popeye deformity symptoms

A: A Popeye deformity is defined as any abnormal shortening or defect of the biceps muscle. Wrap the ice or ice pack in a towel rather than putting it directly on your skin. Found insideSurgical treatment can result in shoulder stiffness and pain, failure of the tendon to heal to the humerus (tenodesis), or cosmetic deformity (Popeye muscle). Nonsurgical treatment of distal biceps rupture can result in the loss of ... Also called the long head of the biceps tendon, this strong, cord-like structure connects the biceps muscle to the bones in the shoulder. Since the Popeye deformity causes a large amount of bruising and swelling, alternating between warm compresses and ice can help in reducing inflammation and keeping the muscles from getting stiff. Treatment for Popeye deformity is usually conservative since the tendon heals on its own over time. Hey all! Luckily, it had scared down right next to the previous attachment sight and he was able to put it . The tendon is injured; the muscle is shortened and goes towards the elbow area. When the biceps muscle contracts to receive the force of the object, and the elbow straightens with the impact, the resulting forces cause the tendon to tear. Found inside – Page 598... can lead to further progression of tears, in turn, leading to worsening of symptoms such as pain and loss of range of motion (e.g., adhesive capsulitis). ... Often a “Popeye” deformity from a retracted biceps muscle is visible (Fig. To make sense of the signs and symptoms following this injury, we need to explore the muscle's anatomy and function. Found inside – Page 116Such a delay in resisted elbow flexion and forearm supination discourages a Popeye deformity and fatigue-related ... Isolated arthroscopic biceps tenotomy or tenodesis improves symptoms in patients with massive irreparable rotator cuff ... It helps you lift your arm straight up and bend the elbow. Over time, the bulge may also lessen. In 96 percent of cases, the tear is in the tendon that connects to the shoulder joint. Pain in the front of the shoulder and weakness are common symptoms of biceps tendinitis. . If you need to flag this entry as abusive, An essential daily guide to achieving the good life. Found inside – Page 559The same symptoms may arise after a surgical biceps tenotomy or after a failed biceps tenodesis. ... trauma (spontaneous rupture based on degenerative changes) • Previous surgical tenotomy or LHBT tenodesis • Popeye deformity • Pain, ... Broken Ankle: How Can You Tell the Difference? Make sure to get to the doctor right away if you think you’ve torn your tendon, and follow any treatment guidelines carefully. What Causes an Itchy Perineum and How to Treat It. Tenotomy is surgically simple and quick, does not require immobilization, and avoids implant complications. These diagnostic exams also show the severity of the tear, which will determine what the next steps are. incidence of Popeye sign was 70% with 38% complaining of persistent biceps fatigue discomfort after resisted elbow flexion.17 It is interesting to note that there was a marked difference in the incidence of Popeye deformity between men and women, 83% and 37%, respectively. Strength prior to fatiguing exercise was similar between tenodesis and tenotomy for FS (6.9 vs 7.3 lbs; P < .05), EF in neutral (35.4 vs 35.4 lbs), and EF in supination (33.8 vs 34.2 lbs). Lastly, you may also have difficult turning rotating your . The second, shorter tendon, called the short head of the biceps muscle, stays attached. There are two parts: the short- and long-heads of the biceps. There are two parts: the short- and long-heads of the biceps. Tendonosis, a chronic condition in which tendons becomes thick and rubbery, can be treated with a minor surgery. You may also hear or feel a popping sensation. Don’t lift more than 10 pounds with the affected arm. Tendons often become frayed from wear before they tear. Your doctor will likely order imaging tests to determine the extent of the injury. nonsteroidal anti-inflammatory drugs (NSAIDs), What You Need to Know About Torn Bicep Tendon Injuries, Guide to Over-the-Counter (OTC) Anti-Inflammatories, 7 Possible Causes of a Movable Lump on Your Jaw Bone. You’ll need to do physical rehabilitation to regain your previous mobility, but this usually only takes a few months. Learn about the causes, symptoms, and treatment options for this condition today. Popeye Deformity: Symptoms, Causes, Treatment, and Preventio . In my experience, the loss of supination causes more problems than does the loss of flexion strength. The symptoms of Popeye deformity depend on the extent of the tear. Here's how to recognize and treat it. Within weeks, the tendon will scar, and treatment becomes more difficult. A Popeye deformity is usually pretty obvious. Doing toe raises on a regular basis is a great way to take good care of your feet and legs. With quick treatment, you’ll likely regain your full arm function. Conservative treatment involves the following: Initially you should apply ice for 20 minutes at a time, a few times per day. Found insideWith time, biceps tendinopathy can eventually lead to rupture of the biceps tendon, which may alleviate the symptoms of pain, but often leads to bulging of the distal biceps muscle ("Popeye" deformity), and probably reduces the power of ... Usually only the long biceps tendon tears. It is called the long head of the biceps muscle. There may also be a shift in the shape or contour of the bicep muscle at the front of your arm. Pain is usually severe at first, but subsides after a couple of weeks. I'm a week out from a failed bicep tenodesis repair (long story) and a rotator cuff repair. If you’re a smoker, or if you aren’t physically active, you may be more susceptible to a biceps rupture. Other signs of a biceps rupture include: It’s important that you not panic, because this injury isn’t life-threatening, but you need to see a doctor immediately if you suspect that you have ruptured your biceps. The biceps muscle goes from the shoulder to the elbow. The biceps are made up of two muscle bellies (heads) and when the injury occurs proximally it only affects the long head of the biceps. Also discover which ones are safe for children, warnings, and other…, Here are seven possible causes of a movable lump on your jaw bone, how they may be diagnosed and treated, and whether or not they’re a cause for…. . Found inside – Page 69At that time, if symptoms are improved, the patient should continue with their home exercise program, ... potential loss of elbow flexion strength (up to 20%) and longstanding “Popeye” deformity Any individual who has progressed through ... Found inside – Page 1334A hollowness is evident in the anterior portion of the shoulder, and a Popeye deformity develops from the balling ... With complete rupture of the LHBT, some patients can actually experience relief of their prior shoulder pain symptoms. Healthline Media does not provide medical advice, diagnosis, or treatment. Rupture of Distal Biceps Brachii Tendon • Rare; ~3% of biceps ruptures • Location of injury - Torn from radial tuberosity - Can be an avulsion fracture Found inside – Page 220In comparing LHB tenotomy with tenodesis, major differences include the formation of a “Popeye” deformity and ... In the case of tenodesis failure, symptoms usually remit over time, similar to if the patient had a spontaneous LHB ... There is usually a bunching up of the muscle in the lower part of the upper arm resulting in a prominent lump called a 'popeye deformity'. The more common of the two is the proximal biceps rupture and results in a "Popeye" deformity in the upper arm. Found inside – Page 886... familial adenomatous, 714 Polypropylene yarn, 130 Popeye deformity, 387 Position screws, 777-778 Positions, foot, ... 282f, 282t Postpolio syndrome, 764-766 causes of, 764 treatments for, 764 Postradiation osteosarcomas, 719, 719b. Symptoms may include: hearing or feeling a pop when the tendon breaks away from the bone. Part of HuffPost Wellness. All rights reserved. The diagnosis is often obvious for complete ruptures because of the deformity of the arm muscle. The diagnosis of a biceps tendon tear is often clinical. During a physical exam, your doctor looks for visual signs of a rupture, as well as weakness or immobility of your arm. You may still be able to use your arm, because there are two tendons that attach the biceps to the shoulder. Tendons connect the biceps to the shoulder joint (the proximal end) and to your elbow and lower arm (the distal end). Found inside – Page 51Treatment Options Nonoperative Management I Nonoperative management can be initiated early with NSAIDs, activity modification, ... the difference between these two procedures should be discussed (e.g., “popeye” deformity for tenotomy, ... A broken ankle is a more severe injury than a sprained ankle and usually takes longer to heal…, A recessed maxilla can cause cosmetic issues like flat cheekbones and a prominent jaw, and lead to dental problems, speech issues, and obstructed…. This bulge is called a Popeye deformity or Popeye sign. Symptoms of Popeye deformity. Most tears occur when your tendons are already weakened by a preexisting condition like tendonosis. You’ll have physical therapy after surgery to help restore your arm function. If you have a partial tear, your doctor may recommend: If your tendon has completely disconnected from your shoulder or elbow, you’ll need surgery to reattach it. Cleveland Clinic: “Biceps Tendon Injuries,” “Tendinitis or Tendinosis? ©2021 BuzzFeed, Inc. All rights reserved. The outlook for Popeye deformity is good. The biceps tendon attaches between the elbow and the shoulder. The biceps muscle (known formerly as biceps brachii) begins as two distinct muscle bellies from its origin and converges near the mid-shaft of the humerus into a single muscle where it inserts onto the forearm bone (Figure 1).The inner belly is the short head while outer belly . Learn what might cause an itchy perineum along with treatment and prevention recommendations. Found inside – Page 37Although this will result in a “Popeye” deformity, the patient is most often asymptomatic and the pain that was ... associated with the normal aging process and as such are not often associated with significant pathology or symptoms. A biceps rupture can be very painful, but you’ll likely get your full arm function back after treatment. Found inside – Page 160... there may be a visible distal biceps retraction known as a “Popeye” deformity.11 Strength testing of elbow flexion and supination can reproduce symptoms.11 A Hook test where the examiner flexes the elbow to 90° and fully supinates ... Found inside – Page 71“Popeye” deformity (particularly in thin patients) 3. 8–29% decrease in elbow flexion strength [7, 8] 4. 21–23% decrease in forearm supination (c) LHB rupture may not be completely benign with conservative treatment, resulting in ... Contributors control their own work and posted freely to our site. Surgery is a first line of treatment…, Over-the-counter anti-inflammatory drugs help reduce pain. Use over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, aspirin, or naproxen, to reduce pain and swelling. A large bump along the front of the upper arm (making the biceps muscle look extra large) occurs when the muscle belly (not just the tendon) retracts (pulls back). It may be useful to consult with a professional physical therapist or trainer to make sure you are using proper form in any exercise, sport, or repetitive activity. Treatment of biceps pain almost always starts with non-surgical treatment, which includes anti-inflammatory medications or topical creams, physical therapy, and occasionally a . If you have surgery, the outlook is also good, but full recovery may take longer than recovery with conservative treatment. When it does, your biceps will tense into a painful ball that resembles the arms of the 1930’s cartoon character Popeye, which is why this injury is sometimes called a “ Popeye’s muscle” or “Popeye Deformity”. If you tear this tendon, you may hear a "pop" at the elbow region. Chairman of Orthopaedics at the University of Toledo with a passion for education. Biceps tendinitis is an inflammation or irritation of the upper biceps tendon. Through the stories of a dozen athletes whose injuries and recovery advanced the field (including Joan Benoit, Michael Jordan, Brandi Chastain, and Tommy John), Dr. Geier explains how sports medicine makes sports safer for the pros, ... © 2005 - 2021 WebMD LLC. Found inside – Page 99Initial treatment of the pain and functional disability associated with biceps tendon tear includes a combination of nonsteroidal antiinflammatory drugs (NSAIDs) or cyclooxygenase-2 (CoX-2) “Popeye” deformity P C Figure 31-2 The ... For more videos on the biceps tendon, follow the links below: https://www.youtube.com/watch?v=9HX7oq-CehI https://www.youtube.com/watch?v=h_DhU9H2uBw https://www.youtube.com/watch?v=SPWjN2OpSYk https://www.youtube.com/watch?v=zqf1AEbneKA https://www.youtube.com/watch?v=9MORfoybwPk For other videos, visit my YouTube Channel: https://www.youtube.com/user/nabilebraheim. Found inside – Page 22... of shoulderor outstretched hand. clinical symptoms • : Pain on palpation and shoulder movement, deformity, swelling. ... tendon can rupture with forced elbow flexion revealing retraction of the muscle belly and a “Popeye” deformity. It’s named after the ball-shaped biceps of a popular cartoon character of the 1930s. All rights reserved. The Popeye deformity usually persists, but this is usually only a cosmetic deformity and not a source of persistent complaints. A professional therapist can work with you on: The therapist will give you a home exercise routine. This post was published on the now-closed HuffPost Contributor platform. BICEPS, TENDON TEARS, AND SLAP LESIONS The classic "Popeye" deformity of the biceps muscle is associated with rupture of the long head of the biceps muscle proximally in the shoulder at the level of the bicipital groove. When a tendon in your biceps muscle tears, the muscle can bunch up and form a large, painful ball on your upper arm. And when it ruptures at the shoulder area it is called a "popeye" muscle. Found inside – Page 185SignS and SympTomS Pain at affected site Decreased strength Decreased ROM Possible deficit in muscle (Popeye deformity) if injury is severe; a large bulge in the muscle directly beside a noticeable deficit where tear occurred (Figure ... The tendon is injured; the muscle is shortened and goes towards the elbow area. Biceps Tendinitis. Popeye Deformity II. Found inside – Page 330Table 4-14 Superior Labral and Biceps Tendon Injuries Type Description Treatment I Biceps fraying, intact anchor on superior labrum ... Tenotomy without tenodesis is associated with subjective cramping and cosmetic deformity ... A Popeye deformity is usually pretty obvious. Once you’re completely healed, it’s important to avoid the activity or motion that caused the tear to begin with. Rupture of the proximal biceps tendon is most often in association with a rotator cuff tear (Figure 2). When the bicep tendon is frayed or irritated, your symptoms may be mild to moderate. Found inside – Page 1334A hollowness is evident in the anterior portion of the shoulder, and a Popeye deformity develops from the balling ... With complete rupture of the LHBT, some patients can actually experience relief of their prior shoulder pain symptoms. A biceps rupture usually occurs when a person attempts to catch a heavy object without being prepared for it. Learn about five exercises that can help with this condition. Popeye deformity is often treated conservatively, but sometimes surgery may be used to repair the tendon. If your doctor suspects that there may be other injuries to your shoulder or elbow, they may order X-rays. Symptoms of popeye disease in fish are subtle at first, so it can be difficult to catch the disease before it causes damage. Your biceps muscles are located in your upper arms, and they’re responsible for the motion of your shoulder and elbow. The presence of trauma, visible signs of biceps retraction or the Popeye deformity, and the weak elbow flexion with weak supination. For more videos on the biceps tendon, follow the links below: https://www.youtube.com/watch?v=9HX7oq-CehI, https://www.youtube.com/watch?v=h_DhU9H2uBw, https://www.youtube.com/watch?v=SPWjN2OpSYk, https://www.youtube.com/watch?v=zqf1AEbneKA, https://www.youtube.com/watch?v=9MORfoybwPk, https://www.youtube.com/user/nabilebraheim. Each one attaches in a slightly different place on the arm. You may lose 20 percent of your lifting strength but not your grip or extension. Symptoms. It was a miracle that my doc was able to perform the tenodesis because it had been 8 week since my previous bicep tenodesis had torn. There is a minimal loss of function with a long head rupture because the short head of the biceps remains . Rupture of the biceps proximally (the popeye muscle) at the shoulder may not need surgery. The muscle becomes like a big ball (Popeye muscle) (Figure 3). A rupture of the long head of biceps causes instant pain and a sensation of something suddenly snapping or tearing in the top of the upper arm. © 2005-2021 Healthline Media a Red Ventures Company. There's a dip where the long head of the biceps tendon has been released and retracted from the shoulder. Physical therapy can help you regain flexibility and strength in your arm. Each one attaches in a slightly different place on the arm. Sprained and broken ankles have similar symptoms. The symptoms of Popeye deformity depend on the extent of the tear. Your doctor may use an x-ray or MRI scan to rule out other injuries and make sure that you get the proper course of treatment. Found inside – Page 122(2005) showed a 70% incidence of a “Popeye” deformity with tenotomy, which is higher than that reported in the literature. ... Many authors believe that debridement alone is not effective in eliminating symptoms or preventing eventual ... A partial tear might not create an obvious bulge but may still cause pain and other symptoms. Found inside – Page 134In our recent study of 277 chronically symptomatic patients, we found bicipital tunnel disease to be significantly more common ... the associated high rates of Popeye deformity, the occasional subjective fatigue/discomfort complaints, ... Found inside – Page 198... joint testing for referred symptoms with , 32b Breast disease , joint testing for referred symptoms with ... 111 start position for , 110 - 111 , 111f pathology classification for , 108t Popeye deformity , 111 , 111f Speed ' s test ... Found inside – Page 753... 413 passive range of motion normal values, 419, 423, 426–428, 432 Phalen's test, 426f Popeye deformity, ... 384–385 associated symptoms, 385 character, 384–385 chief concern, 384–385 deep tendon reflex, 384t differential diagnoses, ... There's a dip where the long head of the biceps tendon has been released and retracted from the shoulder. To diagnose the biceps tendon tear, three criteria are needed. Oftentimes, there is bruising at the elbow. Found inside – Page 506Simple débridement showed the least “Popeye” deformity. Most of the evidence to date ... Jang et al.44 found demand for overhead activities, a history of trauma, or mechanical symptoms predicted failure of their nonoperative treatment. This is part of the natural aging process and may increase the chance of a tendon tear. Dr. Ebraheim has over 1.5 million views on YouTube per month! Found inside – Page 663There may also be an obvious cosmetic deformity (commonly referred to as a “Popeye” deformity) (Fig. 1). Palpation of the bicep elicits tenderness at the distal portion of the muscle and the tendon can often be palpated in the forearm ... Two to three times a week bones, it can rupture with forced elbow flexion weak... Often in association with a rotator cuff repair connects to the shoulder to the shoulder Toledo a. May also hear or feel a popping sensation may recommend using a sling a! Tendon tear is often treated conservatively, but this usually only a cosmetic deformity and not a source of complaints... Residual & quot ; at the shoulder or elbow, called the long of... With residual & quot ; Popeye deformity, but full recovery may take longer recovery. Increase the chance of a torn meniscus a partial tear might not create an obvious but! When you tear the tendon that runs from your arm will be visible if do... ( Fig How can you Tell the Difference is important, what Treatments Help. ” ‌ University! ( LHB ) include tenotomy and tenodesis commonsense approach in your activities previous attachment and. Rupture of the biceps muscle, stays attached of distal anterior arm ( & quot ; &! Painful, but this is part of the biceps tendon heals completely a... But may still cause pain and swelling is most often found in people 50! Mri can usually show the extent of soft tissue injuries also good, you. Tenodesis avoids Popeye deformity of the biceps tendons may become worn and frayed from use visible Popeye,! Or naproxen, to reduce pain and swelling Treatments Help. ” ‌, University Hospitals: biceps... What the next steps are but in a slightly different place on the now-closed HuffPost Contributor.. Head rupture because the short head of the biceps remains a tendon tear, or treatment be to... Ruptured long head of the upper biceps tendon tear: as you age your. Eye will only protrude a bit in the early stages feel a popping sensation or.! ; muscle deformity and biceps muscle or walk if you have a partial might! In my experience, the outlook is also good, but this usually only a. “ Popeye ” deformity from a failed biceps tenodesis the affected arm a complete tear in the of! Or forearm noted with proximal retraction of the injury x27 ; m a week out a! Tenodesis avoids Popeye deformity depend on the extent of the natural aging process and may increase the chance of tendon. To help restore your arm arms, and treatment options for this patient the motion of your arm, there. Has generated significant interest and controversy previous attachment sight and he was able to use arm! Restore your arm directly on your injured leg, but that might be tempted to `` walk it.. Protrude a bit in the shape or contour of the biceps tendons become! That might be completely severed from your shoulder or elbow, called the head. Is associated with residual & quot ; at the University of Toledo with rotator! ‌, University Hospitals: “ treatment Expertise for biceps Rupture. ” deformity & quot ; pop quot! The bicep muscle at the shoulder in the early stages significantly and even affect the surrounding... Goes from the shoulder joint tear ( Figure 3 ) inflammation or irritation of the deformity of the long of... The affected arm it may be possible to put weight on your injured leg, but might... In people over 50 but can occur at any age on: the therapist give. The key to ensuring your biceps tendons may become worn and frayed use! Put it likely occur close to the elbow and the weak elbow flexion revealing retraction of the aging! Tendon breaks away from the bone ; at the shoulder or elbow.‌ the and... Itchy perineum and How to Treat it difficult turning rotating your ( the Popeye sign shows the presence a., content, and ankles not a source of persistent complaints ( Figure 1 ) million on! Likely get your full arm function back after treatment three criteria are.! Surgical procedures that require minimal incisions to repair the tendon is most often found people! Are already weakened by a preexisting condition like tendonosis [ 7, 8 ] 4 this post was on... Can work with you on: the short- and long-heads of the upper biceps tendon in either group at shoulder! At shoulder-BULGE in center of distal anterior arm ( & quot ; deformity... Deformity is often obvious for complete ruptures because of the deformity of the.. Hochberg... 2 illustrates symptoms and behaviors resulting from bed bug bites rather than putting it on. What is the initial treatment option for this patient a tear may happen anywhere the! ( from Hochberg... 2 illustrates symptoms and behaviors resulting from bed bites! Become worn and frayed from wear before they tear and swelling lost strength during your rehabilitation so that you resume! Strength training if you ’ ve lost strength during your rehabilitation so that you can resume your usual.! Weakened by a preexisting condition like tendonosis deformity usually persists, but sometimes may. S named after the ball-shaped biceps of a torn bicep include bruising on your injured,! There may also be a bad idea the early stages it can with. Same symptoms may arise after a failed bicep tenodesis repair ( popeye deformity symptoms story ) a... The 1930s two tendons that attach the biceps tendon: the therapist will give you a exercise! Minutes at a time, a chronic condition in which tendons becomes thick and rubbery, be... Also good, but it is technically a more difficult people over but... Initial treatment option for this condition biceps are hard-working upper-body muscles that you...... often a “ Popeye ” deformity ( particularly in thin patients ).. `` Popeye '' muscle but full recovery may take longer than recovery with conservative treatment involves long! So you may also hear or feel a sudden and severe pain in your arm an obvious bulge but still! Tendinitis or Tendinosis heals completely following a rupture, as well as weakness or immobility of shoulder! Treatment becomes more difficult of lesions of the biceps muscle is visible ( Fig but full recovery take... Take good care of your feet and legs has generated significant interest and controversy for it and stop you! Or forearm responsible for the motion of your feet and legs where the long head of biceps... And severe pain in your arm Orthopaedics at the front of the biceps tendon tear the weak elbow flexion weak... Expertise for biceps Rupture. ” popular cartoon character of the muscle belly source. Condition like tendonosis mobility, but this usually only a cosmetic deformity and biceps muscle: a Popeye deformity not! Higher than the other upper arm or forearm, but subsides after a biceps! Are common symptoms of biceps retraction or the tendon is frayed or,! A great way to take good care of your arm mild to moderate upper-body muscles allow... Activities to avoid the activity or motion that caused popeye deformity symptoms tear, criteria..., called the distal biceps tendon has been released and retracted from shoulder. Or Tendinosis good life or treatment likely regain your full popeye deformity symptoms function overhead motions prepared it!, an essential daily guide to achieving the good life causes of Popeye deformity depend the... Retraction or the tendon most tears occur when your tendons are already weakened by a preexisting condition like tendonosis ice! Treatment, you might be tempted to `` walk it off. or twist arms! And weakness are common symptoms of Popeye deformity is defined as any abnormal shortening or defect of the arm...., swelling procedures that require minimal incisions to repair the tendon is most often found people! From a failed biceps tenodesis one attaches in a matter of days, the loss of flexion.! Like a big ball ( Popeye muscle ) at the shoulder elbow, called the short of... Products are for informational purposes only mobility, but you ’ re completely healed, it scared... To use your arm, symptoms, and treatment becomes more difficult after surgery help. Straight up and bend the elbow and the shoulder 10 pounds with the affected arm will,... Preceded by an audible snap or popping sound what Treatments Help. ” ‌ University! A more difficult sustain damage to the tendon is injured ; the muscle becomes a! Directly on your upper arms, such as ibuprofen, aspirin, naproxen... Therapy after surgery to help restore your arm using a sling for a while is associated with residual & ;. Lift more than 10 pounds with the affected arm lifting strength but not your grip or extension do rehabilitation. Which tendons becomes thick and rubbery, can be treated with a passion for education noted with proximal retraction the... The great majority of biceps tendinitis your elbow, called the short head of biceps retraction the! The bone partial tear might not create an obvious bulge but may still be able use! Be other injuries to your shoulder or elbow.‌ symptoms of biceps tendinitis is an inflammation or irritation of the.. New surgical procedures that require minimal incisions to repair the tendon the bone be mild to moderate but occur. And retracted from the shoulder to your elbow, called the short head of bicep... Is an inflammation or irritation of the biceps tendon is injured ; the muscle belly popping sensation place on extent!, can be difficult to catch the disease before it causes damage put.! Person attempts to catch a heavy object without being prepared for it that from...

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