263083005: Fracture dislocation of perilunate joint (disorder)

• SNOMED CT Concept\Clinical finding (finding)\...
• \Finding of limb structure\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Dislocation of joint of upper limb\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Finding of limb structure\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Dislocation of joint of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Finding of limb structure\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Disorder of wrist region (disorder)\Disorder of wrist joint (disorder)\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Finding of limb structure\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Disorder of wrist region (disorder)\Injury of wrist\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Finding of limb structure\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Injury of upper extremity\Injury of wrist and/or hand\Fracture at wrist and/or hand level (disorder)\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Finding of limb structure\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Injury of upper extremity\Injury of wrist and/or hand\Injury of wrist\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Finding of limb structure\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Injury of upper extremity\Fracture of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Finding of limb structure\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Injury of upper extremity\Fracture of upper limb\Fracture at wrist and/or hand level (disorder)\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Finding of limb structure\Finding of upper limb\Finding of bone of upper limb\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Finding of limb structure\Finding of upper limb\Finding of bone of upper limb\Fracture of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Finding of limb structure\Finding of upper limb\Finding of bone of upper limb\Fracture of upper limb\Fracture at wrist and/or hand level (disorder)\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Finding of limb structure\Finding of upper limb\Disorder of upper limb (disorder)\Dislocation of joint of upper limb\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Finding of limb structure\Finding of upper limb\Disorder of upper limb (disorder)\Dislocation of joint of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Finding of limb structure\Finding of upper limb\Disorder of upper limb (disorder)\Disorder of wrist region (disorder)\Disorder of wrist joint (disorder)\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Finding of limb structure\Finding of upper limb\Disorder of upper limb (disorder)\Disorder of wrist region (disorder)\Injury of wrist\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Finding of limb structure\Finding of upper limb\Disorder of upper limb (disorder)\Injury of upper extremity\Injury of wrist and/or hand\Fracture at wrist and/or hand level (disorder)\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Finding of limb structure\Finding of upper limb\Disorder of upper limb (disorder)\Injury of upper extremity\Injury of wrist and/or hand\Injury of wrist\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Finding of limb structure\Finding of upper limb\Disorder of upper limb (disorder)\Injury of upper extremity\Fracture of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Finding of limb structure\Finding of upper limb\Disorder of upper limb (disorder)\Injury of upper extremity\Fracture of upper limb\Fracture at wrist and/or hand level (disorder)\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Finding of limb structure\Finding of upper limb\Finding of wrist region\Finding of wrist joint\Disorder of wrist joint (disorder)\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Finding of limb structure\Finding of upper limb\Finding of wrist region\Disorder of wrist region (disorder)\Disorder of wrist joint (disorder)\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Finding of limb structure\Finding of upper limb\Finding of wrist region\Disorder of wrist region (disorder)\Injury of wrist\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Bone finding\Finding of bone of upper limb\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Bone finding\Finding of bone of upper limb\Fracture of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Bone finding\Finding of bone of upper limb\Fracture of upper limb\Fracture at wrist and/or hand level (disorder)\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Bone finding\Disorder of bone (disorder)\Displacement of bone (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Bone finding\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture dislocation of joint\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Bone finding\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Bone finding\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture of upper limb\Fracture at wrist and/or hand level (disorder)\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Joint finding\Arthropathy (disorder)\Disorder of wrist joint (disorder)\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Joint finding\Arthropathy (disorder)\Joint injury\Fracture dislocation of joint\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Joint finding\Arthropathy (disorder)\Dislocation of joint\Fracture dislocation of joint\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Joint finding\Arthropathy (disorder)\Dislocation of joint\Dislocation of joint of upper limb\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Joint finding\Arthropathy (disorder)\Dislocation of joint\Dislocation of joint of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Joint finding\Finding of wrist joint\Disorder of wrist joint (disorder)\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Disorder of musculoskeletal system (disorder)\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture dislocation of joint\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Disorder of musculoskeletal system (disorder)\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Disorder of musculoskeletal system (disorder)\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture of upper limb\Fracture at wrist and/or hand level (disorder)\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Disorder of musculoskeletal system (disorder)\Injury of musculoskeletal system\Joint injury\Fracture dislocation of joint\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Arthropathy (disorder)\Disorder of wrist joint (disorder)\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Arthropathy (disorder)\Joint injury\Fracture dislocation of joint\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Arthropathy (disorder)\Dislocation of joint\Fracture dislocation of joint\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Arthropathy (disorder)\Dislocation of joint\Dislocation of joint of upper limb\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Arthropathy (disorder)\Dislocation of joint\Dislocation of joint of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Disorder of bone (disorder)\Displacement of bone (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture dislocation of joint\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Musculoskeletal finding\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture of upper limb\Fracture at wrist and/or hand level (disorder)\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Disease\Disorder of joint region\Arthropathy (disorder)\Disorder of wrist joint (disorder)\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Disease\Disorder of joint region\Arthropathy (disorder)\Joint injury\Fracture dislocation of joint\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Disease\Disorder of joint region\Arthropathy (disorder)\Dislocation of joint\Fracture dislocation of joint\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Disease\Disorder of joint region\Arthropathy (disorder)\Dislocation of joint\Dislocation of joint of upper limb\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Disease\Disorder of joint region\Arthropathy (disorder)\Dislocation of joint\Dislocation of joint of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Disease\Disorder of joint region\Disorder of wrist region (disorder)\Disorder of wrist joint (disorder)\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Disease\Disorder of joint region\Disorder of wrist region (disorder)\Injury of wrist\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Disease\Disorder resulting from physical damage to the body\Injury of upper extremity\Injury of wrist and/or hand\Fracture at wrist and/or hand level (disorder)\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Disease\Disorder resulting from physical damage to the body\Injury of upper extremity\Injury of wrist and/or hand\Injury of wrist\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Disease\Disorder resulting from physical damage to the body\Injury of upper extremity\Fracture of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Disease\Disorder resulting from physical damage to the body\Injury of upper extremity\Fracture of upper limb\Fracture at wrist and/or hand level (disorder)\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Disease\Disorder resulting from physical damage to the body\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture dislocation of joint\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Disease\Disorder resulting from physical damage to the body\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Disease\Disorder resulting from physical damage to the body\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture of upper limb\Fracture at wrist and/or hand level (disorder)\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Disease\Disorder resulting from physical damage to the body\Injury of musculoskeletal system\Joint injury\Fracture dislocation of joint\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Disease\Disorder of body system\Disorder of musculoskeletal system (disorder)\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture dislocation of joint\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Disease\Disorder of body system\Disorder of musculoskeletal system (disorder)\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Disease\Disorder of body system\Disorder of musculoskeletal system (disorder)\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture of upper limb\Fracture at wrist and/or hand level (disorder)\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Disease\Disorder of body system\Disorder of musculoskeletal system (disorder)\Injury of musculoskeletal system\Joint injury\Fracture dislocation of joint\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Disease\Disorder of body system\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Arthropathy (disorder)\Disorder of wrist joint (disorder)\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Disease\Disorder of body system\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Arthropathy (disorder)\Joint injury\Fracture dislocation of joint\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Disease\Disorder of body system\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Arthropathy (disorder)\Dislocation of joint\Fracture dislocation of joint\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Disease\Disorder of body system\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Arthropathy (disorder)\Dislocation of joint\Dislocation of joint of upper limb\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Disease\Disorder of body system\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Arthropathy (disorder)\Dislocation of joint\Dislocation of joint of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Disease\Disorder of body system\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Disorder of bone (disorder)\Displacement of bone (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Disease\Disorder of body system\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture dislocation of joint\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Disease\Disorder of body system\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Disease\Disorder of body system\Disorder of musculoskeletal system (disorder)\Disorder of skeletal system\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture of upper limb\Fracture at wrist and/or hand level (disorder)\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Disease\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Dislocation of joint of upper limb\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Disease\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Dislocation of joint of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Disease\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Disorder of wrist region (disorder)\Disorder of wrist joint (disorder)\Dislocation of wrist (disorder)\Dislocation of joint of lunate (disorder)\The lunate bone is still aligned with the radius, the distal carpus is misaligned. Perilunate dislocation does not involve the dislocation of the joint between radius and lunate.\Fracture dislocation of perilunate joint
• \Disease\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Disorder of wrist region (disorder)\Injury of wrist\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Disease\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Injury of upper extremity\Injury of wrist and/or hand\Fracture at wrist and/or hand level (disorder)\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Disease\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Injury of upper extremity\Injury of wrist and/or hand\Injury of wrist\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint
• \Disease\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Injury of upper extremity\Fracture of upper limb\Fracture dislocation of joint of upper limb\Fracture dislocation of perilunate joint
• \Disease\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Injury of upper extremity\Fracture of upper limb\Fracture at wrist and/or hand level (disorder)\Fracture of bone of wrist region\Fracture of carpal bone\Fracture dislocation of perilunate joint

Status: current, Sufficiently defined by necessary conditions definition status (core metadata concept). Date: 31-Jul 2018. Module: SNOMED CT core

Descriptions:

Id	Description	Lang	Type	Status	Case?	Module
391200015	Fracture dislocation of perilunate joint	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
655157011	Fracture dislocation of perilunate joint (disorder)	en	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
6151451000241118	fracture-luxation périlunaire	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
6151461000241115	fracture-luxation de l'articulation périlunaire	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module

Expanded Value Set

This concept is not in any reference sets

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