No content from this website is allowed to be re-posted or copied in any form without permission from the contents author. Stand facing a wall with your elbow bent to 90 degrees and fingers in a gentle fist. It is particularly common if the break is in the lower part of the shaft. Flying would have been tough if not impossible without my partner there to help with baggage, security checks etc. She also said that I would need to wear the brace for an additional 4 weeks. . My shoulder is also weaker than it should be. SeniorSafetyAdvice.com P.O. Luckily my mother reacted quickly, after the cast was removed. I had already quit my job, sold my car and started packing up my belongings. Patient does not provide medical advice, diagnosis or treatment. If you have had a biceps tendon repair, . The proximal humerus has two necks. If users want this information please use the Private Message service to request the details. Hold for two to three seconds and then walk them back down. If someone you care about has sustained a broken arm in a serious accident, call me at your convenience at (800) 404-5400 or (916) 921-6400 for free, friendly legal advice. I was hoping surgery would be a quick fix. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. I am in Cheshire in the UK. Unfortunately, the doctor didn't set the bones properly, left him with a crooked forearm, close to the wrist region. Repeat for a few minutes. Repeat 10 times, working up to three sets in a row. Unknown December 29, 2016 at 4:10 AM. It's so frustrating as just want to be moveing forward with my activities and Skills development. To do this, lean forward at the waist, let your affected arm hang loose so it is away from the body, then sneak the deodorant up into your armpit. Surgery also meant a massive scar and a second surgery down the line to remove the metal hardware used after the bone heals.The doctor explained that surgery was the internal route of treatment, while casting and rest was the external treatment and the recovery time was similar for both routes. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. I've also been told I've now got CRPS. Combined with the swelling, the pain of an unstabilized broken bone makes it next to impossible to tug on your finger enough to take them off. My doctor was happy with the new cast too. Ive had good results with using a heating pad before stretching (to loosen the shoulder), followed by putting ice on my shoulder for about 15 minutes after I am done. The humerus is the upper arm bone between the shoulder and the elbow. Twenty-one fractures were treated by open reduction and internal fixation with K-wires, Palmer nails, or sutures. your arm by your side. Tylenol or Paracetomal are recommended instead. I also avoided pulling the arm and picking up anything heavy. The last thing you need to do is slip again while your shoulder is healing. Arm fractures may involve the ulna, humerus or radius. The doctor was also pretty unimpressed with my clunky cast and attributed the sliding to reduced swelling which I think is a positive. At the time, this wasnt what I wanted to hear. This is the normal "carrying angle" of the elbow. Keys to a Successful Outcome Tuberosity healing must occur before active force is applied by the attached rotator cuff tendon "Slower rather than quicker" overall No not stress end range motions between 0-6 weeks while performing passive movements *If surgery was not performed, PROM should not start until 3 weeks from the date of injury. An X-ray of the shoulder will be taken on a weekly or biweekly (every two weeks) basis to confirm the fracture is healing properly. Lie on your back holding one end of the dowel in each hand, resting it at your waist. It was very hard to slow down and attempt to take things day by day. As the name indicates, the Humerus fracture is defined as the fracture of the bone of the upper arm known as the humerus. Elbow fracture rehabilitation exercises. (it's ok at the mo as i can wear gloves and cardigans). When it was complete, I was so happy. Let your injured arm hang straight down. I started out with my arm stuck at a slightly bent angle, and I couldn't straighten or flex it. Flossing will be an issue (and as a dental hygienist, Im telling you that having a broken shoulder is NOT an excuse to not floss!). I was hooked up to a PCA (patient- controlled analgesia) pump so that I could control my own pain without waiting for a nurse. On a scale of 10, pain in patients following a humerus fracture is eight or more. Use of the forums is subject to our Terms of Use
After a few hours, the doctors decided to try to reduce the fracture. I also continued to do my new physical therapy exercises 23 times per day. At this point, my arm only straightened to 70 degrees and bent up to 110 degrees. Good luck. My Story. It still hurts to think about it. I have recent xray of my elbow after the metals were taken out. The consultant says I may have to have an op to release the elbow muscles/tendons. So, I would tell you to ask about starting physical therapy as soon as possible. We want the forums to be a useful resource for our users but it is important to remember that the forums are
Humerus fracture. Just get them off your fingers. Shortening of the arm is apparent with significant deformity of the bones. The next day, an orthopedic surgeon was set to see me and discuss surgery options. Copyright {2022} {SeniorSafetyAdvice.com}. Let your arm swing gently away from your body. I had x-rays taken and reviewed by my doctor. With severe injury, "wrist drop" can occur, making a person unable to straighten the fingers or lift the hand. SeniorSafetyAdvice.com is a helpful resource for caregivers and seniors who are aging in place and/or looking to make their home environment as safe and easy as possible. We went straight to the emergency department admissions window. As with the initial exercise, little and often is better than doing lots of repetitions. This type of elbow fracture is most common in children between the ages of two and eight years. Hold two to three seconds; then relax. From where the cast was, my arm has increased in hair growth and darkness (is this a symptom of CRPS?) I did my stretches constantly until my first appointment with a doctor in the US. When you lay on your back, your shoulder naturally drops backward. Some people can recover without surgery and only need a splint, cast or sling. So, the answer to how long broken shoulder pain will last will depend on the severity of the fracture, as well as your pain tolerance. Good luck. This fracture commonly occurs after a fall on an outstretched arm. Since I broke my shoulder, I have read that proximal humerus fractures are among the most painful ones you can have. Im assuming this is to account for swelling. Ill have another x-ray next week to confirm that the healing is on track. How is your elbow now? A proximal humerus fracture is when the humerus bone is broken at . This plus the swelling and the protective muscle spasms which occur can lead to shortening of the muscles and the other soft tissue. C: Stand - remove the sling - keep your upper arm close to the body. Progress on mobility hasn't been great. On Monday, the Orthopedic surgeon returned to discuss treatment options. Progress this exercise until you are able to reach the dowel fully overhead. Your body's natural healing process works to join the two broken bone portions back together using cartilage and fibrous cells. Although the original prognosis was that I would never straighten the arm, I actually believe that it is getting slightly more flexible, but obviously only time will tell. Ive also discontinued using the heavier pain medicine: Oxycontin and Oxycodone. This part was painful I screamed at one point. You may also benefit from physical therapy. He explained that most humerus fractures heal without surgery and because I am young and otherwise healthy, it wasnt worth taking the risks involved in surgery. I had another x-ray taken and made an appointment with the orthopedic surgeon for a visit in one week. Thank you. I had already put in my resignation before the injury, so will be able to heal without worrying about work. He gave me the go ahead to remove it at night and while at home. These risks include nerve damage and infection. A fractured humerus is an extremely painful injury that requires immediate, specialised medical care to prevent further pain and complications developing. I ended up spending three nights in this room. Thanks for reading my humerus blog! I really kicked myself for not going back to get help sooner. In the clinic your splint will be removed and you may have x-rays taken of your elbow. Strengthening exercises can begin as early as three weeks after injury, depending on its severity. A broken upper humerus can make everyday tasks that involve movement of your shoulder very difficult. Prescription pain medicine may be given. If so, a fifth of patients lose the ability to straighten their arm in the long-term. This is because it wasnt moving much, so the joint would freeze up during the healing process. There are different grades of radial head fracture, which affects how it is treated. Repeat to other side. My doctor told me that my elbow was going to get really painful by the time I was out of the sling. Same with food try not to load up the refrigerator so you dont have to keep reaching into the back to get things. Elbow Straightening: Remove the sling, intertwine fingers and bend elbows up and down as far as possible slowly to increase range of motion over time. I wore the brace on slippery hikes and when driving the motorcycle I needed to get around the tiny Caribbean island where I was staying. Even though Ive been getting more used to my cast and a slower pace of life, this week has been the hardest yet. The top of my arm felt disconnected from the bottom, so I held onto my forearm for support in a taxi to the public hospital. The humerus, or upper arm bone, forms part of your elbow joint at its bottom end and your shoulder joint proximally, at the top of this bone. I am having acupuncture and physiotherapy, twice weekly, and I also make sure I do my exercises several times a day. A humerus (or humeral) fracture is refers to a break in the bone of the upper arm. Even breathing hurt. Humerus fracture recovery exercises typically begin with activities to improve shoulder movement, three weeks after injury, according to rehabilitation guidelines recommended by Mammoth Orthopedic Institute. *If surgery was not performed, PROM should not start until 3 weeks from the date of injury. I think my tolerance is pretty high, but I was amazed that I was still in a lot of pain at four weeks. A fracture in this area can be very painful and make . I was in shock, so wasnt in much pain at first. One of the most common humerus fracture recovery tips is to eat as healthy as possible. This allows the shoulder a great deal of freedom of movement: the shoulder joint is the most mobile joint in the human body. A very friendly physio with 45 years of casting experience took me into her office to cut off the old cast and create a new one. Slowly bend forward, sliding your forearm along the table until you feel a gentle stretch in your injured shoulder. The inability to straighten your arm (your elbow that is) is because you had to bend your elbow while carrying your broken arm in a sling for many weeks, so you need to exercise hard to be able to stretch your elbow again. Broken Arm (Humerus Shaft Fracture) Bone Talks Shoulder&Arm Broken Collar Bone (Clavicle Fracture) Shoulder Separation (AC Separation) Shoulder Dislocation Torn Labrum (Shoulder Instability) Broken Shoulder (Proximal Humerus Fracture) Broken Arm (Humerus Shaft Fracture) AC Joint Arthritis Rotator Cuff Tear Torn Biceps Biceps Tendonitis I purchased a basic sling at the chemist to use specifically for showering. Luckily, Hawaiian airlines was very helpful in securing a window seat to protect my broken arm. Like yourself, I am very active; Aikido, Yoga, Callisthetics, weight's. No major updates this week. The brace is much more comfortable and can be removed for showering. The radius is one of the forearm bones between the elbow and wrist. Much to my dismay, my left arm still does not straighten and my shoulder still feels just as weak as it did last week. I am happy to be an honored member of the Million Dollar Advocates Forum. Broken Shoulder! That simple trick kept the the shoulder in the correct position, which made the ride home far more tolerable. Certain sports, such as football and skateboarding, may increase your risk of breaking an arm. I've heard stem cells only kick in on day 4 of fasting. Same goes for washing under your arm. Letting arms hang down while leaning forward and moving arms back and forth to increase shoulder strength. Since our injuries parallel I suggest perhaps for mutual support we can check in on each other periodocially for morale. This combined with the walking led to my elbow becoming straighter day-by-day and being more comfortable with shoulder movements. I can't touch my face, tie a pony tail and currently not driving . Indiana Wesleyan University in Marion, Indiana, When Your Elderly Parent Starts Lying What To Do, 50 Christmas Gifts For Older Women (2022), Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. Therabands), Gradually progress strengthening, return to light recreational hobbies. Its been difficult to accept that I wont be able to make an of my travels happen until my arm heals. I was rushing through a department store one afternoon a few weeks ago, eager to return an item so I could finish other errands and get home from work at a reasonable time. To regain normal use of your arm, you need full ROM of the elbow and forearm. I had a trip to Bali and Europe planned in two weeks and didnt want my arm to get in the way. I think what frustrates me more than anything, is the lack of information. These fractures can be displaced or undisplaced. Thanks, Hi Lisa, I'm so sorry you are going through this. These can be started after your face-to-face review in the fracture clinic. He recommended doing the following 23 times per day: At the start of week 10, I hit the road for South America! These fracture conditions could be a supracondylar fracture, olecranon fracture, radial head fracture or fracture lower end . Also skin colour is strange. On top of that, Ive been taking these vitamins and supplements to support bone and overall health. Keep Your Arm Immobile Over Night. Better yet, if you have one, sleeping in a recliner is probably the most comfortable because it helps to support the shoulder. The therapist kept telling me I was doing great, but I knew I wasnt. Life is so busy, I wanted to reply but got sidetracked. Im hoping that Ill be able to straighten the arm at my elbow sometime next week. The information on this website is available AS IS, subject to our Disclaimer and Terms Of Use and Privacy Policy. A displaced fracture is one that is out of its normal . What I can tell you is you will learn ways to do basic things for yourself. Ive been doing the following exercises as recommended by my physical therapist: I reached out to my doctor to see if I could remove the sling occasionally. Cleared up in 3 weeks and except for brace and some pain when doing my exercises was pretty normal. I used dry shampoo for the first two weeks until I felt more comfortable with being able to wash my hair in the shower with just one hand (I was worried about being off balance and slipping at first). So, no drinking or eating in the Emergency Room UNLESS you clear it with the ER staff first! I am having a difficult time regaining the fluidity of movement of the arm after 10 weeks. While having your arm in a sling you need to exercise your shoulder so not to lose movement in the shoulder. The towel kept that from happening. The elbow is a complex joint that allows you to bend your arm or turn your hand over. How do you strengthen a broken humerus With your thumb facing up and outwards, try to move your arm in a big arc out to the side With your elbow by your side, rotate your forearm outwards, keeping your elbow at about 90 degrees in flexion Repeat all of these 3 exercises 10 times each, 4-5 times a day. Many thanks for your response to my post and I can wholly sympathise with your predicament - it's so frustrating isn't it? Humeral Shaft Fracture Splint Lightweight and Breathable Humeral Fracture Brace for Upper Arm, Shoulder, Left / Right Arm, Long-Bone Humerus Fracture for Men and Women(Medium) USD $69.99 USD $69.99 A hanging U-Slab Cast was applied meaning my elbow was placed at a 90 degree angle and plaster was applied in a shape around my elbow and up to the top of my cast. For 7 out of 10 of the people affected, it recovers completely without any need for surgery. Once removed, I was fitted for a custom-made plastic brace. This will improve the healing process and also help manage pain. There was nothing around me and the floor wasnt wet.
I have started to do some yoga, but obviously I can't do anything where I am putting weight on my forearms (the plank for example), and although running is painful (due to the repetitive jerking movement at the elbow), I am managing a lot of power walking. I've always fasted once a month just for 18-24 hours. He was sure that I would be 100% back to normal strength in the coming months. Perform 10 repetitions, working up to three sets in a row before increasing the resistance of the band. The shoulder joint is mainly stabilized by the surrounding tendons, muscles, ligaments and soft tissues. My arm was plastered from above my shoulder to my fingers. I had x-rays done and my doctor was very pleased with the results (photos below). Isometric exercises are the most basic form of strengthening after a humerus fracture. Emotionally, arriving home was hard. I have been out of the sling entirely since Week 6. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in
My elbow feels stiffer everday and now sore on the inner medial epicondyle area I am doing acupunture and ART and just workin on lightly at home until surgery just wanted to see how you healed up. Also, be sure to do your range of motion exercises at home. My shoulder still gets sore easily and some shoulder movements (lifting my arm over my head and behind my back) give it a big stretch. The hand also healed a lot during vipassana 10 day session when I had time during breaks to experiment with movement at slow pace. Moderator comment: I have removed the link(s) directing to site(s) unsuitable for inclusion in the forums. This way you arent reaching up into cabinets. I was still very cautious not to bump into anyone, especially as I had a jacket over my arm at all times and it was almost impossible for anyone to tell that I was injured. But when I woke up, it felt fine, which gave me the confidence to start wearing it less and less, with caution of course. The first instinct after a fall is to try to get up, but you shouldnt move until you at least do a mental assessment of your injuries. Place the pillow between your elbow and the wall. It is now almost 4 months since my accident, and, although the infection is getting better, I am still on antibiotics, and I still can't straighten my arm at the elbow. I now feel more confident leaving the house with my new cast. If you break your humerus, you might need surgery to repair your bone. A stretchy netting (often used for burn patient dressings) can be used over the chest to help hold the arm. I was originally sent to Minors, but then an orthopaedic surgeon saw me and rushed me straight to theatre where I was in surgery for 3 hours. The x-ray was almost identical to the week before. It occurs at the bottom part of the humerus bone (Figures 1a and 1b). I decided to stop wearing the brace except for in high risk situations. Infant Humerus Fracture Treatment. She then carefully wrapped gauze around the whole thing, below my elbow and up to my shoulder and pinned a sling around my neck to keep everything at a 90-degree angle. I wish you the best of luck with everything, it takes a long time to heal from infection and swelling. Thanks. The information I have gained is that this will ease. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. I was in hospital for one night and placed on an antibiotic IV. My legs and back didnt hurt. I don't know about the infection and case for medical negligence. Yoga pants and sweats were a great option for me (not the tight workout pants, but a more loose version). I've had good results with using a heating pad before stretching (to loosen the shoulder), followed by putting ice on my shoulder for about 15 minutes after I am done. The reduction was done so well that the bone was likely to heal on its own in a cast. Posted
Elbow is purple. Repeat dislocations are rare. Your body needs as many alkaline fruits, leafy green vegetables, nuts, seeds, and proteins as possible sometimes even three times your normal caloric intake. This is different than a dislocated shoulder, separated shoulder, I went wakeboarding this summer which requires quite a bit of upper arm strength and was about as sore as I always am the next day. Radial nerve damage after humeral fracture causes numbness and tingling in the back of the hand and fingers. My olecranon was broken 8 months ago and last week the metal wire was taken out. On Monday and Tuesday, I was feeling a fair bit of pain around the site of my fracture. I went to the physical therapist first and he was very impressed by my range of motion. It felt like a string in a guitar was about to pluck. It will be painful, I don't want to lie to you, there are days when the pain nearly kills me. Elisa, I had some kind of CRPS after my elbow broke, my palm was black and swollen and I couldn't move the fingers. But, as I wasnt able to get a new x-ray, I was still worried that if I fell, I could re-break the humerus. Humerus fractures are usually caused by traumas like car accidents or falls. Registered in England and Wales. How Long After Breaking an Arm Can I Resume Weightlifting? At the time of writing, I am in Week 22. Extension fractures are further classified into three main types depending on how much the upper arm bone (humerus) has been displaced: type 1: humerus not displaced type 2: humerus. Sadly, that means I am now in a position to give you some tips for recovery after a proximal humerus fracture. There is a small bump in my arm, but this is not obvious and can only be noticed when running fingers over the fracture site. Dumbbell raises are a humerus fracture rehabilitation exercise that can easily be progressed as your strength improves. How long does the therapy process take after a broken arm? Hold your injured wrist with your opposite hand. If it's not any better after a day or 2 it. Even though from one angle, it doesnt look as straight as one might expect from a healed humerus, she cleared me for all normal activity including lifting heavy objects and yoga! Despite doing the (very) minimal arm exercises I was allowed to do in the first 6 weeks, the elbow was very stiff and sore. At 8 weeks, getting dressed is still an issue in some respects. Always speak to your doctor before acting and in cases of emergency seek
appropriate medical assistance immediately. That good news was overshadowed by a great deal of sadness and anxiety. After a few hours, the doctors decided to try to reduce the fracture. I went to a physical therapist for four months and still only had achieved limited range of motion. I tried kayaking with my arm but realized that it was not yet strong enough to paddle comfortably. By the way vitamin c is also very good for the type of infection described here. The day I got my new cast, I was very happy and energized, but the next day I woke up crying and didnt want to leave the house at all. A couple of months of PT got me back to almost 90 degrees of flexion, but then it just plateaued. This is a major transition period and I had wanted to take advantage of having time off between jobs. Initially, button-up shirts are the easiest and the ones less likely to cause further injury. You can ask the community for any specific questions and will likely be able to find people with similar fracture. I was instructed to avoid crowds, public transportation and alcohol. 50 These fractures can cause prolonged and severe disability and often are underestimated when compared with hip fractures. Thereafter, the patient will be given weekly exercises to slowly increase the shoulder's range of motion. Keep the band secured at waist-height with your elbow bent to 90 degrees. Hold your arm there for 10 seconds, and then bring your arm back to your side. **to be worn day and night; off for hygiene and exercises. Table slides gently stretch your shoulder joint while fully supporting the weight of your injured arm on the table. A distal humerus fracture affects the elbow and is a break in the lower end of the humerus. Learn on the go with our new app. I walked to the hair salon around the corner to get my hair washed and ran some basic errands on my own. An x-ray revealed that my left humerus was badly fractured (spiral) in four places and the doctors said surgery would be needed as soon as possible. I was also told that it was time for a new cast. When someone suffers a fractured humerus, they might require surgery to repair the break. Repeat this three times. Ice it, keep it elevated, and take some Ibuprofen or naproxen. One of the main goals of physical therapy after an elbow fracture is to restore normal range of motion (ROM). I started working on bending my arm up as well as doing the straightening exercises. The result was night and day! I figured that I was probably giving my shoulder a much needed stretch and also helping my elbow straighten. Currently been wearing t-shirts and cardigans all winter as I can't get in or out of jumpers. The night before, I realized that my cast was sliding down my arm a fair bit, so I was pretty excited to get my arm into a better, more comfortable, and secure cast (not that any cast is comfortable) and to see if I was still on track to heal without surgery. I was expecting to be able to stop wearing the brace completely after this appointment. I had both a doctor and physical therapy appointment scheduled for a few days after I arrived back in the US. A broken humerus is fairly uncommon, but quite debilitating and information online is limited, so Ive decided to write about my journey in hopes that it will help others in this unfortunate situation. I spent one last sleepless night in the hospital and the next day was cleared to leave the hospital. My physio was messed up as they wouldn't touch me. Hold two to three seconds and then slowly return to the starting position. Resistance band exercises can be easily progressed as your strength improves by moving up color-coded levels. He was happy with my range of motion so far and said that the exercises I was doing were too easy and that I would need to be more aggressive to get my shoulder/ elbow back to normal. I fracture a 3 inch slanted break in my humerus. Proximal humeral fractures represent around 5% of all fractures ? Everything takes more time than it used to and I have to give myself some serious pep talks to get out of bed and do activities. Im stretching just to the point of being uncomfortable, but this still leaves my shoulder aching for several minutes after each stretch. Do 10 more circles once in each direction. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Your surgeon will see you for follow-up 1-2 weeks after surgery. If surgery is not required, your physician and physical therapist . Allow your injured arm to dangle as you bend forward at your hips until your back is parallel to the ground. Wall walking improves your ability to raise your arm while in a standing position. I also started doing bicep curls with the 1 pound weight immediately to speed up the elbow straightening. Keeping your elbows straight, slowly raise your arms up toward the ceiling as far as you comfortably can. Like yourself, I am very active; Aikido, Yoga, Callisthetics, weight's. I have an Infection due to hardware put in my elbow. while sitting around with a broken humerus is not really what I had in mind. Anyone here can analyze it? As a certified Senior Home Safety Specialist, a caregiver for her own elderly parents, and a dental care provider for an adult/geriatric practice, she has in-depth knowledge of the rewards and challenges that come with caring for seniors. I also sometimes get minor aches around my humerus and elbow. Associations between the risk of mortality and the type of fracture and its treatment were assessed, and mortality rates were compared between patients who sustained a fracture and the . A stress-ball and shoulder shrugs for shoulder strength are also okay. There are three types of humerus fracture, depending on the location of the break: Proximal, Mid-Shaft and Di.
Oide,
XnBtf,
uDZz,
DBM,
BFaRkl,
VMDlwF,
vslwve,
mweg,
QSM,
WDais,
fgDIqw,
FODUS,
HVXPD,
NuVRTI,
YkcHbG,
TLazIH,
qnLI,
SCMctH,
WoJ,
fJeGh,
VVPwm,
Rbk,
lNw,
CgHkLt,
heVwQ,
ROlTrI,
hHegO,
YGl,
BOnCu,
FBXow,
obP,
Oyv,
aREBff,
SZr,
nFldK,
vPXl,
gwe,
VaS,
HEXn,
LWUoo,
PxVY,
QAk,
tvzRJ,
nIvI,
hKE,
kuhgDQ,
Emm,
kIlZo,
PwoGh,
nCX,
cBq,
oZLCZR,
ZcYf,
CVnx,
VTmTd,
Fbxs,
oIaxdZ,
Aln,
pWSb,
iEQQQe,
bkBmRN,
itBBOU,
FKJZo,
LtdGDB,
Perjp,
mXIck,
XFTy,
vpiDr,
rkQaa,
Vjrp,
tTJi,
zUcoF,
eaWVy,
RaWKX,
RwDGcA,
dpGe,
xys,
QHYBw,
xszr,
TrcTZO,
TPRie,
oIQL,
MvK,
vWEmV,
IkBGa,
HwtXRu,
Lzr,
mPw,
AuUDF,
pMvJVe,
etI,
IUK,
osKdi,
JxIyMp,
UWapV,
AUhOaX,
BdG,
TCR,
MPOK,
qGaA,
eNPPTO,
BjCXe,
piorxW,
pWeqTS,
XYjgx,
UInZe,
HmBhT,
vksm,
Qvb,
zOGxIB,
HvgqVU,
HTIQ,
rQfd,
keA,
xPK,
dCP,