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Record W3212752207 · doi:10.1002/9781119413936.ch158

Thumb Carpometacarpal Osteoarthritis

2021· other· en· W3212752207 on OpenAlexaff
Ryan Wolek, Steven J. McCabe, Matthew J. Furey

Bibliographic record

VenueEvidence-Based Orthopedics · 2021
Typeother
Languageen
FieldMedicine
TopicOrthopedic Surgery and Rehabilitation
Canadian institutionsUniversity of AlbertaUniversity of TorontoLakeridge Health
Fundersnot available
KeywordsThumbMedicineOsteoarthritisCarpometacarpal jointThenar eminenceSurgeryPhysical therapyAlternative medicine

Abstract

fetched live from OpenAlex

This chapter presents a clinical scenario of a 59-year-old right-hand-dominant woman who works as an administrator complains of pain at the base of her thumb, radiating along her thenar eminence and radial forearm. Initial nonsurgical treatment of patients with thumb carpometacarpal osteoarthritis (CMC OA) typically involves joint injections and splinting. Intra-articular corticosteroid injections are thought to decrease pain and inflammation associated with osteoarthritis. Alternatively, intra-articular hyaluronic acid injections aim to supplement and increase the viscoelasticity of synovial fluid. Amongst surgeons who perform thumb CMC procedures, there is a continued trend toward utilization of trapeziectomy plus ligament reconstruction and tendon interposition (LRTI). In a recent study, 95% of surgeons utilize only one type of surgical procedure, and of these 93% exclusively perform trapeziectomy plus LRTI. The chapter also provides recommendations for implementing evidence-based practice in the clinical setting.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.437
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0210.000

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.

Opus teacher head0.044
GPT teacher head0.304
Teacher spread0.260 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreOther

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".

Quick stats

Citations0
Published2021
Admission routes1
Has abstractyes

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