Sugar tong splint cpt. The joint is reduced and immobilized at 15 to 30 ° of ...

6-10 layers for upper extremity splints, 12-15 for lower extre

Apply well-molded "sugar -tong" splint or cast, with wrist in neutral to slight flexion. Avoid Extreme Positions! Acceptable Reduction Criteria Dorsal angulation < 10° > 15 ° of inclination Articular step -off < 2mm < 5 mm shortening DRUJ congruent . After-treatmentThe stirrup or sugar-tong splint goes on first, and the posterior short splint goes on second. Mold with flat hands; do not dent the plaster with pointy fingers. Place one hand above the fracture and the other below while molding. You can use your chest or shoulder to help with the pressure of molding (see photo above). Leaning into the patient using your …sugar-tong splint for the upper extremity, which should extend past the shoulder joint on the lateral side in more proximal fractures), functional bracing, and hanging arm casts. Functional bracing, initially described by Sarmiento, offers multiple advantages. Braces are lightweight, fairly easy to apply, and allow elbow motion. ...Prefabricated splints are ones that are stored on the shelf and come out of the box ready to use. It is otherwise known as "Ready made Splint". Types of Custom Splints: (Need to be coded) Thumb Spica Splint Sugar Tong Splint Posterior Ankle Splint Boxer Splint Ankle Stirrup Splint Ankle Sugar Tong Splint Long Arm Splint Radial & Ulnar SplintThe cast used in the nonoperative treatment of most of distal radial fractures is a below elbow cast. If the ulna is involved, a sugar tong or an above elbow cast may be considered to control forearm rotation. The purpose of a cast is to maintain the fracture reduction or prevent displacement, but ideally while minimizing the functional effect ...Would cpt 29705 cover removal of a sugar-tong splint? Peace ?_? Menu. Forums. New posts Search forums. Wiki Posts. All Wiki Posts Recent Wiki Posts. What's new. New posts New profile posts Latest activity. ... Removal splint. Thread starter daedolos; Start date Oct 11, 2017; daedolos Expert. Messages 464 Location Long Beach Best answers 0. Oct ...Warm water in basin to dunk plaster. 2-3 4” Acewraps within reach of arm. You can set up finger traps, but we commonly use an assistant. Have them stand near the head of the patient, explain their job of holding down the arm for traction during reduction and then how to hold the thumb after reduction. Technique:Then we can convert this to a short arm cast x 4 weeks. The sugar tong splint will be more comfortable for her as it will limit supination, pronation. The patient has evidence of some very mild carpal tunnel syndrome probably related to swelling and irritation of the median nerve. This should resolve on its own. Today a sugar tong splint was ...Use 2–3 layers over the area to be splinted / between digits (when applicable) Add an extra 2–3 layers over bony prominences. Apply splinting material. Lightly moisten the splinting material. Place as appropriate to specific splint type. Once finished, if applicable fold the ends of stockinette back over the splinting material if there is ...Double Sugar-Tong Splint. A double sugar-tong splint consists of two U-shaped splints. With the elbow bent at a 90 degree angle, one of these U-shaped splints fits under the elbow and extends up ...Mallet "Sugar Tong" Orthosis Clinical Examples. Good splint for sleeping as it doesn't fall off. The slits on the side allow for nerves and vessels to remain uncompressed. Positioning the body. There are no specifics for positioning a client to make this splint. This splint can also be made on the opposite hand, same finger.Learn about wrist splints, including volar splints, sugar-tong splints, dorsal splints, and more. Discover what injuries pair best with each type of splint. Updated: 02/14/20220. Jan 12, 2010. #3. If on 01/01/2010 the doctor sees the patient for the first time for a fracture and during that visit determines to take the patient to the operating room to repair the fracture. You should bill an appropriate E/M service with a 57 modifier (if surgery done same or next day). Then you would bill the surgery CPT on 01/02/2010.The HCPCS codes range Cast and Splint Supplies Q4001-Q4051 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims. Subscribe to Codify by AAPC and get the code details in a flash.For this splinting combination, the sugar tong splint should be placed … Distal forearm fractures in children: Initial management …isolated radial metaphyseal fractures with up to 15 to 20 degrees angulation can be splinted in a sugar tong splint or casted without reduction in children under 10 years of age .Objectives: To compare short-term functional outcomes, reduction loss, and rates of surgery for distal radius fractures initially immobilized with a traditional sugar-tong splint versus clamshell splint freeing the elbow. Design: Prospective randomized trial. Setting: Level 1 trauma center. Patients: Eighty-nine consecutive patients sustaining distal radius fractures were enrolled between 2018 ...0. Oct 11, 2018. #1. Doctor performs a RT BKA on a patient. Patient comes in post-op and provider applies a long leg plaster splint to help aid in the healing. Is the splint considered long leg since this is above the calf? CPT definition for long leg splint is (thigh to ankle or toes), but there are no ankle or toes anymore? Thanks for your help!Objective This study systematically reviews the outcomes of surgical repair of triangular fibrocartilage complex (TFCC) tears. Existing surgical techniques include capsular sutures, suture anchors, and transosseous sutures. However, there is still no consensus as to which is the most reliable method for ulnar-sided peripheral and foveal TFCC tears.2018-01-18 The splint application CPT codes are used when a physician or provider such as a PT or OT creates a splint from "raw materials", such as plaster, fiberglass, padding, and ace bandages. Examples include sugar tong splints and thumb spica splints, among others.#1 I was sent this email from a coder at a local hospital. I do not handle facility coding so wanted to get some help for the correct answer. Thanks We treat patients in …Supracondylar humeral fractures account for up to 60 percent of pediatric elbow fractures [ 1 ]. They occur most frequently in children between two and seven years of age [ 2 ]. Supracondylar fractures result from a fall on an outstretched arm in up to 70 percent of patients [ 3 ]. The nondominant extremity is most commonly affected.Splints can be applied to most pediatric fractures, dislocations and sprains. Splints may also aid in the immobilization of soft tissue injuries such as fingertip amputations and lacerations over joints where it is important to minimize tension or damage to the healing injury.CPT Codes. Surgery. Surgical Procedures on the Musculoskeletal System. Application of Casts and Strapping. Body and Upper Extremity Application of Casts and Strapping. Body and Upper Extremity Application of Splints. 29125. 29105. 29125.What is the CPT code for a sugar tong splint? Both the wrist and the elbow would be immobilized by the sugar tong. CPT 29105 indicates shoulder to hand, while 29125 indicates forearm to hand. ... Sugar-tong splints can be made from prefabricated splinting material (such as Orthoplast), eliminating the need for plaster and splint padding. …The subcutaneous tissue was closed using 2-0 Vicryl sutures, and a 3-0 nylon suture was used to close the skin. Sterile dressings were applied, and the patient's arm was placed in a sugar-tong splint. The patient was taken to the recovery room in good condition. CPT code(s): _____Sugar Tong Forearm Splints. Manufacturer: Sam Medical Products. Description. Disclaimers. Engineered with the C-Curve Principle, building strength from curves. Splint bends into any simple arc, becoming exponentially stronger and more supportive, immobilizing sprains, strains and minimally displaced fractures.Sugar tong splint in supination. Similar to Colles' fracture; Typically unstable and requires surgical fixation; Disposition. Outpatient with Ortho follow-up; Complications. Malunion can result in chronic garden spade deformity Can also lead to Carpal tunnel syndrome; See Also. Distal radius fractures; External Links. https://radiopaedia.org ...The fracture was/was not *** reduced and the patient was immobilized with a sugar tong splint and will follow up with orthopaedic surgery in one week. Open Distal Radius Fracture *** is a *** y/o ***R/L hand-dominant ***M/F with a history of *** presenting with an injury to the *** forearm which occurred while ***mechanism, found to have an ...Upper Extremity Splints SPLINT INDICATION Volar splint Wrist fractures or sprains, fractures of 2nd to 5th metacarpals, soft tissue injuries of the hand Reverse sugar tong splint Wrist and distal forearm fractures Ulnar thgutter splint 5 metacarpal (Boxer's) fractures Thumb spica splint Scaphoid fractures, stfractures of 1The cast used in the nonoperative treatment of most of distal radial fractures is a below elbow cast. If the ulna is involved, a sugar tong or an above elbow cast may be considered to control forearm rotation. The purpose of a cast is to maintain the fracture reduction or prevent displacement, but ideally while minimizing the functional effect ...Chapter 14. Upper Limb Orthotic Devices. Brian M. Kelly, Atul T. Patel, Carole V. Dodge. This chapter provides a guide for prescribing and the basic principles for using upper limb orthotic devices, commonly known as splints or braces. The word orthosis (derived from the Greek orthos, meaning to correct or make straight) encompasses the full ...Sugar-Tong splint - for elbow or proximal forearm fxs. Posterior Splint of Arm - for humeral and/or forearm fxs. Posterior Splint of Foot/Ankle - for foot/ankle fxs. Posterior Splint of Lower Leg - for distal tib/fib fxs (will splint all the way down to the toes. Any ideas, tips or pointers can be emailed to me directly at [email protected] fractures should be reduced and thoroughly irrigated, and antibiotics should be started as soon as possible. Standard immobilization is achieved using a sugar-tong splint with the forearm in neutral rotation and the elbow flexed to 90 degrees. Surgical treatment options include open reduction internal fixation (ORIF) and intramedullary ...Casts and Splints Body and Upper Extremity (29000-29280) Casts (29000-29086) 29000 Application of halo type body cast (see 20661-20663 for insertion) 29049 Application, cast; figure-of-eight 29055 Application, cast; shoulder spica 29058 Application, cast; plaster Velpeau 29065 Application, cast; shoulder to hand (long arm)support and protection or placement of sugar tong splint if patient is in significant pain. This splint is not ... versus splint for distal radial buckle fracture: an evaluation of satisfaction, convenience, and preference. Pediatr Emerg Care 2013;29:555-9. 6. Randsborg PH, Sivertsen EA. Distal radius fractures in children: substantial ...The joint is reduced and immobilized at 15 to 30 ° of wrist extension with a volar splint or sugar tong splint (see figures Volar splint Volar splint and Sugar tong splint Sugar Tong Splint ). Closed reduction is usually possible. During closed reduction, pain can be managed in the emergency department with opioid analgesia or a hematoma block.Immobilize wrist with sugar tong splint at 15 degrees of flexion, 20 degrees of ulnar deviation, and slight pronation ; Goals for post-reduction X rays: normal radius length, normal radial inclination of 15-30 degrees and volar tilt of 10-15 degrees; Disposition. Outpatient with ortho follow up; See Also. Distal radius fractures; ReferencesApply the splint material along the ulnar side of the 5th finger, wrist, and forearm and fold it in a U-shape around the dorsal and volar surfaces of the 4th and 5th fingers, hand, and wrist. Fold the extra stockinette and cotton padding over the edges of the splinting material. Wrap the elastic wrap over the splinting material distally to ...Unroll additional splint material, folding it back and forth along the first length until there are 6 to 8 layers (when using single-layer rolls). Immerse the splinting material in lukewarm water. Squeeze excess water from the splinting material (do not wring out plaster). Apply the splint material to the lateral aspect of the leg at mid-calf ...If you must use duct tape, place cloth or paper towel between it and the skin. 3. Apply the splint and fasten it. Under ideal conditions and with the correct materials and knowledge, you wouldn't need to secure the elbow with a proximal humeral fracture near the shoulder.Long arm splint (sizes for average-sized patient) 2" stockinette 2" or 3" soft cast padding (Webril) 3" fiberglass posterior slab (5 thick) 3" fiberglass sugar tong (5 thick) 3" ACE wrap Overwrapped with coban Adult small sling with safety pin over distal opening to keep sling in place Operative Tips:Sugar Tong Splint • Place stockinette • Unroll Webril from palmar crease around elbow to dorsal Metacarpal heads • 4-5 layers thick of Webril • Measure length of plaster/ortho glass to an inch short of Webril • 10 layers thick of plaster • Wet plaster or ortho glass • Lay plaster on Webril • Place splint on arm • Wrap with WebrilFeb 25, 2015 · Prefabricated splints are ones that are stored on the shelf and come out of the box ready to use. It is otherwise known as "Ready made Splint". Types of Custom Splints: (Need to be coded) Thumb Spica Splint Sugar Tong Splint Posterior Ankle Splint Boxer Splint Ankle Stirrup Splint Ankle Sugar Tong Splint Long Arm Splint Radial & Ulnar Splint Casts and Splints Body and Upper Extremity (29000-29280) Casts (29000-29086) 29000 Application of halo type body cast (see 20661-20663 for insertion) 29049 Application, cast; figure-of-eight 29055 Application, cast; shoulder spica 29058 Application, cast; plaster Velpeau 29065 Application, cast; shoulder to hand (long arm) 29075 Application, cast; …Sep 12, 2012 · Radial & Ulnar Splint. Short Arm Volar Splint. Long Leg Splint. Posterior Elbow Splint. Plaster Splint. OCL (Plaster) Splint. Orthoglass (Fiberglass) Double Sugar Tong Splint. Long Double Sugar Tong Splint. Splinting plays a major role in the management of musculoskeletal injuries, including treatment of overuse and soft tissue injuries (eg, tendonitis and sprains), as well as for traumatic injuries like extremity fractures and joint dislocations. Immobilization of the extremity through splinting may serve to decrease pain and bleeding, and ...sugar tong splint. This limits pronation and supination and protects the repair. Duration of immobilization is up to the treating surgeon. After the sutures and postoperative splint are removed, a Muenster cast should be considered for up to four weeks. A splint is worn after that period which protects and limits pronation and supination butLower Extremity Splinting. Sugar-tong splints (ankle stirrups) can be used for fractures distal to the proximal tibial metaphysis or for grossly unstable fractures about the ankle. …Article continues below this ad. A sugar tong splint is a long arm splint used to treat more complex injuries to the forearm and wrist. This splint wraps around the back of the elbow, like sugar tongs. The elbow is bent to a 90-degree angle, and the splint runs along both sides of the forearm, ending just below the large knuckles in the hand.For significantly displaced fractures, procedural sedation can be used to properly reduce the fracture and apply a splint. Open fractures should be reduced and thoroughly irrigated, and antibiotics should be started as soon as possible. ... Standard immobilization is achieved using a sugar-tong splint with the forearm in neutral rotation …The subcutaneous tissue was closed using 2-0 Vicryl sutures, and a 3-0 nylon suture was used to close the skin. Sterile dressings were applied, and the patient's arm was placed in a sugar-tong splint. The patient was taken to the recovery room in good condition. CPT code(s): _____Sugar-tong orthosis to immobilize a proximal radius fracture: Download : Download full-size image • Fig. 11.6. A sugar-tong orthosis is ideal for splinting fractures of the radius, ulna, or wrist. It prevents flexion and extension at the wrist, limits flexion and extension at the elbow, and prevents supination and pronation.A short arm cast is not indicated when the needed immobilization requires avoiding supination and pronation movements. In these cases a longer type of immobilization should be used, such as a Muenster cast, a long arm cast (also known as the above-elbow cast), or a sugar-tong splint. 1. Variations of short arm casts are used for specific injuries (eg, …Thumb spica is formed with plaster, custom. Sugar tong splints are formed with plaster, custom. Colles’ splint is prefabricated. Posterior ankle splint, stirrup splint is made of plaster, custom. Bledsoe brace is prefabricated. Air cell, foam or gel components are prefabricated or a supply. Figure of eight can be customized or prefabricated.IV sedation with a local consisting of 15cc of 1:1 mixture of 0.5% Marcaine plain with 2% Xylocaine with epinephrine was administered. 28290. CASE 4: Amputation of left index finger. 26951-LT. CASE 5: Removal of hardware from right knee proximal tibia. The patient was placed in the supine position.Both the wrist and elbow should be immobilized in the neutral position (eg, with a sugar tong splint Sugar Tong Splint ). Patients should be immediately referred to an orthopedic surgeon; most dislocations must be surgically repaired because function is better after surgical repair.This list reflects products which have been submitted by the manufacturer for a HCPCS coding verification review. The assignment of a HCPCS code to the product(s) should in no way be construed as an approval or endorsement of the product(s) by the PDAC, DME MACs, or Medicare, nor does it imply or guarantee claim reimbursement. ... MCKIE SPLINTS ...A splint is a rigid support made from metal, plaster, or plastic. It's used to protect [1], support, or immobilize an injured or inflamed part of the body.[2] Toggle navigation ... Single Sugar-tong Splint; Elbow, proximal forearm, and skeletally immature wrist injuries Long Arm Posterior Splint; Long Arm Cast;Sugar tong splint immobilizes the elbow joint. The ulna and the radius will rotate with pronation/supination. The sugar tong prevents this. In non displaced setting, the fracture has stabilizing characteristics- 100% cortical contact, length stable radius , transverse (vs oblique and spirals which are length unstable). Either immobilization ...very distal volar plate placement on the radius (distal to watershed line) is associated with FPL rupture. due to physical contact of tendon on plate and subsequent tendinopathy. Radiocarpal arthrosis (2-30%) incidence. 90% young adults will develop symptomatic arthrosis if articular stepoff > 1-2mm.Cast and Splint Supplies HCPCS Code range Q4001-Q4051. The HCPCS codes range Cast and Splint Supplies Q4001-Q4051 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims. Subscribe to Codify by AAPC and get the code details in a flash. ... CPT ® copyright 2022 American Medical ...Unroll additional splint material, folding it back and forth along the first length until there are 6 to 8 layers (when using single-layer rolls). Immerse the splinting material in lukewarm water. Squeeze excess water from the splinting material (do not wring out plaster). Apply the splint material to the lateral aspect of the leg at mid-calf ...SPLINTS–CUSTOM VS. PRE-FAB (2) Stirrup SplintCustom Double Sugar Tong SplintCustom Long Double Sugar Tong SplintCustom Thumb Spica SplintCustom Medial Lateral ...01-Jan-2021 ... ... CPT-ETEST SUSCEPTIBILITY STUDIES, PER AGENT. 87181. 0306. $84.00. $84.00 ... SPLINT/SHORT LEG APPLICATION. 0450. $400.00. $400.00. $120.00.The purpose of this study was to compare the efficacy of a single-sugar-tong splint (SSTS) to a long-arm cast (LAC) in maintaining reduction of pediatric forearm fractures, while avoiding secondary intervention. One hundred patients age 3-15 with a forearm fracture requiring a reduction and immobilization were evaluated (50 LAC and 50 SSTS).How To Apply a Sugar Tong Arm Splint - Injuries; Poisoning - MSD Manual Professional Edition. honeypot link. about MSD. MSD careers. The trusted provider of medical information since 1899. Enter search terms to find related medical topics, multimedia and more. • Use " " for phrases o [ "pediatric abdominal pain" ]Sep 1, 2009 · Am Fam Physician.2009;80(5):491-499 Author disclosure: Nothing to disclose. Article Sections Management of a wide variety of musculoskeletal conditions requires the use of a cast or splint.... Distal radius fractures traditionally require a sugar tong splint to prevent the patient from ranging the wrist and elbow. The sugar tong splint essentially sandwiches the forearm with a splint, folded at the elbow. At this elbow fold, however, the splint often uncomfortably and inconveniently buckles and wrinkles when a wrap is applied. Trick of the trade Reverse sugar tong splint A reverse ...CPT codes for application of casts, splints, or strapping do not specify the type of device or material used or the work required for applying a prefabricated or custom-made splint. ... Sugar-tong splints may be made with prefabricated splinting material (eg, Orthoplast), which eliminates the need to layer plaster and splint padding material. ...The SAM Sugar Tong® Splint has the same C-Curve™ Principle as the original SAM® Splint, building strength from curves. This splint is flexible enough to bend into any simple arc, becoming stronger and more supportive, immobilizing sprains, strains and minimally displaced fractures. This type of splint, from SAM Medical, is designed to help ...Article continues below this ad. A sugar tong splint is a long arm splint used to treat more complex injuries to the forearm and wrist. This splint wraps around the back of the elbow, like sugar tongs. The elbow is bent to a 90-degree angle, and the splint runs along both sides of the forearm, ending just below the large knuckles in the hand.What is the CPT code for a sugar tong splint? Both the wrist and the elbow would be immobilized by the sugar tong. CPT 29105 indicates shoulder to hand, while 29125 indicates forearm to hand. The sugar tong is above the forearm but below the shoulder. Is there an application and removal of the first cast included in the procedural code?apply sugar tong splint. follow with surgery. Open reduction, ligament repair and fixation +/- carpal tunnel release. approach (controversial) ... short arm thumb spica splint converted to short arm cast at first post-op visit. duration of casting varies, but at least 6 weeks. Proximal row carpectomy.Apply the splint material along the ulnar side of the 5th finger, wrist, and forearm and fold it in a U-shape around the dorsal and volar surfaces of the 4th and 5th fingers, hand, and wrist. Fold the extra stockinette and cotton padding over the edges of the splinting material. Wrap the elastic wrap over the splinting material distally to ...Galeazzi fracture (distal radius w/distal ulnar disloc) Emerg. ortho for ORIF. Elbow dislocation. Long arm posterior splint after reduction. If associated fracture emergent ortho consult. Forearm fracture. Sugar Tong Splint. Colle's fracture (distal radius with dist dorsal angulation) Sugar Tong Splint.For significantly displaced fractures, procedural sedation can be used to properly reduce the fracture and apply a splint. Open fractures should be reduced and thoroughly irrigated, and antibiotics should be started as soon as possible. ... Standard immobilization is achieved using a sugar-tong splint with the forearm in neutral rotation …Apply the splint material along the ulnar side of the 5th finger, wrist, and forearm and fold it in a U-shape around the dorsal and volar surfaces of the 4th and 5th fingers, hand, and wrist. Fold the extra stockinette and cotton padding over the edges of the splinting material. Wrap the elastic wrap over the splinting material distally to ...closed reduction and splint/cast immobilization. indications. extra-articular. 5mm radial shortening. dorsal angulation 5° or within 20° of contralateral distal radius. Operative. CRPP. indications. extra-articular fracture with stable volar cortex. outcomes. 82-90% good results if used appropriately. ORIF. indications. radiographic findings indicating instability (pre …Ano ang sugar tong splint CPT code? Ang sugar tong ay magpapatigil sa parehong pulso at siko. Sabi ng CPT 29105 shoulder to hand, 29125 says forearm to hand. Ang sugar tong ay nasa ibaba ng balikat ngunit nasa itaas ng bisig. Ano ang CPT code 77012? CPT® 77012 sa seksyon: Computed Tomography Guidance.DOI: 10.1016/j.jos.2020.08.011 Corpus ID: 221864350; Clinical outcomes comparison of distal radius fractures between two conservative treatment methods: Below-arm cast versus reverse sugar tong splint.Am Fam Physician.2009;80(5):491-499 Author disclosure: Nothing to disclose. Article Sections Management of a wide variety of musculoskeletal conditions requires the use of a cast or splint....Immerse the splinting material in lukewarm water. Squeeze excess water from the splinting material (do not wring out plaster). Apply the splint material from the volar surface of the MCP joints along the volar surface of the forearm around the elbow and then along the dorsal surface of the forearm back to the dorsal surface of the MCP joints.Upper Extremity Splints: Sugar Tong Splint ( CPT 29105) •3"-4" splinting material, 2"-3" wrap •Indications: •Distal radius/ulna fractures •Fractures of the wrist. Upper Extremity Splints: GENERAL SPLINTING PROCEDURE. Measure and prepare the fiberglass or plaster. Apply the stockinette so that it extends 2 or u0003 3 inches beyond the fiberglass. Apply 2 or 3 layers of Webril over the area to be splinted. Be generous, avoid wrinkles, and place extra padding around bony prominences. Place Webril between the digits that are going .... Bivalved short forearm casts and sugar-tong splint are the most coCPT Codes. Surgery. Surgical Procedures on the Mus Immerse the splinting material in lukewarm water. Squeeze excess water from the splinting material (do not wring out plaster). Apply the splint material from the volar surface of the MCP joints along the volar surface of the forearm around the elbow and then along the dorsal surface of the forearm back to the dorsal surface of the MCP joints.27 Aug 2012 ... Short arm; static SAS-short arm splint. SATS. SA2FS-short are, 2 finger splint. Ulnar Gutter splint. Sugar tong splint. Galveston splint. I'd code it as a splint application and E/M visit with a CPT® 29125 in section: Application of short arm splint (forearm to hand). Goto the previous code Go to the next code · Print Code Information. CPT® Code Set.Medical Coding. Orthopaedics . new coder - Need help. Thread starter ggparker14 ... Patient was placed in a very well padded short leg and sugar tong type of fiberglass splint. Any help is appreciated. V. Valerie813 Networker. Messages 75 Location Chicopee, Mass Best answers 0. Mar 7, 2011 03-Sept-2011 ... The sugar tong splint is ideal for splinting fractu...

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