Bilateral Congenital Subtalar Dislocation: A Case Report
Bibliographic record
Abstract
Fixed bilateral congenital subtalar dislocations were identified in a 2.5-year-old boy. The patient had been treated previously with a short-leg cast on each foot for 2 months. On presentation the patient ambulated on the medial malleoli and medial aspects of his feet. The patient's activity was limited by pain. At 2.5 years of age, open reduction and pinning of bilateral subtalar joints with soft tissue release and lengthening of the achilles, peroneal, and extensor tendons was done. A thick fibrous band connected the talus and calcaneus laterally. Postoperative treatment included casting for 12 weeks and wearing rigid ankle-foot orthoses which he used for 8 years. There was no recurrence at 10-year followup. The patient has been brace-free for 2 years and is able to ambulate and play school sports without pain. The patient's subtalar range of motion is normal. Radiographic alignment is near normal without degenerative changes. To the authors' knowledge, there has been no previous report of this condition in the literature.
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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 | 0.005 |
| Meta-epidemiology (narrow) | 0.004 | 0.002 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.003 | 0.003 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.006 | 0.003 |
| Insufficient payload (model declined to judge) | 0.007 | 0.002 |
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".