ShRed: a machine learning model developed to predict shoulder redislocation.

Purpose: This feasibility study aimed to develop and evaluate machine learning models to predict shoulder redislocation using joint-specific imaging characteristics, in addition to traditional demographic variables. Methods: A prospective dataset from a tertiary referral centre was analysed, includi...

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Publicado en:European Journal of Orthopaedic Surgery & Traumatology Vol. 36; no. 1; pp. 1 - 8
Autores principales: Mahmoud, Mohamed E., Murugaiyan, Rajapriyian, Geetala, Rahul, Smith, Jed, Kessler, Dimitri A., Grainger, Andrew, Tytherleigh-Strong, Graham, Kaggie, Joshua, Chaudhury, Salma
Formato: research tables/charts Journal Article
Publicado: Springer Nature 7/13/2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 7/13/2026
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      pub: Springer Nature
      place: New York, New York
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        195316074
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        10.1007/s00590-026-04861-4
        195316074
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        atl: ShRed: a machine learning model developed to predict shoulder redislocation.
      aug:
        au:
          Mahmoud, Mohamed E.
          Murugaiyan, Rajapriyian
          Geetala, Rahul
          Smith, Jed
          Kessler, Dimitri A.
          Grainger, Andrew
          Tytherleigh-Strong, Graham
          Kaggie, Joshua
          Chaudhury, Salma
        affil: https://ror.org/04v54gj93 Department of Orthopaedics, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
      sug:
        subj:
          Machine Learning
          Shoulder Dislocation Prognosis
          Prediction Models
          Recurrence
          Cartilage, Articular Radiography
          Risk Assessment
          Decision Support Systems, Clinical
          Magnetic Resonance Imaging
          Human
          United Kingdom
          Male
          Female
          Prospective Studies
          Pilot Studies
          Tertiary Health Care
          Adolescence
          Adult
          Middle Age
          Random Forest
          Correlational Studies
          Logistic Regression
          Confidence Intervals
          Age Factors
          Shoulder Joint
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: This feasibility study aimed to develop and evaluate machine learning models to predict shoulder redislocation using joint-specific imaging characteristics, in addition to traditional demographic variables. Methods: A prospective dataset from a tertiary referral centre was analysed, including cartilage MRI thickness measurements. Six classification algorithms were compared using 10-fold stratified cross-validation as the primary evaluation method. Preprocessing involved one-hot encoding of categorical variables and median imputation for missing values. The dataset was stratified into training (80%) and testing (20%) subsets. Results: A total of 42 patients (54.8% redislocation rate) were included. Random Forest demonstrated the highest cross-validated accuracy of 79.0% (± 16.1%), precision of 88.3%, recall of 75.0%, and AUC of 0.84, with a 95% confidence interval of 69.0% to 89.0%. Feature importance analysis identified years since first dislocation as the most influential predictor, followed by age at first dislocation and glenoid cartilage thickness. Conclusion: This feasibility study demonstrates that machine learning models can predict shoulder redislocation with moderate accuracy. External validation on larger, multicentre datasets is required.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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