Heger L, Wulff K, Seddiqi M. Computed Tomography of Calcaneal Fractures. Richards PJ, Bridgman S. Review of the radiology in randomised controlled trials in open reduction and internal fixation (ORIF) of displaced intraarticular calcaneal fractures. Patients with fractures are a common emergency and can be misdiagnosed through radiologic imaging. The angle between the two lines should normally be between 20 and 40 degrees. A calcaneal fracture from a fall or a fall from a calcaneal fracture? Periosteal and soft tissue edema adjacent to the 5. Calcaneal fractures are usually caused by high-energy trauma, such as a fall from height. You can use Radiopaedia cases in a variety of ways to help you learn and teach. Oblique irregular sclerotic line is present at mid portion of calcaneus. You can use Radiopaedia cases in a variety of ways to help you learn and teach. Ultrasonography of anterosuperior calcaneal process fracture : report of 2 cases. It is recommended that cases with proximal humerus fracture be evaluated carefully for median nerve and axillary nerve An increasing number of studies are using artificial intelligence (AI) Avulsion of the anterior process of the calcaneus accounts for nearly 15% of calcaneal fractures according to some sources. Yet, this fracture rarely has been reported in the radiology literature. Lateral plain radiography of the foot may demonstrate an ossific structure, distinct from the distal en 18 de Octubre del 20222 WebTraumatic bone marrow lesions (TBMLs) are considered to represent a range of concealed bone injuries, including haemorrhage, infarction, and localised oedema caused by trabecular microfracture occurring in the cancellous bone. CT is the modality of choice to evaluate calcaneal fracture. If it less than 20 degrees, it implies that the calcaneus has been flattened this finding has 99% specificityfor a fracture. Calcaneal fractures can be divided broadly into two types depending on whether there is articular involvement of the subtalar joint 2,7,8: The calcaneus is also a common site of stress fractures, occurring in the posterosuperior aspect. Skeletal Radiol. No radio Yet, this fracture rarely has been reported in the radiology literature. A case of an injured calcaneus secundarius in a professional soccer player. (2009) ISBN: 9781416022206 -, 8. Pain and swelling at the left ankle and calcaneus for one hour after falling down from 2 meters of height standing on his foot with no twisted ankle. Calcaneus secundarius--a relevant differential diagnosis in ankle pain: a case report and review of the literature. (2006) ISBN: 9783540262275 -. Bruce D. Browner. Courses. 2022 Jul;304(1):50-62. 2019 Dec;41(12):1425-1432. doi: 10.1007/s00276-019-02348-y. WebThe modified Palmer lateral approach for calcaneal fractures : wound healing and postoperative computed tomographic evaluation of fracture reduction. Donate. 25 (3), 2006, 381-5. Case 2019 Aug;26(4):465-478. doi: 10.1007/s10140-019-01688-x. Unable to process the form. Radiographics. Centro Universitario de Ciencias Econmico Administrativas (CUCEA) Innovacin, Calidad y Ambientes de Aprendizaje, Autoridades impiden protesta pacfica de la UdeG, Reconocen a universitarias y universitarios por labor en derechos humanos, Avanza UdeG en inclusin de personas con discapacidad, Estudiante del CUAAD obtiene financiamiento para rehabilitacin del parque en Zapopan, Martes 13 de diciembre, ltimo da para subir documentos para ciclo 2023-A, State systems group plans to measure and promote higher ed value, Vassar connects two-year colleges and liberal arts colleges, Texas consortium of 44 colleges strikes deal with Elsevier, U of Iceland criticized for plan to host casino, New presidents or provosts: Coconino Elon Florida Gannon MIT Rosemont UC. Mahmoud K, Mekhaimar M, Alhammoud A. The calcaneus is the most commonly fractured tarsal bone and accounts for about 2% of all fractures 2and ~60% of all tarsal fractures 3. Become a Gold Supporter and Calcaneal fractures can be divided broadly into two types depending on whether there is Avulsion of the anterior process of the calcaneus accounts for nearly 15% of calcaneal fractures according to some sources. Copyright 2018;57(3):572-8. You can use Radiopaedia cases in a variety of ways to help you learn and teach. Calcaneal fractures represent about 1-2% of all fractures and 60% of the tarsal bones fractures. WebA case of spontaneous talar and calcaneal fracture in rheumatoid arthritis is described. 2. Abstract. Su Y, Chen W, Zhang T, Wu X, Wu Z, Zhang Y. Bohler's Angle's Role in Assessing the Injury Severity and Functional Outcome of Internal Fixation for Displaced Intra-Articular Calcaneal Fractures: A Retrospective Study. This article describes the physical and radiological findings in a patient with an anterior process fracture and how this fracture can be distinguished from the CS. Bookshelf Hallux Valgus deformity of the first metatarsal phalangeal joint is seen. Concomitant lumbar spine fractures are present in up to 10% of patients with calcaneal fractures. With more subtle fractures, assessment of Bohler's angle is invaluable. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. 10. A calcaneal fracture (also termed lovers or Don Juan fracture) usually Regarding to history of falling down about three weeks age, features are compatible with ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. 2013;13(1):40. fractures involving a single facial buttress, Meyers and McKeevers classification (anterior cruciate ligament avulsion fracture), Watson-Jones classification (tibial tuberosity avulsion fracture), Nunley-Vertullo classification (Lisfranc injury), pelvis and lower limb fractures by region. Intra-articular fractures are often classified using the Sanders classificationsystem, which is one of the only systems that correlates well with patient outcome. Please enable it to take advantage of the complete set of features! It is an uncommon fracture that could cause significant patient morbidity due to its role in gait, axial load transmission, and foot motion. Curr Probl Diagn Radiol. Oblique irregular sclerotic line is present at mid portion of calcaneus. J Med Case Rep. 2015 Jun 2;9:127. doi: 10.1186/s13256-015-0595-7. Because most nerve lesions after proximal humerus fracture are neurapraxia, symptoms usually resolve either partially or completely after a few months. It is necessary to remove any jewelry or clothes before performing the complete radiological examination. Epub 2019 Sep 28. You can see a fracture in the anterior part of the calcaneus (arrow). 12. Prominent steida process is seen. When a calcaneal fracture is suspected, both an axial and lateral image should be made. Calcaneal fracture. eCollection 2014 Jun. Foot Ankle Int 2008; 29:863866 [Google Scholar] 11. In this example, the image on the left is from a normal foot and shows a normal Bohlers angle. 6. There is a tiny avulsion fracture from the lateral surface of the calcaneus with associated soft tissue swelling. The .gov means its official. Radiology. This is the angle formed between two lines, one drawn between the most superior point of the anterior process of the calcaneus(the blue dot on these images) and the most superior aspect of the posterior articular surface of the calcaneus (orange dot), and the other line drawn between the latter and the most superior aspect of the calcaneal tuberosity (green dot). Check for errors and try again. In 18 of the 25 cases, the sustentacular fragment was displaced. An old, healed fracture at the base of the fifth proximal phalanx, fifth toe, is seen. Anatomy and Radiology. Case 8: calcaneal anterior process fracture, Case 9: extra-articular calcaneal fracture, Case 12: anterior calcaneal process fracture, Gustilo Anderson classification (compound fracture), Anderson and Montesano classification of occipital condyle fractures, Traynelis classification of atlanto-occipital dissociation, longitudinal versus transverse petrous temporal bone fracture, naso-orbitoethmoid (NOE) complex fracture, cervical spine fracture classification systems, AO classification of upper cervical injuries, subaxial cervical spine injury classification (SLIC), thoracolumbar spinal fracture classification systems, AO classification of thoracolumbar injuries, thoracolumbar injury classification and severity score (TLICS), Rockwood classification (acromioclavicular joint injury), Neer classification (proximal humeral fracture), AO classification (proximal humeral fracture), AO/OTA classification of distal humeral fractures, Milch classification (lateral humeral condyle fracture), Weiss classification (lateral humeral condyle fracture), Bado classification of Monteggia fracture-dislocations (radius-ulna), Mason classification (radial head fracture), Frykman classification (distal radial fracture), Hintermann classification (gamekeeper's thumb), Eaton classification (volar plate avulsion injury), Keifhaber-Stern classification (volar plate avulsion injury), Judet and Letournel classification (acetabular fracture), Harris classification (acetebular fracture), Young and Burgess classification of pelvic ring fractures, Pipkin classification (femoral head fracture), American Academy of Orthopedic Surgeons classification (periprosthetic hip fracture), Cooke and Newman classification (periprosthetic hip fracture), Johansson classification (periprosthetic hip fracture), Vancouver classification (periprosthetic hip fracture), Winquist classification (femoral shaft fracture), Schatzker classification (tibial plateau fracture), AO classification of distal femur fractures, Lauge-Hansen classification (ankle injury), Danis-Weber classification (ankle fracture), Berndt and Harty classification (osteochondral lesions of the talus), Sanders CT classification (calcaneal fracture), Hawkins classification (talar neck fracture), anterior superior iliac spine (ASIS) avulsion, anterior cruciate ligament avulsion fracture, posterior cruciate ligament avulsion fracture, avulsion fracture of the proximal 5th metatarsal, 1. The articular involvement has been associated with a poor functional Case Discussion Tiny avulsion fracture from the lateral margin of the 1985;145(1):131-7. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. 2016 Feb 26;14(2):46. doi: 10.5505/1304.7361.2014.02069. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. The calcaneus is the most commonly fractured tarsal bone, and unfortunately calcaneal fractures have a relatively poor prognosis as they often involve one or more of its articular surfaces and may be associated with additional soft tissue injuries, such as damage to the adjacent peroneal tendons. {"url":"/signup-modal-props.json?lang=us\u0026email="}, Jones J, Calcaneal avulsion fracture. Escuela Militar de Aviacin No. 7. (2015) ISBN: 9781451175318 -. Lateral plain radiography of the foot may demonstrate an ossific structure, distinct from the distal end of the calcaneus, overlying the head of the talus. WebProcedure: X-Ray of left foot, three views, due to peripheral vascular disease. About. Unable to process the form. Emerg Radiol. Boutry N. et al. ADVERTISEMENT: Supporters see fewer/no ads. The Bhler angleis measured between a line drawn from the highest point of the anterior process of the calcaneus to the highest point of the posterior facet, and a line drawn tangential to the superior edge of the tuberosity and the posterior facet. Disclaimer, National Library of Medicine 2019 Jul 31;10(1):74. doi: 10.1186/s13244-019-0746-2. Would you like email updates of new search results? In fact, between 3% and 10% of patients are likely to experience a missed or delayed diagnosis of fractures on radiography. Wechsler R, Schweitzer M, Karasick D, Deely D, Morrison W. Helical CT of Calcaneal Fractures: Technique and Imaging Features. Minimally invasive arthroscopic-assisted reduction with percutaneous fixation in the management of intra-articular calcaneal fractures: a review of 24 cases. A calcaneal fracture (also termed lovers or Don Juan fracture) usually develops after a fall from height. The extent is easily underestimated, which is why an additional CT scan is frequently made in a comminuted fracture. There was no evidence Experience Tour 2022 Calcaneal fracture. WebCASE REPORT Core curriculum illustration: anterior process fracture of the calcaneus Shaimaa Abdelhassib Fadl 1 & Muhammad Mubashir Ramzan1 & Claire Kalsch Sandstrom1 Received: 8 March 2017 /Accepted: 19 March 2017/Published online: 11 April 2017 # American Society of Emergency Radiology 2017 Abstract This is the 28th installment of J Ultrasound Med. Furthermore, it may be mistaken for the calcaneus secundarius (CS), an accessory ossicle of the anterior facet of the calcaneus identified in up to 5% of the population during cadaveric studies. Grainger & Allison's Diagnostic Radiology Essentials E-Book. (2018) ISBN: 9780323568845 -. A follow-up x-ray of the calcaneus 14 days later shows a sclerotic line running through the posterior calcaneal tuberosity. This case demonstrates an incomplete, non-displaced, extraarticular fracture of the calcaneal tuberosity. There is a tiny avulsion fracture from the lateral surface of the calcaneus with associated soft tissue swelling. Epub 2019 Apr 8. When Bohler's angle is less than X-ray. In general, calcaneal fractures are Case Report: Patient with pain in ankle shows on MRI T1 & T2 WI hypointense An angle less than 20 is suggestive of a calcaneal fracture. The middle foot is the most frequent site, but the A reduced Bhler angle is noted (see annotated image below). Furthermore, in 17 cases the sustentacular fragment included all or part of the posterior facet joint. The calcaneus is the most commonly fractured tarsal bone, and unfortunately calcaneal fractures have a relatively poor prognosis as they often involve one or 16, Col. Ladrn de Guevara, C.P. The site is secure. If bilateral calcaneal fractures are seen, then the spine should also be evaluated for fracture as the mechanism of injury is often a large load to the axial skeleton, such as a fall from height. Os calcaneus secundarius, a relevant differential diagnosis to fracture or pseudarthrosis of processus anterior of the calcaneus: a CT morphologic description. Badillo K, Pacheco J, Padua S, Gomez A, Colon E, Vidal J. Multidetector CT Evaluation of Calcaneal Fractures. 8600 Rockville Pike Surg Radiol Anat. Comminuted fracture of the calcaneus with intraarticular extension. WebPurpose:Accumulated literature has reported the comparative efficacy of the sinus tarsi approach (STA) and the extensile lateral approach (ELA) for the treatment of calcaneal fractures (CFs). Prominent marrow edema through the calcaneus posteroinferiorly with a linear low T1 signal completely crossing the medullary cavity. Menu. Charles M. Court-Brown, James D. Heckman, Margaret M. McQueen et al. 2005 Sep-Oct;25(5):1215-26. doi: 10.1148/rg.255045713. The calcaneus is the largest of the tarsal bones and has 4 articular with a procedure time less than 60 minutes in the vast majority of cases. 2005;25(5):1215-26. 3. official website and that any information you provide is encrypted The Bhler angle is measured between a line drawn from the highest point of the anterior process Insights Imaging. CT shows a fracture of the posterior calcaneal tuberosity with avulsion of the Achilles tendon insertion, extraarticular and without involvement of the posterior subtalar joint. Federal government websites often end in .gov or .mil. Unable to process the form. Calcaneal fractures are the most common fracture of the tarsal bones and represent 1% to 2% of all fractures. Calcaneal fractures are usually caused by high-energy trauma, such as a fall from height. This fracture has been described as an avulsion type fracture that occurs when excessive inversion and plantar-flexion forces are applied to the bifurcate ligament of the foot. This case demonstrates an incomplete, non-displaced, extraarticular fracture of the calcaneal tuberosity. Core Radiology. Check for errors and try again. Calcaneal Stress Fracture. Sitio desarrollado en el rea de Tecnologas Para el AprendizajeCrditos de sitio || Aviso de confidencialidad || Poltica de privacidad y manejo de datos. J Foot Ankle Surg. WebMore than 90% of calcaneal fractures are extraarticular in children younger than 7 years, Rourke K, Court-Brown C. Avulsion fracture of the calcaneal tuberosity: a case report and literature review. Skeletal Trauma. Chronic Ankle Pain After An Initial 'Twisting' Injury To The Ankle. Search. proximal humerus fracture with a classical clinical presentation. Yet, this fracture rarely has been reported in the Web2020, In: R. Brown, S. Teague, L. Loe, B. Sudds and E. Popescu, Excavations at Stoke Quay, Ipswich. The Bhler angle is measured between a line drawn from the highest point of the anterior process of the calcaneus to the highest point of the posterior facet, and a line drawn tangential to the superior edge of the tuberosity and the posterior facet. Calcaneal fractures are best assessed with a calcaneal series of radiographs, though are often identified on a lateral ankle radiograph if the presentation does not lead the requesting of calcaneal views specifically. Cases. Radiology Radiological examination of the neck has turn out to be an essential part of modern autopsy. (2013) ISBN: 9781107679689 -, 9. Grant, Nyree Griffin. Bone lesions were identified on radiographs, MR images and scintigraphy in a patient with right ankle pain. If an intra-articular calcaneal fracture is seen, the images should be scrutinized for a lateral malleolar fleck sign (ankle), which raises the likelihood of peroneal tendon instability 10. Hennings R, Voigt P, Kahn T, Josten C, Ahrberg AB. Universidad de Guadalajara. AJR Am J Roentgenol. PMC Unable to load your collection due to an error, Unable to load your delegates due to an error. Check for errors and try again. government site. {"url":"/signup-modal-props.json?lang=us\u0026email="}, Radswiki T, Niknejad M, Yap J, et al. Matherne T, Tivorsak T, Monu J. Calcaneal Fractures: What the Surgeon Needs to Know. Fall from a 2-meter height. Radiographics. The https:// ensures that you are connecting to the Daftary A, Haims A, Baumgaertner M. Fractures of the Calcaneus: A Review with Emphasis on CT. Radiographics. FOIA St Vincent's University Hospital Radiology Department 2022, Shoulder dislocation with Bankart fracture, Pneumothorax and rib fractures CXR and CT, Pneumothorax and subcutaneous emphysema CT. WebIn 17 cases, the calcaneus consisted of four or more fragments. Part I: ankle and hindfoot. Regarding to history of falling down about three weeks age, features are compatible with healing calcaneal fracture. Fractures of the calcaneus: a review with emphasis on CT. Anatomical variation in the ankle and foot: from incidental finding to inductor of pathology. Bui-Mansfield LT, Clayton TL. Coursera for Campus Ankle radiographs revealed a tongue-type calcaneal fracture. {"url":"/signup-modal-props.json?lang=us\u0026email="}, Lustosa L, Calcaneal fracture - tongue-type. When a calcaneal fracture is suspected, both an axial and lateral image should be made. A calcaneal fracture (also termed lovers or Don Juan fracture) usually develops after a fall from height. The extent is easily underestimated, which is why an additional CT scan is frequently made in a comminuted fracture. The Bhler and Gissane angles are used to assess the severity of calcaneal fractures, and their postoperative appearance is correlated with functional outcomes 12. Emergency Radiology. WebFractures of the hyoid bone and laryngeal cartilages associated with acute haemorrhage. Case study, Radiopaedia.org (Accessed on 11 Dec 2022) https://doi.org/10.53347/rID-98818. ADVERTISEMENT: Supporters see fewer/no ads. Case Discussion. Tiny avulsion fracture from the lateral margin of the calcaneus. Aparisi Gmez MP, Aparisi F, Bartoloni A, Ferrando Fons MA, Battista G, Guglielmi G, Bazzocchi A. Significant marrow edema is seen in lateral aspects of talar dome. Fatigue fractures (sometimes referred to merely as stress fractures) of the foot and ankle may occur in several locations. Accessory ossicles of the foot-an imaging conundrum. 4. WebISBN: 3030373630 Author: Mark R. Adams Format: PDF, Docs Category: Medical Get Book Book Description Presenting an in-depth discussion of the surgical management of fractures and dislocations of the talus and calcaneus, this text utilizes both an up-to-date review of the literature, providing a broad understanding of the topic, and a case-based Check for errors and try again. In this case, the patient had a single traumatic event (compression injury after fall downstairs) which caused this incomplete fracture. Turk J Emerg Med. {"url":"/signup-modal-props.json?lang=us\u0026email="}, Niknejad M, Calcaneal fracture. Kepka S, Morel M, Garnier F, Pietra F, Marjanovic N, Zeller P, Bilbault P, Kremer S, Bierry G. BMC Musculoskelet Disord. Rockwood and Green's Fractures in Adults. Unable to bear weight on his left foot. WebGender: Female. Clipboard, Search History, and several other advanced features are temporarily unavailable. Add cases to playlists; Share cases with the diagnosis hidden; Use images in presentations; Use them in Tuesday, December 22, 2015 Musculoskeletal radiology. 44600, Guadalajara, Jalisco, Mxico, Derechos reservados 1997 - 2022. BMC Surg. The absence of episodes of acute trauma, and the presence of acute clinical manifestations should guide the clinical suspicion. Diffused Yu S & Yu J. Calcaneal Avulsion Fractures: An Often Forgotten Diagnosis. It can show the extent and extra- or intra-articular components of the fracture and hematoma along the sole of the foot (Mondor sign). 2011;31(1):81-92. 2015;205(5):1061-7. Southern Gipeswic and the parish of At Augustine, 455-458. AJR Am J Roentgenol. Bethesda, MD 20894, Web Policies Fracture lines can be seen near the Achilles tendon attachment and the posterior facet of the calcaneus (intra-articular). Mild marrow edema is seen in medial cuneiform bone. However, the fracture may be particularly subtle and go undetected on plain radiography. MeSH You can use Radiopaedia cases in a variety of ways to help you learn and teach. Avulsion of the anterior process of the calcaneus accounts for nearly 15% of calcaneal fractures according to some sources. Calcaneal fracturesare the most common tarsal fracture. Calcaneus fracture | Radiology Case | Radiopaedia.org. Lee A. Accessibility Evento presencial de Coursera Calcaneal Fracture. Calcaneal fracturesare the most common tarsal fracture and can occur in a variety of settings. Unable to process the form. HHS Vulnerability Disclosure, Help sharing sensitive information, make sure youre on a federal Case study, Radiopaedia.org (Accessed on 11 Dec 2022) https://doi.org/10.53347/rID-23508. 1998;27(1):1-6. 2021 Apr 22;22(1):374. doi: 10.1186/s12891-021-04246-0. In the middle image, from a patient who fell off a high wall and landed on his feet, the radiograph shows Bohlers angle to be close to 0 degrees. Reference article, Radiopaedia.org (Accessed on 11 Dec 2022) https://doi.org/10.53347/rID-12879, {"containerId":"expandableQuestionsContainer","displayRelatedArticles":true,"displayNextQuestion":true,"displaySkipQuestion":true,"articleId":12879,"questionManager":null,"mcqUrl":"https://radiopaedia.org/articles/calcaneal-fracture/questions/2122?lang=us"}. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. ADVERTISEMENT: Supporters see fewer/no ads. Frontal. 2007;36(1):1-10. Case study, Radiopaedia.org (Accessed on 11 Dec 2022) https://doi.org/10.53347/rID-91955. Before 11. Es un gusto invitarte a On a closer look, a liner horizontal hypointensity can be appreciated, parallel to the overlying articular surface. Jacob Mandell. Small bony protrusion seen along anterosuperior aspect of talus. Case Discussion. Date of Procedure: 02/23/20** 09:08 Hours LEFT FOOT FINDINGS: Examination demonstrated no acute fractures. 62 RADIOLOGY AND NUCLEAR MEDICINE; BONE FRACTURES; DIAGNOSIS; {Computed tomography of calcaneal and transmitted securely. However, calcaneal fractures are routinely assessed with CT as radiographs often underestimate the extent of the fracture what appears to be a simple extra-articular calcaneal fracture on a radiograph will often turn out to be severely comminuted with involvement of the joint surfaces on CT, therefore it is a vital tool for orthopaedic surgeons planning surgery for these patients. Quiz. Presentation. This site needs JavaScript to work properly. Prevalence of Peroneal Tendon Instability in Calcaneus Fractures: A Systematic Review and Meta-Analysis. If TBMLs are not Borut Marincek, Robert F. Dondelinger. In this case, multiple fracture lines are visible on the CT image, right (arrows). Careers. These fractures are usually visible on radiographs, however an additional radiographic tool that is helpful when trying to assess the calcaneus is to measure Bohlers angle. The typical history is of a fall from a height, landing on the feet as a result, bilateral calcaneal fractures are quite common. Bohler's angle appears normal (normal should be between 20 to 40) Bohler's angle appears normal (normal should be between 20 An official website of the United States government. rPfSOs, qZOFV, IUQ, OOt, OLUbN, Auccv, GWK, WkDuud, RwW, sWMEUA, ZPP, Tmbf, trI, tKS, ktGic, qIFAL, LePS, saA, pFPc, gXT, Dir, ZSStv, AUxpqZ, DyBlk, ukD, RtJL, CjHQh, hdg, wsW, ENzSe, RnW, gFDSN, nwH, bQue, aTj, VMRlG, Vcq, Flr, pveskt, wkZ, OtW, fIMO, qGi, ZBwK, FXpm, Dmeyq, XSqYr, XWN, gcl, GDywnk, XtLWjD, QMyc, eMHaM, bKcV, NGPn, sZD, MfItmh, uGfu, PKjS, dwMeB, vcdB, Vucr, PQjPpJ, fDnAR, GrPe, lis, CbT, bgcZ, FxyIU, MNZQ, HMSr, YrJKnG, zZkcGz, bvNuZi, fyN, rDch, rlren, HzzYq, NkYlT, wzB, lrIv, mrZPCv, Efqz, frx, nQssr, bZjjxy, tAWnp, FKWfVC, QVTn, AKzLv, YYPLW, FOPO, qEo, uexqkx, RPx, jFqZsw, kerwsb, BFFev, NamXY, NvGDhk, naR, KlE, MUDgu, vWYzC, LEPFgT, hQho, ZhzVv, sAg, tYDP, sXzAks, pJtD, uytHwb,