menisci can be torn. WebE P, Mucoid degeneration of meniscus. To request a reprint or corporate permissions for this article, please click on the relevant link below: Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content? 14(6):935-45, 2013, Hunter D: Degeneration of the meniscus and progression of osteoarthritis. It may or may not be associated link. 2021 Dec;13(1_suppl):387S-391S. Arthroscopy. Mucoid degeneration of the meniscus refers to a change in the molecular make up of the meniscus as a nonspecific response to injury particularly in a young Obtain permissions instantly via Rightslink by clicking on the button below: If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. 115(3-4):199-202, 1996, Peterfy CG et al: "Magic-angle" phenomenon: a cause of increased signal in the normal lateral meniscus on short-TE MR images of the knee. Cochrane in CORR : Arthroscopic Surgery for Degenerative Knee Disease (Osteoarthritis Including Degenerative Meniscal Tears). The site is secure. Recoveries are different and depend on many things. Keywords: WebMucoid degeneration of the ACL is suspected when an apparently thickened and ill-defined ligament with increased signal intensity on all sequences in MRI is identified in a patient with It mostly has no symptoms. HHS Vulnerability Disclosure, Help Epub 2021 Sep 13. Tears associated with arthritis often improve over time This information should not be considered complete, up to date, and is not intended to be used in place of a visit, consultation, or advice of a legal, medical, or any other professional. Unauthorized use of these marks is strictly prohibited. People who have no pain with a torn meniscus can walk, stand, sit, and sleep easily. Mucoid degeneration By far, the most common location for a tear is in the back and on the inner or medial side of the knee that is the area we call the posterior horn of the medial 2022 Oct 1;480(10):1866-1873. doi: 10.1097/CORR.0000000000002381. Accumulation of mucopolysaccharides at the meniscal interstitial area disrupts the collagen network and weakens the meniscus. sharing sensitive information, make sure youre on a federal 2016 Dec 30;10:797-804. doi: 10.2174/1874325001610010797. For patients refractory to conservative therapy, arthroscopic partial meniscectomy can provide short-term gains regarding pain relief, especially when combined with an effective, regular physiotherapy program. Nothing on this site should be taken as medical advice for any individual case or situation. AJR Am J Roentgenol. 404-407. 177(5):1189-92, 2001, Jerosch J et al: Age-related magnetic resonance imaging morphology of the menisci in asymptomatic individuals. Epub 2016 Oct 19. 2017. 22(11):883-90, 1987. Orthop Traumatol Surg Res. WebDeveloped by renowned radiologists in each specialty, STATdx provides comprehensive decision support you can rely on - Meniscus Degeneration. National Library of Medicine Short description: Other meniscus derangements, unsp medial meniscus, unsp knee The 2023 edition of ICD-10-CM M23.305 became effective on October 1, 2022. Ultrasonography. Does a degenerative meniscus tear need surgery? hb```f``}AX,flyP Anatomical description and short-term follow up clinical results for ultrasound-guided injection of medial collateral ligament bursa: New conservative treatment option for symptomatic degenerative medial meniscus tear. Knee Surg Sports Traumatol Arthrosc. Knee Surg Sports Traumatol Arthrosc. 48(8):1469-78, 2015, Takahashi K et al: Medial meniscal posterior root/horn radial tears correlate with cartilage degeneration detected by T1 relaxation mapping. Continued hoop and shear stresses upon the degenerative meniscus results in gross failure, often in the form of complex tears in the posterior horn and midbody. WebThe meniscus is a tendon pack that works as a shock absorber, provides stress transmission, absorbs lubrication, and provides nutrition to the knee. 8(1):13-4, 2012, Joseph GB et al: Baseline mean and heterogeneity of MR cartilage T2 are associated with morphologic degeneration of cartilage, meniscus, and bone marrow over 3 years--data from the Osteoarthritis Initiative. These last two types of sequences should not be used alone in the description of meniscal degeneration. Careers. Degenerative tears occur because as we age, or because of our genetics our tissues simply wear out over time. Krych AJ, Reardon PJ, Johnson NR, Mohan R, Peter L, Levy BA, Stuart MJ. Webto establish an accurate diagnosis of mucoid degeneration [24, 8, 11]. eCollection 2022 Oct-Dec. Front Bioeng Biotechnol. The meniscus is a tendon pack that works as a shock absorber, provides stress transmission, absorbs lubrication, and provides nutrition to the knee. The cyst may be removed surgically at that time by making an opening over it and cutting it off. They are mostly uncommon occurrences that cause pain and disability in the knee. The symptomatic degenerative meniscus continues to be a source of discomfort for a significant number of patients. People also read lists articles that other readers of this article have read. Intra-substance meniscal changes and their clinical Check for errors and try again. 25(5):473-80, 2009, Low AK et al: Clinical significance of intrasubstance meniscal lesions on MRI. A degenerative process in which the connective tissues are replaced by a gelatinous or mucoid substance. The frequency of these cysts is a matter of controversy. 203(6):1286-92, 2014, Howell R et al: Degenerative meniscus: pathogenesis, diagnosis, and treatment options. When people over the age of 40 get a torn meniscus, the tissue tends to be less healthy and less likely to heal, with or without surgery. 5 Howick Place | London | SW1P 1WG. Knee. Improvement was sustained in 32 of 60 patients (53%) at follow-up. WebMucoid degeneration, knee pain. J Microsc Ultrastruct. 25(5):834-40, 2018, Tsujii A et al: Age-related changes in the knee meniscus. I am doing exercise for quadriceps and vmo but yet found no improvement. For instance, myxoid degeneration of the tendon occurs when the normal fibrilary appearance of the tendon is replaced by a homogenous, opaque, mucoid type of tissue. If the cyst has no symptoms, there is no reason one cannot take part in activities. eCollection 2016. Further study is needed regarding the short and long-term outcomes regarding conservative and surgical therapy, with a particular focus on the economic impact of treatment as well. Degenerative Meniscus | livestrong MD of the meniscus can appear in one of the two pathological forms: stromal MD and cystic parameniscal degeneration. The cyst may be apparent using local depressants and a small needle to remove the substance of the cyst. Osteoarthritis Cartilage. 52(3):227-30, 2008, Mesiha M et al: Pathologic characteristics of the torn human meniscus. Signal intensity alteration in the substance of the lateral meniscus. Register a free Taylor & Francis Online account today to boost your research and gain these benefits: Degenerative Changes of the Menisci of the Knee, Departments of Radiology and Pathology, VA Medical Center, San Diego, CA, USA, /doi/epdf/10.1080/02841859309173268?needAccess=true. Meniscus tears & repairs - Overview - Mayo Clinic Orthopedics Open Orthop J. WebMeniscal tears can be categorised as traumatic or degenerative. government site. A PMC Menisci. The information on this website is for general information purposes only. The pathology deserves special interest as it may lead to loss of the meniscus even in very 2023 Jan 2;15(1):e33270. From a histopathological point of view, ganglion cysts are lined by fibrous tissue having arisen from, The reported cases of valvular involvement where histopathology of the valves was available demonstrated either histopathology typical of GPA or, Microscopic examination of the partially excised pulmonary valve showed fresh bleeding and, The lesion in out patient was an example of a noninfiltrating angiolipoma, based on its encapsulation and characteristic microscopic findings, including a fibrotic stroma with. 2013 Dec;17(23):3192-6. Arthroscopy. Sixty patients who had clinical and MRI evidence of a symptomatic degenerative tear of the posterior horn of the medial meniscus, isolated or accompanied by additional features of degenerative arthritis, who had failed conservative approaches (physiotherapy, non-steroidal anti-inflammatories, and 3 months rest/knee bracing) were included in the study. 34(4):404-7, 1993, Kaplan PA et al: MR of the knee: the significance of high signal in the meniscus that does not clearly extend to the surface. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 125(4):267-71, 2005, Boya H et al: Clinical and arthroscopic features of meniscal tears and a search for the role of infection in histologically confirmed meniscal mucoid degeneration. see full revision history and disclosures. FOIA and transmitted securely. Please note: Selecting permissions does not provide access to the full text of the article, please see our help page Mucoid degeneration of PCL can produce symptoms of pain on flexion or restricted terminal flexion. J Med Imaging Radiat Oncol. An official website of the United States government. 163(1):149-54, 1994, Raunest J et al: Magnetic resonance imaging (MRI) and arthroscopy in the detection of meniscal degenerations: correlation of arthroscopy and MRI with histology findings. 34, No. How do I view content? degeneration Curr Opin Rheumatol. This site needs JavaScript to work properly. Epub 2022 Apr 27. Federal government websites often end in .gov or .mil. Often just removing it to decompress (shrink) and vanish without other treatment. Comparative Morphological and Morphometric Study between Medial and Lateral Menisci in Aged Male and Female Human Cadavers. Meniscal degeneration | Radiology Reference Article It is the most sensitive symptomatic test for meniscal injury or tenderness. Knee Surg Sports Traumatol Arthrosc. 35(1):103-12, 2007, Jones AO et al: Medial meniscus posterior root attachment injury and degeneration: MRI findings. 50(4):306-13, 2006, Sproule JA et al: Altered signal intensity in the posterior horn of the medial meniscus: an MR finding of questionable significance. The Role of Arthroscopic Partial Meniscectomy in the Management of Degenerative Meniscus Tears: A Review of the Recent Literature. That occurred because of degenerative changes within the meniscus. It is attested by MRI, which offers both the cyst and the related meniscus tear. It takes place when synovial fluid becomes enclosed, often secondary to a meniscal tear. When there is chemical change of the tissue itself, it is true degeneration; when the change consists in the deposit of abnormal matter in the tissues, it is infiltration. Ont Health Technol Assess Ser. Degenerative Changes of the Menisci of t . Medicine, Dentistry, Nursing & Allied Health. We use cookies to improve your website experience. 7(3):287-91, 2002, Cothran RL Jr et al: MR imaging of meniscal contusion in the knee. Epub 2022 Jul 16. Curr Rev Musculoskelet Med. Korean J Radiol. HSS J. Knee Surg Sports Traumatol Arthrosc. Intrasubstance degeneration, myxoid degeneration, mucoid degeneration, mucinous degeneration; fraying, Internal disruption of normal meniscus architecture mucinous degeneration without extension to articular surface = degeneration, Irregularity of meniscus free edge without linear tear; or amorphous increased signal at free edge = fraying, Abram SGF et al: National consensus on the definition, investigation, and classification of meniscal lesions of the knee. MeSH Patient history and physical examination are critical to determine the true source of pain, particularly with the significant incidence of simultaneous articular pathology. In the end, the torn meniscus has locked the knee. There are some causes, including: Particularly when standing on the affected leg. myxomatous degeneration mucous degeneration. u61Z You can use Radiopaedia cases in a variety of ways to help you learn and teach. If surgery is performed to find the meniscus and relax the cyst, the patient may be able to return to action as early as three weeks post-operatively. Meniscal tears: pathologic correlation with MR imaging. A conversion of any of the connective tissues into a gelatinous or mucoid substance. Epub 2005 Sep 1. 8600 Rockville Pike 2002 Jul-Aug;18(6):569-77. doi: 10.1053/jars.2002.29897. Purpose To determine whether anterior cruciate ligament (ACL) mucoid degeneration in participants with or at risk for osteoarthritis is associated with longitudinal risk of radiographic progression of medial tibiofemoral compartment joint space loss (JSL). M23.305 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. mucoid degeneration F!>78d/7`#?d|n06A ,?4X)nX.n 1R@0igvtnc1/@ )>& 4 endstream endobj 79 0 obj <> endobj 80 0 obj <> endobj 81 0 obj <>stream {"url":"/signup-modal-props.json?lang=gb"}, E P, Mucoid degeneration of meniscus. A meniscal cyst is a mixture of joint fluid produced by a tear within the meniscus tendon and the joint pad over the knee. Degenerative Meniscal degeneration is a process that often occurs due to gradual wear and is commonly associated with advanced knee osteoarthritis. Did you know that with a free Taylor & Francis Online account you can gain access to the following benefits? Mucoid Degeneration and Cysts of the Meniscus | SpringerLink They are mostly seen with meniscal tears. If incidental or minor symptomatic, treatment may need random icing and anti-inflammatory medicine. Webmucoid degeneration degeneration with deposit of myelin and lecithin in the cells. This can occur with turning, twisting, or pivoting activities or sports. Ventura M, Seabra P, Oliveira J, Sousa P, Quesado M, Sousa H, Pereira R, Costa A, Carvalho P. Cureus. 12(4):294-9, 2004, Fukuta S et al: Prevalence of abnormal findings in magnetic resonance images of asymptomatic knees. What is the recommended treatment for meniscal mucoid An incomplete meniscal incision may lead to a repeat. 2017 Dec;103(8S):S237-S244. Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine. 2017 Feb;25(2):383-389. doi: 10.1007/s00167-016-4359-8. For more information, please visit our Permissions help page. Careers. But here is some timing for returning to activities. (1987) Radiology. The take-home message is surgery for degenerative meniscus tears, the most common type in adults, do not often require surgery. If you have arthritic changes on the MRI as well as the meniscus tear, it is often arthritis that is causing the pain. 1 to 2 weeks if you have recovery movements with minimal pain. Supplement. To evaluate the response of symptomatic degenerative tears of the posterior horn of the medial meniscus to guided intra-articular knee steroid/bupivacaine injection and to correlate clinical outcomes with preprocedural findings at magnetic resonance imaging (MRI). 3099067 Preprocedural MRI appearances correlate with response to injection. Mucoid Degeneration and Cysts of the Meniscus | Request PDF An official website of the United States government. Bookshelf Patients underwent intra-articular knee steroid/bupivacaine injection and were followed clinically for a minimum of 6 months. Invest Radiol. [Comparison of the Arthroscopic Finding in the Knee Joint and the MRI - Retrospective Study]. Mucoid degeneration; Expulsion of synovial fluid; Risk Factors. In general, they are thought to present 5% in the knee. The pain mostly is harmful during twisting or bending movements. Our patient presented with pain on extension and had flexion deformity of 5 degree and further flexion was full and pain-free. Accessibility Knee. What is myxoid degeneration of meniscus? Preprocedural MRI appearances correlate with response to injection. The cyst may become more apparent as the knee is extended. Mucoid Degeneration of the Anterior Cruciate Ligament: A While the T2-weighted spin-echo images commonly underestimated the extent of meniscal degeneration, gradient-echo images commonly overestimated the extent of such changes. Non-operative management of medial meniscus posterior horn root tears is associated with worsening arthritis and poor clinical outcome at 5-year follow-up. 4, pp. 156(2):333-6, 1991, Hajek PC et al: The high signal intensity meniscus of the knee. WebWhat is mucoid degeneration of meniscus? An incomplete surgical process may lead to repetition. Disclaimer. Increased meniscal MR signal attributable to meniscal degeneration is a common finding. Clipboard, Search History, and several other advanced features are temporarily unavailable. Forty-nine of 60 patients (82%) reported an improvement in symptoms following guided intra-articular knee steroid/bupivacaine injection (complete: 25 patients (42%), partial: 24 (40%) patients). Arch Orthop Trauma Surg. Diagnosis MRI is better at detecting MD than arthroscopy, as the surface of the ligament is often intact. Bethesda, MD 20894, Web Policies Stromal degeneration is an intrameniscal Meniscus Become a Gold Supporter and see no third-party ads. Mucoid Degeneration of Posterior Cruciate Ligament with Secondary Meniscal degeneration is a process that often occurs due to gradual wear and is commonly associated with advanced knee osteoarthritis. It may or may not be associated with a chronic tear. See also meniscal tears meniscal fraying Would you like email updates of new search results? Disclaimer. Meniscus Matrix Structural and Biomechanical Evaluation: Age-Dependent Properties in a Swine Model. government site. The .gov means its official. Stoller D, Stoller MC, Stoller CJ, Stoller KL, Stoller MJ, Stoller. The https:// ensures that you are connecting to the Athletes should wear proper protective stuff. Meniscal mucoid degeneration is a condition that has generally been ignored; it is likely to be responsible for primary meniscal degeneration. Mucoid degeneration of meniscus | Radiology Case Results: Your knee is not swollen or in discomfort. Meniscus Degeneration When the knee pain treatments in Richardson become swollen under any condition, fluid can extend this space and form a cyst. Degenerative tears of the posterior 2022 Oct;38:1-8. doi: 10.1016/j.knee.2022.06.001. Copyright 2019. This test can confirm the diagnosis and set up the size and location of the wound. Ultimately, the long-term outcomes of either treatment arm provide similar results for most patients. Radiographs and magnetic resonance imaging are frequently utilized to examine for osteoarthritis and to verify the presence of meniscal tears, in addition to ruling out other sources of pain. Arthroscopy. 20(6):471-2, 2012, Subhas N et al: Accuracy of MRI in the diagnosis of meniscal tears in older patients. May be efficient in a population with degenerative tears. J Orthop Sci. sharing sensitive information, make sure youre on a federal What does mucoid degeneration of posterior horn of Intra-articular steroid/bupivacaine knee joint injection reduced pain symptoms in the majority of patients (81.7%) with degenerative tears of the posterior horn of the medial meniscus, usually with a sustained response. Mucoid Degeneration Diagnosis. Acta Chir Orthop Traumatol Cech. 24(6):1262-70, 2017, Ahn JH et al: Comparison between conservative treatment and arthroscopic pull-out repair of the medial meniscus root tear and analysis of prognostic factors for the determination of repair indication. Aim: Drive if the injured leg is to be used for gas and brake or clutch. Case study, Radiopaedia.org (Accessed on 05 Mar 2023) https://doi.org/10.53347/rID-11047. The symptomatic degenerative meniscus continues to be a source of discomfort for a significant number of patients. Arthroscopic debridement compared to intra-articular steroids in treating degenerative medial meniscal tears. Before Mucoid Degeneration Joint line tenderness, a positive McMurray test, and mechanical catching or locking can be highly suggestive of a meniscal source of knee pain and dysfunction. Given the regularity of meniscus tears, related cysts are uncommon. hbbd```b``n}`RDGH`Y&0&` !j7d YF`[dAG)|./UwA"@J0 endstream endobj startxref 0 %%EOF 149 0 obj <>stream 5(5):597-602, 2014, van Tiel J et al: Delayed gadolinium-enhanced MRI of the meniscus (dGEMRIM) in patients with knee osteoarthritis: relation with meniscal degeneration on conventional MRI, reproducibility, and correlation with dGEMRIC. Time takes a meniscus cyst to recover without surgery: Meniscus tears are the most often treated knee harm. WebConclusion: Intra-articular steroid/bupivacaine knee joint injection reduced pain symptoms in the majority of patients (81.7%) with degenerative tears of the posterior horn of the medial meniscus, usually with a sustained response. 2). Mucoid Degeneration doi: 10.7759/cureus.33270. Are the Pathologic Features of Enthesopathy, Tendinopathy, and Make sure the correct fit, including the proper length support for the surface. Save the meniscus. The role of different MR sequences in the analysis of the extent and distribution of meniscal degeneration in middle-aged and elderly patients has not been thoroughly evaluated. 1. Federal government websites often end in .gov or .mil. Register to receive personalised research and resources by email. Unable to load your collection due to an error, Unable to load your delegates due to an error. Degenerative meniscal lesions are seen as primary degenerative meniscal lesions and meniscal lesions in osteoarthritic knees. Ultrasound-guided injection into the cyst. 2017;84(4):285-291. Trauma. Mucoid degeneration eCollection 2023 Jan. Aggad WS, El-Aziz GSA, Hamdy RM, Saleh HA, Alyazidi AS. Your doctor might recommend:Rest. Avoid activities that aggravate your knee pain, especially any activity that causes you to twist, rotate or pivot your knee. Ice. Ice can reduce knee pain and swelling. Medication. Over-the-counter pain relievers also can help ease knee pain. Vermesan D, Prejbeanu R, Laitin S, Damian G, Deleanu B, Abbinante A, Flace P, Cagiano R. Eur Rev Med Pharmacol Sci. HHS Vulnerability Disclosure, Help Ultrasound-Guided Meniscal Injection of Autologous Growth Factors: A Brief Report. Cited by lists all citing articles based on Crossref citations.Articles with the Crossref icon will open in a new tab. Such meniscal tears are not appropriate for repair most of the time (Fig. It may be related to an injury to the knee (turning or bending injury). J Biomech. Arch Orthop Trauma Surg. 198(6):W575-80, 2012, Sun Y et al: Meniscal calcification, pathogenesis and implications. Torn meniscus - Diagnosis and treatment - Mayo Clinic With vascular penetration of less than one-third of the adult meniscus, healing potential in the setting of chronic degeneration remains low. Radial tears of the posterior horn of the medial meniscus. This information is not intended to create, and receipt or viewing does not constitute, a doctor-patient relationship. 18(11):1408-16, 2010, Galea A et al: The accuracy of magnetic resonance imaging scanning and its influence on management decisions in knee surgery. STATdx includes over 200,000 searchable images, including x-ray, CT, MR, and ultrasound images. Eur Radiol. World J Orthop. Bulging of the posterior horn and disappearing contour of the meniscus. Di Matteo B, Altomare D, Garibaldi R, La Porta A, Manca A, Kon E. Cartilage. Asked for Female, 27 Years I had early stage mucoid degeneration in my left knee and pain in both the knees since more than a year. Necrotic tissue, nerve sheath tissue, and pus would all be able to look like cysts on T2-weighted MRIs. 2004 Apr;20(4):373-8. doi: 10.1016/j.arthro.2004.01.004. Mucoid degeneration

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