Tanzer, Michael MD, FRCSC; Noiseux, Nicolas MD, Editor(s): Hanssen, Arlen D MD, Guest Editor. Materials and methods: 15. In the 14 patients with an isolated labral tear, three had no symptoms, eight had mild pain, and three had moderate pain at a minimum 1 year followup. A feature of X-linked conditions is affected girls cannot inherit the mutation from their fathers. official website and that any information you provide is encrypted work review. What can an Osseous abnormality be? Ferguson SJ, Bryand JT, Ganz R, Ito K: The acetabular labrum seal: a poroelastic finite element model. The abnormality will fall along a spectrum ranging from tissue that closely resembles normal bone and which are no cause for alarm, to that which is very distinct from bone and worthy of further investigation to determine a diagnosis and guide treatment. (B) Note the loss of anterior femoral offset and the formation of an anterior neck osteophyte from repetitive anterior impingement (arrow). The slip angle was mild in 97% of the cases and moderate in 3%. The FLNAgene mutation that causes terminal osseous dysplasia changes a single DNA building block (nucleotide), which alters the way the blueprint for making the filamin A protein is put together. The arthritic changes were primarily located in the anterior-lateral region of the hip joint in 22% of the cases (Figs 4, 5). Repetitive anterior femoroacetabular impingement resulted in anterior groin pain, labral tears, chondral damage and eventually arthritis. other imaging tests that can help better assess the finding or getting a follow up imaging test to relook at the finding after a period of time. Unable to load your collection due to an error, Unable to load your delegates due to an error. ous ( os'-s) Bony, of bonelike consistency or structure. Arthroscopy 16:11-15, 2000. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. The term "tumor" does not indicate whether an abnormal growth is malignant (cancerous) or benign, as both benign and malignant lesions can form tumors in the bone. This usually means that the radiologist looked but did not find any problems to tell your doctor. Subchondral bone is the layer of bone just below the cartilage. There are many different types, Read More Fluid Collection on UltrasoundContinue. (C) Photograph at the time of surgical dislocation shows the femoral head and neck osteophytes. In no cases did the arthritic changes affect primarily the posterior aspect of the hip joint. The contralateral hip was also examined for the presence of a pistol-grip deformity with or without signs of OA. The two hips with preoperative degenerative changes have not deteriorated, and the other hips have not developed radiographic changes of arthritis. The main impingement syndromes are anterolateral, anterior, anteromedial, and posterior impingement. You may be trying to access this site from a secured browser on the server. The tumors may reappear after being removed, but they tend to go away and stop reoccurring in childhood. Ganz R, Gill TJ, Gauthier E, et al: Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. The most common osseous spur that projects between the middle and inferior turbinate arise from the bony septum. Therefore, it is not surprising that excision of the torn portion of the acetabular labrum without addressing the femoral neck impingement resulted in residual symptoms in the vast majority of our patients. 17. Azakli H, Akkaya AD, Aygun MS, Demirkesen C, Eraslan S, Kayserili H. Terminal Correlate Clinically- What Does It Mean? Terminal osseous dysplasia is inherited in an X-linked dominant pattern. Tonnis D, Heinecke A: Current concepts review-acetabular and femoral anteversion: relationship with osteoarthritis of the hip. Clin Radiol 27:355-363, 1976. The patients with associated acetabular or global arthritis were, on average, 6 years older than overall group. The tear was located at the area of impingement in eight cases and located posteriorly where the femoral head would lever against the acetabulum with anterior impingement in one case. does that mean my back is clear? It is a member of a group of related conditions called otopalatodigital spectrum disorders, which also includes otopalatodigital syndrome type 1, otopalatodigital syndrome type 2, frontometaphyseal dysplasia, and Melnick-Needles syndrome. Two of the six patients with associated acetabular arthritic changes had acetabular dysplasia. Joint effusion is a medical condition where the space between the bones of a joint accumulates excess fluid. Does No News Mean Good News For A CT Scan Results. No acute osseous abnormality is only used when we dont see a fracture. When X-inactivation does not occur randomly, it is called skewed X-inactivation. 8600 Rockville Pike Doctors typically provide answers within 24 hours. Seven patients (7 hips) had locking and or buckling of their hip, one patient (1 hip) had only clicking and two patients (2 hips) had no mechanical symptoms. Cheilectomy for impingement of a prominence of the anterosuperior aspect of the femoral neck against the acetabulum has been described by Heyman12 in 1949 for the late treatment of slipped capital femoral epiphysis. Views expressed in the examples do not represent the opinion of Merriam-Webster or its editors. 8600 Rockville Pike Terminal osseous dysplasia is caused by a single sharing sensitive information, make sure youre on a federal MedlinePlus also links to health information from non-government Web sites. Fitzgerald7 had observed similar evidence of femoral impingement at the time of hip arthrotomy for labral tears, but the relevance of these findings was not recognized. Santori N, Villar RN: Acetabular labral tears: result of arthroscopic partial limbectomy. In fact, every hip with idiopathic arthritis in our study had a pistol-grip deformity. What Does Hypermetabolic Mean on PET Scan? This is known as a metastatic lesion. Three hips with global arthritis, and one with anterior arthritis required a THA. People with this condition have bones that break (fracture) easily, often from mild trauma or with no apparent cause. Sometimes the report does not answer the clinical question, and more exams may be needed. A chest CT will cover only partially the spine with no views of the lower spine. U.S. Department of Health and Human Services, Terminal osseous dysplasia and pigmentary defect syndrome, Terminal osseous dysplasia and pigmentary defects, Terminal osseous dysplasia with pigmentary defects, Terminal osseous dysplasia-pigmentary defects syndrome. FOIA may email you for journal alerts and information, but is committed Some fractures can not be seen on X-rays. Imaging is often helpful in determining a diagnosis, and it can sometimes make a particular diagnosis nearly certain. The patients pacemaker for an unrelated heart condition is also visible. A bone lesion is considered a bone tumor if the abnormal area has cells that divide and multiply at higher-than-normal rates to create a mass in the bone. SP, Baroncini A, Franco B, Basel-Vanagaite L, Horii E, Drut R, Ariyurek Y, den Further studies are necessary in order to determine if osseous abnormalities associated with CL injury influence prognosis for return to performance. Discuss the fees associated with your prescribed procedure with your doctor, the medical facility staff and/or your insurance provider to get a better understanding of the possible charges you will incur. 13. Because our patients had no symptoms during adolescence, we propose that the deformity is secondary to either a subclinical slip, or more likely, caused by a developmental deformity that occurs during growth. sharing sensitive information, make sure youre on a federal All patients had severe anterior groin pain with flexion, adduction, and internal rotation of the hip (impingement test) that reproduced their acute hip pain.15 Preoperative radiographs, including an AP, frog lateral and a true lateral radiograph of the hip showed a loss of anterior femoral offset in every case. An Osseous abnormality is therefore one of bones. Primary or idiopathic arthritis remains the most common cause of hip arthritis.10 There is increasing evidence that all idiopathic hip arthritis may be secondary to subtle, previously underestimated or unrecognized femoral or acetabular pathology.10,11,26 This study clearly establishes that impingement between the anterior femoral neck and the adjacent acetabulum is a common cause of hip pain, labral tears, and arthritis. A pistol grip deformity is one such hip deformity where there is an anterior femoral offset deficiency. Typically, the radiologist sends the report to the person who ordered your test, who then delivers the results to you. How are benign and malignant lesions diagnosed? Because it is used for documentation purposes, this section is not typically useful for you or your doctor. 2009 Nov;41(8):794-9. doi: 10.2746/042516409x452170. Heyman CH: Treatment of slipping of the upper femoral epiphysis: a study of results of 42 cases. We often mean we dont see a fracture or infection on X-rays. Repetitive anterior femoroacetabular impingement resulted in anterior groin pain, labral tears, chondral damage and eventually arthritis. MeSH Wolters Kluwer Health 8. In the presence of a pistol-grip deformity, hip impingement is exacerbated by the loss of sphericity of the anterior femoral head at the head-neck junction. This is a message for your, Read More Correlate Clinically- What Does It Mean?Continue, Please read the disclaimer Metastatic bones lesions are identified when a cancer has spread from its primary site. Collateral desmitis of the distal interphalangeal joint in 18 horses (2001-2002). Online access to your health records may help you make more informed decisions about your healthcare. Metastatic cancer can spread to many, Read More Metastatic Bone Lesions on CTContinue, Please read the disclaimer No it does not. This condition needs to be monitored because sometimes it is an . Damage to the anterior acetabular labrum, rim, and articular cartilage from the femoral head-neck region impinging against the anterior acetabulum during normal motion has been reported after femoral neck malunion, slipped capital femoral epiphysis (SCFE) and Legg-Calv-Perthes (LCP) disease.4,17,21,24. There was a higher incidence of osseous abnormalities medially than laterally and at the ligament insertion than at the origin. Four of these patients also had mild acetabular dysplasia. What does it mean if a disorder seems to run in my family? Lesions in the bone are usually identified on radiographic images chiefly X-rays but also on CT and MRI scans. Three hips (3 patients) had already developed mild to moderate arthritic changes. More chronic abnormalities may be present however and will usually be described in the report. This impingement results in a spectrum of injury ranging from anterior hip pain, labral tears, damage to the acetabular articular cartilage and idiopathic arthritis. The evidence from this study shows that anterior hip impingement is a common etiology of hip disease. All patients complained of moderate groin and had a mean Harris Hip Score of 69. In multiple myeloma does the absence of osseous lesions mean anything? PMC The https:// ensures that you are connecting to the The onset of symptoms was classified according to Byrd and Jones as traumatic if there was a major trauma such as a violent impact or dislocation, acute if there was a twisting episode or well-defined precipitating event, or insidious if there was a gradual onset of worsening symptoms.3 In each case, an anteroposterior (AP) pelvis and AP, lateral and frog lateral hip radiographs were evaluated for abnormalities of the femur and/or acetabulum and arthritic changes. With medical big data and AI algorithms . Yes. It means degenerative joint disease of bone. There would be a higher incidence of osseous abnormality at the insertion of an injured CL than at the origin; and a relationship between the presence of osseous abnormality and duration of lameness. Osseous abnormalities associated with collateral ligament (CL) injury of the distal interphalangeal (DIP) joint have been documented using magnetic resonance imaging (MRI) but there is currently limited information about the frequency of osseous pathology associated with CL injury. GeneReviews(R) [Internet]. Once the report is complete, the radiologist signs it, and sends the report to your physician. Aust Vet J. findings. to maintaining your privacy and will not share your personal information without Metastatic Bone Disease. FOIA The final Harris Hip Score was 90 (range, 69-100). The labral tear caused by repetitive impingement can be seen in the distance. The term "osteogenesis imperfecta" means imperfect bone formation. HHS Vulnerability Disclosure, Help Two hundred consecutive patients (200 hips) having primary THA were prospectively followed and included in this study. There was a higher incidence of osseous abnormalities medially than laterally and at the ligament insertion than at the origin. No acute osseous abnormality is more commonly used to indicate nothing is seen on an X-ray that has happened recently or is serious. and transmitted securely. J Bone Joint Surg 84A:556-560, 2002. HHS Vulnerability Disclosure, Help In this section, the radiologist summarizes the findings and reports the most important findings that they see and possible causes (this is called a differential diagnosis) for those findings. Bone disease, any of the diseases or injuries that affect human bones. Fluid collections can occur in many different parts of the body. Reasons for performing study: X-ray example of a biopsy being performed on a lesion in the distal femur (lower thighbone). Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Prehabilitation and Rehabilitation Program for Patients Undergoing Arthroscopic Acetabular Labral Repair: A Comprehensive 5-Phase Patient-Guided Program. We call these acute if the abnormality happened recently. Myeloma cells inhibit your body's ability to fight infections. 21. The average duration of symptoms before arthroscopy was 22 months (range, 4-72 months). This is another way of saying normal. Multiple myeloma can also affect your bones, leading to bone pain, thinning bones and broken bones. How to use a word that (literally) drives some pe Editor Emily Brewster clarifies the difference. Clinical Orthopaedics and Related Research429:170-177, December 2004. To locate a medical imaging or radiation oncology provider in your community, you can search the ACR-accredited facilities database. Many patients can now access their electronic health records online. Med. Clin Orthop 418:67-73, 2004. Dr. Silviu Pasniciuc answered Peter VG, O'Keeffe TA, Smith LCR, Schweizer-Gorgas D. Front Vet Sci. Anteroposterior (front-to-back) X-ray view of a chondrosarcoma (malignant bone tumor) in right proximal humerus (upper arm bone). These individuals can have a number of birth marks on the skin. Klaue K, Durnin CW, Ganz R: The acetabular rim syndrome. With future developments in arthroscopic technology, arthroscopic cheilectomy of the femoral head-neck region should routinely be done at the time of labral surgery. It allows your ordering provider to explain what symptoms you are having and why they are ordering the radiology test. Hear a word and type it out. This website does not provide cost information. Please contact your physician with specific medical questions or for a referral to a radiologist or other physician. The anatomic configuration of the femoral head and neck facilitates movement of the hip joint and allows the leg to swing clear of the pelvis. Conclusions: Available from does that mean my back is clear? Mildly affected mothers may also have the mutation in some, but not all, of their body cells, which is known as somatic mosaicism. Diagnosisof Fibrous dysplasia. 2016 Sep 5;3:73. doi: 10.3389/fvets.2016.00073. of the first reported family, characterization of the radiological phenotype, and Femora with a pistol-grip deformity are susceptible to impingement because of the decreased anterior head-to-neck diameter ratio associated with this deformity. 1989 Apr;5(1):161-78. doi: 10.1016/s0749-0739(17)30609-0. Goodman DA, Feighan JE, Smith AD, et al: Subclinical slipped capital femoral epiphysis. (A) A 67-year-old man with a pistol-grip deformity and severe arthritis is shown. PMC Our understanding of bone cancer continues to progress, but there is no simple way to predict who will develop bone cancer or when it will develop. This section usually shows the date, time, and type of exam. what doea it mean? The phase IV clinical study is created by eHealthMe based on reports from the FDA, and is updated regularly. This was accomplished through three separate but closely related studies: (1) an arthroscopic labral tear study of 38 patients who had hip arthroscopy for a labral tear (2) a hip cheilectomy study of 10 patients who had a cheilectomy for anterior femoroacetabular impingement and (3) an idiopathic arthritis study of 200 consecutive patients having THA. Anteroposterior pelvis and AP, lateral and frog lateral hip radiographs were evaluated for abnormalities of the femur and/or acetabulum. The term "tumor" does not indicate whether an abnormal growth is malignant (cancerous) or benign, as both benign and malignant lesions can form tumors in the bone. 2004 Dec;(429):157-62. doi: 10.1097/01.blo.0000150118.42360.1d. Malignant lesions, more commonly referred to as cancer, are lesions which may form and develop in the bone but have the capacity to spread to other areas of the body and continue to grow. Osteoarthritis in the spine most commonly occurs in the neck and lower back. Arthroscopy 15:132-137, 1999. What does chronic osseous in my lungs mean? Metastatic cancer has a worse prognosis. osseous dysplasia with pigmentary defects (TODPD) in a Turkish girl with new skin https://medical-dictionary.thefreedictionary.com/osseous. Many individuals with the condition have dark patches of skin on their face, often near the temples. Repetitive anterior femoroacetabular impingement resulted in anterior groin pain, labral tears, chondral damage and eventually arthritis. In the hip proceedings of the third open scientific meeting of the hip society 212-228 St. Louis, CV Mosby, 1975. These syndromes can cause severe conditions such as anemia , frequent infections, and uncontrolled bleeding. At the time of hip arthrotomy, flexion, adduction, and internal rotation of the femur always resulted in impingement of the anterior femoral head-neck region on the anterior acetabular rim, in the region where arthritic changes and/or a labral tear was present. Naessig S, Kucharik M, Meek W, Eberlin C, Martin S. Orthop J Sports Med. Although the terms pistol-grip and post-slip deformity have been used synonymously, the former describes the radiographic appearance, whereas the latter may correctly or incorrectly describe the etiology of the deformity.25 A pistol grip deformity is characterized radiographically by flattening of the usually concave surface of the femoral head, a bump on the anterolateral surface of the femoral neck, a medial hook and failure of the femoral head to be centered over the femoral neck.11,25 In its more milder forms, a pistol grip deformity may lack the flattening and bump on the lateral femoral neck, but show the displacement of the femoral head and hook on the frog lateral view of the hip.11 A pistol grip deformity has been attributed to SCFE and LCP disease, and as a result of osteophyte formation and bone remodeling of the osteoarthritic hip.22,25 This deformity has been thought to cause OA because of the loss of congruency of the femoral head.19,22,25 More recently, it has been hypothesized that a pistol-grip deformity may actually cause arthritis by impinging and wearing the anterior acetabular region, which eventually progresses to global OA.1,10,19. doi: 10.5435/JAAOSGlobal-D-20-00213. Data is temporarily unavailable. Arthroscopic surgery to treat intra-articular type snapping hip. At a mean followup of 26 months (range, 12-54 months), one patient no longer had any pain; six patients had only slight, occasional pain; and two patients had mild, intermittent groin pain. All patients had acute episodes of severe pain with activities that required hip flexion. My doctor commented the osseous structures are remarkable for mild degenerative changes of the spine. Disclaimer, National Library of Medicine The information below helps explain the typical parts of a radiology report. Byrd and Jones3 found also that the majority (82%) of the labral tears in their patients occurred in the absence of an injury and have postulated that many labral tears may occur in the presence of an abnormal hip joint. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. (B) Arthroscopic image of the anterior femoral neck and osteophyte are shown. We call these acute if the abnormality happened recently. Arthritic changes were identified on the preoperative xrays of 16 patients (43%). 1. 25. In 11 (69%) of theses hips, the arthritic changes were anterior and in five cases, (31%) it was global. Rab GT: The geometry of slipped capital femoral epiphysis: Implications for movement, impingement, and corrective osteotomy. (D) The loss of anterior offset (arrow) has resulted in arthritic changes in the anterior hip joint, anterior femoral neck osteophyte formation (arrow), and preservation of the posterior joint space. Bethesda, MD 20894, Web Policies Hoaglund FT, Steinbach LS: Primary osteoarthritis of the hip: Etiology and epidemiology. Would you like email updates of new search results? Diseases and injuries of bones are major causes of abnormalities of the human skeletal system. Based on the clinical and radiographic evaluations, all the patients were diagnosed as having anterior hip impingement and underwent a surgical dislocation of the hip.8 The presence and the site of femoroacetabular impingement and labral tears was assessed. Terminal osseous dysplasia is caused by a mutation in theFLNAgene. Li Z, Xie Y, Xiao Q, Wang L. Terminal osseous dysplasia with pigmentary Same with infections. Sometimes, the radiologist will compare the new imaging exam with any available previous exams. The mean age of the patients at the time of surgery was 38 years (range, 23-63 years). 23. Certain rare conditions like Pagets disease or Maffuccis syndrome place a person at higher risk to develop bone cancer, but most develop spontaneously. Who gets benign bone lesions and who gets malignant lesions? These example sentences are selected automatically from various online news sources to reflect current usage of the word 'osseous.' What is means of the osseous structure and soft tissues are unremarkable? Sometimes we do not know what the osseous abnormality is and recommend additional imaging like CT or MRI. Osseous abnormality is therefore a medical way of saying an abnormality of bone. The information on this site should not be used as a substitute for professional medical care or advice. Anterior neck osteophytes and insufficient anterior femoral offset was the source of impingement in 9 cases (Fig 3). eCollection 2022 Feb. De Pieri E, Friesenbichler B, List R, Monn S, Casartelli NC, Leunig M, Ferguson SJ. Outside links: For the convenience of our users, RadiologyInfo.org provides links to relevant websites. It is usual wear and tear of bones with age. Accessibility When each letter can be seen but not heard. A bone scan may also be ordered. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Medial collateral ligament desmitis of the distal interphalangeal joint in the hindlimb of a horse: treatment with cast immobilisation. Osseous abnormality does not tell us a diagnosis, only that there is an abnormality seen in the bone. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. Anterior femoroacetabular impingement: a diverse disease with evolving treatment options. Seven patients (7 hips) had no previous difficulties with their hip, whereas three (3 hips) patients were known to have LCP disease treated nonoperatively. Malignant bone lesions, or bone cancer, occurs when a cell in the bone is able to multiply without restraint and evade the bodys defenses to destroy this abnormal tissue. All radiographic views were also assessed for the presence of osteophytes, sclerosis, and subchondral cysts of the femoral neck, particularly anteriorly. Benign lesions usually develop during growth and development, and so they are often diagnosed in younger patients. Osteonecrosis: Without blood, bone tissue dies, a disease called osteonecrosis. Thirty-eight consecutive patients who had a hip arthroscopy and were found to have a labral tear were prospectively followed and included in this study. The etiology of the arthritis was avascular necrosis in 38 (19%), traumatic in 14 (7%), developmental dysplasia in 10 (5%), rheumatoid arthritis in eight (4%), protrusio in three (2%) and Legg-Perthes disease in two (1%). One of the more important is the patient location when, Read More How Long Before An X-ray Report is Available?Continue, Please read the disclaimer Hypermetabolic on PET scan means that the tissue lights up or is hotter because it is more active then the background tissues. We call these chronic osseous abnormalities if they happened a while back or have been present for a long time. Osseous abnormalities can represent many different kinds of abnormalities. Clipboard, Search History, and several other advanced features are temporarily unavailable. In males (who have only one X chromosome), a mutation in the only copy of the gene in each cell is thought to be lethal very early in development.. Other signs and symptoms can occur in people with terminal osseous dysplasia, including extra oral frenulae, which are the thin pieces of tissue in the mouth that connect the inside of the lips to the gums; widely spaced eyes; and hair loss. Filamin A also links actin to many other proteins to perform various functions within the cell. Magnetic resonance images of 313 feet of 289 horses with foot pain and a definitive diagnosis of collateral desmopathy of the DIP joint were analysed retrospectively for presence and type of osseous abnormality in the middle and distal phalanges. There was a significant association between presence of IRU and osseous injury. Sixty-eight percent of those patients in their 50s, 69% of those in their 60s, 74% of those in their 70s, and 100% of those in their 80s required a THA for arthritis secondary to a pistol-grip deformity. This report may contain complex words and information. 9. The site is secure. Radiographic Identification of Osseous Cyst- Like Lesions in the Distal Phalanx in 22 Lame Thoroughbred Horses Managed Conservatively and Their Racing Performance. 42260; Fax: 514-934-8283; E-mail: [emailprotected]. An old-fashioned rule we can no longer put up with. Please enable it to take advantage of the complete set of features! Some of the bone abnormalities may be referred to as osseous abnormalities. Skin abnormalities are also common in terminal osseous dysplasia. It is always a good idea to get any prior imaging exams from other hospitals/facilities and provide them to the radiology department where you are having your test. Please try after some time. Acta Orthop Scand 71:370-375, 2000. The remaining 125 patients (62%) were found to have idiopathic arthritis. In all 125 cases (100%), a pistol-grip deformity was present (Fig 4). Epub 2020 Jan 9. Subchondral sclerosis is seen on X-ray as increased bone density, frequently found adjacent to joint space narrowing. 2005 Nov 30 The right hip was affected in 24 cases and the left in 14. Hip impingement also has been shown to occur in the presence of abnormal hip anatomy. Some error has occurred while processing your request. J Bone Joint Surg Am. Osteoarthritis is the most common form of arthritis. Some people with this condition have an abnormality in the muscular wall (septum) that separates the right and left sides of the heart (cardiac septal defect). The degree of slip was mild in 81%, moderate in 14%, and severe in 5% of the hips. 2019 Jan;179(1):123-129. doi: 10.1002/ajmg.a.60686. Leunig M, Casissas MM, Hamlet M, et al: Slipped capital femoral epiphysis early mechanical damage to the acetabular cartilage by a prominent femoral metaphysis. if it was clear..can i safely assume no cancer is present? Dyson SJ, Murray R, Schramme M, Branch M. Equine Vet J. Entheseous new bone and endosteal irregularity of the middle and distal phalanges were the most frequent types of osseous abnormality. The radiologist writes the report for your provider who ordered the exam. They can affect a part of your limb or the entire limb. This section offers the most important information for decision-making.
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