{"id":158,"date":"2026-08-30T13:24:14","date_gmt":"2026-08-30T13:24:14","guid":{"rendered":"https:\/\/dryousefmuhammad.com\/acl-tear\/"},"modified":"2026-09-02T18:31:15","modified_gmt":"2026-09-02T18:31:15","slug":"acl-tear","status":"publish","type":"page","link":"https:\/\/dryousefmuhammad.com\/ar\/acl-tear\/","title":{"rendered":"\u062a\u0645\u0632\u0642 \u0627\u0644\u0631\u0628\u0627\u0637 \u0627\u0644\u0635\u0644\u064a\u0628\u064a \u0627\u0644\u0623\u0645\u0627\u0645\u064a"},"content":{"rendered":"<section class=\"acl-hero\"><div class=\"acl-hero-grid\"><div class=\"acl-copy\"><div class=\"acl-eyebrow\">\u062d\u0627\u0644\u0629 \u0641\u064a \u0627\u0644\u0631\u0643\u0628\u0629<\/div><h1 class=\"acl-title\">\u062a\u0645\u0632\u0642 \u0627\u0644\u0631\u0628\u0627\u0637 \u0627\u0644\u0635\u0644\u064a\u0628\u064a \u0627\u0644\u0623\u0645\u0627\u0645\u064a<\/h1><div class=\"acl-subtitle\">Anterior Cruciate Ligament Injury:<br>Information &amp; Treatment<\/div><p class=\"acl-lede\">A torn anterior cruciate ligament is one of the most common \u2014 and most treatable \u2014 serious knee injuries in sport. Here is what it means, and what your options are.<\/p><\/div><div class=\"acl-portrait\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/doctor-cutout.png\" alt=\"Dr. Yousef Muhammad\"><\/div><div class=\"acl-cred\"><div class=\"cred-name\">\u062f. \u064a\u0648\u0633\u0641 \u0645\u062d\u0645\u062f<\/div><div class=\"cred-role\">\u0627\u0633\u062a\u0634\u0627\u0631\u064a \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645 \u0628\u0627\u0644\u0628\u0648\u0631\u062f \u0627\u0644\u0623\u0644\u0645\u0627\u0646\u064a | \u0627\u0644\u0637\u0628 \u0627\u0644\u0631\u064a\u0627\u0636\u064a | \u062a\u0646\u0638\u064a\u0631 \u0627\u0644\u0645\u0641\u0627\u0635\u0644 | \u0627\u0633\u062a\u0628\u062f\u0627\u0644 \u0627\u0644\u0645\u0641\u0627\u0635\u0644<\/div><ul class=\"acl-cred-list\"><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0627\u0633\u062a\u0634\u0627\u0631\u064a \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645 \u062d\u0627\u0635\u0644 \u0639\u0644\u0649 \u0627\u0644\u0628\u0648\u0631\u062f \u0627\u0644\u0623\u0644\u0645\u0627\u0646\u064a<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u062c\u0631\u0627\u062d \u0631\u0643\u0628\u0629 \u0645\u0639\u062a\u0645\u062f \u0645\u0646 DKG<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u062c\u0631\u0627\u062d \u062a\u0646\u0638\u064a\u0631 \u0645\u0641\u0627\u0635\u0644 \u0645\u0639\u062a\u0645\u062f \u0645\u0646 AGA<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0637\u0628\u064a\u0628 \u0631\u064a\u0627\u0636\u064a \u0645\u0639\u062a\u0645\u062f \u0645\u0646 GOTS<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u062f\u0628\u0644\u0648\u0645 \u0627\u0644\u0641\u064a\u0641\u0627 \u0641\u064a \u0637\u0628 \u0643\u0631\u0629 \u0627\u0644\u0642\u062f\u0645<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>International Experience (Germany &amp; Middle East)<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0631\u0626\u064a\u0633 \u0633\u0627\u0628\u0642 \u0644\u0642\u0633\u0645 \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645 (\u0623\u0644\u0645\u0627\u0646\u064a\u0627)<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0623\u0643\u062b\u0631 \u0645\u0646 \u0661\u0664 \u0639\u0627\u0645\u064b\u0627 \u0645\u0646 \u0627\u0644\u062e\u0628\u0631\u0629<\/span><\/li><\/ul><div class=\"acl-actions\"><a class=\"btn-book\" href=\"#book\"><svg viewbox=\"0 0 24 24\"><rect x=\"3.5\" y=\"5\" width=\"17\" height=\"16\" rx=\"2\"><\/rect><path d=\"M3.5 9.5h17M8 3v4M16 3v4\"><\/path><\/svg> \u0627\u062d\u062c\u0632 \u0627\u0633\u062a\u0634\u0627\u0631\u0629<\/a>\n            <a class=\"btn-wa\" href=\"#\" aria-disabled=\"true\" tabindex=\"-1\" data-wa-off=\"\" title=\"\u0648\u0627\u062a\u0633\u0627\u0628 \u063a\u064a\u0631 \u0645\u0641\u0639\u0651\u0644 \u0628\u0639\u062f\"><svg class=\"wa-ic\" viewbox=\"0 0 32 32\"><path d=\"M16 3C9.4 3 4 8.4 4 15c0 2.1.6 4.2 1.6 6L4 29l8.2-1.6c1.7.9 3.7 1.4 5.8 1.4 6.6 0 12-5.4 12-12S22.6 3 16 3zm0 21.8c-1.8 0-3.6-.5-5.1-1.4l-.4-.2-4.9 1 1-4.7-.3-.4C5.5 18 5 16.5 5 15 5 9 10 4 16 4s11 5 11 11-5 9.8-11 9.8zm5.6-7.3c-.3-.2-1.8-.9-2.1-1-.3-.1-.5-.2-.7.2s-.8 1-1 1.2c-.2.2-.4.2-.7.1-.3-.2-1.3-.5-2.4-1.5-.9-.8-1.5-1.8-1.7-2.1-.2-.3 0-.5.1-.7l.5-.6c.2-.2.2-.3.4-.6.1-.2.1-.4 0-.6l-1-2.4c-.3-.6-.5-.5-.7-.5h-.6c-.2 0-.5.1-.8.4-.3.3-1 1-1 2.5s1.1 2.9 1.2 3.1c.2.2 2.2 3.4 5.3 4.7.7.3 1.3.5 1.8.6.7.2 1.4.2 1.9.1.6-.1 1.8-.7 2-1.5.3-.7.3-1.4.2-1.5-.1-.2-.3-.3-.6-.4z\"><\/path><\/svg> \u0631\u0627\u0633\u0644\u0646\u0627 \u0639\u0644\u0649 \u0648\u0627\u062a\u0633\u0627\u0628<\/a><\/div><\/div><\/div><\/section><section class=\"acl-intro\"><p>The anterior cruciate ligament (ACL) is one of the four main ligaments that stabilise your knee. It runs diagonally through the centre of the joint and stops the shin bone (tibia) from sliding forward past the thigh bone (femur), while controlling rotation.<\/p><\/section><section class=\"acl-strip\"><figure class=\"acl-fig\"><div class=\"im\"><span>Knee anatomy diagram<\/span><\/div><h4>1. Anatomy (Knee Diagram)<\/h4><p>A partial or complete tear of the ACL usually occurs during sudden stops, changes of direction, jumping or landing.<\/p><\/figure><figure class=\"acl-fig\"><div class=\"im\"><span>Arthroscopic view<\/span><\/div><h4>2. Intra-operative Arthroscopic View<\/h4><p>This is what an ACL tear looks like during arthroscopy. We use keyhole surgery to accurately diagnose and treat the injury.<\/p><\/figure><figure class=\"acl-fig\"><div class=\"im\"><span>MRI scan<\/span><\/div><h4>3. Typical MRI Findings<\/h4><p>MRI helps confirm the diagnosis and assess associated injuries such as meniscus tears or cartilage damage.<\/p><\/figure><figure class=\"acl-fig\"><div class=\"im\"><span>\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u0628\u0646\u0627\u0621<\/span><\/div><h4>4. ACL Reconstruction (Surgical Technique)<\/h4><p>Minimally invasive arthroscopic technique using a tendon graft to restore knee stability and function.<\/p><\/figure><figure class=\"acl-fig\"><div class=\"im\"><span>\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644<\/span><\/div><h4>5. Recovery &amp; Rehabilitation<\/h4><p>Structured physiotherapy and a graded return to sport are key for a safe and successful recovery.<\/p><\/figure><\/section><section class=\"clin\"><div class=\"clin-portrait\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/doctor-cutout.png\" alt=\"Dr. Yousef Muhammad\"><\/div><div class=\"clin-body\"><div class=\"clin-eyebrow\"><span class=\"qm\">\u201d<\/span> \u0645\u0644\u0627\u062d\u0638\u0629 \u0633\u0631\u064a\u0631\u064a\u0629 \u0645\u0646 \u062f. \u064a\u0648\u0633\u0641 \u0645\u062d\u0645\u062f<\/div><p>Not every ACL tear requires immediate surgery. The decision depends on age, activity level, knee stability, associated injuries, and the patient&#8217;s goals. Each treatment plan should be individualised to achieve the best possible outcome and return to the activities you love.<\/p><\/div><div class=\"clin-sign\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/signature.png\" alt=\"Dr. Yousef Muhammad\" class=\"sig-img\"><div class=\"nm\">\u062f. \u064a\u0648\u0633\u0641 \u0645\u062d\u0645\u062f<\/div><div class=\"rl\">\u0627\u0633\u062a\u0634\u0627\u0631\u064a \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645<\/div><\/div><\/section><section class=\"faq\"><h2 class=\"sec-h\">\u0627\u0644\u0623\u0633\u0626\u0644\u0629 \u0627\u0644\u0634\u0627\u0626\u0639\u0629<\/h2><div class=\"faq-grid\"><details><summary><span class=\"dym-lt\">Can an ACL tear heal without surgery?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">A torn ACL does not heal back together on its own. For lower-demand patients or partial tears, a structured rehabilitation programme can restore strength and stability without surgery. For athletes and unstable knees, reconstruction is usually the more reliable route.<\/div><\/details><details><summary><span class=\"dym-lt\">When can I return to sport after ACL surgery?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">Return to pivoting sport typically takes 9\u201312 months. It is criteria-based \u2014 guided by strength and movement testing rather than the calendar alone \u2014 to minimise the risk of re-injury.<\/div><\/details><details><summary><span class=\"dym-lt\">Do I need an MRI to diagnose an ACL tear?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">A careful clinical examination is often enough to strongly suspect a tear. An MRI confirms it, shows whether it is partial or complete, and reveals associated meniscus or cartilage injuries that shape the treatment plan.<\/div><\/details><details><summary><span class=\"dym-lt\">What is the best graft choice for ACL reconstruction?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">There is no single best graft for everyone. Hamstring, quadriceps and patellar-tendon grafts each have advantages; the choice is individualised to your anatomy, sport and goals, and discussed with you before surgery.<\/div><\/details><details><summary><span class=\"dym-lt\">Will I be able to return to my previous level of activity?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">The large majority of patients return to the activities they love. Outcomes are best with a precise diagnosis of the whole knee, a well-performed reconstruction where needed, and a committed rehabilitation programme.<\/div><\/details><\/div><p class=\"disclaimer\">\u0645\u0644\u0627\u062d\u0638\u0629: \u0647\u0630\u0647 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0644\u0644\u062a\u062b\u0642\u064a\u0641 \u0627\u0644\u0639\u0627\u0645 \u0641\u0642\u0637 \u0648\u0644\u0627 \u062a\u063a\u0646\u064a \u0639\u0646 \u0627\u0633\u062a\u0634\u0627\u0631\u0629 \u0637\u0628\u064a\u0628\u0643.<\/p><\/section><section class=\"refs\"><h2 class=\"sec-h\">\u0645\u0631\u0627\u062c\u0639 \u0637\u0628\u064a\u0629 \u062f\u0648\u0644\u064a\u0629<\/h2><div class=\"refs-grid\"><a class=\"ref-cell\" href=\"https:\/\/www.aaos.org\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ref-logo\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-aaos.png\" alt=\"AAOS\"><span class=\"ref-desc\">\u0627\u0644\u0623\u0643\u0627\u062f\u064a\u0645\u064a\u0629 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629 \u0644\u062c\u0631\u0627\u062d\u064a \u0627\u0644\u0639\u0638\u0627\u0645<\/span><span class=\"ref-url\" data-no-translation=\"\">aaos.org<\/span><\/a>\n        <a class=\"ref-cell\" href=\"https:\/\/www.esska.org\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ref-logo\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-esska.png\" alt=\"ESSKA\"><span class=\"ref-desc\">European Society of Sports Traumatology, Knee Surgery &amp; Arthroscopy<\/span><span class=\"ref-url\" data-no-translation=\"\">esska.org<\/span><\/a>\n        <a class=\"ref-cell\" href=\"https:\/\/www.sportsmed.org\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ref-logo\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-aossm.png\" alt=\"AOSSM\"><span class=\"ref-desc\">\u0627\u0644\u062c\u0645\u0639\u064a\u0629 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629 \u0644\u0637\u0628 \u0627\u0644\u0639\u0638\u0627\u0645 \u0627\u0644\u0631\u064a\u0627\u0636\u064a<\/span><span class=\"ref-url\" data-no-translation=\"\">sportsmed.org<\/span><\/a>\n        <a class=\"ref-cell\" href=\"https:\/\/www.dkg-online.de\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ref-logo\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-dkg.png\" alt=\"DKG\"><span class=\"ref-desc\">\u0627\u0644\u062c\u0645\u0639\u064a\u0629 \u0627\u0644\u0623\u0644\u0645\u0627\u0646\u064a\u0629 \u0644\u0644\u0631\u0643\u0628\u0629<\/span><span class=\"ref-url\" data-no-translation=\"\">dkg-online.de<\/span><\/a>\n        <a class=\"ref-cell\" href=\"https:\/\/www.aga-online.ch\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ref-logo\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-aga.png\" alt=\"AGA\"><span class=\"ref-desc\">\u062c\u0645\u0639\u064a\u0629 \u062a\u0646\u0638\u064a\u0631 \u0627\u0644\u0645\u0641\u0627\u0635\u0644 \u0648\u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0645\u0641\u0627\u0635\u0644<\/span><span class=\"ref-url\" data-no-translation=\"\">aga-online.ch<\/span><\/a><\/div><\/section><section class=\"rel2\"><h2 class=\"sec-h\">\u062d\u0627\u0644\u0627\u062a \u0630\u0627\u062a \u0635\u0644\u0629<\/h2><div class=\"rel2-grid\"><a class=\"rel2-card\" href=\"\/ar\/meniscus-tear\/\"><div><div class=\"nm\">\u062a\u0645\u0632\u0642 \u0627\u0644\u063a\u0636\u0631\u0648\u0641 \u0627\u0644\u0647\u0644\u0627\u0644\u064a<\/div><div class=\"lm\">\u0627\u0639\u0631\u0641 \u0627\u0644\u0645\u0632\u064a\u062f <svg viewbox=\"0 0 24 24\"><path d=\"M5 12h14M13 6l6 6-6 6\"><\/path><\/svg><\/div><\/div><div class=\"th\"><\/div><\/a>\n        <a class=\"rel2-card\" href=\"\/ar\/pcl-injury\/\"><div><div class=\"nm\">\u0625\u0635\u0627\u0628\u0629 \u0627\u0644\u0631\u0628\u0627\u0637 \u0627\u0644\u0635\u0644\u064a\u0628\u064a \u0627\u0644\u062e\u0644\u0641\u064a<\/div><div class=\"lm\">\u0627\u0639\u0631\u0641 \u0627\u0644\u0645\u0632\u064a\u062f <svg viewbox=\"0 0 24 24\"><path d=\"M5 12h14M13 6l6 6-6 6\"><\/path><\/svg><\/div><\/div><div class=\"th\"><\/div><\/a>\n        <a class=\"rel2-card\" href=\"\/ar\/cartilage-damage\/\"><div><div class=\"nm\">\u062a\u0644\u0641 \u0627\u0644\u063a\u0636\u0631\u0648\u0641<\/div><div class=\"lm\">\u0627\u0639\u0631\u0641 \u0627\u0644\u0645\u0632\u064a\u062f <svg viewbox=\"0 0 24 24\"><path d=\"M5 12h14M13 6l6 6-6 6\"><\/path><\/svg><\/div><\/div><div class=\"th\"><\/div><\/a>\n        <a class=\"rel2-card\" href=\"\/ar\/knee-arthritis\/\"><div><div class=\"nm\">\u062e\u0634\u0648\u0646\u0629 \u0627\u0644\u0631\u0643\u0628\u0629<\/div><div class=\"lm\">\u0627\u0639\u0631\u0641 \u0627\u0644\u0645\u0632\u064a\u062f <svg viewbox=\"0 0 24 24\"><path d=\"M5 12h14M13 6l6 6-6 6\"><\/path><\/svg><\/div><\/div><div class=\"th\"><\/div><\/a><\/div><\/section><section class=\"appt\" id=\"book\"><div class=\"appt-col\"><svg class=\"appt-ic\" viewbox=\"0 0 24 24\"><rect x=\"3.5\" y=\"5\" width=\"17\" height=\"16\" rx=\"2\"><\/rect><path d=\"M3.5 9.5h17M8 3v4M16 3v4\"><\/path><\/svg><div class=\"tx\"><h4>\u0627\u062d\u062c\u0632 \u0645\u0648\u0639\u062f\u064b\u0627<\/h4><p>\u0627\u062d\u062c\u0632 \u0627\u0633\u062a\u0634\u0627\u0631\u062a\u0643 \u0627\u0644\u064a\u0648\u0645.<\/p><\/div><a href=\"tel:+966115222222\" class=\"go\">\u0627\u062d\u062c\u0632 \u0645\u0648\u0639\u062f\u064b\u0627<\/a><\/div><div class=\"appt-col\"><svg class=\"appt-ic wa-ic\" viewbox=\"0 0 32 32\"><path d=\"M16 3C9.4 3 4 8.4 4 15c0 2.1.6 4.2 1.6 6L4 29l8.2-1.6c1.7.9 3.7 1.4 5.8 1.4 6.6 0 12-5.4 12-12S22.6 3 16 3zm0 21.8c-1.8 0-3.6-.5-5.1-1.4l-.4-.2-4.9 1 1-4.7-.3-.4C5.5 18 5 16.5 5 15 5 9 10 4 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