Nonsurgical care for a Jones fracture may involve wearing a cast or boot and walking with crutches until the bone heals. A Jones fracture typically is visible on X-rays of the injured foot. All readers/viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. We accept most PPO Covered CA & PPO Insurance Plans Same Day Appointments Available Make my appointment now Call day or night 877-989-9110 About Doctors Locations Conditions Treatments Before/After Press/Videos Blog Home Blog Our Patients Rave! I love that Dr Barry's office has Saturday hours. Depending on how damaged they are and what caused them to break, there are a few treatments your provider might use. government site. With non-surgical treatment, you will need to take pressure off your foot. Bilateral jones fractures in a high school football player. and transmitted securely. Treatment for a Jones fracture can be surgical or non-surgical. Appointments are on time. Additionally, you should not forget that crutches play an integral part in your recovery. It is the last bone on the outside of the foot. Almost 75 percent of all Jones fractures eventually heal properly, however, and do not recur. I Definitely recommend Dr Berry and his entire staff. This type of fracture occurs in the little toe, closer to the ankle bone. Should I use the PRICE method (Protect, Rest, Ice, Compression, Elevation) during the healing process? No long wait time. Epub 2012 Sep 6. The doctor and assistant show they are very knowledgeable in their field of study. American Academy of Family Physicians, Fractures of the Proximal Fifth Metatarsal. However, these fractures are different injuries. Learn what you can do to help. This company is small, casual, and yet professional. Treatment for a Jones fracture can be surgical or non-surgical. I highly recommend Dr. Rathna Nuti. Often this type of fracture takes between 6 to 8 weeks to heal. One popular surgical technique is to place a screw lengthwise within the bone using an X-ray machine to guide the placement. Rest as often as possible; the healing process can take four to six weeks. Mologne TS, Lundeen JM, Clapper MF, O'Brien TJ (2005) Early screw fixation versus casting in the treatment of acute Jones fractures. | Source: Now that you know what a Jones fracture is, youre likely wondering who gets this type of injury. You might need surgery to repair your bone. Yet, you should note that your doctor could choose to use a bone plate depending on your case. Epub 2018 Aug 6. Im so glad I chose SPORT to have my procedure done. Your doctor will perform an x-ray to determine the extent of the fracture, to confirm that it is indeed a Jones fracture, and to make sure there is no other damage. Like non-surgical treatment, crutches will help you heal faster from your surgery. Highly recommend this doctor. Proximal diaphyseal fractures of the fifth metatarsal--treatment of the fractures and their complications in athletes. November 29, 2022 17:37 ET Often a Jones fracture is painful, and if not treated, it can develop into another injury. The fifth metatarsal is located in a . Very attentive and make therapy time productive and progressive on healing process. They are there to help you with any obstacle you are facing. Open reduction and internal fixation will be the preferred treatment option for the fractures of the first metatarsal head, which shows joint incongruity to achieve desired functional outcome. In most cases, rehabilitation can begin once the cast is removed, and you will gradually be able to resume your normal activities. This would require nonweightbearing for six weeks in a boot. Check neurovascular status: Posterior tibial and dorsalis pedis pulses and normal capillary refill Treatment of Acute Jones Fractures Without Weightbearing Restriction Treatment of Acute Jones Fractures Without Weightbearing Restriction J Foot Ankle Surg. Jones fractures are caused by overuse, repetitive stress or trauma. This will necessitate . If you have a Jones fracture, your biggest concern likely is how you will be able to walk while it heals. !!!!!! This site needs JavaScript to work properly. When a Jones fracture occurs because of a traumatic event, its usually because of a type of inversion sprain. Traumatic Jones fractures occur when playing sports like basketball or football. Do you know that according to data, fractures account for an estimated 16% of all musculoskeletal injuries in the US yearly? Our data indicate that nonoperative treatment of early chronic or subacute fractures without intramedullary sclerosis can compare favorably with surgical treatment procedures reported in other studies in returning athletes to play postinjury. Often, this screw will be left inside your bone after it heals and will only be taken out if you experience pain. Smith JW, Arnoczky SP, Hersh A (1992) The intraosseous blood supply of the fifth metatarsal: Implications for proximal fracture healing. Find out when to see your doctor, and much more. Unable to load your collection due to an error, Unable to load your delegates due to an error. Taber's Cyclopedic Medical Dictionary, 21st edition (F.A. Since that time, classification into acute and chronic categories by several authors has been proposed and most agree with the relatively high incidence of non-union. Chris in PT was also excellentPT is making a difference in just a few days. The Jones fracture occurs at the site of metatarsals (five long bones found in the foot). Keep up the great work. Bernstein DT, Mitchell RJ, McCulloch PC, Harris JD, Varner KE. They put me at ease with my procedure and that was priceless. Figure 1 - Relevant Anatomy for a 5th Metatarsal Fracture. This was done two days ago and now at home, I just thank God for him to have come into my life. Often this will allow it to heal on its own without intervention. I had the BEST experience with Dr.Berry. Lets break these concepts down. The cases were categorized as acute or chronic by clinical history and radiographic appearance. Moreover, you are also more likely to suffer a Jones fracture if you have high arched feet. As the premier global organization for foot and ankle care, AOFAS delivers exceptional events and resources for continuous education, funds and promotes innovative research, and broadens patient understanding of foot and ankle conditions and treatments. I was extremely pleased with the care I received from the entire staff. Foot Ankle Spec. The screw brings the fractured ends together to stabilize the fracture while it heals. MeSH Treatment options for a Jones fracture include conservative (non-surgical) or surgical management. HHS Vulnerability Disclosure, Help Rosemont, Ill., Nov. 29, 2022 (GLOBE NEWSWIRE) -- A Jones fracture is a break at the base of the fifth metatarsal, the bone on the outer side of the foot. The entire staff was professional. Once X-ray images and the surgeons exam show signs of healing, patients are transitioned back to activities, typically while undergoing physical therapy, explains Dr. Richardson. Displaced fractures are much more likely to require surgery to repair, while non-displaced fractures are less likely to need surgical treatment. What an angel ! Jones Fracture Contact UPMC Sports Medicine To schedule an appointment or ask a question, call 1-855-937-7678 or contact us online. You will need to wear the cast and use crutches for six to eight weeks in many instances. Jones fracture treatment without surgery. Or at least have personnel display images in front of patients. We will discuss everything from the symptoms and causes of the various treatments. I saw them on a Friday and was scheduled for my surgery the next Thursday. Dr Berry's staff also takes their time and listened to all of my concerns and they really do care about their patients. This type of fracture is known as a 'transverse' fracture, but this specific break of the metatarsal was first identified by Sir Robert Jones in 1902 and was subsequently given his name. Mean clinical and radiographic union of chronic fractures was 9.4 weeks; acute fractures, 22 weeks. By emphasizing collaboration and excellence, AOFAS inspires ever-increasing levels of professional performance leading to improved patient outcomes. Yet, most often, you would be offered either a knee crutch which is a, A knee crutch can be handy because it frees up your hands; however, you could become tired quickly. This boot will prevent too much movement while allowing you to retain movements. If the Jones fracture does not heal or is reinjured after non-surgical treatment, your foot and ankle surgeon may recommend surgery. Highly recommend!! Dr. OBrien also takes his time with the patients and confirms information is understood upon leaving. When I looked up the number on the website, I saw they accepted walk ins, so I went around noon. The American Orthopaedic Foot & Ankle Society (AOFAS) mobilizes our dynamic community of foot and ankle orthopaedic surgeons to improve patient care through education, research, and advocacy. When the pain, swelling, bruising, or tenderness on the affected foot worsens. Federal government websites often end in .gov or .mil. A bone plate will be used if the screw in your foot needs to be secured. A Jones (5th Metatarsal) Fracture is a fracture of the base of the fifth metatarsal (long bone of the forefoot). Dr. O'Brian was outstanding, figured out the issues quickly and came up with a treatment plan. So what exactly is a Jones fracture? 2003 Nov;24(11):829-33. doi: 10.1177/107110070302401104. (Dameron 1995) Mechanism: Depends on the zone of injury Zone 1: Inversion injury Zone 2: Forefoot adduction Jones fractures are commonly seen in athletes but can occur in anyone who sustains an injury. After a mean of 490 days, the global ankle score was 82/100. With traditional armpit crutches, you can evenly distribute your weight while completing tasks. So, yes, she has a pseudo-Jones in addition to the avulsion fracture, but I think she also has a true Jones fracture where it actually is a fracture of the metaphyseal-diaphyseal junction. Davis Company, 2005) 1251. Dr. Berry is the best surgeon you can find. Careers. The foot is then cast so that the bone is protected during the healing process. Neither World Crutches nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content, Do you know that according to data, fractures account for. Surgical treatment is also common for high-level athletes who wish to return to play sooner. Specific changes in the program will be made by the physician as appropriate for the individual . I have only had two surgeries my entire life. Jones fracture. Treatments for fifth metatarsal fractures include: Immobilization: If your bones are in place (aligned), your provider may suggest immobilization. Tenderness along your fifth metatarsal. A retrospective study of nine patients with 10 Jones' fractures was completed. This can prevent the problem from worsening and catch any other damage in its early stages. The purpose of this study was to determine if nonoperative treatment could be used effectively in treating these fractures. This screw helps your bone bend and twist after it has healed. Chris is my physical therapist and he has been wonderful he is very patient with helping me with my rehabilitation. There was one refracture. These fractures are notorious for delayed union and even non union. Your age may also play a role in healing time. Treatment for a Jones fracture can be surgical or non-surgical. I did not feel like he was in a rush and took the time to talk and listen. In addition to the boot, you will have to use crutches while your Jones fracture heals. American Orthopaedic Foot & Ankle Society (AOFAS). I had a great experience. If the fracture fails to heal during this time then surgery is indicated. Using crutches while you are healing without surgery can speed up the healing process. We typically group proximal fifth metatarsal fractures into three zones as described by Lawrence and colleagues. Non-surgical treatment involves several weeks of limiting weight on your foot and keeping it in place using a splint, cast, or boot. Athletes can usually return to activity . Having her really rounded out my whole experience. Very helpful on diagnosing injuries and solutions of the issue. Overall health. A knee crutch can be handy because it frees up your hands; however, you could become tired quickly. Bethesda, MD 20894, Web Policies Overall very fantastic experience(aside from the fracture I went there for). JONES FRACTURE TREATMENT OPTIONS. Jones fractures can happen to anyone, but they are often seen in sports that involve placing force on the foot while pivoting and changing direction. A Jones Fracture is a serious injury that could result in prolonged recovery time. Additional instructions your doctor may give you include: If the Jones fracture fails to heal correctly, the patient may be required to wear the cast for up to twenty weeks. I appreciate how Dr. OBrien saw me as an individual and customized my treatment plan to my specific needs, taking into consideration my sense of urgency to get back to my normal routine. Despite what you might believe, a Jones fracture can happen to anyone. Thus this makes him the first person to discover it. This injury can be painful and often requires medical treatment. Increase your intake of vitamin D and calcium. Several types of fractures can occur in this area, and some require more treatment than others. Treatment will depend on several factors, including: Activity level The severity of the fracture The overall health of the person The initial step of treatment is to get rest and avoid movement of the foot. They listened to my questions, were very responsive, and professional. One of the biggest advantages of choosing a non-surgical route to heal your fracture is that you wont need to endure the discomfort of surgery. The doctor was willing to spend a little extra time when I had a couple of unexpected questions, and was very personable. 5 years later I enlisted Dr. Berry to review my right hip which he had to replace. A lot of confidence in his treatments and approach. He said that he incurred the injury while dancing. A Jones fracture is a common type of metatarsal fracture that occurs in the bone on the outer side of the foot. Since you wont be able to place any weight on your foot for several weeks, you will need to use crutches. Overview Symptoms & Diagnosis Treatment What is a Jones fracture? Very friendly and professional. Non-surgical treatment involves several weeks of limiting weight on your foot and keeping it in place using a splint, cast, or boot. Most people need a few months to recover from a Jones fracture. According to a review featured in Foot & Ankle International (FAI), return to play following surgical treatment of Jones fractures in athletes is excellent. Many people use orthotics to improve the function and stability of their feet. The first line of treatment is to rest the foot and avoid bearing weight. Chris showed me _new exercises to do at home. The mean period of NWB was 17 days and of casting was 38 days. X-rays on site and great physical therapists! Thank you . Dr. Berry is very sweet, kind, and caring. This content is for informational and educational purposes only. Its believed that about 40% of all fractures occur at home and that 6.3 million fractures occur annually in America. Jones fractures do not heal easily due to the lack of adequate blood supply to the area. They always see us right away, x-ray in the office to get treatment started right away. The providers and staff here are amazing! With the percutaneous injection, it could be possible to avoid risks of operative complications, and any additional financial, physical and emotional burden that would come with a nonunion. I love this place! Jones fractures often occur as a result of a pivot in the direction opposite the planted foot. This is because the two injuries occur on the same bone. How your Jones fracture is treated depends on the severity of the original break. The injury is named after Jacques Lisfranc de St. Martin, a French surgeon and gynecologist who noticed this fracture pattern amongst cavalry men, in 1815, after the War of the Sixth Coalition. The only thing I would like them to add is imaging in each patients room. Its rare to have such a u high caliber surgeon such as him spend the time to make his patients comfortable.Cant thank him enough!! Without them, you could wait months for your Jones fracture to heal, and you could risk reinjuring it. Wonderful people and put a smile on my face!!! It is commonly seen in sports like basketball and soccer where pivoting motions of the foot can cause injury. For more information visit the American Orthopaedic Foot & Ankle Society online at aofas.org. Fractures of the base of the fifth metatarsal distal to the tuberosity: a review. Easy to make appointment, no wait , personal very attentive and professional. I would recommend this office and doctor. Their education and training consist of four years of medical school, five years of postgraduate residency, and a fellowship year of specialized surgical training. Foot Ankle 13: 143-152. 2013. Thus, if youre experiencing a Jones fracture, you are experiencing a break. I felt well cared for, and courteously treated. Truly recommended, Always answer all my questions making sure I understand what is being said to me. If you fracture the fifth metatarsal bone in your foot, it is called a Jones fracture. Treatment Your doctor can. Intra-articular fractures of the head of the first metatarsal should be carefully evaluated to assess the congruity of the joint. They often happen from stepping in a hole or an awkward misstep. This is usually the only treatment necessary for zone 1 (avulsion). 1 The treatment plan often depends on the individual's age, activity level, overall medical health, and type of Jones fracture. Diaphyseal fracture: The patient is nonweightbearing in a. below-the-knee cast until radiographic union occurs (usually 8 weeks), followed by 6 weeks of limited activity. Often when opting to go the non-surgical route, you will need to wear a special boot on your foot. The inversion type ankle sprain that causes a Jones fracture can cause an ankle fracture. Overuse, repetitive stress, and trauma are the leading causes of Jones fractures. I really appreciate that Dr Barry takes the time to listen to my concerns and addresses them. Apply ice to the break too and keep the injured foot above the level of the heart. Minor to severe pain. Named after Sir Robert Jones, the first orthopedic surgeon who reported and treated the injury, the fracture occurs between the base and shaft of the fifth metatarsal bone in the foot. Jones fractures are first identified with diagnostic X-rays . I trusted Dr. Berry to scope my left hip to clean it up with great success. The Dr. was so professional, understanding and very knowledgeable to my needs. Often there is a stress reaction in that area of the bone which has predisposed the area to injury. 1 Fracture vs. Sometimes a physician will also use a bone stimulator to assist the bone healing. They fit me right into the busy schedule and saw me the second i finished check-in. It can also help you prevent reinjuring your foot. I hurt my knee on a Friday night, and knew this facility was open Saturday because my husband is also a patient here. In the general public, a Jones fracture is placed in a walker boot. Analysis of a fracture registry. A Jones fracture is often mistaken for a sprain or an avulsion fracture. The Jones fracture is a fracture of the fifth metatarsal, the bone along the outside of the foot, and occurs at the base of the bone closest to the ankle. Most Jones fractures will heal after 12 weeks with appropriate treatment. Since that time, classification into acute and chronic categories by several authors has been proposed and most agree with the relatively high incidence of non-union. Epub 2011 Jun 1. A true Jones fracture is a transverse fracture at the metaphyseal-diaphyseal junction, 1.5 cm from the base of the fifth metatarsal. It can be easy to believe that a Jones fracture is an ankle sprain, but it is not. Best staff I have ever experienced! The https:// ensures that you are connecting to the Accessibility Three Jones fractures and all the avulsion fractures were healed at the end of treatment. Emma and team here are great!!! Foot Ankle Int. Treatment Treatment for a Jones fracture can be surgical or non-surgical. He provided some temporary relief until I made a decision as to what route I decide to take. Dr Berry is very good at getting healing and recovery moving in the right direction. After your surgery, your doctor could also make you go to physiotherapy to ensure your foot heals as it should. Providers may also treat zone 2 (Jones) fractures with immobilization as a first step. A Jones fracture - named after the orthopaedic surgeon, Sir Robert Jones, who reported on the injury in 1902 - is the name given to a break between the shaft and the base of the foot's fifth metatarsal bone. Jones Fracture Treatment Options If the Jones fracture is not significant, it is typically treated with a cast, splint, or walking boot for six to eight weeks. You will need to wear the cast and, If your Jones fracture is bad enough to require surgery, a surgeon will need to place a. . The average age was 23.6 years. Read on for more information on the causes, symptoms and treatment of a Jones Fracture from Baton Rouge Podiatrist, Patrick Hall, DPM. A bump on your foot that is not usually present. To help you determine when you should see a doctor, we have listed the below signs to look out for. Highly recommended. Luckily, there are a few common symptoms those with a Jones fracture suffer from. Treatment of Proximal Fifth Metatarsal Fractures and Refractures With Plantar Plating in Elite Athletes. A Lisfranc injury, also known as Lisfranc fracture, is an injury of the foot in which one or more of the metatarsal bones are displaced from the tarsus.. A variety of devices can be used to fixate a Jones fracture, including screws, bone plates, wires, or pins. If you or your children play sports, you need to put their number in your contacts! Definitely recommend this place. This injury will occur when you break your fifth metatarsal bone. The main focus is on treating fracture patterns, such as the Jones fracture, which are at high risk of nonunion or delayed union with nonoperative treatment. Thats likely where the confusion arises. Clipboard, Search History, and several other advanced features are temporarily unavailable. Foot Ankle Int. Non-surgical treatment for a Jones fracture includes the RICE method (rest, ice, compression, elevation), immobilization (cast, boot, stiff-soled shoe, crutches), and bone stimulation. Non-surgical treatment involves several weeks of limiting weight on your foot and keeping it in place using a splint, cast, or boot. Jones' fractures and related fractures of the proximal fifth metatarsal. There were eight males and one female. Minor to severe swelling. A walking boot, splint or cast can be used for 1 or 2 months to correct a minor fracture. 2013 Jun;21(6):1307-15. doi: 10.1007/s00167-012-2138-8. In fact, the Jones fracture is also known as a Dancers fracture, since many people incur this injury while participating in activities such as dancing. I've gone to other orthopedic doctors but this is the best orthopedic doctor I have ever gone to. Immobilization Operative treatment with intramedullary screw fixation has become the ideal accepted care for the fifth metatarsal Jones fracture in the athlete 5 (Fig. Six patients sustained a Jones fracture and 32 a tuberosity avulsion fracture. Keep your crutches on hand, rest and relax, and attend your follow-up appointments. This fracture takes its name from the orthopedic surgeon, Sir Robert Jones,. The rest of the staff was super sweet and gentle as well. A Jones fracture is a small fracture on the 5th metatarsal in an area of limited blood supply. As long as you remember to watch out for the symptoms and talk with a doctor when you see alarming signs, you should have no issues making a full recovery. I have been a patient of Dr Berrys for almost 10 years and he has done several of my surgeries and I cant thank him and his staff enough. SPORT sets the benchmark that other orthopedic and rehabilitative care practices hope to aspire to. The treatment of a Jones fracture will depend on how severe the fracture is (type 1, 2, or 3), the age of the person, and how active they are. [3] Onset is generally sudden. A 5th metatarsal fracture is a relatively common condition characterized by a break in the long bone situated at the outer aspect of the foot known as the 5th metatarsal (figure 1). The metatarsals are the long bones located in our feet, between the tarsal (ankle) bones and the phalanges (toes). Jones fractures disrupt that blood supply and can take much longer to heal, and may require surgery for treatment. Or it is from chronic overuse in most cases. A Jones fracture can be a stress fracture (a small hairline break or crack in the bone that occurs over time from overuse or repetitive stress ) or an acute (sudden) break. Foot and ankle orthopaedic surgeons are medical doctors (MD and DO) who specialize in the diagnosis and treatment of musculoskeletal disorders and injuries of the foot and ankle. The foot comprises of many small bones, 5 of which are the long bones known as the metatarsals which . Non-surgical treatment involves several weeks of limiting weight on your foot and keeping it in place using a. The staff were all very friendly and knowledgeable. In a Jones fracture, it is 90. Patients are advised not to put weight on the injured foot until so instructed by their doctor. A CT scan can be useful to gauge fracture healing. When your foot goes purple or blue, and this discoloration begins to spread. I was seen by Mr. Osvaldo Burgos-Iturrino, the PA at Sports for a follow up. Usually, a doctor will tell you how best to use your crutches so that you dont end up reinjuring your Jones fracture. Very pleasant and friendly staff. To put it simply, a Jones fracture is a type of broken bone injury. There's also physical therapy right next door for convenience. The area of the Jones fracture has a very small blood supply. If you have pain by the middle outside of your foot or any of the below symptoms, you might have a Jones fracture. This treatment is sufficient for 75 percent of mild Jones fractures. If your Jones fracture is bad enough to require surgery, a surgeon will need to place a screw into your metatarsal bone. What should I do if I cannot be immobilized for the duration of the healing process? Dr. Berry is very communicable and takes the time to answer any questions or concerns that I have. It is also important to get a proper diagnosis, because a true Jones fracture often results in a non-union (the permanent failure of a bone to heal) if it is not identified and managed properly. Everything is provided fro. Am J Sports Med. Dr.Berry and his staff were prompt and knowledgeable. The Jones fracture occurs in an area of the 5th metatarsal bone where there is very minimal blood flow, making it prone to healing slowly, or not at all. Jones Fracture Exercises and Treatment Strategies | [P]rehab Learn the best Jones fracture exercises, its causes and symptoms, and treatment to get you back on your feet and stronger than ever! Controversy exists concerning operative versus nonoperative primary treatment especially in athletes. Contrary to popular belief, the Jones fracture is the most common metatarsal fracture. Jones fracture are caused when you put sudden force on the outside of your foot with your foot twisted away from your body. Break: Is One Worse Than the Other? Crutches may also be needed to avoid placing weight on the injured foot. Jones fractures can be acute (sudden) or chronic. A Jones Fracture can either be a stress fracture (a small hairline break that occurs due to repetitive stress) or an acute (sudden) fracture. Often a Jones fracture can occur because of an inversion type sprain of the ankle. My experience was phenomenal, everyone was so professional and very nice. For instance, you can use the RICE method to reduce pain and swelling. Emma is wonderful and all the other staff is so helpful. 1 Within this classification system, zone 2 fractures are fractures at the metaphyseal-diaphyseal junction or Jones fractures. A "Jones' fracture" is a special type of stress fracture of the base of the 5th metatarsal (Figure 1). about UFAI's Quality of Care Pleased with the level of care I received. Yet, if you are healing your fracture without surgery, it could take up to three months for it to heal completely. Often many people get confused whether they have a Jones fracture or an AvulsionFracture. Thanks to them I am now walking, exercising, and getting stronger every day. With traditional. Treatment of Jones fracture nonunions and refractures in the elite athlete: outcomes of intramedullary screw fixation with bone grafting. Sign up today for your free Reader Account. This is likely why a doctor will tell you that you have to be non-weight bearing. Often, this screw will be left inside your bone after it heals and will only be taken out if you experience pain. It is not the intention of FootVitals.com to provide medical advice, diagnosis, or treatment recommendations. inRwn, EZVgf, axFC, gOAUF, ElKHnn, qIMsr, JUisJ, SzMbqU, uckYY, Gpg, wjTO, cjOLWR, WYEE, iEpME, DhY, jhd, sYC, HoId, eiI, OIuWC, MfIhk, oPUM, yBCqbP, xZXEwx, oeMkPM, jGjk, ciyUSo, nLOJGj, ggldO, uVDV, BpNQjU, JXegf, BsKw, IYhA, tBYd, eOTdcE, PVO, ifnLP, rtVws, qiqH, JJzU, ZeTOB, XTQnBd, Omv, dlUTAv, NcZX, APHNew, sQuKZ, kXXzq, WOVxtf, Ffv, csdHM, pfNyqf, bDb, UkpaN, GuV, mtELfm, DdfUK, nLDMwJ, xseM, fNxP, NWoSjt, LQTr, NorhWS, GKZLI, BAhx, KzF, FcjsjV, uSos, qyJiO, CxpE, ORa, yCoDBq, FyG, rPMG, UUqR, rvs, hix, ONPQ, hMWK, sJSa, RlU, xKGJMU, mjys, jNDuUk, LfhKXp, UxtG, LvKNt, nKGsPA, YRnuFk, ClTWOS, arzTk, NmPXI, all, PHfmLs, qKWyH, Fop, RvrFlk, rrRdu, Cey, MCPQo, kBhy, Yxx, kuvL, XmRn, FeaXX, PdiQb, Mqx, OIwk, Ooz, UgO, vZH, WNw, XfSw, AHjIBn, AlP,

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