Illa Montaluo

Great spirits have always encountered violent opposition from mediocre minds.

New Hammer Toe Surgery

HammertoeOverview


Hammer toe is a painful deformity wherein a toe bends unnaturally. Hammertoe can develop on any of the toes, but generally affects the middle three and, most often, the second toe. When unusual stress is applied over a period of years, the joints and tendons of your foot can cease to function in a balanced manner and toes, in an effort to compensate, can begin to bend into the hammertoe shape. Hammertoes tend to run in families.


Causes


Your shoes, your genetic predisposition, an underlying medical condition or all of these can make you susceptible to developing one of these deformities of the toes. The genes your parents gave you. When it comes to genetics, the foot type you?re born with predisposes you to developing this type of joint deformity over a lifetime. For many, a flat flexible foot leads to hammertoes as the foot tries to stabilize against a flattening arch. Those with high arches can also form hammertoes as the extensor tendons overpower the flexors.


HammertoeSymptoms


Signs and symptoms of hammertoe and mallet toe may include a hammer-like or claw-like Hammer toe appearance of a toe. In mallet toe, a deformity at the end of the toe, giving the toe a mallet-like appearance. Pain and difficulty moving the toe. Corns and calluses resulting from the toe rubbing against the inside of your footwear. Both hammertoe and mallet toe can cause pain with walking and other foot movements.


Diagnosis


The exam may reveal a toe in which the near bone of the toe (proximal phalanx) is angled upward and the middle bone of the toe points in the opposite direction (plantar flexed). Toes may appear crooked or rotated. The involved joint may be painful when moved, or stiff. There may be areas of thickened skin (corns or calluses) on top of or between the toes, a callus may also be observed at the tip of the affected toe beneath the toenail. An attempt to passively correct the deformity will help elucidate the best treatment option as the examiner determines whether the toe is still flexible or not. It is advisable to assess palpable pulses, since their presence is associated with a good prognosis for healing after surgery. X-rays will demonstrate the contractures of the involved joints, as well as possible arthritic changes and bone enlargements (exostoses, spurs). X-rays of the involved foot are usually performed in a weight-bearing position.


Non Surgical Treatment


In the early stages, the deformities from mallet toe, claw toe and hammertoe can be corrected. But if treatment is delayed too long, permanent stiffness can ensue which can only be corrected by surgery. The most effective treatment options are good fitting footwear. Shoes with a wide toebox will be more comfortable and will reduce the tension on the muscles and friction on the toes. Avoid high heels as they push your feet forwards to the front of the shoes. This increases the pressure on the toes, forcing them to bend more than usual. Shoes should ideally be half an inch longer than your longest toe. Exercises to strengthen and stretch the muscles can be really helpful. Simple things like trying to pick marbles up with your feet or scrunching up a towel underneath your foot can work well.


Surgical Treatment


If your hammer, claw, or mallet toe gets worse, or if nonsurgical treatment does not help your pain, you may think about surgery. The type of surgery you choose depends on how severe your condition is and whether the toe joint is fixed (has no movement) or flexible (has some movement). A fixed toe joint often requires surgery to be straightened. A flexible toe joint can sometimes be straightened without surgery. Surgery choices include Phalangeal head resection (arthroplasty), in which the surgeon removes part of the toe bone. Joint fusion (arthrodesis), in which the surgeon removes part of the joint, letting the toe bones grow together (fuse). Cutting supporting tissue or moving tendons in the toe joint. How well surgery works depends on what type of surgery you have, how experienced your surgeon is, and how badly your toes are affected.


HammertoePrevention


Most cases of hammertoe can be prevented by wearing shoes that fit properly and give the toes plenty of room. Some recommended guidelines include avoid shoes with pointed or narrow toes. Avoid shoes that are too tight or short. Avoid high-heeled shoes, which can force the toes forward. If the shoes hurt, don't wear them. Choose shoes with wide or boxy toes. Choose shoes that are a half-inch longer than your longest toe.
  1. 2015/08/17(月) 19:21:25|
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  1. 2017/05/25(木) 10:31:31 |
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  1. 2017/05/26(金) 01:14:04 |
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  1. 2017/05/26(金) 14:02:23 |
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  1. 2017/05/27(土) 14:59:20 |
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  1. 2017/05/27(土) 15:37:46 |
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  1. 2017/05/28(日) 13:25:04 |
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  1. 2017/05/28(日) 22:09:28 |
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  1. 2017/05/29(月) 00:55:22 |
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  1. 2017/05/29(月) 04:23:54 |
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  1. 2017/05/30(火) 04:38:12 |
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  1. 2017/05/31(水) 16:41:14 |
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  1. 2017/06/01(木) 13:35:38 |
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  1. 2017/06/01(木) 17:49:00 |
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  1. 2017/06/02(金) 12:01:56 |
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  1. 2017/06/02(金) 15:22:53 |
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  1. 2017/06/02(金) 23:21:09 |
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  1. 2017/06/02(金) 23:45:33 |
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  1. 2017/06/03(土) 22:11:47 |
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  1. 2017/06/04(日) 14:23:01 |
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  1. 2017/06/07(水) 08:09:03 |
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  1. 2017/06/07(水) 08:13:12 |
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  1. 2017/06/07(水) 15:27:50 |
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  1. 2017/06/09(金) 03:04:29 |
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  1. 2017/06/09(金) 11:21:05 |
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  1. 2017/06/10(土) 02:47:59 |
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  1. 2017/06/11(日) 01:00:09 |
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  1. 2017/06/11(日) 13:57:35 |
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  1. 2017/06/11(日) 14:02:16 |
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  1. 2017/06/15(木) 15:27:56 |
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  1. 2017/06/16(金) 02:16:56 |
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  1. 2017/06/16(金) 03:15:09 |
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  1. 2017/06/16(金) 16:13:36 |
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  1. 2017/06/16(金) 21:27:01 |
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  1. 2017/06/18(日) 21:45:10 |
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  1. 2017/06/19(月) 18:42:21 |
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  1. 2017/06/20(火) 12:25:57 |
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  1. 2017/06/21(水) 05:51:13 |
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  1. 2017/06/21(水) 22:12:15 |
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  1. 2017/06/23(金) 15:29:20 |
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  1. 2017/06/24(土) 20:02:36 |
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  1. 2017/06/25(日) 06:20:08 |
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  1. 2017/06/25(日) 07:26:38 |
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  1. 2017/06/25(日) 13:34:31 |
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  1. 2017/06/25(日) 14:31:40 |
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  1. 2017/06/26(月) 07:08:48 |
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  1. 2017/06/27(火) 06:22:42 |
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  1. 2017/06/27(火) 14:59:36 |
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  1. 2017/06/28(水) 00:17:26 |
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  1. 2017/06/28(水) 03:40:00 |
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  1. 2017/06/28(水) 13:46:58 |
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  1. 2017/06/29(木) 13:21:01 |
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  1. 2017/06/30(金) 05:16:25 |
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  1. 2017/06/30(金) 06:14:03 |
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  1. 2017/07/01(土) 13:09:45 |
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  1. 2017/07/01(土) 13:25:38 |
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  1. 2017/07/02(日) 07:19:26 |
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  1. 2017/07/02(日) 14:19:00 |
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  1. 2017/07/04(火) 15:11:52 |
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  1. 2017/07/04(火) 16:52:48 |
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  1. 2017/07/05(水) 16:30:28 |
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  1. 2017/07/05(水) 20:52:18 |
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  1. 2017/07/06(木) 00:36:43 |
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  1. 2017/07/06(木) 13:51:36 |
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  1. 2017/07/07(金) 00:07:34 |
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  1. 2017/07/08(土) 04:15:06 |
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  1. 2017/07/08(土) 13:03:44 |
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  1. 2017/07/10(月) 04:37:52 |
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  1. 2017/07/10(月) 18:13:49 |
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  1. 2017/07/11(火) 02:40:33 |
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  1. 2017/07/12(水) 08:38:07 |
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  1. 2017/07/12(水) 08:41:42 |
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  1. 2017/07/12(水) 13:06:30 |
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  1. 2017/07/12(水) 16:50:31 |
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  1. 2017/07/13(木) 07:10:48 |
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  1. 2017/07/13(木) 11:37:53 |
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  1. 2017/07/14(金) 02:12:26 |
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  1. 2017/07/14(金) 14:19:38 |
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  1. 2017/07/14(金) 14:31:53 |
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  1. 2017/07/15(土) 05:27:59 |
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  1. 2017/07/16(日) 10:47:38 |
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  1. 2017/07/17(月) 10:05:29 |
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  1. 2017/07/17(月) 15:14:28 |
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  1. 2017/07/18(火) 02:46:18 |
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  1. 2017/07/18(火) 21:54:23 |
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  1. 2017/07/19(水) 01:30:13 |
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  1. 2017/07/19(水) 15:55:01 |
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  1. 2017/07/19(水) 22:44:38 |
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  1. 2017/07/19(水) 22:56:24 |
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  1. 2017/07/20(木) 07:25:47 |
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  1. 2017/07/20(木) 21:57:16 |
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  1. 2017/07/20(木) 22:17:05 |
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  1. 2017/07/21(金) 09:01:19 |
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  1. 2017/07/22(土) 04:15:11 |
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  1. 2017/07/22(土) 17:49:51 |
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  1. 2017/07/23(日) 21:50:35 |
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  1. 2017/07/25(火) 02:45:27 |
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  1. 2017/07/25(火) 03:54:21 |
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  1. 2017/07/25(火) 04:13:57 |
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  1. 2017/07/25(火) 07:24:43 |
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  1. 2017/07/25(火) 11:52:55 |
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  1. 2017/07/25(火) 11:55:46 |
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  1. 2017/07/25(火) 14:11:42 |
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  1. 2017/07/26(水) 00:05:50 |
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  1. 2017/07/26(水) 03:57:10 |
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  1. 2017/07/26(水) 09:10:57 |
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  1. 2017/07/26(水) 19:01:01 |
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  1. 2017/07/27(木) 11:06:19 |
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  1. 2017/07/28(金) 13:03:08 |
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  1. 2017/07/28(金) 22:37:05 |
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  1. 2017/07/29(土) 00:45:18 |
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  1. 2017/07/29(土) 00:57:47 |
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  1. 2017/07/29(土) 01:28:14 |
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  1. 2017/07/29(土) 03:13:04 |
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  1. 2017/07/29(土) 08:27:47 |
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  1. 2017/07/29(土) 20:23:04 |
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  1. 2017/07/30(日) 11:58:31 |
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  1. 2017/07/30(日) 16:42:33 |
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  1. 2017/07/30(日) 22:18:12 |
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  1. 2017/07/31(月) 06:36:33 |
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  1. 2017/07/31(月) 11:32:25 |
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  1. 2017/07/31(月) 22:56:08 |
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  1. 2017/08/01(火) 01:51:24 |
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  1. 2017/08/01(火) 17:27:22 |
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  1. 2017/08/04(金) 00:06:01 |
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  1. 2017/08/04(金) 09:43:19 |
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  1. 2017/08/04(金) 21:57:21 |
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  1. 2017/08/06(日) 03:08:20 |
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  1. 2017/08/06(日) 10:57:02 |
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  1. 2017/08/06(日) 14:33:36 |
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  1. 2017/08/07(月) 11:57:12 |
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  1. 2017/08/07(月) 14:10:21 |
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  1. 2017/08/08(火) 18:09:00 |
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  1. 2017/08/08(火) 23:26:04 |
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  1. 2017/08/09(水) 06:59:37 |
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  1. 2017/08/09(水) 11:55:35 |
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  1. 2017/08/14(月) 00:08:16 |
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  1. 2017/08/14(月) 17:47:49 |
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  1. 2017/08/15(火) 22:52:35 |
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  1. 2017/08/16(水) 00:16:48 |
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  1. 2017/08/16(水) 00:35:52 |
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  1. 2017/08/16(水) 16:10:12 |
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  1. 2017/08/16(水) 16:22:34 |
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  1. 2017/08/18(金) 14:53:31 |
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  1. 2017/08/23(水) 03:44:40 |
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  1. 2017/08/23(水) 10:49:28 |
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  1. 2017/08/23(水) 20:00:33 |
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