Combined ACL-Posterolateral Corner Injury in a Skeletally Immature Athlete
Bibliographic record
Abstract
Combined injury to the anterior cruciate ligament (ACL) and posterolateral structures of the knee is a rare yet increasingly recognized clinical entity. In children or adolescents with open growth plates, this injury pattern is considered to be even more rare than in adults. Because knee ligaments are felt to be stronger than the adjacent physeal plates, the energy of pathologic translational and rotatory stress commonly results in fracture or avulsion injuries rather than ligamentous injury. The appropriate treatment for either injury remains controversial in the skeletally immature patient, with no previously reported case of this combined injury pattern in a patient with open physes. We present a case of a 12-year-old boy who sustained an ACL-posterolateral corner injury while playing football, and subsequently underwent acute repair of the posterolateral structures with a plan to perform ACL reconstruction at a later date.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 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 teacher head, 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".