Arthroscopic Biologic Shoulder Tuberoplasty Irreparable Supraspinatus Tears: The “4‐Corner” Technique
Bibliographic record
Abstract
The management of massive irreparable rotator cuff tears in young patients without degenerative joint changes or patients who are unsuitable for arthroplasty remains controversial. Biologic tuberoplasty can be a valuable option for patients without pseudoparalysis with preserved glenohumeral cartilage and a good passive range of motion. This is because the acellular dermal allograft covers the tuberosity, acting as an interpositional tissue and preventing bone-to-bone contact between the tuberosity and acromion. In addition biologic tuberoplasty can be faster, less technically demanding, and can lead to accelerated recovery, making this technique attractive. This technique aims to provide a practical solution with modifications to reduce surgical duration, enhance efficiency and reproducibility, and facilitate functional recovery and pain relief.
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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 | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| 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".