Bruised ribs (Rib contusion): Description. Given their position in the body, broken ribs are usually left to heal on their own. information is beneficial, we may combine your email and website usage information with Overall the data was found to have a high risk of bias, and be of low quality, so in the future, one modality may still prove superior to the other. Pain Management for Bruised or Broken Ribs. A major rib injury can lead to a condition called flail chest. Rib fracturesmay take 6 weeks to6 months to heal. Holding a pillow to the rib cage can reduce pain during the breathing exercise. One of the several causes of chest wall pain is costocondritis caused by rib cage injuries. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. A more serious injury may require splints or major surgery. https://www.bones.nih.gov/health-info/bone/osteoporosis/fracture. But if you continue to suffer from pain after the fracture has healed, then you should see a doctor so that any underlying problems can be treated. The terms "broken rib" and "fractured rib" mean the same thinga "fracture" or "break" are the same injury. Most of the time, fractured ribs heal on their own over the course of six weeks. She is also the author of "Ask Me About My Uterus: A Quest to Make Doctors Believe in Women's Pain (2018).". Elsevier; 2020. https://www.clinicalkey.com. How long after a broken rib can I exercise? BMJ Open. Do doctors do anything for broken ribs? Most broken ribs resolve within six weeks. Pain relief: a key aspect of recovery after a rib fracture Apply an ice pack 20 minutes of every hour you are awake for the first 2 days, then 10 to 20 minutes 3 times daily as needed to reduce pain and swelling. The amount of pain you feel and how long it may last for will depend on the type of injury you have and how badly you have been hurt. Once is enough: Guide to preventing future fractures. 1 Rib injuries are bruised ribs, sprained rib muscles, fracture of the rib bone and fractured cartilage mostly caused by direct impact. Your chest will hurt more when you. Most broken ribs treat and don't require surgical intervention. Ashley Shields has been in the health industry for over 10 years. If medicines taken by mouth don't help enough, shots can numb the nerves that lead to the ribs. As a rough guide, fractured ribs and sternums take about 4-6 weeks to heal and it is usual to still feel some discomfort after this time. Years of repetitive actions, such as a swinging a golf club, may also take a serious toll on your ribs and muscles. How can I best manage this with my other health conditions? Chest wall trauma. People with osteoporosis (weakened bones) have an increased risk for all types of broken bones, including rib fractures. We avoid using tertiary references. Follow these general safety tips to reduce your risk of an injury: Rib fractures are usually caused by falls or other accidents, so theres not much you can to prevent them. Treatment. Symptoms of bruised or broken ribs include: With serious rib injuries, your chest might actually look differenteven deformed. Get the facts on fractures and learn about diagnosis and treatment. Besides, you should keep yourself from lifting heavy objects. Use extra padding under your shoulders and hips to reduce stress on any other injured parts of your body. These help lessen the pain and inflammation caused by a rib fracture. If you have a bruised or broken rib do not: While you heal from a broken or bruised rib, the main goal of treatment is to manage your pain and prevent complications. For example, in one randomized controlled trial patients with blunt chest trauma were assigned to either epidural or IV analgesia [5]. Did the fracture injure any of my organs? You may hear a "snap" or "crack" when the rib injury happens. Cold or Heat. How long does it take to heal from a broken rib. Depending on the severity of the rib injury, it can take anywhere from around 4 to 8 weeks for ribs to fully heal. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. We aim to disrupt how medical providers and trainees can gain public access to high-quality, educational content while also engaging in a dialogue about best-practices in EM and medical education. Mayo Clinic is a not-for-profit organization. A bone fracture may not seem serious but could be a sign of another problem. Today, broken ribs are usually left to heal on their own without any supportive devices or bandages. However, what's important is that a broken rib or a cracked sternum does heal--a heart that has not received proper treatment for cardiac arrest does not! Get medical attention if you experience prolonged pain after an accident. If you don't feel well after this time frame, seek medical attention. Holding a pillow against your chest when you cough may ease the pain somewhat. Karlson KA. Infants whose bones heal well may have few, if any, additional symptoms related to the fracture or break. What to do about the pain? Rib fractures may take 6 weeks to 6 months to heal. A rib fracture can take up to 12 weeks to heal. Internally from somewhere else in your body usually the top of your hip bone. Treating broken ribs has changed in recent years. How long does it take a rib fracture to heal? 2005;80(7):879-882. doi:10.4065/80.7.879, Park S. Clinical Analysis for the correlation of intra-abdominal organ injury in the patients with rib fracture. Factors that affect the healing time include: Although the healing of rib fractures is quite slow, certain therapeutic measures can help enhance healing. There are lots of factors that can affect how long it takes your body to heal. The term "bruised rib" is used when the bones of the ribcage are not actually injured. If the fracture is complex, your vet may refer you to a veterinary surgeon. HOW LONG DOES IT TAKE RIBS TO HEAL AFTER CPR? Besides,the pain nerve endings are inhibited by cold, which can alleviate the pain. Sudden and extreme movements of the body, like bending over or sideways, should be avoided for the first few weeks after injury since it can slow down the healing process. Kids should not be given aspirin as it can lead to Reyes syndrome. A painful crack or actual break in a rib Symptoms include severe pain that gets worse when you take a deep breath Treatment includes about six weeks of pain management and self-care at home Involves general surgery, trauma & critical care, pediatric orthopedics, bone center Overview What are the most common causes of rib fracture? Rib fractures can be caused by everything from a cough to a major trauma. How Long Does It Take For Ribs To Heal When Broken. Do we really know the duration of pain after rib fracture? However, this time can vary depending on the severity and location of the fracture. Patients with rib fractures are at risk for pneumonia because of low tidal volumes as chest wall excursion is limited by pain and pneumonia is associated with higher mortality. When and how to image a suspected broken rib. Kardiochir Torakochirurgia Pol. doi:10.1542/peds.105.4.e48, Tulay CM, Yaldiz S, Bilge A. A broken rib can be treated by using ice, resting the injured area, and taking anti-inflammatory medications. During healing, however, it is important to walk around and move your shoulders occasionally to prevent mucus from building up in your lungs. It is normal for a person to feel sore after being injured. Youll probably need to limit how much you use the surgically repaired part of your body to make sure your bone can fully heal. Not being able to breathe deeply because of pain can lead to pneumonia. When evaluating a patient for possible discharge or admission after blunt trauma, you need to know which patients are at highest risk of pneumonia and death. You should also notify your physician if you experience any problems after leaving the hospital. However, if you continue to experience pain after several weeks have passed, see your doctor so that he/she can check on your fracture's progress. What treatments are available, and which do you recommend? The mortality rate was 10% for younger adults, and 22% for the elderly (p<0.01) [1]. The length of time that an individual remains in the hospital depends on how serious their injuries are and how well they respond to treatment. Rib fractures are more common in clinical practice and are usually caused by . This will help prevent further injury to your neck. You might think that children are more likely to get rib fractures than adults since they're smaller, but it's actually not the case. Talk to your surgeon or healthcare provider before resuming any physical activities while youre healing. See a healthcare provider or go to the emergency room if youre experiencing symptoms like pain and tenderness around your ribs and chest, or if you have trouble breathing. Here are 30 possible causes for this symptom. Battle CE, Hutchings H, Evans PA. Risk factors that predict mortality in patients with blunt chest wall trauma: A systematic review and meta-analysis. After consulting with your doctor, you can engage in low-impact exercises as they help reduce the rib fracture healing time. Your ribs are some of the strongest bones in your body, so its rare to fracture a rib without experiencing a major trauma like a car accident or fall. You cant move a part of your body that you normally can. A simple broken rib usually means that a person has a hairline fracture in one of the rib bones in the chest. Its rare to need surgery to repair a rib fracture, unless the injury that broke your rib damaged your internal organs. 2017;7(1):e013029. You might need bone grafting if your rib fracture is severely displaced or if your bone isnt healing back together as well as it should. Around 30% of people who experience a trauma to their chest break at least one rib. If possible, try to sleep in a more upright position for the first few nights after the injury. Failing to do so could result in further harm or even death. Anywhere from 3 weeks to 3 months may be normal. While it will probably hurt to cough (or even breathe normally) when you have a broken or bruised rib, doing these things will help prevent complications like pneumonia. Being less active and icing the area regularly can help with healing and pain relief. Healthline Media does not provide medical advice, diagnosis, or treatment. If your cat has a broken rib or sternum, they may have one or more of these symptoms: They cry or growl when the rib is touched. In addition to protecting your heart and lungs, your ribs also support many of the muscles in your upper body. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Other things that may help you recover from a broken or bruised rib include: Bruised, broken, and fractured ribs are not the same injury. During this time, avoid any activity that could cause further damage to the chest wall. The area over the sternum may be tender and hurt if touched. Accessed Oct. 25, 2022. Thank you, {{form.email}}, for signing up. Switch from ice to heat to ease pain once the swelling has gone down. How Are Bruised or Broken Ribs Diagnosed? Broken rib cartilage, also known as rib fractures, typically takes between 6 to 8 weeks to heal. Its rare to need surgery for a fractured rib. privacy practices. Half-a-dozen ribs: The breakpoint for mortality. How To Heal Broken Rib And . An individual who is experiencing pain after a simple fracture might consider taking an extra dose of their pain medicine or calling their doctor for another prescription. How do you sleep with multiple broken ribs? They found the following: Many of the earlier studies of mortality and rib fractures relied on CXR alone to diagnose the fractures. 2020;38(3):610-612. doi:10.1016/j.ajem.2019.10.021, Flores-funes D, Lluna-llorens AD, Jimnez-ballester M, et al. A multidisciplinary clinical pathway decreases rib fracture-associated infectious morbidity and mortality in high-risk trauma patients. Anatomy, thorax, wall. Blunt chest trauma from falls or motor vehicle collisions are a common reason for ED visits and a common source of rib fractures. doi:10.5090/kjtcs.2017.50.4.229, Fagevik Olsn M, Slobo M, Klarin L, Caragounis EC, Pazooki D, Granhed H. Physical function and pain after surgical or conservative management of multiple rib fractures - a follow-up study. When broken, the middle ribs cause pain and some difficulty breathing, but there is usually no risk of causing major injury. Bruising can take between 2-4 weeks to heal. Because car accidents often cause broken ribs, many people learn they have a broken rib in a hospital's emergency department. Some breaks may take longer to get better. A fractured rib refers to a break in one ofthe bones of the rib cage, or the break in the cartilage that forms the rib cage. Fatality risk and the presence of rib fractures. If your dog is suffering from a rib fracture, you need to take your pet immediately to a vet clinic for treatment. People often ask me if broken ribs can ever "heal inside". How Long Does It Take For Cracked Ribs To Heal In most cases, broken ribs usually heal on their own in one or two months. 4th ed. During the physical exam, a health care provider might press gently on the ribs, listen to your lungs and watch your rib cage move as you breathe. Wear the right protective equipment for all activities and sports. However, a CT scan is more sensitive and can diagnose a fracture more accurately. This is especially true because theyre usually caused by car accidents and other traumas. In: Fracture Management for Primary Care and Emergency Medicine. Trauma caused by repeating the same forceful motions can make you more susceptible to breaking a rib. Patients should also do . Scand J Surg. Bruising can take between 2-4 weeks to heal. Adequate pain management is critical in order to maintain breathing deeply and avoid lung problems such as pneumonia. Can a broken rib cause any complications? Make sure your home and workspace are free from clutter that could trip you or others. Striking or pressing on the fracture will cause pain for at least several weeks. Every patient is different and healing times vary, but generally fractured ribs and cracked sternums take around 4-6 weeks to fully heal. It will go over the most common causes of rib injuries, as well as how broken and bruised ribs are diagnosed and treated. Alternately, you can try to raise your arms and interlock your fingers. After a couple of weeks, you should begin to feel better. You may feel like something "popped" in your chest. Is it safe to exercise with a broken rib. The exercise consists of inhaling slowly and deeply, and thengradual exhaling, and do thisfor 2-3 minutes. She is also the author of "Ask Me About My Uterus: A Quest to Make Doctors Believe in Women's Pain.". Youll probably need to do some breathing exercises or cough on purpose every few hours while youre recovering. Kids' ribs are very flexible and it takes a lot of force to break them. A broken rib is considered to take at least 6 weeks to heal. Long-Term Recovery 1 Apply a warm compress after the first 2 days. Are your symptoms constant or do they come and go? The time it takes to heal a rib injury depends on how serious the injury is, your age, and your other medical problems. Because of this difficulty dating rib fractures, radiologists can usually only give a 'window' of when the fracture may have been caused (such as 'within the last 7-10 days' or 'between 2-4 weeks old') When a rib fracture is fresh, a parent or doctor may feel movement within the torso or hear crackling which is known as crepitus. 2020;46(2):435-440. doi:10.1007/s00068-018-1012-x, Hanak V, Hartman TE, Ryu JH. 2000;105(4):E48. It normally takes at least 6 weeks to repair a cracked rib. For example, a patient with 5 rib fractures likely sustained a significant trauma and may have other injuries such as intra-cranial bleeds, or other thoracic or abdominal injuries. By Mary Clark 17/06/2022 03/08/2022 03/08/2022 10:57 Mary Clark 17/06/2022 03/08/2022 03/08/2022 10:57 Flail chest. Get useful, helpful and relevant health + wellness information. If you have discomfort around your ribs, stop immediately and wait until you're healed. In these cases, the ribs will never heal up completely and will always be visible. It them mobilizes services such as physical and occupational therapists (PT/OT) to improve mobility, respiratory therapists(RT) for a Volume Expansion Protocol, nutrition consults, and nursing assessments among other things. Breathing with a broken rib can be painful. As more and more patients are imaged with CTs, the mortality of rib fractures may appear to fall, since more subtle fractures are picked up. Image Credits: 1, 2 and 3 derived from reference [1]. Scand J Trauma Resusc Emerg Med. This helps prevent pneumonia and keeps your lungs and chest moving like they usually do. By effectively reducing pain, rates of pneumonia and mortality may be reduced. "Broken" or "fractured" ribs both mean that the bones are involved in the injury. Simple rib fractures may easily be treated at home. Trouble walking or grooming themself. You may need prescription pain medicines (narcotics) to keep your pain under control while your bones heal. Since kids' ribcages are more flexible, it takes a lot to break a child's rib. Your doctor might recommend anti-inflammatory drugs or painkillers to help relieve your symptoms. Broken ribs normally heal on their own after one or two months. If anything causes you to feel pain around your ribs, stop immediately and hold off until youre healed. The injured area could be swelling or bruised. The pain of a broken or bruised rib can make you want to hold still. The X-ray will also reveal floating bone segments. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event. It will help to get some extra rest. Rib fractures like all bone fractures can affect anyone. If the pet has a fracture, he will be unable to walk or stand and will experience extreme pain and discomfort. An Evidence-Based Algorithm, Physical function and pain after surgical or conservative management of multiple rib fractures - a follow-up study, The effect of smoking on bone healing: A systematic review, When and how to image a suspected broken rib, Surgical management of rib fractures: Strategies and literature review, Rib fracture fixation: Indications and outcomes, Blunt thoracic trauma: flail chest, pulmonary contusion, and blast injury, Sharp pain (which may get worse when you twist at the waist, move your arms or shoulders, inhale, or cough), Swelling or visible bruising on your chest, Worsening shortness of breath or trouble breathing, More use of IV (intravenous) fluid right after the injury, Damage to nearby organs that causes bleeding in the chest cavity (, Play contact sports or sports repetitive upper-body motions, like rowing (stress fractures), Your provider is not sure about the diagnosis, The injury could make an existing medical condition worse, The trauma may have injured nearby organs. Talk to your provider about how you can keep your bones strong and healthy and get regular bone density screenings if youre older than 50 or have a family history of osteoporosis. Takingextra supplements of calcium, magnesium, vitamin D and multivitamins can not onlyspeed up thehealing, but also can strengthen the bones. Most of the time, fractured ribs heal on their own over the course of six weeks. This can provide some relief from the pain of moving the fractured rib.if(typeof ez_ad_units != 'undefined'){ez_ad_units.push([[300,250],'staminacomfort_com-medrectangle-3','ezslot_1',118,'0','0'])};__ez_fad_position('div-gpt-ad-staminacomfort_com-medrectangle-3-0'); In most cases, you will be instructed not to do anything that might reinjure the rib. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Most broken ribs heal on their own within six weeks. Pain management for a bruised or broken rib mostly involves ice packs, OTC pain medication, and finding positions that are comfortable for rest and sleep while you heal. The condition is usually caused by severe trauma, like a car accident. Though it may hurt, cough if you need to in order to clear your lungs. Foods which can interfere with the healing process, such as fast foods, sodas, refined carbohydrates and alcohol, should be avoided. How long does it take to heal? Talk to your provider about a bone density test if youre older than 50 or if you have a family history of osteoporosis. A single copy of these materials may be reprinted for noncommercial personal use only. There is a problem with However, two subsequent meta-analyses have found no significant improvement in rates of pneumonia, hospital length of stay, ventilator-dependent days, or mortality with epidural analgesia compared with traditional IV opioids [6,7]. The pain may get worse when you take a deep breath, cough, or sneeze. This may be in part due to other trauma. How long will it take 3 posterior rib fractures to heal? Cleveland Clinic is a non-profit academic medical center. Another less common cause of rib fractures is violent coughing, and such fractures often result from other underlying diseases like osteoporosis or cancer, which reduce the strength of the ribs. Critical Care Clinics. Duch P, Moller MH. Never stand on chairs, tables or countertops. After my wrist surgery over 4 months down the line the pain felt like it did on the first day, sometimes even worse. Application of ice packs to the site of rib fracture for at least 20 minutes every hour is one of the best way to deal with a rib fracture, which can help relieve the pain and swelling. There are different terms for rib injuries, depending on which structures are involved. Rib Fractures: To Fix or Not to Fix? Carrier FM, Turgeon AF, Nicole PC, et al. Once pain is under control, certain exercises can help you breathe more deeply. A rib fracture is the medical term for a broken rib. Interestingly, when the number of rib fractures reaches 5-6, the mortality rates become more comparable for younger and older groups. Chilled reusable gel packs, a plastic bag filled with ice or a bag of frozen vegetables may be used. Displaced fractures are much more likely to require surgery to repair. Trauma that's enough to break a rib is also more likely to have damaged organs as well. Then whatever it takes to get your vitamin D up - depending on global latitude- about an hour or more from 10am -3pm. With order to assist in pain management as the fracture heals, apply ice to the damaged region. Every patient is different and healing times vary, but generally fractured ribs and cracked sternums take around 4-6 weeks to fully heal. Multiple rib fractures are often associated with other injuries. Epidural analgesia improves outcome after multiple rib fractures. 2013;6(2):113116. How to Lower Your Risk of Fractures if You Have Osteoporosis. How long does it take a cracked rib to mend? Physiopedia. Causes of Rib Cage Pain, The Symptoms, Treatment, and Prognosis for Broken Ribs. This is a crucial part of treatmen, because if it hurts to breathe deeply, patients may develop pneumonia. They're most often treated at home, can be quite painful, and take 6 weeks to 3 months to heal. Chest trauma can also damage the sternum, spine, and abdominal organs. Comminuted fractures. Majercik S, Pieracci FM. If you are a Mayo Clinic patient, this could A physician can also prescribe medication if you're suffering from pain or anxiety attacks that don't seem to be going away. Your body needs adequate nutrition in order to recover from the injury. If the injury is a compound fracture, the broken bone might poke through the cat's skin. Overview. 2017;50(4):229234. As the protectors of your heart and lungs, your ribs are designed to withstand a lot. Risk factors for pneumonia following rib fractures. 2009;76(5):309-314. doi:10.3949/ccjm.76a.08026, de Jong MB, Kokke MC, Hietbrink F, Leenen LP. It takes about six weeks for broken ribs to heal on their own. The answer is that it depends on the severity of the breakage and whether other injuries are present. A "bruised rib" does not involve the bones of the ribcage while fractures (or breaks) do. Mortality and rates of pneumonia also increased with the number of fractures. There is no magic way of getting a bone to heal, because the body will heal it on its own in due time. Talk to your provider about how much activity you should do with a broken rib. This can be as simple as running a clean washcloth under warm water and laying it on your skin over your bruised ribs. Stretching workouts like yoga and Pilates help prevent muscle stiffness caused by a rib fracture. The patients with epidural analgesia also had half as many days on the vent (p<0.001). An injectable kind of anesthetic may assist numb the nerves directly surrounding the rib in the first few days after a rib is cracked. National Center for Biotechnology Information, U.S. National Library of Medicine: StatPearls. Step 1: Sit upright in a chair and lift your arms, bending your elbows to 90 degrees. . doi:10.5114/kitp.2018.78437, Bemelman M, de Kruijf MW, van Baal M, Leenen L. Rib Fractures: To Fix or Not to Fix? Rib injuries are not usually life-threatening on their own, but they can lead to serious complications. Afterwards, cough gently a few times and then dothe breathing exercise again. Last medically reviewed on August 28, 2018, Bruised ribs can make it painful to breathe and move and may affect lung health. It can take longer to recover if you experienced other internal injuries during a trauma. . You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. If you need stronger painkillers, talk to your healthcare provider. If you can't reach a doctor immediately, take ice packs to relieve and swelling. ALiEM by ALiEM.com is copyrighted as "All Rights Reserved" except for our Paucis Verbis cards and MEdIC Series, which are Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. In fact, they move every time you take a breath. During this time, you should avoid activities . In more extreme circumstances, the individual may be required to stay in the hospital. 2012;45(4):246250. nhs.uk/conditions/broken-or-bruised-ribs/, mayoclinic.org/tests-procedures/bone-scan/about/pac-20393136, mayoclinic.org/diseases-conditions/broken-ribs/symptoms-causes/syc-20350763, yalemedicine.org/conditions/rib-fracture/, How to Get Relief When You Have Bruised Ribs, 30 Causes for Chest Pain and When to Seek Help, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, All About Fractures of the 5th Metatarsal, What to Know About Distal Radius Fractures: Treatment, Recovery, and More, What to Know About a Stress Fracture in the Foot, What You Need to Know About a Broken Wrist, Everything You Need to Know About Treating and Rehabbing a Broken Ankle, contact sports, such as football or rugby, domestic abuse or other forms of personal violence, athletes who play contact sports or engage in frequent repetitive motions involving the chest or back, people with a rib that has a cancerous lesion, which can weaken the bone. One way that mortality and hospital LOS have been improved for patients with rib fractures is with a multidisciplinary clinical pathway algorithm approach [8] that involves early assessment of incentive spirometry volume, pain score, and cough strength. In some circumstances, plates and screws may be used to support the ribs while they recover. While you certainly wouldnt wish for a serious rib fracture, the benefits of having surgery with plates and screws typically include shorter healing time and less pain than leaving the ribs to heal on their own. A part of your body looks noticeably different or out of its usual place. After a physical exam, you might need at least one of a few imaging tests: How your rib fracture is treated depends on the severity of the original break. The bones of the ribcage and sternum can break (fracture), and the muscles supporting the ribcage can be strained (bruised). We strive to reshape medical education and academia in their evolution beyond the traditional classroom. Even if you can recover with at-home treatments, rib fractures can have life-threatening complications. To help manage the pain while the fracture heals: If you continue to experience pain after several weeks, see your doctor. Article Summary Medically reviewed by Jonas DeMuro, MD Last Updated: September 25, 2022 References Approved Research suggests that cracked ribs may heal on their own in 1 to 2 months, but broken ribs with a jagged edge usually require immediate medical treatment. It might range from 6 weeks to 6 months. Pain (especially when you breathe, cough or move your chest and upper body). Memory usage: 62616.0KB, How to Deal with a Bone Spur on the Top of Your Foot, 9 Best Double Chin Exercises That Work Fast, Open chest wound through which the bone shows, Painful, swollen, red or warm extremities. If you dont have any other internal injuries, youll probably be able to recover at home with over-the-counter medicine, icing and breathing exercises.
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