{"id":5016,"date":"2025-04-09T14:14:56","date_gmt":"2025-04-09T12:14:56","guid":{"rendered":"https:\/\/moovency.com\/?p=5016"},"modified":"2026-03-19T16:49:37","modified_gmt":"2026-03-19T15:49:37","slug":"focus-on-tms-4-epicondylitis-epitrochleitis","status":"publish","type":"post","link":"https:\/\/moovency.com\/en\/focus-on-tms-4-epicondylitis-epitrochleitis\/","title":{"rendered":"Focus on a MSD #4 &#8211; Epicondylitis \/ Epitrochleitis"},"content":{"rendered":"<section class=\"l-section wpb_row height_medium\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h1>Focus on a MSD #4 <strong>&#8211; Epicondylitis \/ Epitrochleitis <\/strong><\/h1>\n<\/div><\/div><div class=\"w-separator size_medium\"><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>Having recently focused on the wrist, shoulder and elbow, what about the elbow? Moovency decided to take a look at elbow pathologies.<\/p>\n<p>Among the most common musculoskeletal disorders, <strong>epicondylitis<\/strong> (or tennis elbow) and <strong>epitrochleitis<\/strong> (or golfer&#8217;s elbow) affect a large number of people, particularly those exposed to repetitive work or work that puts intense strain on the forearm muscles.<\/p>\n<p>Let&#8217;s find out more about these conditions together: their causes, how symptoms develop, possible treatments&#8230; And above all, how to prevent them effectively!<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_medium\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h1>Elbow tendonitis: <strong>definitions<\/strong><\/h1>\n<p>By definition, tendonitis is<strong> inflammation of the tendon<\/strong>, generally caused by repetitive movements or excessive stress. As a hinge joint, the elbow is particularly exposed to this type of pathology.<\/p>\n<p>The elbow is made up of 2 condyles, corresponding to the rounded articular end of a bone (fitting into the cavity of another bone), on the inner and outer edges of the elbow:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>The <strong>medial condyle<\/strong> (epitrochlea): attachment zone for the wrist <strong><em>flexor<\/em> <\/strong>muscles.<\/li>\n<li>The <strong>external condyle<\/strong> (epicondyle): Attachment zone for the wrist <strong><em>extensor <\/em><\/strong>muscles.<\/li>\n<\/ul>\n<p>Tendonitis of the elbow can therefore take two main forms:<\/p>\n<\/div><\/div><div class=\"w-separator size_medium\"><\/div><div class=\"g-cols wpb_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-6 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-separator size_large\"><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><ul>\n<li><strong>Epitrochleitis<\/strong> : inflammation of the wrist flexor tendons at the epicondyle, more common in golfers (golf elbow) and certain workers exposed to intense gripping efforts.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>Lateral epicondylitis:<\/strong> inflammation of the tendons connecting the wrist extensor muscles to the lateral epicondyle of the elbow. It mainly affects people who perform repetitive movements and is nicknamed \u2018tennis elbow\u2019 because it frequently affects tennis players.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><div class=\"vc_col-sm-6 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-image align_center\"><div class=\"w-image-h\"><img decoding=\"async\" width=\"1024\" height=\"918\" src=\"https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/phy_elbow_hurts_sports-1024x918.png\" class=\"attachment-large size-large\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/phy_elbow_hurts_sports-1024x918.png 1024w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/phy_elbow_hurts_sports-700x628.png 700w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/phy_elbow_hurts_sports-300x269.png 300w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/phy_elbow_hurts_sports-446x400.png 446w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/phy_elbow_hurts_sports-850x762.png 850w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/phy_elbow_hurts_sports-500x448.png 500w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/phy_elbow_hurts_sports.png 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/div><\/div><div class=\"wpb_text_column us_custom_1d856979 has_text_color\"><div class=\"wpb_wrapper\"><p><em>Source : MSD Manual &#8211; Elbow Injuries by P.L. Liebert<\/em><\/p>\n<h1 id=\"topicHeaderTitle\" class=\"readable TopicHead_topicHeaderTittle__miyQz\"><\/h1>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>Generally speaking, the <strong>elbow<\/strong> accounts for <strong>22% of MSD cases,<\/strong> just after wrist-finger-hand injuries (38%) and the shoulder (30%). These two elbow pathologies are referenced in table 57 of the general<em> scheme of periarticular affections caused by certain working gestures and postures.<\/em><\/p>\n<p>\ud83d\udca1<em>It should be noted that there are other elbow disorders: fracture of the olecranon, hygroma of the elbow or inflammatory disease of the elbow.<\/em><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_medium\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h2>Elbow tendonitis: <strong>causes and symptoms<\/strong><\/h2>\n<h3>EPICONDILYTE<\/h3>\n<p><strong>Lateral epicondylitis<\/strong> usually occurs in only one arm (the dominant arm) and causes pain that radiates to the whole of the outside of the elbow and forearm.<\/p>\n<\/div><\/div><div class=\"g-cols wpb_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-6 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-image align_center\"><div class=\"w-image-h\"><img decoding=\"async\" width=\"400\" height=\"400\" src=\"https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-tennis-elbow-400x400.png\" class=\"attachment-us_600_400 size-us_600_400\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-tennis-elbow-400x400.png 400w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-tennis-elbow-700x700.png 700w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-tennis-elbow-1024x1024.png 1024w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-tennis-elbow-150x150.png 150w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-tennis-elbow-300x300.png 300w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-tennis-elbow-850x850.png 850w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-tennis-elbow-500x500.png 500w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-tennis-elbow.png 1080w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"vc_col-sm-6 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-separator size_medium\"><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p style=\"text-align: center;\">This pain can occur when the person :<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>unfolds<\/strong> the arm ;<\/li>\n<li><strong>grasps<\/strong> objects with the hand while keeping the<strong> arm straight;<\/strong><\/li>\n<li><strong>bending<\/strong> the wrist while keeping the <strong>arm straight;<\/strong><\/li>\n<li>performing a <strong>rotational<\/strong> movement, for example to open a door.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"g-cols wpb_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p><strong>Work<\/strong> is the main risk factor for epicondylitis. The tasks that can cause the condition are as follows:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>movements involving gripping a handle with force;<\/li>\n<li>simultaneous rotation of the forearm and bending of the wrist;<\/li>\n<li>movements of the hand to strike objects.<\/li>\n<\/ul>\n<p>Certain factors aggravate tendon injuries: biomechanical factors (repetition of harmful movements), but also environmental factors (exposure to cold or vibrations).<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"w-separator size_medium\"><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h3>EPITROCHLEITIS<\/h3>\n<p>In contrast, the pain of <strong>epitrochleitis<\/strong> is located on the inside of the elbow and forearm, and can sometimes extend as far as the shoulder. The symptoms are increased sensitivity to touch, stiffness in the elbow and reduced wrist mobility. It can be caused by a variety of movements:<\/p>\n<\/div><\/div><div class=\"g-cols wpb_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-6 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-separator size_huge\"><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><ul>\n<li><strong>Clenching<\/strong> the fist or grasping an object (gripping actions)<\/li>\n<li>Bending the wrist against resistance;<\/li>\n<li><strong>Twisting<\/strong> the <strong>wrist<\/strong>.<\/li>\n<\/ul>\n<p>And high-risk activities include :<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Prolonged use of heavy tools;<\/li>\n<li>Prolonged work on a computer;<\/li>\n<li>Sports that put strain on the flexors (golf, shot-putting, climbing);<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><div class=\"vc_col-sm-6 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-image align_center\"><div class=\"w-image-h\"><img decoding=\"async\" width=\"400\" height=\"400\" src=\"https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-golfer-elbow-400x400.png\" class=\"attachment-us_600_400 size-us_600_400\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-golfer-elbow-400x400.png 400w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-golfer-elbow-700x700.png 700w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-golfer-elbow-1024x1024.png 1024w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-golfer-elbow-150x150.png 150w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-golfer-elbow-300x300.png 300w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-golfer-elbow-850x850.png 850w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-golfer-elbow-500x500.png 500w, https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-golfer-elbow.png 1080w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"w-separator size_medium\"><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h2>Elbow tendonitis: <strong>diagnosis and treatment<\/strong><\/h2>\n<p>In both cases, diagnosis is based on a<strong> clinical examination.<\/strong> Depending on the severity, additional tests (X-rays, MRI) may be carried out to assess the extent of the damage.<\/p>\n<p>There are various types of treatment:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>First-line treatment:<\/strong> rest, application of ice, wearing a splint (elbow brace).<\/li>\n<li><strong>Medication<\/strong>: anti-inflammatories or painkillers may be prescribed to relieve pain, or corticosteroid injections.<\/li>\n<li><strong>Rehabilitation treatment<\/strong>: physiotherapy.<\/li>\n<li>And as a last resort, <strong>surgical treatment.<\/strong><\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_medium\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h2>Preventing elbow pathologies<strong> in the workplace<\/strong><\/h2>\n<p><strong>Preventing epicondylitis and epitrochleitis<\/strong> involves adopting good practice in the workplace. These include :<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>limiting exposure to aggravating factors (vibration, cold) and adapting tools.<\/li>\n<li>redesigning the workstation: job analysis, risk mapping, etc.<\/li>\n<li>\u00a0introducing recovery breaks;<\/li>\n<li>alternate tasks and warm up joints to better prepare yourself;<br \/>\ncloser medical monitoring.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><strong>At Moovency, we support companies in preventing MSDs thanks to our KIMEA solutions and the expertise of our ergonomists. With our recording tools, you can easily assess the joints that are subject to the most strain, and then put preventive measures in place. So you can prevent risks and postures as early as possible and keep your employees in good health&#8230;<\/strong><\/p>\n<\/div><\/div><div class=\"w-separator size_medium\"><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p><b>Sources :\u00a0<\/b><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"><strong>Ameli<\/strong> &#8211; \u00c9picondylite (douleur du coude) : d\u00e9finition, sympt\u00f4mes et facteurs de risque<\/span><\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.ameli.fr\/assure\/sante\/themes\/epicondylite\/definition-symptomes-facteurs-risque\"><span style=\"font-weight: 400;\">https:\/\/www.ameli.fr\/assure\/sante\/themes\/epicondylite\/definition-symptomes-facteurs-risque<\/span><\/a><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"><strong>Ameli<\/strong> &#8211; Des habitudes \u00e0 adopter pour \u00e9viter l\u2019\u00e9picondylite<\/span><\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.ameli.fr\/assure\/sante\/themes\/epicondylite\/prevention\"><span style=\"font-weight: 400;\">https:\/\/www.ameli.fr\/assure\/sante\/themes\/epicondylite\/prevention<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"><strong>Eric Roulot<\/strong> &#8211; Tendinite du coude : comment soigner cette maladie ?<\/span><\/li>\n<\/ul>\n<p><a href=\"https:\/\/eric-roulot.com\/coude\/tendinite-coude\/\"><span style=\"font-weight: 400;\">https:\/\/eric-roulot.com\/coude\/tendinite-coude\/<\/span><\/a><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"><strong>L\u00e9giFrance<\/strong> &#8211; Code de la s\u00e9curit\u00e9 social<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/www.legifrance.gouv.fr\/codes\/article_lc\/LEGIARTI000034631077\"><span style=\"font-weight: 400;\">https:\/\/www.legifrance.gouv.fr\/codes\/article_lc\/LEGIARTI000034631077<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"><strong>Le Manuel MSD<\/strong> &#8211; L\u00e9sions des coudes<\/span><\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.msdmanuals.com\/fr\/accueil\/l%C3%A9sions-et-intoxications\/l%C3%A9sions-sportives\/%C3%A9picondylite-lat%C3%A9rale\"><span style=\"font-weight: 400;\">https:\/\/www.msdmanuals.com\/fr\/accueil\/l%C3%A9sions-et-intoxications\/l%C3%A9sions-sportives\/%C3%A9picondylite-lat%C3%A9rale<\/span><\/a><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"><strong>Medicalib<\/strong> &#8211; \u00c9picondylite : sympt\u00f4mes, causes et traitement de ce TMS<\/span><\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.medicalib.fr\/blog\/epicondylite-symptomes-causes-et-traitement-de-ce-tms\/#:~:text=L'%C3%A9picondylite%2C%20appel%C3%A9e%20%C3%A9galement%20%C2%AB,la%20vie%20quotidienne%20et%20professionnelle\"><span style=\"font-weight: 400;\">https:\/\/www.medicalib.fr\/blog\/epicondylite-symptomes-causes-et-traitement-de-ce-tms\/#:~:text=L&#8217;%C3%A9picondylite%2C%20appel%C3%A9e%20%C3%A9galement%20%C2%AB,la%20vie%20quotidienne%20et%20professionnelle<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"Focus on a MSD #4 &#8211; Epicondylitis \/ Epitrochleitis Having recently focused on the wrist, shoulder and elbow, what about the elbow? Moovency decided to take a look at elbow pathologies. Among the most common musculoskeletal disorders, epicondylitis (or tennis elbow) and epitrochleitis (or golfer&#8217;s elbow) affect a large number of people, particularly those exposed...","protected":false},"author":3,"featured_media":5020,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"categories":[28],"tags":[],"class_list":["post-5016","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tms-en"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Focus on a MSD #4 - Epicondylitis \/ Epitrochleitis - Moovency<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/moovency.com\/en\/focus-on-tms-4-epicondylitis-epitrochleitis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Focus on a MSD #4 - Epicondylitis \/ Epitrochleitis - Moovency\" \/>\n<meta property=\"og:url\" content=\"https:\/\/moovency.com\/en\/focus-on-tms-4-epicondylitis-epitrochleitis\/\" \/>\n<meta property=\"og:site_name\" content=\"Moovency\" \/>\n<meta property=\"article:published_time\" content=\"2025-04-09T12:14:56+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-19T15:49:37+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/moovency.com\/wp-content\/uploads\/2025\/02\/moovency-article-focus-on-a-msd-elbow.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Lucie MOOVENCY\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Lucie MOOVENCY\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/moovency.com\\\/en\\\/focus-on-tms-4-epicondylitis-epitrochleitis\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/moovency.com\\\/en\\\/focus-on-tms-4-epicondylitis-epitrochleitis\\\/\"},\"author\":{\"name\":\"Lucie MOOVENCY\",\"@id\":\"https:\\\/\\\/moovency.com\\\/#\\\/schema\\\/person\\\/6b777007ac14ac92ba3c69fd7afd77c5\"},\"headline\":\"Focus on a MSD #4 &#8211; 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