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Link between Cam-Type Deformities and MRI Detected Hip Damage in Asymptomatic Young Men

By MedImaging International staff writers
Posted on 21 Sep 2011

Hip impingement (femoracetabular impingement) may be a risk factor of osteoarthritis (OA) of the hip. New research revealed that the presence of an underlying deformity, known as cam impingement, is linked with hip damage in young men without any arthritis symptoms and detected using magnetic resonance imaging (MRI).

The study’s findings were published September 8, 2011, in Arthritis & Rheumatism, a journal of the American College of Rheumatology (ACR). Medical evidence reports that hip OA is a major cause of pain and disability, and accounts for more than 200,000 hip replacements in the United States each year. Cam impingement restricts full range of motion in the hip socket due to boney bumps on the femoral head. The cam-type deformity causes hip pain as the bump moves inside the socket, applying extreme pressure to cartilage and may eventually lead to OA in the hip. Studies have shown that cam impingement is frequently seen in young male athletes, referred to orthopedic specialists after experiencing groin pain, and hip rotation is found to be diminished.

“Given that cam-type deformities are common in young asymptomatic males, we examined whether the deformities were associated with early signs of MRI detected hip damage,” explained lead author, Dr. Stephan Reichenbach, from the Institute of Social and Preventive Medicine at the University of Bern (Switzerland). The investigators recruited participants from a population-based group of male individuals enrolling in the Swiss army at a single recruiting center. A total of 244 males with a mean age of 20 years reported having no hip pain and were qualified for the study. MRI scans were conducted and one hip in each participant was examined for cam-type deformities, labral lesions, signs of cartilage damage, and impingement pits.

Researchers detected 67 definitive cam-type deformities in study participants with these men having higher body mass index and decreased internal rotation. Labral lesions were seen in 85% of participants with cam-type deformities and in only 67% of those without the deformity. Labral avulsions were detected in 76% of participants with the deformity and 58% of those without. In participants with cam-type deformity versus those without, impingement pits were observed in 30% and 12%, respectively.

The authors reported an adjusted prevalence of 24% for cam-type deformities in the study population along with a high frequency of signs of joint damage. The signs of joint damage seen in participants could be an outcome in the sequence from normal to osteoarthritic hips, they suggest. “Our study is the first population-based MRI study to confirm the role of cam-type deformities of the hip as a potential risk factor for joint damage,” concluded Dr. Reichenbach. “Longer-term studies are needed to determine if cam-type deformity increases risk of developing hip OA.”

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61 (95.129013061523): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

62 (609.8747253418): SELECT fid FROM jos_deeppockets WHERE id=294737194 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294737194 AND published='1' LIMIT 1

63 (423.90823364258): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

64 (57.93571472168): select jos_twitters.link from jos_twitters where cat=10

65 (41.961669921875): select jos_facebook.link from jos_facebook where cat=10

66 (42.915344238281): select jos_google_plus.link from jos_google_plus where cat=10

67 (39.100646972656): select jos_linkedin.link from jos_linkedin where cat=10

68 (48.160552978516): SELECT fid FROM jos_deeppockets WHERE id=294737194 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294737194 AND published='1' LIMIT 1

69 (59.843063354492): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

70 (299.93057250977): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737194 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (294.92378234863): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737194 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (56.982040405273): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (!!!!! 1981.0199737549): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (58.174133300781): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (103.95050048828): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (75.101852416992): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737194 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (44.107437133789): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737194 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (46.968460083008): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (74.148178100586): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (91.791152954102): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

105 (!!!!! 1265.0489807129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

106 (73.909759521484): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294737194 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (69.141387939453): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294737194 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 2043.9624786377): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

109 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

110 (70.095062255859): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294737194 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (508.06999206543): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294737194 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (764.84680175781): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (595.0927734375): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (179.05235290527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

115 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

116 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

117 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

118 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

119 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

120 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

121 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

122 (415.08674621582): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 46698.093414307): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

124 (614.16625976562): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737194 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737194 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 20247.936248779): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (148.05793762207): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (94.890594482422): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (120.16296386719): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (222.92137145996): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (114.91775512695): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (752.92587280273): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (180.95970153809): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (281.09550476074): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (168.80035400391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (905.99060058594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (581.97975158691): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (621.08039855957): SELECT name FROM jos_deeppockets WHERE id=212

138 (56.028366088867): SELECT name FROM jos_deeppockets WHERE id=212

139 (707.86476135254): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (705.95741271973): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (!!!!! 1599.0734100342): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

142 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

143 (!!!!! 9819.0307617188): TRUNCATE TABLE jos_trademed_module

144 (127.07710266113): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294737194 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (82.015991210938): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294737194 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (728.84559631348): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (133.99124145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

149 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

150 (!!!!! 1548.0518341064): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

151 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

152 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

153 (76.055526733398): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737194 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737194 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (70.095062255859): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

155 (43.869018554688): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

156 (46.014785766602): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

158 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737194 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737194 AND published='1' LIMIT 1

159 (60.081481933594): select jos_twitters.link from jos_twitters where cat=10

160 (42.915344238281): select jos_facebook.link from jos_facebook where cat=10

161 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

162 (39.100646972656): select jos_linkedin.link from jos_linkedin where cat=10

163 (384.09233093262): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1964.0922546387): insert into jos_banners_delta values (14615,'2025-06-26 21:56:49','216.73.216.249','view'),(14202,'2025-06-26 21:56:49','216.73.216.249','view'),(14203,'2025-06-26 21:56:49','216.73.216.249','view')

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