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Record W4414096761 · doi:10.1016/j.arthro.2025.09.003

Editorial Commentary: Posterior Shoulder Instability in Athletes: Durable Recovery May Be Achievable With Arthroscopic Management

2025· editorial· en· W4414096761 on OpenAlexaff
Jeffrey Kay, Olufemi R. Ayeni

Bibliographic record

VenueArthroscopy The Journal of Arthroscopic and Related Surgery · 2025
Typeeditorial
Languageen
FieldMedicine
TopicShoulder Injury and Treatment
Canadian institutionsMcMaster University
Fundersnot available
KeywordsPosterior shoulderRehabilitationArthroscopyShoulder surgeryRotator cuff

Abstract

fetched live from OpenAlex

Posterior shoulder instability, once considered rare, is increasingly recognized in young and athletic populations. Arthroscopic stabilization techniques have shown favorable outcomes with improvements in pain, function, and return to sport. Although most available evidence has been limited to short-term follow-up, emerging data suggest that arthroscopic management offers durable protection against recurrent instability and sustained athletic participation. The challenge remains in accurate diagnosis and patient selection, but advances in surgical technique and rehabilitation continue to refine outcomes. Posterior shoulder instability should no longer be viewed as an uncommon or unpredictable entity; rather, with modern arthroscopic management, it represents a condition where reliable and lasting recovery may be achievable.

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 machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.019
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Editorial · Consensus signal: Editorial
Teacher disagreement score0.023
Threshold uncertainty score0.035

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.019
Meta-epidemiology (narrow)0.0030.001
Meta-epidemiology (broad)0.0030.002
Bibliometrics0.0020.001
Science and technology studies0.0030.002
Scholarly communication0.0040.004
Open science0.0030.001
Research integrity0.0230.019
Insufficient payload (model declined to judge)0.0100.010

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 head0.010
GPT teacher head0.276
Teacher spread0.267 · 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 source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEditorial

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

Citations1
Published2025
Admission routes1
Has abstractyes

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