Partial Thickness Rotator Cuff Tears: Current Concepts. A small tear cannot magically suture itself back together. What happens is the tendon will just attach itself to surrounding tissues with scar tissue and eventually will tighten up and be close to never having happened.. If you plan to return to throwing and compete, you will need physical therapy that is more rigorous to strengthen your elbow enough to handle the stress. Blanchette MA, Normand MC. Rompe JD, Overend TJ, MacDermid JC. The basic science of lateral epicondylosis: update for the future. Pain on the inside of the elbow after a period of heavy throwing or other overhead activity. British journal of sports medicine. The nerve conduction study is to find out if there is some nerve damage in my neck. He also gave me a Medrol dose pack, which is cortisone, and told me to come back after the MRI. Guitar Elbow How Guitar Playing Causes Tennis Elbow And The Keys To Treating It. The ligament gradually frays with pitching over the course of months or years. The most common UCL injury is a UCL tear that is usually gradual but may also happen in a single traumatic event. The common extensor group is composed of four muscles: the extensor carpi radialis brevis (ECRB), extensor digitorum, extensor digiti minimi, and extensor carpi ulnaris (. Link, 76. Addition of isolated wrist extensor eccentric exercise to standard treatment for chronic lateral epicondylosis: a prospective randomized trial. These types of tear are the tricky ones and they are quite common in Tennis Elbow sufferers. 2019 Dec 10:0363546519888450. On the 10th day, I had tremors so badly I went into the ER. Clinics in orthopedic surgery. The American journal of sports medicine. An MRI would be completed to confirm diagnosis and you would most likely be treated with NSAIDs (non-steroidal anti-inflammatory drugs) and physical therapy. These include . Link, 122. UCL injuries are diagnosed by physical examination and a valgus stress test to assess instability of the elbow. Experience: Medical Doctor Trained at a Top Academic Institution. Watch the following video that demonstrates three potent tennis elbow mobilization and tennis elbow manipulation skills. Symptoms of a supraspinatus tear include: Sharp pain in the shoulder at the time of injury. with accompanying intrasubstance cleavage. Bmj. Orthopedic Research and Reviews. Supraspinatus Tear - Physiopedia 2006 Dec 1;21(4):250-5. Zhou Y, Guo Y, Zhou R, Wu P, Liang F, Yang Z. Sports Med. Link, 147. ?ahbaz T, Ceylan CM, Karacay B, Korkmaz MD, D?raco?lu D. Comparison of platelet-rich plasma and extracorporeal shock wave therapy in patients with chronic lateral epicondylitis: A prospective, randomized-controlled study. This group originates from the proximal ulna, just distal to the cubital tunnel, thus forming a small muscular mass as the posteromedial aspect of the ulna. In the setting of partial tears of the ligament, reported cases have discussed only the anterior band of the UCL complex (. Turgay T, Karadeniz PG, Sever GB. Hopefully, this syndrome will stop soon and Ill decide then whether I will keep my appointment with a neurologist. Khan KM, Cook JL, Kannus P, Maffulli N, Bonar SF. " Journal of shoulder and elbow surgery. 2019 May 1;35(5):1379-84. Tingling or numbness in the pinky and ring fingers. The common extensor tendon is seen as a hypointense band arising from the lateral epicondyle on MRI (. Swelling of the elbow region. It is a tear that occurs in the middle layers of a tendon and not on the outside layers. Topical Treatments For Tennis Elbow: Lotions, Potions And Creams, Oh My! 2019 Jul;11(7):681-93. Lateral Elbow Tendinopathy: Correlation of Ultrasound Findings With all manner of Tennis Elbow related treatments. Figure 10.12Ulnar collateral ligament rupture. 2023 ICD-10-CM Diagnosis Code S56.512A - ICD10Data.com (5,7,8), Lateral epicondylosis or wrist extensor tendinosis (aka tendinopathy) is caused by chronic, repetitive micro-tearing of the common extensor tendon, resulting in failed healing, degeneration, and potential disruption. ADVERTISEMENT: Supporters see fewer/no ads. Grip strength is more sensitive to changes in elbow position than isolated wrist extension strength in patients with lateral elbow tendinopathy. He also received ICS Chiropractor of the Year in 2019. All underwent clinical and ultrasound assessments and completed the quick Disabilities of the Arm, Shoulder, and Hand and patient-rated tennis elbow evaluation questionnaires at final follow-up. However, they cannot fulfill all the functions of the elbow, especially the motion of rotating the forearm from palm down to palm up. Techniques in Orthopaedics. Comparison of low level laser therapy and extracorporeal shock wave in treatment of chronic lateral epicondylitis. an intrasubstance tear which was measured at 6 x 2.8 x 2.2 mm. 2008 Nov 1;31(9):675-81. TFCC Tear: Causes and Symptoms | The Hand Society Journal of Hand Therapy. Kim YJ, Wood SM, Yoon AP, Howard JC, Yang LY, Chung KC. Radiology. It is thought that repetitive stress and overuse will lead to tendinosis involving the origin of the extensor tendons at the lateral elbow, with micro-tearing and progressive degeneration due to an immature reparative response that may progress to a full-thickness tendon tear. Partial tears are further described by their location within the tendon. i had a high grade tear of common extensor tendon bundle repaired with surgery in february 2022? 2018 Feb 13. An intrasubstance tear is most seen in the rotator cuff and the knee although it is possible in other tendons as well. 2010 Sep;5(3):189. Simental-Mendia M, Vilchez-Cavazos F, Alvarez-Villalobos N, Blazquez-Saldana J, Pena-Martinez V, Villarreal-Villarreal G, Acosta-Olivo C. Clinical efficacy of platelet-rich plasma in the treatment of lateral epicondylitis: a systematic review and meta-analysis of randomized placebo-controlled clinical trials. A ligament serves as a tether between the bones. Link. 2010 Sep;195(3):585-94. Link, 8. However, these tests are rarely used as the sole basis for a diagnosis. pain that gets worse when you lift your arm. (Left) A suture and suture anchor. International Journal of Surgery. 19. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Although it is a slow process, your commitment to your rehabilitation plan is the most important factor in returning to all the activities you enjoy. If you like what we do, please don't hestitate to subscribe to our RSS Feed. T1-weighted coronal MR images show the ulnar collateral ligament (, On oblique coronal images, the anterior bundle of the UCL is seen as a uniformly low-signal structure. Physical Medicine and Rehabilitation 21 years experience. Increased vascularity can be seen on color or power Doppler ultrasound . A complete tear of the distal biceps tendon. After discussing your symptoms and how the injury occurred, your doctor will examine your elbow. How To Heal A Torn Meniscus Naturally - Centeno-Schultz The physical therapist had already mentioned that nerve damage could have caused the muscle to contract which led to the tear. Link, 17. Comparison of the effects of short-duration wrist joint splinting combined with physical therapy and physical therapy alone on the management of patients with lateral epicondylitis. Effectiveness of Acupuncture for Lateral Epicondylitis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. The lateral muscle group can be thought of consisting of three components: a superficial group, the common extensors, and the supinator. Aim: To assess multilabel classification models using machine learning models to detect degenerative findings and intrasubstance tears in US images with LET diagnosis. Altan L, Kanat E. Conservative treatment of lateral epicondylitis: comparison of two different orthotic devices. So as a warning to anyone who is taking cortisone shots, or taking Medrol dose pack, cortisone and Mobic can be very dangerous. Link, 68. In all cases, patients present with pain in their upper arm and shoulder and varying degrees of weakness and loss of range. A complete tear means the tendon has torn away from the bone. Since the biceps tendon takes more than 3 to 4 months to fully heal, it is important to protect the repair by restricting your activities. Manipulation of the wrist for management of lateral epicondylitis: a randomized pilot study. An ulnar collateral ligament (UCL) tear is an injury to one of the ligaments on the inner side of your elbow. Right wrist extensor tendon tear; Right wrist extensor tendon tear, forearm level; ICD-10-CM S56.511A is grouped within Diagnostic Related Group(s) (MS-DRG v 40.0): 562 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc; 563 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc Lucado AM, Dale RB, Vincent J, Day JM. If the injury occurred in your nondominant arm and you can tolerate not having full arm function, If you have medical problems that put you at higher risk for complications during surgery, If you cannot make time for the rehabilitation required after surgery. Defoort S, De Smet L, Brys P, Peers K, Degreef I. Lateral elbow tendinopathy: surgery versus extracorporeal shock wave therapy. He said it could take as long as 2 weeks for the symptoms to go away. JCM | Free Full-Text | Determinants of Operative Time in Arthroscopic Long-term follow-up of arthroscopic treatment of lateral epicondylitis. Sayampanathan AA, Basha M, Mitra AK. Efficacy of Nonoperative Treatments for Lateral Epicondylitis: A Systematic Review and Meta-Analysis. Partial UCL injury of the elbow: Do you need Tommy John surgery? They may prescribe physical therapy to help you regain range of motion and strength. extensor tendon tears underwent surgery using a knotless suture anchor technique. It is the preference of the author to . Overall, the tests accuracy was superior to a positive Cozens test or the presence of nocturnal pain. Link. Haahr JP, Andersen JH. An intrasubstance tear is a partial tear of a tendon or cartilage. Factors associated with prognosis of lateral epicondylitis after 8 weeks of physical therapy. Typically, surgeons will not even try to operate on these. Figure 11.6Medial muscle and tendon anatomy. Lifting a heavy box is a good example. Smoking. Ahadi T, Esmaeili Jamkarani M, Raissi GR, Mansoori K, Emami Razavi SZ, Sajadi S. Prolotherapy vs radial extracorporeal shock wave therapy in the short-term treatment of lateral epicondylosis: a randomized clinical trial. 2000 May 1;28(5):38-48. Weakness. Journal of Musculoskeletal Medicine. European journal of physical and rehabilitation medicine. 2020 Mar 10. Conclusion: Although HRUS is operator dependent, it detects infraspinatus and subscapularis tendon tears with . Link, 141. Today they are much more common in people over the age of 60 and quite rare in people under the age of 40. Management of nerve compression lesions of the upper extremity. 2022 Jan 11. Rotator cuff tears can increase in size and get progressively worse. The lacertus fibrosus, also called the bicipital aponeurosis, arises from the distal biceps tendon and passes medially to blend with the fascial covering of the flexorpronator group. The use of dry needling versus corticosteroid injection to treat lateral epicondylitis: a prospective, randomized, controlled study. 2003 Nov;31(6):915-20. Langberg H, Ellingsgaard H, Madsen T, Jansson J, Magnusson SP, Aagaard P, Kjr M. Eccentric rehabilitation exercise increases peritendinous type I collagen synthesis in humans with Achilles tendinosis. 2021 Jul 1;17(4):327-33. Jafarian FS, Demneh ES, Tyson SF. Differential diagnosis and management for the chiropractor: protocols and algorithms. Ultrasound Clinical Rehabilitation. Ultrasound. Journal of Orthopaedic Science. Graston / IASTM For Treating Tennis Elbow. Link, 42. Common extensor tendinopathy is an overuse injury due to excessive loading occurring from repeated wrist extension against resistance. Page P. A new exercise for tennis elbow that works. Barnett J, Bernacki MN, Kainer JL, Smith HN, Zaharoff AM, Subramanian SK. 2011 Nov;39(11):2429-35. This is especially common in athletes who play sports that require overhead arm use or throwing. Intrasubstance rotator cuff tears also known as concealed interstitial delaminations (CID)are concealed partial-thickness rotator cuff tearsneither extending to the articular nor the bursal side of the rotator cuff. An 'Intrasubstance' or 'Longitudinal' tear runs through the tendon lengthwise, like a split, in contrast to 'Partial' and 'Full Thickness' tears, which are perpendicular. The common extensor group is composed of the extensor carpi radialis brevis, extensor digitorum, extensor digiti minimi, and extensor carpi ulnaris. 1. Link, 116. The instability resulting from a UCL tear may affect your ability to participate in sports that require throwing. How Gardening Causes Elbow Pain And Injury And How To Treat It. Figure 11.1Lateral muscle and tendon anatomy. Together with the extensor carpi radialis brevis, the superficial group forms a bulky muscular mass termed the mobile wad, which surrounds much of the anterolateral aspect of the elbow (. Link, 47. This can lead to pain, a sense of instability or looseness, and an inability to work or play sports. 1992 Nov;20(6):746-9. MRI showed a high-grade tear in the common extensor tendon. (Really). Frequently, the athlete will elicit a history of a loss of velocity on a pitch or a lack of pitch control (, Although the specific techniques of throwing vary slightly among different sports, the same basic throwing mechanism is common to all (, Figure 10.20Phases of throwing. The Key To Healing Leash-Related Injuries Of The Wrist, Hand And Elbow, Healing Tennis Elbow: How Muscles And Tendons Heal, Dont Use Ice to Treat Your Tennis Elbow! Tendon and ligament imaging. Just going from a sitting to a standing position can be enough for this tear in the knee. Nonsurgical Treatment . Answered in 7 minutes by: Doctor: the-good-doctor. How Important Is Rest In Treating Tennis Elbow? On ultrasound, a focal hypoechoic or anechoic slit of the rotator cuff within the tendon substance might be seen. A valgus stress test, during which a physician tests your elbow for instability, is the best way to assess the condition of the UCL. 2019 Apr 1;23(2):405-16. Investigation of two possible compression sites of the deep branch of the radial nerve and nerve supply of the extensor carpi radialis brevis muscle. These tears are most often caused by a sudden injury and tend to result in greater arm weakness than injuries to the biceps tendon at the shoulder. Hand Surgery and Rehabilitation. Reference article, Radiopaedia.org (Accessed on 04 Mar 2023) https://doi.org/10.53347/rID-79345, see full revision history and disclosures, Concealed interstitial delamination (CID). At the time the article was last revised Yahya Baba had Link, 120. 2019 Apr 1;32(2):262-76. Link, 99. Guler T, Yldrm P. Comparison of the efficacy of kinesiotaping and extracorporeal shock wave therapy in patients with newly diagnosed lateral epicondylitis: A prospective randomized trial. Assendelft WJ, Hay EM, Adshead R, Bouter LM. This occurs in sports such as tennis and badminton as well as manual occupations such as bricklaying and carpentry as well as other hobbies such as sewing and knitting. 2022 Dec 31:495-503. In all of these cases, both rotator cuff and knee, arthroscopic surgery is the most common type of surgery. They are described as articular side, intrasubstance, or superficial in nature . Janssen S, De Smet L. Responsiveness of the DASH questionnaire for surgically treated tennis elbow. Journal of Hand Therapy. Be sure to discuss available options with your doctor. Cleland JA, Flynn TW, Palmer JA. Although X-rays cannot show soft tissues like the biceps tendon, they can be useful in ruling out other problems that can cause elbow pain. It is imperative that a sequence with optimal fluid sensitivity and signal-to-noise resolution is included in the imaging protocol of the elbow. 2010 Sep 1;19(6):917-22. Accessed 04/29/2014 from http://emedicine.medscape.com/article/96969-clinical. Link, 60. Radiographic features. Link, 74. Biceps Tendon Injuries: Causes, Symptoms & Treatments - Cleveland Clinic Rehabilitation. Zhong Y, Zheng C, Zheng J, Xu S. Kinesio tape reduces pain in patients with lateral epicondylitis: a meta-analysis of randomized controlled trials. The biceps muscle helps you bend and rotate your arm. (140). Platelet-Rich Plasma Versus Corticosteroid Injections for the Treatment of Recalcitrant Lateral Epicondylitis: A Cost-Effectiveness Markov Decision Analysis. O need to know if on this MRI my achillis tendon is (5,6) Chronic cases show no histologic signs of inflammation. Journal of Functional Morphology and Kinesiology. 2008 Feb;36(2):254-60. Bisset L, Beller E, Jull G, Brooks P, Darnell R, Vicenzino B. Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial. Orthopaedic Knowledge Online Journal 2007; accessed January 2016. 14. When Should You Get An MRI For Tennis Elbow Or Golfers Elbow. Surgical Outcome. Intrasubstance Tear of the Short Head of Biceps With Musculo - LWW All rights reserved. 20 Exclusion criteria were any previous treatment such as platelet-rich plasma (PRP), corticoid injection, or surgical intervention. This is the first Level 1 prospective randomised controlled trial demonstrating that Autologous Tenocyte Injection resulted in a significantly better and sustained reduction in pain and improvement in shoulder function, compared with corticosteroid injection, as treatment for tendinopathy and interstitial tears of the rotator cuff. Short-Term Effects of Steroid Injection, Kinesio Taping, or Both on Pain, Grip Strength, and Functionality of Patients With Lateral Epicondylitis: A Single-Blinded Randomized Controlled Trial. It's possible for mild tears to heal without surgery. Associated tenderness over the common extensor tendon origin. Link, 131. The muscles in the lateral group include the supinator, brachioradialis, and extensor muscles of the hand and wrist, the latter arising primarily from the common extensor tendon. Dr. Bertelsman has served in several leadership positions and is the former president of the Illinois Chiropractic Society. Intrasubstance rotator cuff tears are difficult to detect. MR arthrography should not have any additional advantage over MRI unless to prove the suspected tear is not a partial articular tear with intratendinous extension or PAINT lesion. Pain on the inner side of the elbow is the most common symptom of a UCL injury. 55. How Important Is Rest In Treating Tennis Elbow? : A Randomized Clinical Trial. Journal of Hand Therapy. Navarro-Santana MJ, Sanchez-Infante J, Gmez-Chiguano GF, Cleland JA, Lpez-de-Uralde-Villanueva I, Fernndez-de-Las-Peas C, Plaza-Manzano G. Effects of trigger point dry needling on lateral epicondylalgia of musculoskeletal origin: a systematic review and meta-analysis. Extracorporeal Shock Wave Therapy shows Superiority over Injections for Pain Relief and Grip Strength Recovery in Lateral Epicondylitis: A Systematic Review and Network Meta-Analysis. Journal of Shoulder and Elbow Surgery. 2. It is less common to injure this tendon when the elbow is forcibly bent against a heavy load. Risk factors of lateral epicondylitis: A meta-analysis. Pediatric sports medicine expert R. Jay Lee provides these 10 injury prevention tips to help keep your young athlete safe. Clinical evaluation of elbow injuries in the athlete. Compare the supination strength to the strength of your opposite, uninjured forearm. Ulnar Collateral Ligament Tears | Orthopedics & Sports Medicine Kroslak M, Pirapakaran K, Murrell GA. Counterforce bracing of lateral epicondylitis: a prospective, randomized, double-blinded, placebo-controlled clinical trial. I believe its called seratonin syndrome. Abnormal morphology (attenuation or thickening) can be seen in tendinosis or tear. Lee SH, Gong HS, Kim S, Kim J, Baek GH. Rotator Cuff and Shoulder Conditioning Program. T1-weighted fat-suppressed coronal MR arthrogram image profiles a complete rupture of the sublime tubercle attachment (, A description of injury to the UCL complex would be incomplete without localization of the imaging abnormality. 3 The intra-articular tendon of the long head of the biceps brachii is the most commonly injured structure followed by its extra . The challenge of managing tendinopathy in competing athletes. Imaging Algorithms for Evaluating Suspected Rotator Cuff Disease: Society of Radiologists in Ultrasound Consensus Conference Statement. Partial-thickness tendon tears, most commonly occurring in the extensor carpi radialis brevis, appear as areas of intrasubstance fluid signal intensity with focal disruption of tendon fibers. Dry Needling For Tennis Elbow: Who Needs It? Link, 3. The triceps arises from three heads: the lateral head from the posterolateral proximal humerus, the long head from the infraglenoid tubercle of the scapula, and the medial head from the posterior distal humerus. Sethi K, Noohu MM. The short head arises from the coracoid process and the long head from the supraglenoid tubercle of the scapula. Surgical complications are generally rare and temporary. Tennis Elbow Surgery: When Is It Time? - Five Key Points The anterior band attaches distally to the sublime tubercle (most medial portion of the coronoid process). Crushing injuries, such as jamming fingers in a door frame . Figure 10.7T-sign with adjacent bone marrow edema. Ulnar Collateral Ligament Complex Anatomy, Ligamentous structures of the elbow are comprised of focal condensations of the fibrous joint capsule, thus forming a capsuloligamentous complex similar to that encountered in the shoulder. Platelet-Rich Plasma Versus Corticosteroid Injections in the Management of Elbow Epicondylitis and Plantar Fasciitis: An Updated Systematic Review and Meta-analysis. 2018 Sep 1;52(5):357-62. (It Depends On Your Goals!). Bmj. Several imaging findings have been associated with the clinical entity of lateral epicondylitis. Posterior Labral Tear. 4,6,10,13,20 With complete rupture of the tendon, . Platelet-Rich Plasma For Tennis Elbow: Does It Work? Kachanathu SJ, Alenazi AM, Hafez AR, Algarni AD, Alsubiheen AM. Link, 108. Oct 1994;18(5):263-267. The biceps muscle has two tendons that attach the muscle to the shoulder and one tendon that attaches at the elbow. Injecting dye (gadolinium) into the joint before the MRI sometimes increases its accuracy. Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window), Long Bicipital Tendon Including Superior Labral AnteriorPosterior Lesions. They can show both partial and complete tears of the biceps tendon. Your physician and physical therapist will work together to monitor your progress. A 2018 BMJ systematic review (142) found the most widely used tests for lateral epicondylitis included: Maudsleys (aka Long finger extension) test. The baseball pitch exemplifies the five phases of throwing: (, This description of the position changes that occur during the throwing motion expose the elbow to severe stress at several points in the action, each of which can result in serious injury. Clinical rheumatology. On my last visit to the orthopedic surgeon he said that he felt there was no need for surgery on my elbow. Johns Hopkins elbow specialists diagnosed Michael and discovered how serious his injury was. Medicine. 2016 Feb 1;21:18-34. Can You Heal A Tendon Tear Without Surgery With Tennis Elbow Or Golfers Elbow? 2008 Jan 1;16(1):19-29. He said that looked consistent with the type of injury showing up on x-ray and how old the injury was. Kirici Y, Irmak MK. 2020 Mar 20;2020. 2022 Feb 25;101(8). Nevertheless, cannot detect degenerative tendon changes, such as bone irregularities, calcific deposits, neovascularization, thickening, thinning, and tears.. It can identify peritendinous fluid, thickening of the common extensor origin, intrasubstance tears, and focal hypoechoic areas. Triceps Tendon Injury: Symptoms, Causes, Risk Factors & Treatment And why do those tendons so often get re-injured in spite of your best efforts? The ChiroUp Clinical Outcomes and Patient Satisfaction Synopsis (COPS) analyzed more than 630,000 presentations to find that lateral epicondylopathy, aka tennis elbow, is the most common elbow diagnosis. Link. Elbow: Common flexor tendon begins on the inside of your elbow. The effectiveness of Biomechanical Taping Technique on visual analogue scale, static maximum handgrip strength, and Patient Rated Tennis Elbow Evaluation of patients with lateral epicondylalgia: A cross-over study. Applying ice to the elbow daily until the pain and swelling are gone. Find more COVID-19 testing locations on Maryland.gov. The surgeon recommended repair of the tendon with . Pain around the crease of the elbow. If Tommy John Surgery is recommended, the rehabilitation can take nine months to a year, and sometimes longer. After 2 cortisone shots, and 3 weeks of physical therapy, my surgeon recommended an MRI. Journal of Hand Surgery. Link, 133. If the forces generated exceed the tensile strength of the ligament, microtears will occur. Orthopedic Research and Reviews. Learn why these shots should be avoided at all costs. Masks are required inside all of our care facilities. According to cadaver studies they are the most common form of partial-thickness rotator cuff tear. In the long term it's all bad news, unfortunately. Med/Lat. Epicondylitis (Tennis Elbow) | Orthopaedic Associates of Michigan Calfee RP, Patel A, DaSilva MF, Akelman E. Management of lateral epicondylitis: current concepts. Radiographics. The Physician and Sportsmedicine. It depends on the range of motion youd like to achieve in the elbow. Zwerus EL, Somford MP, Maissan F, Heisen J, Eygendaal D, Van Den Bekerom MP. Pain when accelerating the arm forward, just prior to releasing a ball. Tendinosis of the elbow (tennis elbow): clinical features and findings of histological, immunohistochemical, and electron microscopy studies. At 6 months post-operatively, the average pain score decreased from 6.2 to 1.7 in patients with articular tears and from 7.1 to 0.9 in patients with bursal tears.

Pick Up Lines For The Name Chloe, Bank Of America Account Number Leading Zeros, Articles I