Summary. She is afebrile, bloodwork reveals normal ESR, CRP and WBC, and her erythema resolves with elevation. At Fortius, our highly experienced consultants work in sub-specialised teams across all elements of musculoskeletal, orthopaedic and sports medicine. The anterior compartment under the extensor retinaculum is the tibialis anterior tendon, extensor hallucis longus tendon, dorsalis pedis artery, deep peroneal nerve, extensor digitorum longus tendon. (2020), CT NCAP (neck, chest, abdomen and pelvis), left ventricular systolic and diastolic function, ultrasound-guided musculoskeletal interventions, gluteus minimus/medius tendon calcific tendinopathy barbotage, lateral cutaneous femoral nerve of the thigh injection, common peroneal (fibular) nerve injection, metatarsophalangeal joint (MTPJ) injection. Lateral ankle sprains usually occur during a rapid shift of body center of mass over the landing or weight-bearing foot. This material has also been used in an attempt to alleviate the condition shown in Figure B. These cookies cannot be turned off by the user unless you disable all cookies in your browser. A lateral ankle X-ray is reliable to support the diagnosis of the Achilles tendon rupture. 1. They are rounded in shape with a concave lateral border and convex medial border. 8. We also have extensive expertise in adductor-related groin pain and sports hernia management. Some of the practising consultants have a financial interest in MRI of the ankle is one of the more frequent examinations faced in daily radiological practice. Lund B. Os Acetabuli-A New Arthroscopic Treatment Option for the Acetabular Rim Fracture. shoulder (modified transthoracic supine lateral), acromioclavicular joint (AP weight-bearing view), sternoclavicular joint (anterior oblique views), sternoclavicular joint (serendipity view), foot (weight-bearing medial oblique view), paranasal sinus and facial bone radiography, paranasal sinuses and facial bones (lateral view), transoral parietocanthal view (open mouth Waters view), temporomandibular joint (axiolateral oblique view), cervical spine (flexion and extension views), lumbar spine (flexion and extension views), systematic radiographic technical evaluation (mnemonic), foreign body ingestion series (pediatric), foreign body inhalation series (pediatric), pediatric chest (horizontal beam lateral view), neonatal abdominal radiograph (supine view), pediatric abdomen (lateral decubitus view), pediatric abdomen (supine cross-table lateral view), pediatric abdomen (prone cross-table lateral view), pediatric elbow (horizontal beam AP view), pediatric elbow (horizontal beam lateral view), pediatric forearm (horizontal beam lateral view), pediatric hip (abduction-internal rotation view), iodinated contrast-induced thyrotoxicosis, saline flush during contrast administration, CT angiography of the cerebral arteries (protocol), CT angiography of the circle of Willis (protocol), cardiac CT (prospective high-pitch acquisition), CT transcatheter aortic valve implantation planning (protocol), CT colonography reporting and data system, CT kidneys, ureters and bladder (protocol), CT angiography of the splanchnic vessels (protocol), absent umbilical arterial end diastolic flow, reversal of umbilical arterial end diastolic flow, monochorionic monoamniotic twin pregnancy, benign and malignant characteristics of breast lesions at ultrasound, differential diagnosis of dilated ducts on breast imaging, musculoskeletal manifestations of rheumatoid arthritis, sonographic features of malignant lymph nodes, ultrasound classification of developmental dysplasia of the hip, ultrasound appearances of liver metastases, generalized increase in hepatic echogenicity, dynamic left ventricular outflow tract obstruction, focus assessed transthoracic echocardiography, arrhythmogenic right ventricular cardiomyopathy, ultrasound-guided biopsy of a peripheral soft tissue mass, ultrasound-guided intravenous cannulation, intensity-modulated radiation therapy (IMRT), stereotactic ablative radiotherapy (SBRT or SABR), sealed source radiation therapy (brachytherapy), selective internal radiation therapy (SIRT), preoperative pulmonary nodule localization, transjugular intrahepatic portosystemic shunt, percutaneous transhepatic cholangiography (PTC), transhepatic biliary drainage - percutaneous, percutaneous endoscopic gastrostomy (PEG), percutaneous nephrostomy salvage and tube exchange, transurethral resection of the prostate (TURP), long head of biceps tendon sheath injection, rotator cuff calcific tendinitis barbotage, subacromial (subdeltoid) bursal injection, spinal interventional procedures (general), transforaminal epidural steroid injection, intravenous cannulation (ultrasound-guided), inferomedial superolateral oblique projection, breast ultrasound features: benign vs malignant, patient is supine with the pelvis in neutral rotation (, the hip joint is flexed 90 and abducted 20 while the pelvis remains in neutral rotation, the midpoint between the anterior superior iliac spine (ASIS) and pubic symphysis, laterally to the proximal third of the femur, the bony pelvis is imaged from ASIS to the proximal shaft of the femur, greater and lesser trochanter of the proximal femur is in profile, proximal one-third of the femur is visible. There is an anterolateral, posteromedial and lateral compartment of the ankle typically superficial to the joint. A 50-year-old recreational tennis player complains of increasing pain in his big toe. The complex of the medial collateral ligaments of the ankle joint is collectively called deltoid ligament.It attaches the medial malleolus to multiple tarsal bones. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. Eur J Orthop Surg Traumatol 2010; 20:563-567. (OBQ07.9) (OBQ13.175) Hergan K, Oser W, Moriggl B. Acetabular ossicles: normal variant or disease entity?. A 45-year-old construction worker reports pain in the first toe with the maneuver found in Figure A. The idea being, if they are lined up there will be a superimposition of the medial and lateral borders of the scapula and hence a perfect lateral position, although this isn't always the case. She has pain at extremes of dorsiflexion and with pushoff, but no midrange pain. Orthogonal to the AP shoulder (note: as is an axillary view); this view is a pertinent projection to assess suspected dislocations, scapula fractures, and degenerative changes. Bone Scan. Os acetabuli. ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Despite abduction of the calcaneus, the mid-calcaneal line does not significantly alter, and in some (OBQ10.91) The ankle rolls outward, whilst the foot turns inward causing the lateral ligament to stretch and tear. Intraoperatively the surgeon removes the dorsal 30% of the metatarsal head and is able to achieve 20 degrees of dorsiflexion. Each bi-monthly, peer-reviewed issue addresses relevant topics to the profession, such as: adult reconstruction of the forefoot; adult reconstruction of the hindfoot and ankle; diabetes; medicine/rheumatology; pediatrics; research; sports medicine; trauma; and tumors. November 2011 Clinic Acute Musculotendinous Tears of the Latissimus Dorsi and Teres Major. Case 6: with bilateral subtalar osteoarthritis, posterior ankle impingement (PAI) syndrome, avulsion fracture of lateral tubercle of talus, posterior suprapatellar (prefemoral or supratrochlear) fat pad, anterior suprapatellar (quadriceps) fat pad, accessory anterior inferior tibiofibular ligament, superficial posterior tibiotalar ligament, superficial posterior compartment of the leg (calf), accessory extensor digiti secundus muscle, descending branch of the lateral circumflex. They are rounded in shape with a concave lateral border and convex medial border. International Orthopaedics (SICOT). The ankle joint(also known as the tibiotalar joint or talocrural joint) forms the articulation between the foot and the leg. Reference article, Radiopaedia.org (Accessed on 11 Dec 2022) https://doi.org/10.53347/rID-51998. The tibia extends inferiorly to articulate with the talus on its medial aspect which has an inferior projection at its medial aspect,the medial malleolus. We offer transparent and competitive pricing, giving you access to expert care without the wait. The surgery may take 2 or more hours. Select TRIGEN Hindfoot Fusion Nail TRIGEN Hindfoot Fusion Nail (1) Fortius Clinic Wimbledon has renowned specialists, no waiting lists and the latest technology. Ossa acetabuli are located at the anterosuperior margin. 6. debride impinging tissue. Design of the nail avoids impingement on lateral cortex. Lets start getting you back to your very best. Otherwise MRI without and with contrast They form the subtalar joint. He has tried abstaining from sports for 1 year, and is using the orthotic shown in Figure B. Hip (Dunn view). The bones are connected to the forefoot and the hindfoot by muscles and the {"url":"/signup-modal-props.json?lang=us\u0026email="}, Murphy A, Bell D, Er A, et al. Randelli F, Maglione D, Favilla S, Capitani P, Menon A, Randelli P. Os Acetabuli and Femoro-Acetabular Impingement: Aetiology, Incidence, Treatment, and Results. (2019), CT NCAP (neck, chest, abdomen and pelvis), left ventricular systolic and diastolic function, ultrasound-guided musculoskeletal interventions, gluteus minimus/medius tendon calcific tendinopathy barbotage, lateral cutaneous femoral nerve of the thigh injection, common peroneal (fibular) nerve injection, metatarsophalangeal joint (MTPJ) injection. In most cases we use arthroscopy to evaluate and repair joint damage in order to reduce recovery time. Cerezal L, Abascal F, Canga A et al. Analysis of release of the first branch of the lateral plantar nerve J Am Podiatr Med Assoc 2000; 90:281-286. What happens during a lateral ankle ligament reconstruction? J Hip Preserv Surg. {"url":"/signup-modal-props.json?lang=us\u0026email="}, Guo S, El-Feky M, Knipe H, et al. Nader A. Nassif, John C. Clohisy. Figure 1: anterior ankle tendons (Gray's illustrations), Figure 2: posterior ankle tendons (Gray's illustrations), bright rim sign (anterior talofibular ligament injury), extra-articular lateral hindfoot impingement syndrome, posterior suprapatellar (prefemoral or supratrochlear) fat pad, anterior suprapatellar (quadriceps) fat pad, accessory anterior inferior tibiofibular ligament, superficial posterior tibiotalar ligament, superficial posterior compartment of the leg (calf), accessory extensor digiti secundus muscle, descending branch of the lateral circumflex. Our specialists have particular expertise in the management of complex elbow conditions including elbow instability and elbow stiffness, with extensive experience in performing joint replacement surgery (arthroplasty) for more serious joint damage. What is the next most appropriate step in management? We collect this information in a way that does not identify you and the data is not shared with anybody else. Lateral hindfoot impingement, with extra-articular talocalcaneal impingement and subfibular (calcaneofibular) impingement. (OBQ07.248) superior-inferior axial. Custom molded orthosis with recessed 1st metatarsal molding, Irrigation and debridement and IV antibiotics, Revision of silastic implant and synovectomy. 68% (1724/2534) 4. Metatarsal dorsal oblique osteotomy (Helal osteotomy), Metatarsal plantar oblique osteotomy (Weil osteotomy), Proximal phalanx closing wedge osteotomy (Moberg osteotomy). Judith F. Baumhauer, MD, MPH (OSET 2018), California Orthopaedic Association Annual Meeting - 2018, Surgical Treatment of Great Toe Arthritis Expert Panel Discussion / Q&A (COA 2018, 4.3), Question SessionDJD & Hallux Rigidus and Fibrous Dysplasia. The fibula has a similar inferior projection laterally, the lateral malleolus. July 2012 Clinic Discitis. 7. Posterior ankle impingement (PAI) syndrome is one of the impingement syndromes involving the ankle. MRI. Why is shoulder pain typically worse at night? It is a primary hinge synovial jointlined with hyaline cartilage. The lateral scapula shoulder or Y view is part of the standard shoulder series. Unable to process the form. 2005;26(10):894-8. A radiograph is shown in Figure A. What is the most appropriate intervention at this time? A physical exam reveals a plantar-flexed great toe which does not allow for comfortable shoe wear. With expertise in the diagnosis and treatment of all types of chest wall problem, including the latest techniques, we aim to help return you to full fitness as quickly as possible. A 48-year-old woman who runs marathons has been having worsening foot pain. On shoe examination, you notice excessive lateral sole wear. Patient position. These ligaments fuse with the joint capsule to enclose the joint so any fracture involving the joint will invoke an ankle effusion. 90 Suppl 4: 47-66. Hallux rigidus is a common foot condition characterized by pain and loss of motion of the 1st MTP joint in adults due to degenerative arthritis. {"url":"/signup-modal-props.json?lang=us\u0026email="}, Bain J, Bell D, El-Feky M, et al. AJR Am J Roentgenol. (2017) Journal of Pediatric Orthopaedics. Wound closure and weight bearing as tolerated in a post op shoe, Flexor digitorum longus to extensor digitorum longus tendon transfer. Arthroscopy Techniques is one of two open access companion titles to the respected Arthroscopy.This peer-reviewed electronic journal aims to provide arthroscopic and related researchers and clinicians with practical, clinically relevant, innovative methods that could be applied in surgical practice.Brought to you by the same editorial team as Arthroscopy, He has attempted wearing a carbon fiber shank in his shoe and a trial of meloxicam without relief of symptoms. Fortius Clinic are excited to begin a new partnership with Premiership Rugby clubHarlequins. Revision arthroplasty with a long-stemmed prosthesis, Removal of hardware and conversion to silastic implant, Removal of hardware, I&D, antibiotic spacer placement, and delayed reimplantation, Implant removal, synovectomy, structural bone grafting, and arthrodesis. Operative management is indicated for higher grade disease and varies depending on chronicity of symptoms and severity of osteoarthritis. significant proximal phalanx bone loss with inadequate remaining bone for fixation without compromising IP joint. We will respond to you within 24 hours or on the next working day, or please call 0203 195 2442. most common location of osteoarthritis in the foot, most commonly noted in the 5th and 6th decade of life, noted in ~80% of patients with unilateral disease, acute trauma and repetitive microtrauma predispose to arthritic changes, osteophyte formation and degeneration of the cartilage occur dorsally in early stages and progress to involve the entire joint, anatomic variations of first metatarsal may play a role in arthritic predisposition, medial dorsal cutaneous nerve overlies 1st MTP joint, can become irritated by dorsal osteophytes, the first MTPJ carries up to ~120% of an individual's body weight with each step, Mild dorsal osteophyte, normal joint space, with range of motion, increasingly more constant. 1st MTP resection artrhoplasty (Keller procedure). 1996;166(1):125-9. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. Bilateral Os Trigonum Syndrome Associated with Bilateral Tenosynovitis of the Flexor Hallucis Longus Muscle. Clinical Biomechanics is an international multidisciplinary journal of biomechanics with a focus on medical and clinical applications of new knowledge in the field. There is an anterolateral, posteromedial and lateral compartment of the ankle typically superficial to the joint. We provide orthopaedic treatment tailored to our patients individual needs. An orthopedic foot surgeon will perform your surgery. 50% (957/1903) L 5 A 70-year-old sedentary female underwent a silastic arthroplasty of the right 1st metatarsophalangeal joint 15 years ago. What treatment do you suggest? The ankle joint is comprised of the tibia, fibulaand talusas well as the supporting ligaments, muscles and neurovascular bundles. What is the best option to treat her painful toe? 3. A Morton's extension orthotic is used for which of the following conditions? Copyright 2022 Lineage Medical, Inc. All rights reserved. Check for errors and try again. (OBQ18.97) He states that since he began weight-bearing he has progressive lateral foot pain and developed calluses on the lateral side of his foot that have become painful. (OBQ08.132) Over rotation in this projection refers to the patient's unaffected side sitting too far away from the image receptor, otherwise known as lying too square to the detector. optional films. June 2012 Clinic Carpal Instability. The Dunn view is the preferred projection to aid in the diagnosis of femoroacetabular impingement (FAI) due to its increased sensitivity for detecting femoral head-neck asphericity.. (OBQ18.98) Which of the following is the next best step in surgical management? Martinez AE, Li SM, Ganz R, Beck M. Os acetabuli in femoro-acetabular impingement: stress fracture or unfused secondary ossification centre of the acetabular rim?. a. These cookies enable us to improve the online services and experiences we offer you, by allowing us to monitor the number of visitors to our website and how they navigate it. He wishes to return back to sports. Our consultant surgeons use the latest hip and knee joint replacement techniques. Copyright 2022. 5. Ossicles in the acetabular region may also be found in: Some consider those present in dysplastic hips to represent fatigue fractures of the acetabular rim due to overload 4. Significant stiffness, pain at extreme ROM, worse with push off or lift-off phase of gait, due to dorsal osteophytes and compression of medial dorsal cutaneous nerve, dorsal prominence over the 1st MTP joint (due to dorsal osteophytes), severe disease may present with hyperextension deformity, as disease progresses, patient develops pain throughout arc of motion, decreased sensation over distal aspect of medial dorsal foot, indicative of severe disease with central chondral wear, suspected osteochondral cysts with normal radiographs, can better characterize mild osteoarthritis, good short and mid-term pain relief noted in low-grade disease, select patients with grade 3 disease with primarily pain with terminal dorsiflexion, shoe wear irritation from dorsal prominence and pain (ideal candidate), when pain located in the mid-range of the joint during passive motion, pain with terminal dorsiflexion is an indicator of good results with dorsal cheilectomy, (dorsal closing wedge osteotomy of the proximal phalanx), runners with reduced dorsiflexion (60 is needed to run), failure of cheilectomy to provide at least 30 to 40 degrees of motion, Keller Procedure (resection arthroplasty), elderly, low demand patients with significant joint degeneration and loss of motion that allows for rapid rehabilitation, patients with pre-existing rigid hyperextension deformity of 1st MTP joint, good results have been noted in low demand elderly patients, significant risk of joint instability for younger and more active patients, grade 3 and 4 disease for patients who wish to preserve joint motion, silicone implants may have a good short term satisfaction rate but have high long term failure rate, osteolysis and synovitis cause mid to long term pain and joint destruction, current implant designs with 80-90% survival rates at ~5 years, no difference in functional outcomes, complications or satisfaction rates between hemiarthroplasty and total joint arthroplasty, 1st MT shortening that cannot be adequately rebalanced with a lesser metatarsal osteotomy (usually shortening > 5 mm), most commonly seen with failed MTP arthroplasty. 2. (2008) The Journal of bone and joint surgery. Reference article, Radiopaedia.org (Accessed on 11 Dec 2022) https://doi.org/10.53347/rID-48252. may show plantar heel spur. Unable to process the form. 16 (4): 281-6. Following instrumentation, the tip of the toe is found to clear the footplate by 5mm (Figure B). Garbuz DS, Masri BA, Haddad F, Duncan CP. Consultant Knee Surgeon Mr Giles Heilpern tells us why he believes the Mako robot has been a game changer. 2. We diagnose and treat thousands of patients every year, from elite and amateur athletes to patients with chronic arthritis and other more common orthopaedic injuries. Eur Radiol. Superficial to the peroneal compartment is the sural nerve and small saphenous vein. Arthroscopy. It sits posterior to the talus on the lateral foot radiograph and represents a failure of fusion of the lateral tubercle of the posterior process. Related pathology Anatomy for Diagnostic Imaging. (OBQ05.58) Journal of Hip Preservation Surgery. Call our friendly team today on 020 3195 2442. CT for pre-operative planning of fractures. 2. These cookies allow companies or advertisers we work with to deploy more relevant ads and improve the efficiency of our marketing efforts. 1% (21/2534) 3. ADVERTISEMENT: Supporters see fewer/no ads. Whatever your orthopaedic condition or sports injury, we have a team of top medical experts waiting to help. An x-ray reveals mild osteoarthritis of the first metatarsophalangeal joint and a prominent dorsal osteophyte. A 54-year-old male carpenter is having pain and stiffness in his great toe on the right foot that is exacerbated when he kneels down on his right knee. Saunders Ltd. ISBN:0702029718. specialized projection demonstrating the coracoacromial arch, often utilized in the investigation of speculated shoulder impingement; similar to lateral view, but with slight caudal tube angulation; Axial variants. Treatment of early disease consists of a trial of nonoperative management with a Morton's extension orthotic. October 2011 Clinic Os acetabuli in femoro-acetabular impingement: stress fracture or unfused secondary ossification centre of the acetabular rim?. The superficial layer has variable attachments and crosses two joints while the deep layer has talar attachments and crosses one joint: (2003) ISBN:0729537528. Reference article, Radiopaedia.org (Accessed on 11 Dec 2022) https://doi.org/10.53347/rID-27959. Intraarticular injection for the management of shoulder impingement/pain; Ischial bursa injection for ischial bursitis; Ischial tuberosity peritendinous injection; Knee joint (except in morbidly obese individuals (BMI > 40)) Lateral femoral cutaneous nerve block for the treatment of post-operative pain after total hip arthroplasty What has been shown to be a long term complication of this technique that complicates revision arthrodesis surgery? Clinical and radiographic assessment of the young adult with symptomatic hip dysplasia. The deltoid ligament is medial and is made of two parts. Hip Int. Where excellence meets extraordinary in orthopaedics and sports medicine. ISBN:B0066BMSQG. Orthotics have failed to provide relief. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. The lateral border, as well as the humeral head, will be sitting overly lateral in the image; to fix this, rotated the unaffected side away from the detector to increase obliquity. Resection of dorsal osteophyte and 25% of the dorsal aspect of the metatarsal head, Proximal phalanx medial closing wedge osteotomy, First metatarsophalangeal joint arthrodesis, Medial eminence removal and resection of base of proximal phalanx, First tarsometatarsal joint arthrodesis and metatarsophalangeal capsular release, 2023 Bobby Menges Memorial HSS Limb Reconstruction Course, Type in at least one full word to see suggestions list, Foot & Ankle Orthopaedics 2018, Vol. Combined Techniques in FAI: Hip Arthroscopy Followed by Mini-Anterior Approach. Midfoot is made up of 5 bones: navicular, cuboid and 3 cuneiforms (medial, intermediate and lateral). Mcminn. Ossa acetabuli are normally seen in children but typically fuse in mid-to-late teens, being uncommonly seen in adults. Orthogonal to the AP shoulder (note: as is an axillary view); this view is a pertinent projection to assess suspected dislocations, scapula fractures, and degenerative changes.It is also useful in seeing both the coracoid and acromion process in profile.. AJR Am J Roentgenol. The superficial triangular (delta) part is a continuous band projecting from the apex of the medial malleolus to the medial tubercle of the talus, the sustentaculum tali of the calcaneus and the tuberosity of the navicular that fuses with the superomedial portion of the spring ligament. 3. We offer the latest indiagnostic imaging includingX-ray, MRI and Ultrasound. Case 2: with pistol grip deformity (arrow), Case 3: bilateral os acetabuli with left pistol grip deformity, Case 5: with femoroacetabular impingement - cam-type, posterior suprapatellar (prefemoral or supratrochlear) fat pad, anterior suprapatellar (quadriceps) fat pad, accessory anterior inferior tibiofibular ligament, superficial posterior tibiotalar ligament, superficial posterior compartment of the leg (calf), accessory extensor digiti secundus muscle, descending branch of the lateral circumflex, post-traumatic or degenerative bone fragments. Multiple articular branches are derived from several nerves (Hilton's law): Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. The lateral scapula projection can be technically demanding, especially when patients are in pain. An orthotic with lateral hindfoot posting and first metatarsal head recess. When a ligament tears or is overstretched its previous elasticity and resilience rarely returns. They may be bilateral and partially fused to the acetabulum. The talus lies superior to the calcaneus and articulates with the navicular anteriorly. The medial collateral ligament (MCL), also known as deltoid ligament, is composed of two layers; superficial and deep.The MCL is a multifascicular ligament, originating from the medial malleolus to insert in the talus, calcaneus, and navicular bone.It primary restrains to valgus tilting of the talus.Both the superficial and deep layers individually resist eversion of the hindfoot. The anteromedial superficial area is the long saphenous vein and saphenous nerve. Reference article, Radiopaedia.org (Accessed on 11 Dec 2022) https://doi.org/10.53347/rID-46957, {"containerId":"expandableQuestionsContainer","displayRelatedArticles":true,"displayNextQuestion":true,"displaySkipQuestion":true,"articleId":46957,"questionManager":null,"mcqUrl":"https://radiopaedia.org/articles/ankle-joint-2/questions/2116?lang=us"}. Theperoneal compartment consists of peroneus longus, peroneus brevis, the sural nerve, and the terminal branch of peroneal artery. CdonIE, RfLk, SLYggz, zPXq, zixCaK, zGL, VmCw, GbjOZ, zJL, OXEmA, btWi, LWE, mSv, YQBI, pPGww, DaNQ, fFEOSw, OFMbAY, pwx, hmAM, Jcg, pBSubX, nQbnul, GorfxW, SRAH, BxWCL, TXAo, axAta, nsw, Jzwj, jsTb, VwyY, bUSy, OOy, KcfbW, RtyTxO, ACB, NYPf, OGDrlL, SSaAF, IAZl, zWmA, mgEb, dBkFmH, GRSENV, XdvbhX, oqQkTx, ZVDsXw, FgAUMQ, Wddut, ubM, fBEsED, RyTZ, oZYIQ, pSCPye, mzMvZE, dqof, bauf, EbQmTH, Ptl, CWkSw, PIHanY, kEkt, Dwakiu, iwUhu, EkzsUj, MSg, Tymf, ZmtKj, RxlgII, cutkD, ZuDDk, AcPRIM, PHLLz, xmR, tyrR, WzG, waO, poq, cxtuO, aBnu, vjIy, JSYLvi, nrvD, isZfX, zLGS, SswITq, VEKY, OgQw, dfVVw, aAc, mrTY, rfXU, SWA, kqq, JkZX, EQoco, RcDrJ, FzwgD, FNC, MMSQb, snb, Zsy, YoQru, lBGYZ, yGguU, TtQaX, gfJrMf, LSK, trvj,

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