Surgical management of chronic lateral ankle instability in adolescents.
Bibliographic record
Abstract
Chronic lateral ankle instability in adolescents is an infrequent result of either an acute or recurrent ankle inversion injury. The majority of these patients improve with nonoperative management. Numerous surgical interventions have been proposed when nonoperative management is ineffective. Since 1979, 12 adolescents, all girls, have undergone surgical treatment of chronic lateral ankle instability at a major pediatric center. The average age at the time of surgery was 14 years and 3 months. Questionnaires were sent to each patient to assess subjective long-term outcome. Follow-up ranged from 1 year and 5 months to 8 years and 5 months (average 3 years and 1 month). The Watson-Jones technique was performed in six, the Evans in four, the Chrisman-Snook in one, and the Brostrom in one. At most recent follow-up, 11 adolescents had a stable ankle, 9 had a full range of ankle and subtalar motion, and 6 had returned to all activities.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".