Accidents - Crutches, canes or walkers - Year 2004 - Lower Leg

Number Of Accidents (Estimate): 2,294
See also: Other years, Other products, Other body parts.

Accidents - Age:

6-15 years old:	121
16-25 years old:	31
26-50 years old:	332
50+ years old:	1,809

Accidents - Sex

Accidents - Race

National Electronic Injury Surveillance System Accidents Records

Date: 12/28/2004	Age: 83 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Fracture
Product: Crutches, canes or walkers
RIGHT TIBIAL FX. PT FELL WHEN USING A WALKER.
Disposition: Treated and released or examined and released without treatment

Date: 12/24/2004	Age: 93 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Laceration
Product: Crutches, canes or walkers
WALKING W/WALKER, TRIPPED, FALLING AND HIT R LEG ON WALKER. DX. LAC R LEG, CONT R LEG.
Disposition: Treated and released or examined and released without treatment

Date: 12/14/2004	Age: 45 years	Sex: Male	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers, Floors or flooring materials
45 YO WALKING W/WALKER LOST BALANCE AND FELL ON FLOOR CONTUSION LEG
Disposition: Treated and released or examined and released without treatment

Date: 12/04/2004	Age: 19 years	Sex: Male	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers
CONTUSION TO LEG WHEN FELL WHEN USING A WALKER
Disposition: Left without being seen/Left against medical advice (AMA)

Date: 11/23/2004	Age: 84 years	Sex: Female	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Laceration
Product: Crutches, canes or walkers
PT SUS LACERATION TO LOWER LEG BY A WALKER
Disposition: Treated and released or examined and released without treatment

Date: 11/22/2004	Age: 63 years	Sex: Female	Race: Black/African American
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Other
Product: Crutches, canes or walkers
RIGHT LOWER EXT CELL. PT FELL WHEN WALKING WITH A WALKER INJURING LEG
Disposition: Treated and released or examined and released without treatment

Date: 11/14/2004	Age: 38 years	Sex: Female	Race: Black/African American
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers
38 YO FEMALE WAS HIT IN LEG WITH CRUTCH CONTUSION LEFT LOWER LEG
Disposition: Treated and released or examined and released without treatment

Date: 11/04/2004	Age: 80 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Other
Product: Crutches, canes or walkers
LEG PAIN. PT WAS USING A WALKER AND DEVELOPED PAIN IN LEG.
Disposition: Treated and released or examined and released without treatment

Date: 11/01/2004	Age: 10 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Fracture
Product: Crutches, canes or walkers
FEMUR FX 3 MO AGO, HAD SURGERY, PLAYING YESTERDAY AND FELL USING WALKE R AT HOME; TIBIA/FIBULA FX.
Disposition: Treated and released or examined and released without treatment

Date: 10/25/2004	Age: 48 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Fracture
Product: Crutches, canes or walkers
PT WALKS WITH CANE AND TRIPPED AND FELL INJURING LEG
Disposition: Treated and released or examined and released without treatment

Date: 10/23/2004	Age: 92 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Fracture
Product: Crutches, canes or walkers
PT. STATES SHE TRIPPED WHILE WALKING W/WALKER. DX. FX L PROX. FIBULA, SPRAIN L KNEE, NON-DISPLACED.
Disposition: Treated and released or examined and released without treatment

Date: 10/19/2004	Age: 69 years	Sex: Female	Race: Not stated in ER record
Location: Other public property		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Laceration
Product: Crutches, canes or walkers
FELL AND CUT LEG ON WALKER - LACERATION LEFT LOWER LEG
Disposition: Treated and released or examined and released without treatment

Date: 10/19/2004	Age: 12 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers
PT PLAYING WITH SISTERS WHILE ON CRUTCHES FELL INJURING LT LEG, CONTU SION
Disposition: Treated and released or examined and released without treatment

Date: 10/16/2004	Age: 77 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Laceration
Product: Crutches, canes or walkers, Counters or countertops
PT WALKING WITH A WALKER, IT COLLAPSED PT HIT RT LOWER LEG ON COUNTER. LAC LOWER LEG
Disposition: Treated and released or examined and released without treatment

Date: 10/16/2004	Age: 79 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Laceration
Product: Crutches, canes or walkers
PT WALKING WITH A WALKER AT HOME WHEN SHE FELL STRIKING RIGHT LOWER LEG AGAINST THE WALKER LACERATION LOWER LEG
Disposition: Treated and released or examined and released without treatment

Date: 10/11/2004	Age: 84 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Fracture
Product: Crutches, canes or walkers, Floors or flooring materials
PT WAS WALKING WITH WALKER AND FELL STRIKING LEG ON FLOOR
Disposition: Treated and admitted for hospitalization (within same facility)

Date: 10/08/2004	Age: 63 years	Sex: Female	Race: Other
Location: Other public property		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Fracture
Product: Crutches, canes or walkers
PT IN NUSING HOME AND SLIPPED WITH WALKER STRIKING TIBIA LEFT C/O PAIN LEFT TIBIA FRACTURE
Disposition: Treated and released or examined and released without treatment

Date: 10/05/2004	Age: 89 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Other
Product: Crutches, canes or walkers
FELL ON WALKER @ HOME, NOW HAS CELLULITIS LOWER LEG
Disposition: Treated and released or examined and released without treatment

Date: 10/01/2004	Age: 83 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers
PT WALKING FOOT CAUGHT IN WALKER INJURING SHIN DX CONTUSION SHIN
Disposition: Treated and released or examined and released without treatment

Date: 09/30/2004	Age: 86 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Laceration
Product: Crutches, canes or walkers
PT. TRIPPED & BUMPED LEG ON HER WALKER LEG LACERATION
Disposition: Treated and released or examined and released without treatment

Date: 09/24/2004	Age: 16 years	Sex: Female	Race: Black/African American
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Other
Product: Crutches, canes or walkers, Doors
PT FELL TODAY USING CRUTCHES AND OPENING DOOR. DX: R SHIN PX.
Disposition: Treated and released or examined and released without treatment

Date: 09/18/2004	Age: 82 years	Sex: Female	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Laceration
Product: Crutches, canes or walkers, Tables
WHEEL OF WALKER CAUGHT EDGE OF TABLE AND SHE FELL TEARING SKIN ON LOWER LEG
Disposition: Treated and released or examined and released without treatment

Date: 09/16/2004	Age: 73 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Laceration
Product: Crutches, canes or walkers
LOWER LEG LAC-@ HOME-TRIPPED ON CRUTCHES
Disposition: Treated and released or examined and released without treatment

Date: 09/09/2004	Age: 10 years	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Other
Product: Crutches, canes or walkers, Chairs
PT FELL OFF CHAIR, LEG PAIN, USES WALKER, DX INABILITY TO AMBULATE, LEG PAIN
Disposition: Treated and admitted for hospitalization (within same facility)

Date: 08/24/2004	Age: 69 years	Sex: Female	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Laceration
Product: Crutches, canes or walkers
FELL AND STRUCK LEG ON WHEELS OF WALKER - RIGHT LOWER LEG LACERATION
Disposition: Treated and released or examined and released without treatment

Date: 08/10/2004	Age: 61 years	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Fracture
Product: Crutches, canes or walkers
SPIRAL FX PROXIMAL TIB,FIB - FELL WHEN WALKING WITH WALKER
Disposition: Treated and admitted for hospitalization (within same facility)

Date: 08/04/2004	Age: 12 years	Sex: Male	Race: White
Location: School		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Fracture
Product: Crutches, canes or walkers
PT C/O FALL. PT FLL WALKING ON CRUTCHES. DX FX NONUNION TIBIA SHAFT FIB ULA SHAFT.
Disposition: Treated and released or examined and released without treatment

Date: 07/29/2004	Age: 80 years	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Fracture
Product: Crutches, canes or walkers
FX R DISTAL FIB & TIB/80YOF TWISTED R LEG WHILE WALKING USING HER WALKE R TODAY. C/O PAIN R LOWER LEG & ANKLE.
Disposition: Treated and admitted for hospitalization (within same facility)

Date: 07/27/2004	Age: 82 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers
CONTUSION TO LEG WHEN FELL WHEN WALKING WITH A WALKER
Disposition: Treated and released or examined and released without treatment

Date: 07/24/2004	Age: 74 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Laceration
Product: Crutches, canes or walkers
PT TRIPPED OVER WALKER CUTTING LOWER LEG DX LAC LOWER LEG
Disposition: Treated and released or examined and released without treatment

Date: 07/16/2004	Age: 12 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Fracture
Product: Crutches, canes or walkers
SLIPPED USING CRUTCHES DX: ADMIT FOR FX LEG
Disposition: Treated and admitted for hospitalization (within same facility)

Date: 07/13/2004	Age: 85 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Other
Product: Crutches, canes or walkers
LEFT LEG PAIN. PT WAS USING A WALKER INJURING LEG
Disposition: Treated and released or examined and released without treatment

Date: 07/04/2004	Age: 55 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers
LOWER LEG CTS-@ HOME-LOST BALANCE W/ WALKER-FELL
Disposition: Treated and released or examined and released without treatment

Date: 06/23/2004	Age: 51 years	Sex: Female	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers, Chairs
USING A WALKER AND TRANSFERRING TO CHAIR AND FELL ABRADING SHIN
Disposition: Treated and released or examined and released without treatment

Date: 06/23/2004	Age: 79 years	Sex: Female	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers
79 YOF USING WALKER FELL CONTUSION LOWER LEG
Disposition: Treated and released or examined and released without treatment

Date: 06/21/2004	Age: 78 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Other
Product: Crutches, canes or walkers
ACUTE LEFT LEG WEAKNESS - FELL WHILE WALKING WITH WALKER
Disposition: Treated and released or examined and released without treatment

Date: 06/02/2004	Age: 82 years	Sex: Female	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers, Doors
FELL WHEN WHEELS OF WALKER CAUGHT IN DOOR FELL LOWER LEG PAIN.... CONTUSION AND MILD CELLULITIS TO RLE
Disposition: Treated and released or examined and released without treatment

Date: 05/31/2004	Age: 51 years	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers
R LOWER EXTREMITY CONTUSION - LOST BALANCE AND FELL WHEN USING CRUTCHES
Disposition: Treated and released or examined and released without treatment

Date: 05/29/2004	Age: 90 years	Sex: Female	Race: Other
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Fracture
Product: Crutches, canes or walkers, Toilets
PT C/O FALL. PT FELL TRANSFERRING FROM WALKER TO TOILETS DX CONT TO HEA D LFT FIB FX.
Disposition: Treated and released or examined and released without treatment

Date: 05/21/2004	Age: 78 years	Sex: Male	Race: Other
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers
PT TRIPPED OVER WALKER INJURED LOWER LEG HAD SOME REDNESS WITH SWELLING DX: CONTUSION LOWER LEG
Disposition: Treated and released or examined and released without treatment

Date: 05/16/2004	Age: 52 years	Sex: Female	Race: Other
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Laceration
Product: Crutches, canes or walkers
FELL AND CUT AREA BEHIND L KNEE, WAS USING WALKER DX: 3 CM LEG LAC
Disposition: Treated and released or examined and released without treatment

Date: 05/15/2004	Age: 96 years	Sex: Female	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers
FELL THIS AM, WALKING WITH WALKER DX MULTIPLE LOWER LEG ABRASIONS
Disposition: Treated and released or examined and released without treatment

Date: 05/07/2004	Age: 90 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Fracture
Product: Crutches, canes or walkers
WALKER SLIPPED FROM GRASP DX. TIBIA FX
Disposition: Treated and released or examined and released without treatment

Date: 04/19/2004	Age: 9 years	Sex: Male	Race: Black/African American
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers
PT FELL BACKWARDS WHILE WALKING WITH CRUTCHES (FX LT LEG 2 WKS AGO) NOW WITH CONTUSION OF RT LEG/OLD FX.
Disposition: Treated and released or examined and released without treatment

Date: 04/04/2004	Age: 89 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers
TRIP & FALL WHILE WALKING WITH WALKER LEG CONTUSION
Disposition: Treated and released or examined and released without treatment

Date: 03/23/2004	Age: 36 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Other
Product: Crutches, canes or walkers
FELL WHILE ON CRUTCHES YESTERDAY (PREVIOUS INJURY). RT LEG & FOOT PAIN
Disposition: Treated and released or examined and released without treatment

Date: 03/19/2004	Age: 47 years	Sex: Female	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Fracture
Product: Crutches, canes or walkers
USING A WALKER AND FELL FX LOWER LEG
Disposition: Treated and released or examined and released without treatment

Date: 03/18/2004	Age: 81 years	Sex: Female	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Fracture
Product: Crutches, canes or walkers
PT WALKING WITH A WALKER WHEN SHE FELL FRACTURED RIBS RIGHT LOWER LEG A ND RIGHT SHOULDER
Disposition: Treated and released or examined and released without treatment

Date: 03/02/2004	Age: 90 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Fracture
Product: Crutches, canes or walkers
DX TRIPPED OVER WALKER INJURING LOWER LEG DX FX LOWER LEG
Disposition: Treated and released or examined and released without treatment

Date: 02/26/2004	Age: 53 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Hematoma
Product: Crutches, canes or walkers
PT FELL ON CHILD'S CRUTCHES. DX: CONT/HEMATOMA R LEG.
Disposition: Treated and released or examined and released without treatment

Date: 02/11/2004	Age: 45 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Other
Product: Crutches, canes or walkers
45 YOF HAD CRUTCHES FALL AGAINST HER LEG & DEVELOPED CELLULITIS
Disposition: Treated and released or examined and released without treatment

Date: 02/06/2004	Age: 79 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Fracture
Product: Crutches, canes or walkers
RT FIBULA FRACTURE.PT WAS USING WALKER AND IT TIPPED AND PT FELL AND IN JURED LOWER LEG.
Disposition: Treated and released or examined and released without treatment

Date: 02/03/2004	Age: 86 years	Sex: Male	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Fracture
Product: Crutches, canes or walkers
FELL IN KITCHEN WALKING WITH WALKER - FRACTURE DISTAL FIBULA
Disposition: Treated and admitted for hospitalization (within same facility)

Date: 01/26/2004	Age: 78 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers
PT TRIPPED ON WALKER HITTING LOWER LEG C/O PAIN DX LOWER LEG ABRASION
Disposition: Treated and released or examined and released without treatment

Date: 01/22/2004	Age: 88 years	Sex: Female	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Laceration
Product: Crutches, canes or walkers
PT TRIPPED ON WALKER CUTTING LOWER LEG C/O ACTIVE BLEEDING DX LAC LOWER LEG
Disposition: Treated and released or examined and released without treatment

Date: 01/20/2004	Age: 86 years	Sex: Female	Race: Not stated in ER record
Location: Other public property		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers, Floors or flooring materials
86 YO F WALKING W/WALKER SLIPPED NAD FELL ON FLOOR CONTUSION LEG
Disposition: Treated and released or examined and released without treatment

Date: 01/19/2004	Age: 73 years	Sex: Female	Race: Not stated in ER record
Location: Street or highway		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Other
Product: Crutches, canes or walkers
FELL USING CANE - RIGHT LOWER LEG PAIN
Disposition: Treated and released or examined and released without treatment

Date: 01/17/2004	Age: 30 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers, Floors or flooring materials
FELL OFF CRUTCHES AT HOME ONTO THE FLOOR INJ LEG DX BRUISE LEG
Disposition: Treated and released or examined and released without treatment

Date: 01/06/2004	Age: 80 years	Sex: Male	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Laceration
Product: Crutches, canes or walkers
FELL WHILE USING WALKER. DX- R LEG SHIN LACERATION
Disposition: Treated and released or examined and released without treatment

Date: 01/04/2004	Age: 93 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Contusion Or Abrasion
Product: Crutches, canes or walkers
SLIPPED & FELL HIT LEG ON WALKING CANE DX: LOWER LEG ABRASION
Disposition: Treated and released or examined and released without treatment

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