Interposed Free Bone Fragment in Dislocated Medial Epicondyle Fracture of the Elbow: A Case Report
Bibliographic record
Abstract
A 13-year-old girl fell down on her left hand, resulting in elbow dislocation with medial epicondyle fracture of the humerus. The dislocation was immediately reduced manually; however, open reduction and internal fixation of the fracture was performed because the medial epicondyle showed > 5 mm displacement. Her passive motion under general anesthesia was smooth and full after the fixation. However, her elbow motion was limited to 60 o postoperatively. Postoperative imaging showed a free bone fragment interposed within her elbow. We removed the interposed bone fragment, and the patient showed full active elbow motion without pain in 4 weeks. To the best of our knowledge, there is few report of elbow fracture dislocation with an interposed free bone fragment in medial epicondyle fracture. The possibility of small isolated bone fragment interposition should be considered in medial epicondyle fractures with elbow dislocation. J Med Cases. 2014;5(7):401-403 doi: http://dx.doi.org/10.14740/jmc1819w
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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 | 0.004 |
| Meta-epidemiology (narrow) | 0.003 | 0.003 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.005 | 0.003 |
| Science and technology studies | 0.003 | 0.003 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.007 | 0.003 |
| Insufficient payload (model declined to judge) | 0.005 | 0.001 |
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".