As explained more properly in the article, the NOMESCO coding system cannot specify if the prosthesis has been inserted in the radio-carpal joint or in other joints in the carpus or hand.
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This is especially true with access memory (random) dual inline memory modules (DIMMs), as they can some times appear to the system builder, that they have been inserted in the correct orientation - but have, indeed, been inserted incorrectly.
Hence, the inserted variation must stay within the system, irrespective of where it had been inserted.
As the R-M systems are often linked with the mobile genetic elements, K747_08715 could have been inserted to this putative Type III R-M system, resulting in inactivation of both systems.
