{ "date": "2026-10-09", "scope": "Isolated selected-visual candidate. User picture review and publication approval required; no clinical or WebGL acceptance claimed.", "runtimeCounts": { "pathology": 160, "anatomy": 14, "educational": 1, "education": 1 }, "coverageComplete": false, "statusDefinitions": { "implemented": "Loadable bounded illustration/reference; neither complete disease-family coverage nor clinical certification.", "partial": "A named representative subtype, limited anatomy reference or conceptual schematic; family coverage remains partial.", "blocked": "Requested target has no reviewed module integrated; reason is explicit.", "planning": "Scope/backlog only; labels/articles do not establish injury geometry.", "generic-anatomy-accepted": "Independent generic illustration plausibility accepted within the linked report scope; clinical certification is not claimed. Host QA/exact-source public educational preview evidence is separate.", "surface-education-only": "Unchanged source geometry with fibre/roughness teaching cues; no structural injury lesion." }, "entries": [ { "id": "supraspinatus-partial-tear", "region": "shoulder", "title": "Supraspinatus partial tear \u2014 source-native context", "subtype": "Supraspinatus partial tear \u2014 source-native context", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "clinicalReview": "pending", "publicReady": false, "representativeAuthored": true, "note": "Educational source-envelope adaptation. Distal tendon tissue is inferred using the source supraspinatus insertion annotation; the source has no assigned tendon triangles. The tissue transition, bursal-sided defect location and depth are illustrative, not clinically verified or patient-specific. Bursal-sided names the outer tendon surface; it does not depict bursitis. The unvalidated SASD bursa envelopes are omitted.", "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "localPreview": true, "conditionFamilyCoverage": "partial-representative-example", "genericAnatomyReview": { "decision": "Source-derived correction awaiting clinical review" }, "limitations": "Original focal anterior bursal partial-thickness tear; retained deep bridge. Source-native right-shoulder context with an inferred distal tendon boundary. Close inspection omits deltoid and bursae; no acromial cutaway is applied. Rejected SASD source envelopes are withheld in every view. Reference and injured states use matched viewing choices; no atrophy or retraction is represented.", "phenotype": "Original focal anterior bursal partial-thickness tear; retained deep bridge", "referenceOnly": false, "comparisonApplicable": true, "moduleKind": "pathology", "targetID": "Z08a8de1aef0c", "changingObjectIDs": [ "Z08a8de1aef0c" ], "sourceSide": "right", "historicalShoulderV14Metadata": { "id": "supraspinatus-partial-tear", "region": "shoulder", "title": "Supraspinatus partial tear \u2014 source-native context", "subtype": "Supraspinatus partial tear \u2014 source-native context", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "clinicalReview": "pending", "publicReady": false, "representativeAuthored": true, "note": "Educational source-envelope adaptation. Distal tendon tissue is inferred using the source supraspinatus insertion annotation; the source has no assigned tendon triangles. The tissue transition, bursal defect location and depth are illustrative, not clinically verified or patient-specific.", "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "localPreview": true, "conditionFamilyCoverage": "partial-representative-example", "genericAnatomyReview": { "decision": "Source-derived correction awaiting clinical review" }, "limitations": "One focal bursal-side partial-thickness supraspinatus defect retains its deeper bridge and limited greater-tuberosity footprint; adjacent cuff is preserved.", "meaning": "Preserved V14 record. Prior lesion review does not accept newly added surrounding geometry or presentation.", "referenceOnly": false, "comparisonApplicable": true }, "withheldSourceMeshIds": [ "Zc8000acefacd", "Za41fe3b41b0d" ] }, { "id": "prepatellar-bursitis", "region": "knee", "title": "Prepatellar bursitis", "subtype": "Prepatellar bursitis", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "clinicalReview": "pending", "publicReady": false, "representativeAuthored": true, "note": "One superficial prepatellar sac: flattened normal and fluid-distended anterior swelling. Patella, quadriceps tendon and patellar tendon remain intact.", "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "localPreview": true, "conditionFamilyCoverage": "partial-representative-example", "genericAnatomyReview": { "decision": "accepted-bounded-generic-illustration", "report": "reviews/anatomy/PREPATELLAR-REVIEW.md", "clinicalCertification": false }, "limitations": "One superficial prepatellar sac: flattened normal and fluid-distended anterior swelling. Patella, quadriceps tendon and patellar tendon remain intact." }, { "id": "adductor-longus-proximal-tendinopathy", "region": "hip-groin", "title": "Proximal adductor longus tendinopathy", "subtype": "Proximal adductor longus tendinopathy", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "clinicalReview": "pending", "publicReady": false, "representativeAuthored": true, "note": "One continuous proximal left adductor LONGUS tendon with focal thickening/disordered fibres at the anterior pubis. Source-derived reference anatomy and inherited enthesis contact are retained; no retracted tear.", "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "localPreview": true, "conditionFamilyCoverage": "partial-representative-example", "genericAnatomyReview": { "decision": "accepted-bounded-generic-illustration", "report": "reviews/anatomy/ADDUCTOR-REVIEW.md", "clinicalCertification": false }, "limitations": "One continuous proximal left adductor LONGUS tendon with focal thickening/disordered fibres at the anterior pubis. Source-derived reference anatomy and inherited enthesis contact are retained; no retracted tear.", "sourceGeometry": "Z-Anatomy/BodyParts3D source-derived reference anatomy with original derivative lesion; retain inherited CC BY-SA notices" }, { "id": "osgood-schlatter", "region": "knee", "title": "Osgood-Schlatter: adult-derived Stage E teaching pair", "subtype": "Original focal Stage E construction in adult-derived native Atlas context", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "clinicalReview": "pending", "publicReady": false, "representativeAuthored": true, "note": "Original Stage E tibial-tubercle teaching construction in adult-derived Atlas knee context. Other growth plates are not reconstructed. Normal is a matched illustrative reference, not evidence of absent symptoms. Injured shows one associated insertional swelling pattern; this is not pediatric segmentation, a child scan, age-calibrated anatomy, patient anatomy or a diagnostic test. Selected-structure cutaway: menisci, ligaments, fat, bursae, skin, quadriceps tendon and generalized superficial swelling are omitted identically. Dimensions, developmental interfaces and fitted patellar tendon are authored teaching choices. Sampled tendon free-span residual overlap is about 0.09 mm; residual source faceting and tendon ridging remain fidelity limitations. No severity, fracture, fragmentation or disease-specific bursitis is claimed. Clinical review, GPU/mobile and user-realism acceptance remain pending.", "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "localPreview": true, "conditionFamilyCoverage": "one-associated-pattern-only", "genericAnatomyReview": { "decision": "source-structural-gate-for-isolated-viewer-review-only", "geometrySHA256": "7bed1d51ea2444532df5801da5cefb40f1ffbf8f032ca31e7685fde5961228dd", "faithfulMorphologyAccepted": false, "clinicalCertification": false }, "limitations": "Original Stage E tibial-tubercle teaching construction in adult-derived Atlas knee context. Other growth plates are not reconstructed. Normal is a matched illustrative reference, not evidence of absent symptoms. Injured shows one associated insertional swelling pattern; this is not pediatric segmentation, a child scan, age-calibrated anatomy, patient anatomy or a diagnostic test. Selected-structure cutaway: menisci, ligaments, fat, bursae, skin, quadriceps tendon and generalized superficial swelling are omitted identically. Dimensions, developmental interfaces and fitted patellar tendon are authored teaching choices. Sampled tendon free-span residual overlap is about 0.09 mm; residual source faceting and tendon ridging remain fidelity limitations. No severity, fracture, fragmentation or disease-specific bursitis is claimed. Clinical review, GPU/mobile and user-realism acceptance remain pending.", "additionalEducation": [], "gapExpansion": true, "existingUpgrade": true, "coreInventory": false, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "injuryComparisonAvailable": true, "referenceOnly": false, "conditionSpecificGeometry": true, "publicationAuthorized": true, "published": false, "reviewHold": false, "structuralHold": false, "locationTeachingOnly": false, "factoryModulePath": "../osgood-native-stage-e-candidate/model.mjs", "factoryExport": "createOsgoodNativeStageEPair", "factorySignature": "THREE", "adapterFamily": "selected", "defaultView": "close", "sourceNotice": "../osgood-native-stage-e-candidate/SOURCE-LICENSE.txt", "stateLabels": { "normal": "Matched adult-derived illustrative reference; not proof of absent symptoms", "injured": "One associated insertional swelling pattern" }, "inventoryScope": "Deliberate upgrade of existing Osgood-Schlatter ID; catalogue remains176.", "independentReviewAccepted": true, "independentReviewScope": "Frozen native source/geometry gate permits isolated viewer review only, with disclosed residual contact/faceting limits; not clinical, GPU, physical-mobile or user-realism acceptance.", "layerLabels": { "bones": "Bones", "cartilage": "Growth and articular cartilage", "tendon": "Patellar tendon" }, "sources": [ { "title": "Ohtaka et al. (2019): Tibial tuberosity maturation", "url": "https://doi.org/10.3390/ijerph16122138" }, { "title": "Z-Anatomy retained source and contributors", "url": "https://github.com/Z-Anatomy/Models-of-human-anatomy/tree/e38ea5e6c7e22d229a975f3fde563a5aca52099e" } ] }, { "id": "sever-apophysitis", "region": "ankle-foot", "title": "Sever's disease", "subtype": "Sever\u2019s disease", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "clinicalReview": "pending", "publicReady": false, "representativeAuthored": true, "note": "Original growing-skeleton posterior calcaneal apophysis, curved growth cartilage and Achilles attachment with local irritation. Symptoms can occur with little visible change; no fracture gap or blood.", "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "localPreview": true, "conditionFamilyCoverage": "partial-representative-example", "genericAnatomyReview": { "decision": "accepted-bounded-generic-illustration", "report": "reviews/anatomy/SEVER-REVIEW.md", "clinicalCertification": false }, "limitations": "Original growing-skeleton posterior calcaneal apophysis, curved growth cartilage and Achilles attachment with local irritation. Symptoms can occur with little visible change; no fracture gap or blood." }, { "id": "cervical-c6-root-pathway", "region": "neck", "title": "C5-C6 disc and C6 nerve root", "subtype": "C5\u2013C6 disc and C6 nerve root", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "clinicalReview": "pending", "publicReady": false, "representativeAuthored": true, "note": "Actual source-disc external contour adaptation; root compression and clinical diagnosis are not established.", "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "localPreview": true, "conditionFamilyCoverage": "partial-representative-example", "genericAnatomyReview": { "decision": "source-derived correction awaiting clinical review" }, "limitations": "One original right C5-C6 posterolateral continuous protrusion contacting the exiting C6 pathway with C4-C7 context. Contact is represented; no patient pressure, severity or every-root coverage is claimed.", "referenceOnly": false, "comparisonApplicable": true }, { "id": "lumbar-l5-root-pathway", "region": "lower-back", "title": "L4-L5 disc and L5 nerve root", "subtype": "L4\u2013L5 disc and L5 nerve root", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "clinicalReview": "pending", "publicReady": false, "representativeAuthored": true, "note": "The same source-derived focal disc contour and illustrative contact with the identified root appear in spine and detail views. Broad bulge is separately labelled and need not contact the root. Invalid extrusion candidates remain gated. Native source/endplate and proximal neural overlaps remain unvalidated. Contact and local deflection do not establish pressure, symptom causation or clinical diagnosis.", "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "localPreview": true, "conditionFamilyCoverage": "partial-representative-example", "genericAnatomyReview": { "decision": "source-derived correction awaiting clinical review" }, "limitations": "One original right L4-L5 paracentral continuous protrusion contacting traversing L5 with distinct exiting L4 and L3-L5/upper-S1 context. No invented lumbar cord or full lumbosacral family coverage.", "illustrativeFocalRootContact": true, "clinicalCompressionValidated": false }, { "id": "ucl-partial-tear-right", "region": "elbow", "title": "Elbow UCL partial tear", "subtype": "Focal partial tear of the anterior medial UCL bundle", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "clinicalReview": "pending", "publicReady": false, "representativeAuthored": true, "note": "Accepted original anterior medial UCL bundle with focal partial-thickness loss and intact deep bridge/attachments between medial humeral epicondyle and medial coronoid/sublime-tubercle region. Source-derived 90-degree elbow context is retained; no complete tear or avulsion.", "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "localPreview": true, "conditionFamilyCoverage": "partial-representative-example", "genericAnatomyReview": { "decision": "accepted-bounded-generic-illustration", "report": "reviews/anatomy/UCL-REVIEW.md", "clinicalCertification": false }, "limitations": "Accepted original anterior medial UCL bundle with focal partial-thickness loss and intact deep bridge/attachments between medial humeral epicondyle and medial coronoid/sublime-tubercle region. Source-derived 90-degree elbow context is retained; no complete tear or avulsion.", "sourceGeometry": "Source-derived bent elbow bones with original ligament/tendon/bursa authoring; retain source and dependency notices", "additionalEducation": [ { "id": "throwing-elbow-education", "comparisonId": "C132", "title": "Throwing injuries of the elbow", "existingIds": [ "ucl-partial-tear-right", "golfers-elbow-pronator" ], "kind": "mechanism-family", "overview": "Repeated overhead throwing can affect the flexor\u2013pronator origin, ulnar collateral ligament, ulnar nerve and posterior elbow structures. A single UCL example does not cover the entire injury family.", "anatomyScope": "Adult structural examples are separated from growth-related injuries in young athletes. This reference does not simulate throwing loads or prescribe return-to-sport limits.", "assessment": "Pain, declining function or neurological symptoms warrant assessment. Age and the specific tissue problem matter when planning activity and rehabilitation.", "geometryHold": "No universal throwing-injury lesion or validated throwing simulation.", "references": [ "https://www.orthoinfo.org/diseases--conditions/elbow-injuries-in-the-throwing-athlete/", "https://www.orthoinfo.org/diseases--conditions/throwing-injuries-in-the-elbow-in-children/" ], "geometryImplemented": false, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "comparisonApplicable": false, "coverageComplete": false, "clinicalCertification": false, "independentReview": false, "publicationAuthorized": false, "sourceCheckedAt": "2026-10-09", "contentProvenance": "Original educational summary; source references are factual support, with no copied illustrations or narration." } ] }, { "id": "fourth-toe-proximal-phalanx-shaft-fracture", "region": "ankle-foot", "title": "Fourth toe shaft fracture", "kind": "pathology", "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "localPreview": true, "publicReady": false, "clinicalReview": "pending", "realisticPathologyAccepted": false, "coverageComplete": false, "scope": "One simplified aligned fourth-toe proximal-phalanx shaft fracture. Native exterior and joint ends unchanged. Opening is not a patient measurement. Realistic clinical morphology remains held.", "primaryReference": "https://surgeryreference.aofoundation.org/orthopedic-trauma/adult-trauma/foot-phalanges/lesser-toe-fractures/definition", "subtype": "Simplified aligned fourth-toe proximal-phalanx shaft fracture", "localLibrary": true, "note": "One aligned fourth-toe shaft fracture illustration. Native bone exterior and joint ends remain unchanged. Smooth authored fracture faces are simplified; realistic clinical morphology remains unverified. Whole-foot context is retained. The authored opening is not a patient measurement. No displacement, articular injury, clinical severity or complete toe-fracture coverage is claimed.", "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example" }, { "id": "lcl-tear-right", "region": "knee", "title": "Outer knee ligament tear (LCL)", "subtype": "Illustrative complete midsubstance LCL tear", "kind": "pathology", "localLibrary": true, "note": "Illustrative complete tear through the outer knee ligament (LCL). The source reference is continuous; the authored tear has separated ends. Surrounding soft tissues are omitted. Tear-end shape and gap are illustrative, not patient measurements. Attachment/contact accuracy and clinical severity are not validated.", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "limitations": "Illustrative complete tear through the outer knee ligament (LCL). The source reference is continuous; the authored tear has separated ends. Surrounding soft tissues are omitted. Tear-end shape and gap are illustrative, not patient measurements. Attachment/contact accuracy and clinical severity are not validated.", "illustrationReview": { "scope": "Generic illustrative complete midsubstance continuity disruption", "decision": "accepted for bounded patient education", "clinicalMorphology": "unvalidated", "attachmentContactAccuracy": "unvalidated", "severity": "unvalidated", "date": "2026-10-05", "references": [ "https://www.orthoinfo.org/diseases--conditions/collateral-ligament-injuries/", "https://pmc.ncbi.nlm.nih.gov/articles/PMC12669863/", "https://pmc.ncbi.nlm.nih.gov/articles/PMC11905909/" ] }, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example" }, { "id": "elbow-bone90-reference", "region": "elbow", "title": "Native elbow bones at 90 degrees", "subtype": "Native articulated bones; soft tissue omitted", "kind": "anatomy", "localLibrary": true, "note": "Existing native right humerus, radius and ulna with the reviewed bone-only 90-degree articulation. No invented articulated muscles, capsule or cartilage. Omitted tissues are a viewing limitation, not atrophy.", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": false, "coverageComplete": false, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "bounded Normal-only education", "injuryComparisonAvailable": false, "normalOnly": true, "representativeAuthored": true, "genericAnatomyReview": { "decision": "native source geometry restored; integration and clinical review pending", "clinicalCertification": false }, "regionalCompletion": true, "referenceOnly": true, "comparisonApplicable": false, "surfaceEducationComparisonAvailable": false, "sourceCohort": "z-native-elbow-oct8", "sourceGeometry": "Unchanged licensed Z-Anatomy source triangles; bounded material-only illustration for tendon entries.", "sourceSide": "right", "provenanceHref": "/atlas-preview/README.md" }, { "id": "adductor-longus-continuous-body-education", "region": "hip-groin", "title": "Adductor tendon fibres - anatomy", "subtype": "Continuous adductor longus tendon-body fibre/roughness education", "kind": "anatomy", "localLibrary": true, "note": "Authored fibre irregularity and roughness on 60 wholly eligible continuous adductor longus tendon-body triangles. Not a pubic-origin lesion, tear, detachment, swelling or measured hypertrophy. Open source tendon material surface joins muscle; native attachment and inherited crossings remain unvalidated. Selective inspection dims registered context equally in both states; context restores orientation. Source positions/connectivity and exclusions remain exact. Amber is a removable authored discussion-mask guide, not a lesion contour. Z-Anatomy / BodyParts3D ShareAlike attribution and exact evidence: adductor-reviewed/HANDOFF.md.", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": false, "surfaceAppearanceImplemented": true, "coverageComplete": false, "injuryComparisonAvailable": false, "surfaceEducationComparisonAvailable": true, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "structural-tendinopathy-not-implemented", "exampleImplementation": "surface-education-only" }, { "id": "tfcc-central-palmer-1a", "region": "wrist-hand", "title": "Central TFCC disc perforation - educational example", "subtype": "Representative traumatic Palmer 1A central articular-disc perforation", "kind": "pathology", "localLibrary": true, "note": "The opening and highlighted edge are idealized teaching features. Right-registered native source reference, not certified normal anatomy. Source overlaps remain; no peripheral avulsion, whole-TFCC rupture or instability inference. Clinical scale uncalibrated. Open3DModel upper limb / AnatomyTOOL: Open3D project, Jan Kooloos, RadboudUMC, Eungyeol Lee, LUMC et al; CC BY-SA 4.0. Source, derivative and full validation/attribution: tfcc-reviewed/evidence/HANDOFF.md.", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example", "contextReview": { "decision": "accepted-bounded-context", "report": "reviews/anatomy/TFCC-CONTEXT-REVIEW.md", "sourceGeometryPreserved": true } }, { "id": "tennis-elbow-ecrb", "region": "elbow", "title": "Lateral epicondylitis (tennis elbow)", "subtype": "Focal contour thickening on the proximal extensor carpi radialis brevis tendon", "kind": "pathology", "localLibrary": true, "note": "Lateral epicondylitis commonly involves the ECRB origin. Tendon contour change can accompany tendinopathy, but appearance alone neither diagnoses pain nor establishes severity. An original nonspecific contour feature. No microscopic degeneration, fibre failure, complete common-extensor origin or calibrated thickness is depicted. Exact source contacts and material seams are pinned. Small contour changes may be unresolved in whole-elbow framing; matched optional profiles show the real change without exaggerating geometry", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": false, "coverageComplete": false, "surfaceEducationComparisonAvailable": false, "injuryComparisonAvailable": true, "surfaceComparisonScope": "Bounded fibre appearance and roughness only; no displaced geometry, tear or swelling.", "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial representative example", "surfaceAppearanceImplemented": true, "exampleImplementation": "surface-education-only", "representativeAuthored": true, "genericAnatomyReview": { "decision": "native source geometry restored; integration and clinical review pending", "clinicalCertification": false }, "regionalCompletion": true, "referenceOnly": false, "comparisonApplicable": true, "sourceCohort": "z-native-elbow-oct8", "sourceGeometry": "Unchanged licensed Z-Anatomy source triangles; bounded material-only illustration for tendon entries.", "sourceSide": "right", "provenanceHref": "/atlas-preview/README.md", "coverageClass": "nonspecific-feature", "conditionSpecificGeometry": false, "independentReview": true, "publicationAuthorized": true, "mainViewerIntegrated": true, "coordinateUnits": "Native source coordinates; physical scale not calibrated", "visibilityNote": "Small contour changes may be unresolved in whole-elbow framing; matched optional profiles show the real change without exaggerating geometry", "comparisonId": "C117", "feature": "Focal contour thickening on the proximal extensor carpi radialis brevis tendon", "education": "Lateral epicondylitis commonly involves the ECRB origin. Tendon contour change can accompany tendinopathy, but appearance alone neither diagnoses pain nor establishes severity.", "limitations": "An original nonspecific contour feature. No microscopic degeneration, fibre failure, complete common-extensor origin or calibrated thickness is depicted. Exact source contacts and material seams are pinned.", "references": [ "https://www.orthoinfo.org/diseases--conditions/tennis-elbow-lateral-epicondylitis/", "https://pubmed.ncbi.nlm.nih.gov/16118152/", "https://pubmed.ncbi.nlm.nih.gov/11981928/" ], "runtimeId": "tennis-elbow-ecrb-structural", "gapExpansion": true, "coreInventory": false, "existingUpgrade": true, "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/tennis-elbow-lateral-epicondylitis/" }, { "title": "pubmed.ncbi.nlm.nih.gov", "url": "https://pubmed.ncbi.nlm.nih.gov/16118152/" }, { "title": "pubmed.ncbi.nlm.nih.gov", "url": "https://pubmed.ncbi.nlm.nih.gov/11981928/" } ], "factoryModulePath": "regions/existing-improvements/candidate/tendons.mjs", "factoryExport": "createExistingElbowTendonFeature", "factorySignature": "THREE, {id: modelId}", "adapterFamily": "native", "sourceNotice": "regions/existing-improvements/SOURCE-NOTICE.md", "reviewHold": false, "stateLabels": { "normal": "Source reference", "injured": "Nonspecific contour feature" }, "additionalEducation": [ { "id": "elbow-overuse-education", "comparisonId": "C121", "title": "Overuse injuries of the elbow", "existingIds": [ "tennis-elbow-ecrb", "golfers-elbow-pronator", "triceps-insertional-tendinopathy" ], "kind": "mechanism-family", "overview": "Repeated demands can contribute to different elbow problems involving tendons, ligaments, nerves or bone. \u201cOveruse\u201d describes a loading history, not one damaged tissue or one universal lesion.", "anatomyScope": "Each named tendon, nerve or joint example must retain its own location and limitations. No generic swelling is counted as an overuse-specific 3D model.", "assessment": "Assessment identifies the affected structure and relevant load history; symptoms alone do not determine an injury grade.", "geometryHold": "No universal structural lesion for the mechanism category.", "references": [ "https://www.orthoinfo.org/diseases--conditions/elbow-injuries-in-the-throwing-athlete/" ], "geometryImplemented": false, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "comparisonApplicable": false, "coverageComplete": false, "clinicalCertification": false, "independentReview": true, "publicationAuthorized": true, "sourceCheckedAt": "2026-10-09", "contentProvenance": "Original educational summary; source references are factual support, with no copied illustrations or narration.", "published": false } ], "published": false }, { "id": "golfers-elbow-pronator", "region": "elbow", "title": "Medial epicondylitis (golfer\u2019s elbow)", "subtype": "Focal contour thickening on the proximal superficial pronator teres tendon", "kind": "pathology", "localLibrary": true, "note": "The flexor\u2013pronator origin may be involved in medial epicondylitis. This example identifies one contributing tendon, rather than treating every medial-elbow symptom as the same disorder. An original nonspecific contour feature on one native tendon. It does not reconstruct the entire common-flexor complex, microscopic tears or inflammation, or predict symptoms. Source contacts and material seams are pinned. Small contour changes may be unresolved in whole-elbow framing; matched optional profiles show the real change without exaggerating geometry", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": false, "coverageComplete": false, "surfaceEducationComparisonAvailable": false, "injuryComparisonAvailable": true, "surfaceComparisonScope": "Bounded fibre appearance and roughness only; no displaced geometry, tear or swelling.", "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial representative example", "surfaceAppearanceImplemented": true, "exampleImplementation": "surface-education-only", "representativeAuthored": true, "genericAnatomyReview": { "decision": "native source geometry restored; integration and clinical review pending", "clinicalCertification": false }, "regionalCompletion": true, "referenceOnly": false, "comparisonApplicable": true, "sourceCohort": "z-native-elbow-oct8", "sourceGeometry": "Unchanged licensed Z-Anatomy source triangles; bounded material-only illustration for tendon entries.", "sourceSide": "right", "provenanceHref": "/atlas-preview/README.md", "coverageClass": "nonspecific-feature", "conditionSpecificGeometry": false, "independentReview": true, "publicationAuthorized": true, "mainViewerIntegrated": true, "coordinateUnits": "Native source coordinates; physical scale not calibrated", "visibilityNote": "Small contour changes may be unresolved in whole-elbow framing; matched optional profiles show the real change without exaggerating geometry", "comparisonId": "C118", "feature": "Focal contour thickening on the proximal superficial pronator teres tendon", "education": "The flexor\u2013pronator origin may be involved in medial epicondylitis. This example identifies one contributing tendon, rather than treating every medial-elbow symptom as the same disorder.", "limitations": "An original nonspecific contour feature on one native tendon. It does not reconstruct the entire common-flexor complex, microscopic tears or inflammation, or predict symptoms. Source contacts and material seams are pinned.", "references": [ "https://www.orthoinfo.org/diseases--conditions/medial-epicondylitis-golfers-elbow/", "https://pubmed.ncbi.nlm.nih.gov/15711999/" ], "runtimeId": "golfers-elbow-pronator-structural", "gapExpansion": true, "coreInventory": false, "existingUpgrade": true, "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/medial-epicondylitis-golfers-elbow/" }, { "title": "pubmed.ncbi.nlm.nih.gov", "url": "https://pubmed.ncbi.nlm.nih.gov/15711999/" } ], "factoryModulePath": "regions/existing-improvements/candidate/tendons.mjs", "factoryExport": "createExistingElbowTendonFeature", "factorySignature": "THREE, {id: modelId}", "adapterFamily": "native", "sourceNotice": "regions/existing-improvements/SOURCE-NOTICE.md", "reviewHold": false, "stateLabels": { "normal": "Source reference", "injured": "Nonspecific contour feature" }, "additionalEducation": [ { "id": "elbow-overuse-education", "comparisonId": "C121", "title": "Overuse injuries of the elbow", "existingIds": [ "tennis-elbow-ecrb", "golfers-elbow-pronator", "triceps-insertional-tendinopathy" ], "kind": "mechanism-family", "overview": "Repeated demands can contribute to different elbow problems involving tendons, ligaments, nerves or bone. \u201cOveruse\u201d describes a loading history, not one damaged tissue or one universal lesion.", "anatomyScope": "Each named tendon, nerve or joint example must retain its own location and limitations. No generic swelling is counted as an overuse-specific 3D model.", "assessment": "Assessment identifies the affected structure and relevant load history; symptoms alone do not determine an injury grade.", "geometryHold": "No universal structural lesion for the mechanism category.", "references": [ "https://www.orthoinfo.org/diseases--conditions/elbow-injuries-in-the-throwing-athlete/" ], "geometryImplemented": false, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "comparisonApplicable": false, "coverageComplete": false, "clinicalCertification": false, "independentReview": true, "publicationAuthorized": true, "sourceCheckedAt": "2026-10-09", "contentProvenance": "Original educational summary; source references are factual support, with no copied illustrations or narration.", "published": false }, { "id": "throwing-elbow-education", "comparisonId": "C132", "title": "Throwing injuries of the elbow", "existingIds": [ "ucl-partial-tear-right", "golfers-elbow-pronator" ], "kind": "mechanism-family", "overview": "Repeated overhead throwing can affect the flexor\u2013pronator origin, ulnar collateral ligament, ulnar nerve and posterior elbow structures. A single UCL example does not cover the entire injury family.", "anatomyScope": "Adult structural examples are separated from growth-related injuries in young athletes. This reference does not simulate throwing loads or prescribe return-to-sport limits.", "assessment": "Pain, declining function or neurological symptoms warrant assessment. Age and the specific tissue problem matter when planning activity and rehabilitation.", "geometryHold": "No universal throwing-injury lesion or validated throwing simulation.", "references": [ "https://www.orthoinfo.org/diseases--conditions/elbow-injuries-in-the-throwing-athlete/", "https://www.orthoinfo.org/diseases--conditions/throwing-injuries-in-the-elbow-in-children/" ], "geometryImplemented": false, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "comparisonApplicable": false, "coverageComplete": false, "clinicalCertification": false, "independentReview": true, "publicationAuthorized": true, "sourceCheckedAt": "2026-10-09", "contentProvenance": "Original educational summary; source references are factual support, with no copied illustrations or narration.", "published": false } ], "published": false }, { "id": "de-quervain-local-thickening", "region": "wrist-hand", "title": "De Quervain - partial free outer-wall thickening", "subtype": "Matched-neutral APL / EPB sheath illustration", "kind": "pathology", "localLibrary": true, "note": "Partial free outer-wall thickening only. Protected tendon-facing/end/contact vertices and retinaculum stay fixed. Inherited source overlaps remain; no demonstrated stenosis, glide impairment, complete disease shape or clinical severity. Actual common-plane sections separate outer walls from unchanged tunnel context. Qualified review pending.", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "schematicImplemented": false, "coverageComplete": false, "softwareVerified": null, "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "Partial free outer-wall thickening only. Protected tendon-facing/end/contact vertices and retinaculum stay fixed. Inherited source overlaps remain; no demonstrated stenosis, glide impairment, complete disease shape or clinical severity. Actual common-plane sections separate outer walls from unchanged tunnel context. Qualified review pending.", "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example" }, { "id": "fifth-metacarpal-fracture", "region": "wrist-hand", "title": "Illustrative fifth metacarpal neck fracture", "subtype": "Irregular closed ends; source head / MCP preserved", "kind": "pathology", "note": "One qualitative source-derived fifth metacarpal fracture pattern, without angulation or comminution. 865 outside vertices and head/MCP source geometry preserved. Fourteen inherited proximal fourth/fifth crossings unchanged; no new detected cap, fragment or declared neighbor crossings. Irregular morphology and opening are authoring choices, not clinical measurements. Clinical review pending.", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "implemented", "geometryImplemented": true, "lesionGeometryImplemented": true, "schematicImplemented": false, "coverageComplete": false, "softwareVerified": null, "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "One qualitative source-derived fifth metacarpal fracture pattern, without angulation or comminution. 865 outside vertices and head/MCP source geometry preserved. Fourteen inherited proximal fourth/fifth crossings unchanged; no new detected cap, fragment or declared neighbor crossings. Irregular morphology and opening are authoring choices, not clinical measurements. Clinical review pending.", "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example" }, { "id": "thorax-rib-fracture", "region": "upper-back", "title": "Illustrative aligned right sixth rib fracture - local review", "subtype": "One source-derived aligned lateral rib interruption", "kind": "pathology", "localLibrary": true, "note": "Bounded source-derived right sixth rib fracture illustration with irregular closed ends. Narrow display opening and caps are rendering approximations, not clinical gap, displacement, cortical or medullary measurements. One inherited posterior source crossing remains. Clinical review pending; source geometry and materials preserved.", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "implemented", "geometryImplemented": true, "schematicImplemented": false, "coverageComplete": false, "softwareVerified": null, "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "Bounded source-derived right sixth rib fracture illustration with irregular closed ends. Narrow display opening and caps are rendering approximations, not clinical gap, displacement, cortical or medullary measurements. One inherited posterior source crossing remains. Clinical review pending; source geometry and materials preserved.", "lesionGeometryImplemented": true, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example" }, { "id": "thorax-location-education", "region": "upper-back", "title": "Chest-wall location - contusion / strain education only", "subtype": "Non-lesion source reference; soft-tissue injury not authored", "kind": "anatomy", "note": "Unchanged thorax reference location education. Contusion and strain are not represented by structural lesions. Source intercostal aggregates are incomplete diagnostic layers, hidden by default. First-seventh costal cartilages only. No symptom causation, severity or completed soft-tissue condition coverage.", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "implemented", "geometryImplemented": true, "schematicImplemented": false, "coverageComplete": false, "softwareVerified": null, "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "Unchanged thorax reference location education. Contusion and strain are not represented by structural lesions. Source intercostal aggregates are incomplete diagnostic layers, hidden by default. First-seventh costal cartilages only. No symptom causation, severity or completed soft-tissue condition coverage.", "lesionGeometryImplemented": false, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "bounded-education" }, { "id": "coccyx-location-education", "region": "pelvis-si", "title": "Coccyx location - anatomy", "subtype": "Reference / source location cue, no lesion", "kind": "anatomy", "note": "Non-lesion source reference/location education. Sacrum\u00e2\u20ac\u201ccoccyx separation and registration are unvalidated, not clinical joint-space measurements or instability. No joint disc/ligament, pelvic-floor/skin/pressure-interface reconstruction; no pain causation. Source morphology/maturity and qualified anatomical review remain pending.", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": true, "schematicImplemented": false, "coverageComplete": false, "softwareVerified": null, "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "Non-lesion source reference/location education. Sacrum\u00e2\u20ac\u201ccoccyx separation and registration are unvalidated, not clinical joint-space measurements or instability. No joint disc/ligament, pelvic-floor/skin/pressure-interface reconstruction; no pain causation. Source morphology/maturity and qualified anatomical review remain pending.", "lesionGeometryImplemented": false, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "bounded-education" }, { "id": "calf-partial-cleft", "region": "lower-leg", "title": "Partial medial gastrocnemius cleft", "subtype": "Irregular partial cleft with retained connected bridge", "kind": "pathology", "localLibrary": true, "note": "Bounded authored schematic medial gastrocnemius subtype, not universal calf strain or mapped MTJ/fascicle anatomy. Connected irregular cleft retains a posterior bridge and 911 outside source vertices. Inherited source contacts remain; dimensions and volumes are uncalibrated. Qualified clinical/anatomical review pending. Source anatomy credits retained; no tibial-fracture or fibularis lesion integration.", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "implemented", "geometryImplemented": true, "schematicImplemented": false, "coverageComplete": false, "softwareVerified": null, "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "Bounded authored schematic medial gastrocnemius subtype, not universal calf strain or mapped MTJ/fascicle anatomy. Connected irregular cleft retains a posterior bridge and 911 outside source vertices. Inherited source contacts remain; dimensions and volumes are uncalibrated. Qualified clinical/anatomical review pending. Source anatomy credits retained; no tibial-fracture or fibularis lesion integration.", "lesionGeometryImplemented": true, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example" }, { "id": "cervical-disc-root-schematic", "region": "neck", "title": "Cervical disc/root relationships - schematic", "subtype": "C1-C8 reference and review-pending conceptual comparisons", "kind": "anatomy", "schematic": true, "note": "Actual source-disc external contour adaptation; root compression and clinical diagnosis are not established.", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": false, "schematicImplemented": true, "registered3DAnatomy": false, "coverageComplete": false, "softwareVerified": null, "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "Original labelled SVG teaching inset; Source-native registered 3D disc/root reconstruction remains unresolved for this conceptual inset. A separate accepted original numbered 3D representative example is available. C1/C2 references have no disc lesion. Normal, non-contact bulge, contact-only and illustrative compression are distinct. Clinician review pending; no patient-specific or complete registered anatomy claim.", "lesionGeometryImplemented": false, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "bounded-education", "originalRepresentative3DAlternative": "cervical-c6-root-pathway", "referenceOnly": false, "comparisonApplicable": true, "genericAnatomyReview": { "decision": "source-derived correction awaiting clinical review" } }, { "id": "lumbar-disc-root-schematic", "region": "lower-back", "title": "Lumbar/sacral disc/root relationships - schematic", "subtype": "L1-L5 / S1; exiting versus traversing comparisons", "kind": "anatomy", "schematic": true, "note": "Actual source-disc morphology in context and local view. Invalid extrusion candidates are gated. No nerve compression or clinical diagnosis is established.", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": false, "schematicImplemented": true, "registered3DAnatomy": false, "coverageComplete": false, "softwareVerified": null, "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "Original labelled SVG teaching inset; Source-native registered 3D disc/root reconstruction remains unresolved for this conceptual inset. A separate accepted original numbered 3D representative example is available. Disc/root mapping and orientation explicit; S1 foraminal choice is a posterior-branch reference, not an invented S1-S2 disc. Clinician review pending.", "lesionGeometryImplemented": false, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "bounded-education", "originalRepresentative3DAlternative": "lumbar-l5-root-pathway", "genericAnatomyReview": { "decision": "source-derived correction awaiting clinical review" } }, { "id": "thoracic-spine-schematic", "region": "upper-back", "title": "Upper-back tissue/disc relationships - schematic", "subtype": "Review-pending conceptual references, separate from rib injury", "kind": "anatomy", "schematic": true, "note": "Original SVG schematic inset. Structural-looking diagrams are illustrative educational relations, not registered 3D lesions or completed condition coverage. Clinical review pending.", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": false, "schematicImplemented": true, "registered3DAnatomy": false, "coverageComplete": false, "softwareVerified": null, "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "Original SVG schematic inset. Structural-looking diagrams are illustrative educational relations, not registered 3D lesions or completed condition coverage. Clinical review pending.", "lesionGeometryImplemented": false, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "bounded-education" }, { "id": "aitfl-chronic-thickening", "region": "ankle-foot", "title": "Chronic AITFL thickening", "subtype": "One chronic anterior syndesmotic-ligament illustration", "kind": "pathology", "localLibrary": true, "note": "Narrow local illustration, not full syndesmosis coverage, rupture, diastasis or instability. Source footprints are unvalidated proximity candidates. Strict non-coplanar audit found no new detected crossings; coplanar contacts and containment are not certified. Units/thickness and clinical review remain unvalidated. Lower-leg display crop changes no source bones; optional true edge/profile inspection uses matched camera and opacity.", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "reviewer": null, "reviewDate": null, "defaultView": "whole-foot", "optionalCloseup": true, "limitations": "Narrow local illustration, not full syndesmosis coverage, rupture, diastasis or instability. Source footprints are unvalidated proximity candidates. Strict non-coplanar audit found no new detected crossings; coplanar contacts and containment are not certified. Units/thickness and clinical review remain unvalidated. Lower-leg display crop changes no source bones; optional true edge/profile inspection uses matched camera and opacity.", "schematicImplemented": false, "lesionGeometryImplemented": true, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example" }, { "id": "si-joint-anatomy-load-transfer", "region": "pelvis-si", "title": "Adult SI-joint anatomy", "subtype": "Normal-only adult pelvic ring and named SI tissue exposures", "kind": "anatomy", "note": "Native source anatomy without a lesion. Cartilage identification, attachment details and inherited contacts are unvalidated. Capsule and lower lumbar structures are not reconstructed.", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": true, "limitations": "Limited non-lesion education. No separately segmented capsule; cartilage identification, ligament footprints and inherited contacts remain unvalidated. Conceptual arrows are diagram annotations, not computed forces, motion or diagnosis.", "schematicImplemented": false, "lesionGeometryImplemented": false, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "bounded Normal-only education", "name": "SI joint anatomy and load transfer", "anatomicalRegion": "pelvis-si", "referenceOnly": true, "comparisonApplicable": false, "injuryControls": false, "gradeControls": false, "availableStates": [ "normal" ], "module": "si-full-reference.mjs", "factory": "createSIEducationalReference", "sourceCohort": "Z-Anatomy native SI reference", "sourceSHA256": "98533f10d380727b7d3ccb898af377427c14b284e083a3517aff8d6407799fd8", "description": "Original adult pelvic-ring and SI anatomy reference. Optional labelled tissue exposures and conceptual bone-anchored load-transfer paths.", "representativeIllustration": true, "localLibrary": true, "regionalCompletion": true, "injuryComparisonAvailable": false, "surfaceEducationComparisonAvailable": false, "genericAnatomyReview": { "decision": "Source component interpretation requires review" }, "sourceGeometry": "Original Atlas authored adult representative geometry; dependency and historical source notices are retained.", "sourceSide": "both", "provenanceHref": "authored-reviewed/regional-v16/si/provenance.json" }, { "id": "achilles-rupture", "region": "ankle-foot", "title": "Complete midsubstance Achilles rupture - local review", "subtype": "Illustrative right complete rupture with retained attachments", "note": "Accepted repaired right complete midsubstance rupture with separate uneven source-derived stumps, retained heel/calf attachments and whole-foot/lower-leg context. Source units/gap are uncalibrated; inherited contacts and 26 open-neighbor surfaces remain uncertified as solids.", "kind": "pathology", "sourceSide": "right", "localLibrary": true, "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "softwareEvidence": "See module-specific evidence and latest focused QA; no blanket clinical verification.", "reviewer": null, "reviewDate": null, "defaultView": "whole-foot", "optionalCloseup": true, "limitations": "Accepted repaired right complete midsubstance rupture with separate uneven source-derived stumps, retained heel/calf attachments and whole-foot/lower-leg context. Source units/gap are uncalibrated; inherited contacts and 26 open-neighbor surfaces remain uncertified as solids.", "states": [ "intact", "ACHILLES_COMPLETE_MIDSUBSTANCE_RUPTURE" ], "schematicImplemented": false, "lesionGeometryImplemented": true, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example", "genericAnatomyReview": { "decision": "accepted-bounded-generic-illustration", "report": "reviews/anatomy/ACHILLES-REVIEW.md", "clinicalCertification": false }, "sourceGeometry": "Source-derived retained tendon/context geometry with original repaired rupture surfaces; retain existing provenance/share-alike notices" }, { "id": "shoulder-sasd-partial", "region": "shoulder", "title": "Subacromial\u2013subdeltoid bursitis \u2014 partial teaching patch", "subtype": "Partial source-guided SASD-space illustration", "note": "Review candidate: partial source-guided upper SASD-space patch with a fixed authored lower envelope and illustrative distension over intact cuff. Deltoid omitted because native source overlaps cuff; medial/posterior boundaries are authored limits, not verified bursal attachments. Floor bridges coarse source gaps. Full condition remains held.", "kind": "educational", "sourceSide": "right", "localLibrary": true, "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "softwareEvidence": "sasd-illustrative-oct8: exact source-guided geometry, paired-state and native-context tests; no blanket clinical verification.", "reviewer": null, "reviewDate": null, "defaultView": "labelled deltoid-omitted teaching dissection", "optionalCloseup": true, "limitations": "Partial upper SASD-space teaching patch only. Complete medial/posterior extent, bursal attachments and deltoid-facing roof are not reconstructed. Coarse CAL landmark. Native source uncalibrated. Thickness, colour and distension are illustrative. Anatomical and visual acceptance pending.", "schematicImplemented": false, "lesionGeometryImplemented": true, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example", "phenotype": "Partial upper SASD-space illustrative distension with intact cuff", "referenceOnly": false, "comparisonApplicable": true, "moduleKind": "educational", "representativeAuthored": true, "targetID": "sasd-illustrative:continuous-plane", "changingObjectIDs": [ "sasd-illustrative:continuous-plane" ], "genericAnatomyReview": { "decision": "Held full condition; partial teaching candidate requires anatomical and presentation acceptance" }, "historicalShoulderV14Metadata": { "id": "shoulder-sasd-partial", "region": "shoulder", "title": "SASD bursa \u2014 distension illustration", "subtype": "SASD bursa \u2014 distension illustration", "note": "These rounded source envelopes do not depict a normal resting bursa. A normal bursa is a thin potential space. This comparison shows only source geometry and an illustrative expansion; physiological normal reconstruction is unavailable.", "kind": "educational", "sourceSide": "right", "localLibrary": true, "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "softwareEvidence": "See module-specific evidence and latest focused QA; no blanket clinical verification.", "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "PARTIAL lateral subacromial-subdeltoid plane, not complete SASD anatomy or a cuff tear. Missing approved tendon-floor segmentation and medial extent; red source cuff does not certify a muscle/tendon boundary. Uncalibrated thickness/volume. Fixed deep interface and rim; disclosed local 20-vertex chord repair and constrained outer-sheet cleanup. Clinical review pending.", "schematicImplemented": false, "lesionGeometryImplemented": true, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example", "meaning": "Preserved V14 record. Prior lesion review does not accept newly added surrounding geometry or presentation.", "referenceOnly": false, "comparisonApplicable": true, "genericAnatomyReview": { "decision": "Source-derived correction awaiting clinical review" }, "stateLabels": { "normal": "Source envelope", "injured": "Distension illustration" }, "physiologicalNormalAvailable": false, "patientTeachingReady": false }, "stateLabels": { "normal": "Thin-space illustration", "injured": "Inflamed-space illustration" }, "physiologicalNormalAvailable": false, "patientTeachingReady": false, "withheldSourceMeshIds": [ "Zc8000acefacd", "Za41fe3b41b0d" ], "reviewHold": true, "reviewCandidate": true, "comparisonType": "partial-source-guided-thin-plane-vs-illustrative-distension", "mainViewerIllustration": { "available": true, "scope": "Partial source-guided thin-space reference / enlarged inflammatory illustration only", "url": "/atlas-preview/#shoulder-bursa", "sharedControls": [ "Normal", "Injured", "transparency", "rotate", "zoom", "Reset", "body region", "injury" ], "fullConditionReviewHold": true, "clinicalCertification": false, "sourceGeometryUnchanged": true, "deltoidOmitted": true } }, { "id": "trochanteric-bursitis-right", "region": "hip-groin", "title": "Right subgluteus maximus bursitis - local review", "subtype": "One contact-constrained trochanteric bursa illustration", "note": "Authored thin reference/distension under gluteus maximus. Viewing windows remove ITB and gluteus maximus faces: labelled CUTAWAY, not tears. Source diagnostic retains original contact errors. Units, exact footprint/contact reconstruction and physiological swelling remain unvalidated. One bursa example, not all GTPS.", "kind": "pathology", "sourceSide": "right", "localLibrary": true, "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "softwareEvidence": "See module-specific evidence and latest focused QA; no blanket clinical verification.", "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "Authored thin reference/distension under gluteus maximus. Viewing windows remove ITB and gluteus maximus faces: labelled CUTAWAY, not tears. Source diagnostic retains original contact errors. Units, exact footprint/contact reconstruction and physiological swelling remain unvalidated. One bursa example, not all GTPS.", "schematicImplemented": false, "lesionGeometryImplemented": true, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example" }, { "id": "patellofemoral", "region": "knee", "title": "Patellofemoral source relationship", "subtype": "Static source-native reference and separate femoral surface examples", "note": "Mutually exclusive source-native mirrored assembly, never mixed with the original Atlas knee. Static source pose; no measured flexion or validated contact mechanics. Example dimensions are nominal under an assumed illustration scale. Femoral lesions are separate chondral examples, not automatic patellar grades.", "kind": "anatomy", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "implemented", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "softwareEvidence": "See module-specific evidence and latest focused QA; no blanket clinical verification.", "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "Mutually exclusive source-native mirrored assembly, never mixed with the original Atlas knee. Static source pose; no measured flexion or validated contact mechanics. Example dimensions are nominal under an assumed illustration scale. Femoral lesions are separate chondral examples, not automatic patellar grades.", "schematicImplemented": false, "lesionGeometryImplemented": false, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "bounded-education", "additionalEducation": [ { "id": "patellar-tracking-education", "comparisonId": "C062", "title": "Patellar tracking disorder", "existingIds": [ "patellofemoral" ], "kind": "dynamic-hold", "overview": "Patellar tracking describes how the kneecap moves relative to the femoral groove as the knee bends and straightens. Bone shape, limb alignment and soft-tissue restraints all contribute. Maltracking, instability and pain overlap but are not interchangeable diagnoses.", "anatomyScope": "The current static knee reference locates the patella and trochlea. It does not simulate a validated tracking path, tendon excursion or cartilage contact.", "assessment": "Assessment may include movement, alignment, prior dislocation and other contributors. A single resting pose cannot establish dynamic maltracking.", "geometryHold": "Validated coupled patella\u2013femur motion and extensor/retinacular relationships are unavailable.", "references": [ "https://www.orthoinfo.org/diseases--conditions/unstable-kneecap", "https://www.orthoinfo.org/diseases--conditions/patellofemoral-pain-syndrome/" ], "geometryImplemented": false, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "comparisonApplicable": false, "coverageComplete": false, "clinicalCertification": false, "independentReview": false, "publicationAuthorized": false, "sourceCheckedAt": "2026-10-09", "contentProvenance": "Original educational summary; source references are factual support, with no copied illustrations or narration." }, { "id": "patellofemoral-pain-education", "comparisonId": "C063", "title": "Patellofemoral pain syndrome", "existingIds": [ "patellofemoral", "cartilage" ], "kind": "pain-syndrome", "overview": "Pain around or behind the kneecap may relate to activity demands and several interacting factors. Some people have altered tracking; a visible cartilage defect is neither required nor sufficient to explain the pain.", "anatomyScope": "Patellofemoral anatomy and separately named cartilage examples provide context only. They do not show a universal pain lesion or predict symptom severity.", "assessment": "Clinical assessment considers symptom behavior, activity changes, strength, movement and alternative causes. Management is individualized rather than selected from a model\u2019s appearance.", "geometryHold": "A pain syndrome has no single diagnostic structural shape.", "references": [ "https://www.orthoinfo.org/diseases--conditions/patellofemoral-pain-syndrome/" ], "geometryImplemented": false, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "comparisonApplicable": false, "coverageComplete": false, "clinicalCertification": false, "independentReview": false, "publicationAuthorized": false, "sourceCheckedAt": "2026-10-09", "contentProvenance": "Original educational summary; source references are factual support, with no copied illustrations or narration." } ] }, { "id": "plantar-fasciopathy", "region": "ankle-foot", "title": "Plantar fasciopathy - local review", "subtype": "Illustrative right proximal plantar fascia thickening", "note": "Source-derived fascia with authored proximal heel-side thickening and preserved continuity/attachments. Uncalibrated units and unvalidated medial enthesis. Nine inherited self-crossings and neighboring overlaps remain; zero new strict crossings in the declared audit, not collision-free or validated healthy anatomy. Distal lower-leg context is an original representative adult illustration.", "kind": "pathology", "sourceSide": "right", "localLibrary": true, "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "implemented", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "softwareEvidence": "See module-specific evidence and latest focused QA; no blanket clinical verification.", "reviewer": null, "reviewDate": null, "defaultView": "whole-foot", "optionalCloseup": true, "limitations": "Source-derived fascia with authored proximal heel-side thickening and preserved continuity/attachments. Uncalibrated units and unvalidated medial enthesis. Nine inherited self-crossings and neighboring overlaps remain; zero new strict crossings in the declared audit, not collision-free or validated healthy anatomy.", "schematicImplemented": false, "lesionGeometryImplemented": true, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example", "contextReview": { "decision": "accepted-bounded-context", "report": "reviews/anatomy/ADULT-PLANTAR-REVIEW.md", "sourceGeometryPreserved": true } }, { "id": "mcl", "region": "knee", "title": "MCL tear", "subtype": "Illustrative complete superficial MCL tear", "target": "Superficial part of tibial collateral ligament.l", "note": "A source-derived gap and irregular fibre ends illustrate interruption. Location and gap are teaching choices; deep MCL remains intact.", "kind": "pathology", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "implemented", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "softwareEvidence": "See module-specific evidence and latest focused QA; no blanket clinical verification.", "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "A source-derived gap and irregular fibre ends illustrate interruption. Location and gap are teaching choices; deep MCL remains intact.", "schematicImplemented": false, "lesionGeometryImplemented": true, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example" }, { "id": "acl", "region": "knee", "title": "ACL tear", "subtype": "Existing illustrative complete ACL tear", "target": "Anterior cruciate ligament.l", "note": "A representative complete ACL gap with irregular ends. The opaque main knee view retains joint context; the labeled magnified detail omits surrounding tissue to expose the internal ligament.", "kind": "pathology", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "implemented", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "softwareEvidence": "See module-specific evidence and latest focused QA; no blanket clinical verification.", "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "Existing source-derived ACL example, with schematic gap and frayed ends. See-through context exposes the internal ligament.", "schematicImplemented": false, "lesionGeometryImplemented": true, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example" }, { "id": "meniscus", "region": "knee", "title": "Meniscus radial cleft", "subtype": "Illustrative opened medial-meniscus radial cleft", "target": "Medial meniscus.l", "material": "Fibrocartilage", "note": "One representative medial-meniscus radial cleft. The main view retains knee context; a labeled magnified detail omits surrounding tissue to expose the structural opening.", "kind": "pathology", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "implemented", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "softwareEvidence": "See module-specific evidence and latest focused QA; no blanket clinical verification.", "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "A deliberately widened radial cleft changes geometry. The femur is hidden for inspection; one pattern does not represent all meniscal tears.", "schematicImplemented": false, "lesionGeometryImplemented": true, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example" }, { "id": "cartilage", "region": "knee", "title": "Chondromalacia of the patella", "subtype": "Source-derived patellar cartilage - Grades I-IV", "target": "Patella.l", "material": "Cartilage", "note": "Reconstructed source-derived patella, mirrored for isolated left-surface inspection. Original Outerbridge grades; example dimensions are nominal under an illustration scale assumption. Physical calibration and clinical validation are pending. Joint registration remains untested.", "kind": "pathology", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "implemented", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "softwareEvidence": "See module-specific evidence and latest focused QA; no blanket clinical verification.", "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "Reconstructed source-derived patella, mirrored for isolated left-surface inspection. Original Outerbridge grades; example dimensions are nominal under an illustration scale assumption. Physical calibration and clinical validation are pending. Joint registration remains untested.", "states": [ "normal", "Outerbridge-I", "Outerbridge-II", "Outerbridge-III", "Outerbridge-IV" ], "schematicImplemented": false, "lesionGeometryImplemented": true, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example", "additionalEducation": [ { "id": "patellofemoral-pain-education", "comparisonId": "C063", "title": "Patellofemoral pain syndrome", "existingIds": [ "patellofemoral", "cartilage" ], "kind": "pain-syndrome", "overview": "Pain around or behind the kneecap may relate to activity demands and several interacting factors. Some people have altered tracking; a visible cartilage defect is neither required nor sufficient to explain the pain.", "anatomyScope": "Patellofemoral anatomy and separately named cartilage examples provide context only. They do not show a universal pain lesion or predict symptom severity.", "assessment": "Clinical assessment considers symptom behavior, activity changes, strength, movement and alternative causes. Management is individualized rather than selected from a model\u2019s appearance.", "geometryHold": "A pain syndrome has no single diagnostic structural shape.", "references": [ "https://www.orthoinfo.org/diseases--conditions/patellofemoral-pain-syndrome/" ], "geometryImplemented": false, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "comparisonApplicable": false, "coverageComplete": false, "clinicalCertification": false, "independentReview": false, "publicationAuthorized": false, "sourceCheckedAt": "2026-10-09", "contentProvenance": "Original educational summary; source references are factual support, with no copied illustrations or narration." } ] }, { "id": "distal-radius", "region": "wrist-hand", "title": "Distal radius fracture", "subtype": "Illustrative extra-articular Colles-type fracture", "note": "Separate distal radius fragment tilts dorsally. Position, planar break and carpal motion are teaching choices, not patient measurements. Ulna remains intact; ligament deformation is not authored. Clinical review pending.", "kind": "pathology", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "implemented", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "softwareEvidence": "See module-specific evidence and latest focused QA; no blanket clinical verification.", "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "Separate distal radius fragment tilts dorsally. Position, planar break and carpal motion are teaching choices, not patient measurements. Ulna remains intact; ligament deformation is not authored. Clinical review pending.", "schematicImplemented": false, "lesionGeometryImplemented": true, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example", "contextReview": { "decision": "accepted-bounded-native-context", "report": "reviews/anatomy/DISTAL-RADIUS-CONTEXT-REVIEW.md", "sourceGeometryPreserved": true, "sourcePosePreserved": true } }, { "id": "foot-reference", "region": "ankle-foot", "title": "Right ankle and whole foot reference", "subtype": "Ankle and whole foot \u00e2\u20ac\u201d reference anatomy", "note": "Matched right ankle and whole-foot source group. ATFL reference is unmodified source, not validated healthy anatomy. Footprints, broad-sheet/capsule interpretation, source units and fascicular realism remain unresolved.", "kind": "anatomy", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "implemented", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "softwareEvidence": "See module-specific evidence and latest focused QA; no blanket clinical verification.", "reviewer": null, "reviewDate": null, "defaultView": "whole-foot", "optionalCloseup": true, "limitations": "Matched right ankle and whole-foot source group. ATFL reference is unmodified source, not validated healthy anatomy. Footprints, broad-sheet/capsule interpretation, source units and fascicular realism remain unresolved.", "schematicImplemented": false, "lesionGeometryImplemented": false, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "bounded-education" }, { "id": "atfl", "region": "ankle-foot", "title": "ATFL tear - right local review", "subtype": "Partial ATFL tear", "target": "Anterior_talofibular_ligament.r", "note": "Illustrative right-sided source-derived partial/complete tears with matched right ankle-foot context. Partial retains a tissue bridge; complete has separated uneven ends. Broad-sheet anatomy, possible capsule contribution, footprints, units and fascicular realism remain unresolved. Restricted local review, no anatomical certification.", "kind": "pathology", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "implemented", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "softwareEvidence": "See module-specific evidence and latest focused QA; no blanket clinical verification.", "reviewer": null, "reviewDate": null, "defaultView": "whole-foot", "optionalCloseup": true, "limitations": "Illustrative right-sided source-derived partial/complete tears with matched right ankle-foot context. Partial retains a tissue bridge; complete has separated uneven ends. Broad-sheet anatomy, possible capsule contribution, footprints, units and fascicular realism remain unresolved. Restricted local review, no anatomical certification.", "states": [ "reference", "partial", "complete" ], "schematicImplemented": false, "lesionGeometryImplemented": true, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example", "additionalEducation": [ { "id": "chronic-lateral-ankle-pain-education", "comparisonId": "C008", "title": "Chronic lateral ankle pain", "existingIds": [ "atfl" ], "kind": "symptom-family", "overview": "Persistent outer-ankle pain can follow a sprain, but ligament instability, tendon or nerve problems, arthritis, fracture and joint-lining problems are distinct possibilities. The location of pain alone does not identify the injured structure.", "anatomyScope": "Existing ankle anatomy and separately scoped examples can help locate structures. An ATFL tear does not stand for every cause of chronic lateral ankle pain.", "assessment": "Persistent or recurrent symptoms warrant assessment of history, stability, tendons, nerves and other possible causes; investigation depends on the findings.", "geometryHold": "No universal pain-syndrome lesion exists to model.", "references": [ "https://www.footcaremd.org/foot-and-ankle-conditions/ankle/chronic-lateral-ankle-pain" ], "geometryImplemented": false, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "comparisonApplicable": false, "coverageComplete": false, "clinicalCertification": false, "independentReview": false, "publicationAuthorized": false, "sourceCheckedAt": "2026-10-09", "contentProvenance": "Original educational summary; source references are factual support, with no copied illustrations or narration." } ] }, { "id": "shoulder-reference", "region": "shoulder", "title": "Left shoulder and upper-chest reference", "subtype": "Normal-only source anatomy with a viewing cutaway", "note": "Retained native LEFT Z-Anatomy cuff reference and whole humerus. Same-source first five left ribs and their costal cartilages, sternum and T1-T6 provide connected upper-chest context. Regional clipping and omitted deltoid are disclosed viewing choices; no injury is represented.", "kind": "anatomy", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "softwareEvidence": "See module-specific evidence and latest focused QA; no blanket clinical verification.", "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "Retained native LEFT Z-Anatomy cuff reference and whole humerus. Same-source first five left ribs and their costal cartilages, sternum and T1-T6 provide connected upper-chest context. Regional clipping and omitted deltoid are disclosed viewing choices; no injury is represented.", "schematicImplemented": false, "lesionGeometryImplemented": false, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "bounded-education", "historicalShoulderV14Metadata": { "id": "shoulder-reference", "region": "shoulder", "title": "Rotator cuff reference anatomy", "subtype": "Reference anatomy \u00c2\u00b7 no tear model", "note": "Four source-labelled cuff muscles and one separate infraspinatus tendon surface. Other cuff tendons, tear geometry and bursa shape review remain pending.", "kind": "anatomy", "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "implemented", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "softwareEvidence": "See module-specific evidence and latest focused QA; no blanket clinical verification.", "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "Four source-labelled cuff muscles and one separate infraspinatus tendon surface. Other cuff tendons, tear geometry and bursa shape review remain pending.", "schematicImplemented": false, "lesionGeometryImplemented": false, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "bounded-education" }, "sourceSide": "left", "referenceOnly": true, "comparisonApplicable": false, "genericAnatomyReview": { "decision": "accepted-bounded-generic-illustration", "acceptedIndex": "reviews/shoulder-completion-v15-r3/anatomy/ACCEPTED-SOURCES.json", "acceptedIndexSHA256": "c4651bc1d412c2e2341e0d581d11c7efadcd48b3bebce6a1fb100bc6f514e6c0", "clinicalCertification": false } }, { "id": "olecranon-bursitis", "region": "elbow", "title": "Elbow bursa swelling", "subtype": "Olecranon bursitis in a bent elbow", "note": "Accepted right 90-degree elbow with source-derived bent bones, continuous original triceps and posterior superficial olecranon sac. Normal flat sac and local injured distension; skin is omitted.", "kind": "pathology", "sourceSide": "right", "localLibrary": true, "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "softwareEvidence": "See module-specific evidence and latest focused QA; no blanket clinical verification.", "reviewer": null, "reviewDate": null, "defaultView": null, "optionalCloseup": false, "limitations": "Accepted right 90-degree elbow with source-derived bent bones, continuous original triceps and posterior superficial olecranon sac. Normal flat sac and local injured distension; skin is omitted.", "schematicImplemented": false, "lesionGeometryImplemented": true, "representativeAuthored": true, "scope": "Original posterior sac and triceps on unchanged source-derived 90-degree bone context", "injuryComparisonAvailable": true, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example", "genericAnatomyReview": { "decision": "accepted-bounded-generic-illustration", "report": "reviews/anatomy/OLECRANON-REVIEW.md", "clinicalCertification": false }, "sourceGeometry": "Source-derived bent elbow bones with original ligament/tendon/bursa authoring; retain source and dependency notices" }, { "id": "achilles-midportion", "region": "ankle-foot", "title": "Midportion Achilles tendinopathy - local review", "subtype": "Illustrative right midportion Achilles thickening", "note": "Existing bounded midportion Achilles thickening with accepted original same-source whole-foot/lower-leg context; retained attachments and inherited source limitations remain.", "kind": "pathology", "sourceSide": "right", "localLibrary": true, "clinicalReview": "pending", "publicReady": false, "localPreview": true, "status": "partial", "geometryImplemented": true, "coverageComplete": false, "softwareVerified": null, "softwareEvidence": "See module-specific evidence and latest focused QA; no blanket clinical verification.", "reviewer": null, "reviewDate": null, "defaultView": "whole-foot", "optionalCloseup": true, "limitations": "Existing bounded midportion Achilles thickening with accepted original same-source whole-foot/lower-leg context; retained attachments and inherited source limitations remain.", "schematicImplemented": false, "lesionGeometryImplemented": true, "clinicalCertification": false, "clinicalReviewMeaning": "Clinical certification is not claimed and is not required to proceed with the authorized generic educational illustration.", "conditionFamilyCoverage": "partial-representative-example", "genericAnatomyReview": { "decision": "accepted-bounded-generic-illustration", "report": "reviews/anatomy/MIDPORTION-CONTEXT-REVIEW.md", "clinicalCertification": false }, "contextReview": { "decision": "accepted-bounded-context", "report": "reviews/anatomy/MIDPORTION-CONTEXT-REVIEW.md", "sourceGeometryPreserved": true } }, { "id": "cervical-c7-root-pathway", "region": "neck", "title": "C6-C7 disc and C7 nerve root", "subtype": "Right C6-C7 posterolateral protrusion contacting the exiting C7 pathway", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "conditionFamilyCoverage": "partial-representative-example", "clinicalCertification": false, "publicReady": false, "representativeAuthored": true, "genericAnatomyReview": { "decision": "source-derived correction awaiting clinical review" }, "note": "Actual source-disc external contour adaptation; root compression and clinical diagnosis are not established.", "referenceOnly": false, "comparisonApplicable": true, "clinicalReview": "pending" }, { "id": "lumbar-l4-foraminal-root-pathway", "region": "lower-back", "title": "L4-L5 foraminal disc and L4 nerve root", "subtype": "Right L4-L5 foraminal protrusion contacting the exiting L4 pathway", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "conditionFamilyCoverage": "partial-representative-example", "clinicalCertification": false, "publicReady": false, "representativeAuthored": true, "genericAnatomyReview": { "decision": "source-derived correction awaiting clinical review" }, "note": "The same source-derived focal disc contour and illustrative contact with the identified root appear in spine and detail views. Broad bulge is separately labelled and need not contact the root. Invalid extrusion candidates remain gated. Native source/endplate and proximal neural overlaps remain unvalidated. Contact and local deflection do not establish pressure, symptom causation or clinical diagnosis.", "clinicalReview": "pending", "illustrativeFocalRootContact": true, "clinicalCompressionValidated": false }, { "id": "lumbar-s1-root-pathway", "region": "lower-back", "title": "L5-S1 disc and S1 nerve root", "subtype": "Right L5-S1 paracentral protrusion contacting the traversing S1 pathway", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "conditionFamilyCoverage": "partial-representative-example", "clinicalCertification": false, "publicReady": false, "representativeAuthored": true, "genericAnatomyReview": { "decision": "source-derived correction awaiting clinical review" }, "note": "The same source-derived focal disc contour and illustrative contact with the identified root appear in spine and detail views. Broad bulge is separately labelled and need not contact the root. Invalid extrusion candidates remain gated. Native source/endplate and proximal neural overlaps remain unvalidated. Contact and local deflection do not establish pressure, symptom causation or clinical diagnosis.", "clinicalReview": "pending", "illustrativeFocalRootContact": true, "clinicalCompressionValidated": false }, { "id": "cervical-c1-root-reference", "region": "neck", "title": "C1 nerve anatomy reference", "subtype": "Occiput-atlas C1 motor root and suboccipital branch", "kind": "anatomy", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": false, "referenceOnly": true, "comparisonApplicable": false, "targetKind": "reference-neural-route", "nerveRoot": "C1", "discLevel": null, "rootMechanism": "normal-reference", "rootGeometryChanges": false, "coverageComplete": false, "conditionFamilyCoverage": "partial-representative-example", "clinicalCertification": false, "publicReady": false, "representativeAuthored": true, "genericAnatomyReview": { "decision": "source-derived correction awaiting clinical review" }, "note": "Upper cervical source reference without an invented disc or lesion.", "clinicalReview": "pending" }, { "id": "cervical-c2-root-corridor", "region": "neck", "title": "C1-C2 joint and C2 nerve root", "subtype": "Joint-margin osteophyte contacting the right C2 root/DRG corridor", "kind": "anatomy", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "referenceOnly": true, "comparisonApplicable": false, "targetKind": "joint-osteophyte", "nerveRoot": "C2", "discLevel": null, "rootMechanism": "joint-root-contact", "rootGeometryChanges": false, "coverageComplete": false, "conditionFamilyCoverage": "partial-representative-example", "clinicalCertification": false, "publicReady": false, "representativeAuthored": true, "genericAnatomyReview": { "decision": "source-derived correction awaiting clinical review" }, "note": "Upper cervical source reference without an invented disc or lesion.", "clinicalReview": "pending" }, { "id": "cervical-c3-root-pathway", "region": "neck", "title": "C2-C3 disc and C3 nerve root", "subtype": "Right C2-C3 protrusion contacting the exiting C3 pathway", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "referenceOnly": false, "comparisonApplicable": true, "targetKind": "disc", "nerveRoot": "C3", "discLevel": "C2-C3", "rootMechanism": "disc-root-contact", "rootGeometryChanges": false, "coverageComplete": false, "conditionFamilyCoverage": "partial-representative-example", "clinicalCertification": false, "publicReady": false, "representativeAuthored": true, "genericAnatomyReview": { "decision": "source-derived correction awaiting clinical review" }, "note": "Actual source-disc external contour adaptation; root compression and clinical diagnosis are not established.", "clinicalReview": "pending" }, { "id": "cervical-c4-root-pathway", "region": "neck", "title": "C3-C4 disc and C4 nerve root", "subtype": "Right C3-C4 protrusion contacting the exiting C4 pathway", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "referenceOnly": false, "comparisonApplicable": true, "targetKind": "disc", "nerveRoot": "C4", "discLevel": "C3-C4", "rootMechanism": "disc-root-contact", "rootGeometryChanges": false, "coverageComplete": false, "conditionFamilyCoverage": "partial-representative-example", "clinicalCertification": false, "publicReady": false, "representativeAuthored": true, "genericAnatomyReview": { "decision": "source-derived correction awaiting clinical review" }, "note": "Actual source-disc external contour adaptation; root compression and clinical diagnosis are not established.", "clinicalReview": "pending" }, { "id": "cervical-c5-root-pathway", "region": "neck", "title": "C4-C5 disc and C5 nerve root", "subtype": "Protrusion with representative C5 nerve narrowing and deflection", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "referenceOnly": false, "comparisonApplicable": true, "targetKind": "disc", "nerveRoot": "C5", "discLevel": "C4-C5", "rootMechanism": "disc-root-qualitative-deformation", "rootGeometryChanges": true, "coverageComplete": false, "conditionFamilyCoverage": "partial-representative-example", "clinicalCertification": false, "publicReady": false, "representativeAuthored": true, "genericAnatomyReview": { "decision": "source-derived correction awaiting clinical review" }, "note": "Actual source-disc external contour adaptation; root compression and clinical diagnosis are not established.", "clinicalReview": "pending" }, { "id": "cervical-c8-root-pathway", "region": "neck", "title": "C7-T1 disc and C8 nerve root", "subtype": "Right C7-T1 protrusion contacting the exiting C8 pathway", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "referenceOnly": false, "comparisonApplicable": true, "targetKind": "disc", "nerveRoot": "C8", "discLevel": "C7-T1", "rootMechanism": "disc-root-contact", "rootGeometryChanges": false, "coverageComplete": false, "conditionFamilyCoverage": "partial-representative-example", "clinicalCertification": false, "publicReady": false, "representativeAuthored": true, "genericAnatomyReview": { "decision": "source-derived correction awaiting clinical review" }, "note": "Actual source-disc external contour adaptation; root compression and clinical diagnosis are not established.", "clinicalReview": "pending" }, { "id": "lumbar-l1-exiting-root-pathway", "region": "lower-back", "title": "L1-L2 disc and exiting L1 root", "subtype": "Lateral protrusion with representative L1 nerve narrowing and deflection", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "referenceOnly": false, "comparisonApplicable": true, "targetKind": "disc", "nerveRoot": "L1", "discLevel": "L1-L2", "rootMechanism": "disc-root-qualitative-deformation", "rootGeometryChanges": true, "coverageComplete": false, "conditionFamilyCoverage": "partial-representative-example", "clinicalCertification": false, "publicReady": false, "representativeAuthored": true, "genericAnatomyReview": { "decision": "source-derived correction awaiting clinical review" }, "note": "The same source-derived focal disc contour and illustrative contact with the identified root appear in spine and detail views. Broad bulge is separately labelled and need not contact the root. Invalid extrusion candidates remain gated. Native source/endplate and proximal neural overlaps remain unvalidated. Contact and local deflection do not establish pressure, symptom causation or clinical diagnosis.", "clinicalReview": "pending", "illustrativeFocalRootContact": true, "clinicalCompressionValidated": false }, { "id": "lumbar-l2-traversing-root-pathway", "region": "lower-back", "title": "L1-L2 disc and traversing L2 root", "subtype": "Right L1-L2 paracentral protrusion contacting the traversing L2 pathway", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "referenceOnly": false, "comparisonApplicable": true, "targetKind": "disc", "nerveRoot": "L2", "discLevel": "L1-L2", "rootMechanism": "disc-root-contact", "rootGeometryChanges": false, "coverageComplete": false, "conditionFamilyCoverage": "partial-representative-example", "clinicalCertification": false, "publicReady": false, "representativeAuthored": true, "genericAnatomyReview": { "decision": "source-derived correction awaiting clinical review" }, "note": "The same source-derived focal disc contour and illustrative contact with the identified root appear in spine and detail views. Broad bulge is separately labelled and need not contact the root. Invalid extrusion candidates remain gated. Native source/endplate and proximal neural overlaps remain unvalidated. Contact and local deflection do not establish pressure, symptom causation or clinical diagnosis.", "clinicalReview": "pending", "illustrativeFocalRootContact": true, "clinicalCompressionValidated": false }, { "id": "lumbar-l3-traversing-root-pathway", "region": "lower-back", "title": "L2-L3 disc and traversing L3 root", "subtype": "Right L2-L3 paracentral protrusion contacting the traversing L3 pathway", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "referenceOnly": false, "comparisonApplicable": true, "targetKind": "disc", "nerveRoot": "L3", "discLevel": "L2-L3", "rootMechanism": "disc-root-contact", "rootGeometryChanges": false, "coverageComplete": false, "conditionFamilyCoverage": "partial-representative-example", "clinicalCertification": false, "publicReady": false, "representativeAuthored": true, "genericAnatomyReview": { "decision": "source-derived correction awaiting clinical review" }, "note": "The same source-derived focal disc contour and illustrative contact with the identified root appear in spine and detail views. Broad bulge is separately labelled and need not contact the root. Invalid extrusion candidates remain gated. Native source/endplate and proximal neural overlaps remain unvalidated. Contact and local deflection do not establish pressure, symptom causation or clinical diagnosis.", "clinicalReview": "pending", "illustrativeFocalRootContact": true, "clinicalCompressionValidated": false }, { "id": "shoulder-authored-reference", "title": "Shoulder anatomy \u2014 source-native reference", "kind": "anatomy", "phenotype": "Normal anatomy reference; no injury variant", "referenceOnly": true, "comparisonApplicable": false, "region": "shoulder", "moduleKind": "anatomy", "representativeAuthored": true, "clinicalCertification": false, "publicReady": false, "targetID": "Z08a8de1aef0c", "changingObjectIDs": [], "subtype": "Shoulder anatomy \u2014 source-native reference", "sourceSide": "right", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": false, "coverageComplete": false, "clinicalReview": "pending", "genericAnatomyReview": { "decision": "Source-derived correction awaiting clinical review" }, "conditionFamilyCoverage": "bounded-education", "note": "Source shoulder anatomy with unchanged muscle bulk. The unvalidated subacromial and subdeltoid bursa envelopes are omitted; a normal SASD bursal plane is not represented.", "limitations": "Source-native right shoulder and upper-thorax reference. Close inspection omits deltoid and bursae; no acromial cutaway is applied. Rejected SASD source envelopes are withheld in every view. No injury variant is represented.", "withheldSourceMeshIds": [ "Zc8000acefacd", "Za41fe3b41b0d" ] }, { "id": "supraspinatus-focal-full-thickness", "title": "Supraspinatus focal full-thickness defect \u2014 source-native context", "kind": "pathology", "phenotype": "Focal anterior full-thickness defect near the greater-tuberosity insertion; surrounding width remains attached", "referenceOnly": false, "comparisonApplicable": true, "region": "shoulder", "moduleKind": "pathology", "representativeAuthored": true, "clinicalCertification": false, "publicReady": false, "targetID": "Z08a8de1aef0c", "changingObjectIDs": [ "Z08a8de1aef0c" ], "subtype": "Supraspinatus focal full-thickness defect \u2014 source-native context", "sourceSide": "right", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "clinicalReview": "pending", "genericAnatomyReview": { "decision": "Source-derived correction awaiting clinical review" }, "conditionFamilyCoverage": "partial-representative-example", "note": "True focal through-opening in the inferred source-envelope distal tendon, with retained surrounding width. Educational source-envelope adaptation. Distal tendon tissue is inferred using the source supraspinatus insertion annotation; the source has no assigned tendon triangles. The tissue transition, bursal-sided defect location and depth are illustrative, not clinically verified or patient-specific. Bursal-sided names the outer tendon surface; it does not depict bursitis. The unvalidated SASD bursa envelopes are omitted.", "limitations": "Focal anterior full-thickness defect near the greater-tuberosity insertion; surrounding width remains attached. Source-native right-shoulder context with an inferred distal tendon boundary. Close inspection omits deltoid and bursae; no acromial cutaway is applied. Rejected SASD source envelopes are withheld in every view. Reference and injured states use matched viewing choices; no atrophy or retraction is represented.", "withheldSourceMeshIds": [ "Zc8000acefacd", "Za41fe3b41b0d" ] }, { "id": "distal-fibula-oblique-fracture", "region": "ankle-foot", "title": "Distal fibular fracture", "subtype": "Isolated aligned minimally displaced distal fibular oblique fracture", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "representativeAuthored": true, "publicReady": false, "clinicalReview": "pending independent review", "note": "Same-Z native right foot and distal leg context. Plane-separated aligned fragments with closed new cut faces and inherited native material seams. No instability or associated soft-tissue injury is inferred.", "regionalCompletion": true, "referenceOnly": false, "comparisonApplicable": true, "injuryComparisonAvailable": true, "surfaceEducationComparisonAvailable": false, "clinicalCertification": false, "sourceCohort": "Z-Anatomy-e38ea5e6", "genericAnatomyReview": { "decision": "source-derived-bounded-lesion-awaiting-independent-review", "report": "native-foot-oct8/SOURCE-PROVENANCE.json", "clinicalCertification": false }, "conditionFamilyCoverage": "partial representative example", "sourceGeometry": "Native same-Z right-foot bone/cartilage surfaces; bounded authored lesion. No donor registration or invented bone profiles.", "sourceSide": "right", "provenanceHref": "/atlas-preview/README.md" }, { "id": "second-metatarsal-shaft-stress-fracture", "region": "ankle-foot", "title": "Second metatarsal stress fracture", "subtype": "Focal dorsal cortical fissure in the second metatarsal shaft", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "representativeAuthored": true, "publicReady": false, "clinicalReview": "pending independent review", "note": "Same-Z native right foot and distal leg context. Bounded dorsal cortical surface recess; educational illustration, not a diagnostic or severity claim.", "regionalCompletion": true, "referenceOnly": false, "comparisonApplicable": true, "injuryComparisonAvailable": true, "surfaceEducationComparisonAvailable": false, "clinicalCertification": false, "sourceCohort": "Z-Anatomy-e38ea5e6", "genericAnatomyReview": { "decision": "source-derived-bounded-lesion-awaiting-independent-review", "report": "native-foot-oct8/SOURCE-PROVENANCE.json", "clinicalCertification": false }, "conditionFamilyCoverage": "partial representative example", "sourceGeometry": "Native same-Z right-foot bone/cartilage surfaces; bounded authored lesion. No donor registration or invented bone profiles.", "sourceSide": "right", "provenanceHref": "/atlas-preview/README.md" }, { "id": "fifth-metatarsal-shaft-oblique-fracture", "region": "ankle-foot", "title": "Fifth metatarsal shaft fracture", "subtype": "Aligned simple oblique fifth-metatarsal diaphyseal fracture", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "representativeAuthored": true, "publicReady": false, "clinicalReview": "pending independent review", "note": "Same-Z native right foot and distal leg context. Plane-separated aligned fragments with closed new cut faces and inherited native material seams. No instability or associated soft-tissue injury is inferred.", "regionalCompletion": true, "referenceOnly": false, "comparisonApplicable": true, "injuryComparisonAvailable": true, "surfaceEducationComparisonAvailable": false, "clinicalCertification": false, "sourceCohort": "Z-Anatomy-e38ea5e6", "genericAnatomyReview": { "decision": "source-derived-bounded-lesion-awaiting-independent-review", "report": "native-foot-oct8/SOURCE-PROVENANCE.json", "clinicalCertification": false }, "conditionFamilyCoverage": "partial representative example", "sourceGeometry": "Native same-Z right-foot bone/cartilage surfaces; bounded authored lesion. No donor registration or invented bone profiles.", "sourceSide": "right", "provenanceHref": "/atlas-preview/README.md" }, { "id": "lisfranc-interosseous-partial-tear", "region": "ankle-foot", "title": "Lisfranc partial tear", "subtype": "Bounded educational illustration in native Atlas context; source/geometry review passed", "note": "Original surface-anchored interosseous fascicles between the native medial cuneiform and second metatarsal, within complete adult foot bone/cartilage context. Partial disruption retains bridging fibres; complete disruption has separated stumps and representative diastasis. These are discrete illustrative alternatives, not a progression or calibrated severity scale. Source-surface anchors and rigid alignment are geometry-reviewed; insertion footprint, clinical joint mechanics and actual WebGL appearance remain unvalidated.", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "representativeAuthored": true, "publicReady": false, "clinicalReview": "Independent review pending", "regionalCompletion": true, "referenceOnly": false, "comparisonApplicable": true, "injuryComparisonAvailable": true, "surfaceEducationComparisonAvailable": false, "clinicalCertification": false, "sourceCohort": "atlas-original-ankle-foot-v15", "genericAnatomyReview": { "decision": "held pending verified C1-M2 attachment course" }, "conditionFamilyCoverage": "partial representative example", "sourceGeometry": "Original Atlas authored adult representative geometry; dependency and historical source notices are retained.", "sourceSide": "right", "provenanceHref": "/atlas-preview/README.md", "reviewHold": false, "additionalEducation": [], "gapExpansion": true, "coreInventory": false, "conditionSpecificGeometry": true, "publicationAuthorized": true, "coverageClass": "authored-educational-pathology", "structuralHold": false, "adapterFamily": "selected", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/lisfranc-midfoot-injury/" } ], "published": false, "comparisonId": null, "existingUpgrade": true, "factoryModulePath": "../selected-visuals/foot-models.mjs", "factoryExport": "createSelectedFootModel", "factorySignature": "THREE, {id: modelId}", "sourceNotice": "../selected-visuals/foot-provenance.json", "stateLabels": { "normal": "Reference", "injured": "Illustrative affected" }, "variantChoices": [ { "value": "partial", "label": "Partial tear example" }, { "value": "complete", "label": "Complete tear example" } ], "featureShown": "Original surface-anchored interosseous fascicles between the native medial cuneiform and second metatarsal, within complete adult foot bone/cartilage context. Partial disruption retains bridging fibres; complete disruption has separated stumps and representative diastasis. These are discrete illustrative alternatives, not a progression or calibrated severity scale. Source-surface anchors and rigid alignment are geometry-reviewed; insertion footprint, clinical joint mechanics and actual WebGL appearance remain unvalidated.", "canvasTitle": "Lisfranc partial tear", "geometryStatus": "authored-educational-candidate", "independentReview": false, "anatomicalReview": { "decision": "Independent source and geometry review recorded separately; clinical certification not claimed", "clinicalCertification": false }, "visualStyleAccepted": false, "independentSourceGeometryReviewAccepted": true, "actualWebGLAcceptance": false, "publicationRequested": true, "previewIncomplete": false, "independentReviewAccepted": true, "independentReviewScope": "Bounded source, geometry, anatomical context, controls and CPU camera/label review. Actual WebGL, physical mobile interaction/performance and qualified clinical validation remain unverified.", "reviewStatus": "bounded-independent-review-passed", "physicalMobileAcceptance": false }, { "id": "lisfranc-interosseous-complete-tear", "region": "ankle-foot", "title": "Lisfranc complete tear", "subtype": "Bounded educational illustration in native Atlas context; source/geometry review passed", "note": "Original surface-anchored interosseous fascicles between the native medial cuneiform and second metatarsal, within complete adult foot bone/cartilage context. Complete disruption has separated stumps and representative diastasis; partial disruption retains bridging fibres. These are discrete illustrative alternatives, not a progression or calibrated severity scale. Source-surface anchors and rigid alignment are geometry-reviewed; insertion footprint, clinical joint mechanics and actual WebGL appearance remain unvalidated.", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "representativeAuthored": true, "publicReady": false, "clinicalReview": "Independent review pending", "regionalCompletion": true, "referenceOnly": false, "comparisonApplicable": true, "injuryComparisonAvailable": true, "surfaceEducationComparisonAvailable": false, "clinicalCertification": false, "sourceCohort": "atlas-original-ankle-foot-v15", "genericAnatomyReview": { "decision": "held pending verified C1-M2 attachment course" }, "conditionFamilyCoverage": "partial representative example", "sourceGeometry": "Original Atlas authored adult representative geometry; dependency and historical source notices are retained.", "sourceSide": "right", "provenanceHref": "/atlas-preview/README.md", "reviewHold": false, "additionalEducation": [], "gapExpansion": true, "coreInventory": false, "conditionSpecificGeometry": true, "publicationAuthorized": true, "coverageClass": "authored-educational-pathology", "structuralHold": false, "adapterFamily": "selected", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/lisfranc-midfoot-injury/" } ], "published": false, "comparisonId": null, "existingUpgrade": true, "factoryModulePath": "../selected-visuals/foot-models.mjs", "factoryExport": "createSelectedFootModel", "factorySignature": "THREE, {id: modelId}", "sourceNotice": "../selected-visuals/foot-provenance.json", "stateLabels": { "normal": "Reference", "injured": "Illustrative affected" }, "variantChoices": [ { "value": "partial", "label": "Partial tear example" }, { "value": "complete", "label": "Complete tear example" } ], "featureShown": "Original surface-anchored interosseous fascicles between the native medial cuneiform and second metatarsal, within complete adult foot bone/cartilage context. Complete disruption has separated stumps and representative diastasis; partial disruption retains bridging fibres. These are discrete illustrative alternatives, not a progression or calibrated severity scale. Source-surface anchors and rigid alignment are geometry-reviewed; insertion footprint, clinical joint mechanics and actual WebGL appearance remain unvalidated.", "canvasTitle": "Lisfranc complete tear", "geometryStatus": "authored-educational-candidate", "independentReview": false, "anatomicalReview": { "decision": "Independent source and geometry review recorded separately; clinical certification not claimed", "clinicalCertification": false }, "visualStyleAccepted": false, "independentSourceGeometryReviewAccepted": true, "actualWebGLAcceptance": false, "publicationRequested": true, "previewIncomplete": false, "independentReviewAccepted": true, "independentReviewScope": "Bounded source, geometry, anatomical context, controls and CPU camera/label review. Actual WebGL, physical mobile interaction/performance and qualified clinical validation remain unverified.", "reviewStatus": "bounded-independent-review-passed", "physicalMobileAcceptance": false }, { "id": "turf-toe-plantar-plate-partial-tear", "region": "ankle-foot", "title": "Turf toe: plantar-complex partial tear", "subtype": "Native first-MTP plantar-complex partial-width tear", "note": "Native first-ray plantar-MTP ligament component with a partial-width distal notch and a retained medial bridge. Original thin surface retained; no partial-thickness grade, complete plantar-complex rupture or toe displacement claimed.", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "representativeAuthored": true, "publicReady": false, "clinicalReview": "pending independent review", "regionalCompletion": true, "referenceOnly": false, "comparisonApplicable": true, "injuryComparisonAvailable": true, "surfaceEducationComparisonAvailable": false, "clinicalCertification": false, "sourceCohort": "Z-Anatomy-e38ea5e6", "genericAnatomyReview": { "decision": "source-derived-bounded-lesion-awaiting-independent-review", "report": "native-foot-oct8/COMPLEX-SOURCE-PROVENANCE.json", "clinicalCertification": false }, "conditionFamilyCoverage": "partial representative example", "sourceGeometry": "Native same-Z adult right-foot anatomy with bounded authored lesion; no donor registration.", "sourceSide": "right", "provenanceHref": "/atlas-preview/README.md" }, { "id": "hallux-rigidus-first-mtp-oa", "region": "ankle-foot", "title": "Hallux rigidus", "subtype": "First-MTP dorsal cartilage surface wear and bounded dorsal osteophyte", "note": "Focal native first-metatarsal head cartilage surface recess and bounded dorsal bony outgrowth. Native articular margins and joint pose fixed; no full-thickness cartilage loss, measured cartilage thickness or OA severity grade claimed.", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "representativeAuthored": true, "publicReady": false, "clinicalReview": "pending independent review", "regionalCompletion": true, "referenceOnly": false, "comparisonApplicable": true, "injuryComparisonAvailable": true, "surfaceEducationComparisonAvailable": false, "clinicalCertification": false, "sourceCohort": "Z-Anatomy-e38ea5e6", "genericAnatomyReview": { "decision": "source-derived-bounded-lesion-awaiting-independent-review", "report": "native-foot-oct8/COMPLEX-SOURCE-PROVENANCE.json", "clinicalCertification": false }, "conditionFamilyCoverage": "partial representative example", "sourceGeometry": "Native same-Z adult right-foot anatomy with bounded authored lesion; no donor registration.", "sourceSide": "right", "provenanceHref": "/atlas-preview/README.md" }, { "id": "triceps-insertional-tendinopathy", "region": "elbow", "title": "Distal triceps tendinopathy", "subtype": "Focal posterior contour thickening on the distal long/lateral triceps tendon surfaces", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": false, "injuryComparisonAvailable": true, "coverageComplete": false, "publicReady": false, "representativeAuthored": true, "clinicalCertification": false, "genericAnatomyReview": { "decision": "native source geometry restored; integration and clinical review pending", "clinicalCertification": false }, "note": "The distal triceps attachment may develop tendinopathy. A thickened contour is only one possible feature and is distinct from a complete rupture or avulsion. An original nonspecific surface feature with the medial-head surface and source insertion/contact regions unchanged. No histology, avulsion, healing stage or functional strength is simulated. A cited single case supports the existence of thickening, not its universality or this geometry. Small contour changes may be unresolved in whole-elbow framing; matched optional profiles show the real change without exaggerating geometry", "regionalCompletion": true, "referenceOnly": false, "comparisonApplicable": true, "surfaceEducationComparisonAvailable": false, "sourceCohort": "z-native-elbow-oct8", "conditionFamilyCoverage": "partial representative example", "sourceGeometry": "Unchanged licensed Z-Anatomy source triangles; bounded material-only illustration for tendon entries.", "sourceSide": "right", "provenanceHref": "/atlas-preview/README.md", "coverageClass": "nonspecific-feature", "conditionSpecificGeometry": false, "independentReview": true, "publicationAuthorized": true, "mainViewerIntegrated": true, "coordinateUnits": "Native source coordinates; physical scale not calibrated", "visibilityNote": "Small contour changes may be unresolved in whole-elbow framing; matched optional profiles show the real change without exaggerating geometry", "comparisonId": "C133", "feature": "Focal posterior contour thickening on the distal long/lateral triceps tendon surfaces", "education": "The distal triceps attachment may develop tendinopathy. A thickened contour is only one possible feature and is distinct from a complete rupture or avulsion.", "limitations": "An original nonspecific surface feature with the medial-head surface and source insertion/contact regions unchanged. No histology, avulsion, healing stage or functional strength is simulated. A cited single case supports the existence of thickening, not its universality or this geometry.", "references": [ "https://pubmed.ncbi.nlm.nih.gov/38707857/" ], "runtimeId": "triceps-insertional-structural", "gapExpansion": true, "coreInventory": false, "existingUpgrade": true, "sources": [ { "title": "pubmed.ncbi.nlm.nih.gov", "url": "https://pubmed.ncbi.nlm.nih.gov/38707857/" } ], "factoryModulePath": "regions/existing-improvements/candidate/tendons.mjs", "factoryExport": "createExistingElbowTendonFeature", "factorySignature": "THREE, {id: modelId}", "adapterFamily": "native", "sourceNotice": "regions/existing-improvements/SOURCE-NOTICE.md", "reviewHold": false, "stateLabels": { "normal": "Source reference", "injured": "Nonspecific contour feature" }, "additionalEducation": [ { "id": "elbow-overuse-education", "comparisonId": "C121", "title": "Overuse injuries of the elbow", "existingIds": [ "tennis-elbow-ecrb", "golfers-elbow-pronator", "triceps-insertional-tendinopathy" ], "kind": "mechanism-family", "overview": "Repeated demands can contribute to different elbow problems involving tendons, ligaments, nerves or bone. \u201cOveruse\u201d describes a loading history, not one damaged tissue or one universal lesion.", "anatomyScope": "Each named tendon, nerve or joint example must retain its own location and limitations. No generic swelling is counted as an overuse-specific 3D model.", "assessment": "Assessment identifies the affected structure and relevant load history; symptoms alone do not determine an injury grade.", "geometryHold": "No universal structural lesion for the mechanism category.", "references": [ "https://www.orthoinfo.org/diseases--conditions/elbow-injuries-in-the-throwing-athlete/" ], "geometryImplemented": false, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "comparisonApplicable": false, "coverageComplete": false, "clinicalCertification": false, "independentReview": true, "publicationAuthorized": true, "sourceCheckedAt": "2026-10-09", "contentProvenance": "Original educational summary; source references are factual support, with no copied illustrations or narration.", "published": false } ], "published": false }, { "id": "elbow-posterolateral-dislocation", "requestedScopeIDs": [ "elbow-dislocation" ], "region": "elbow", "title": "Posterolateral elbow dislocation", "subtype": "One representative displaced radius/ulna with structural collateral/capsule disruption", "kind": "pathology", "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "injuryComparisonAvailable": true, "representativeAuthored": true, "coverageComplete": false, "publicReady": false, "clinicalCertification": false, "genericAnatomyReview": { "decision": "accepted-bounded-original-illustration", "report": "reviews/requested-inventory-reconciliation/elbow-joints-independent-r10/ACCEPTED-INDEX.json", "clinicalCertification": false }, "note": "Original actual matched-state posterior/lateral forearm displacement with closed separated stabilizer stumps, intact annular/forearm context and no obligatory fracture. Explicit joint cutaway omits muscle/tendon bodies. The represented complete-disruption pattern is not asserted universal.", "localLibrary": true, "regionalCompletion": true, "referenceOnly": false, "comparisonApplicable": true, "surfaceEducationComparisonAvailable": false, "sourceCohort": "atlas-original-elbow-v15", "conditionFamilyCoverage": "partial representative example", "sourceGeometry": "Original Atlas authored adult representative geometry; dependency and historical source notices are retained.", "sourceSide": "right", "provenanceHref": "/atlas-preview/README.md" }, { "id": "radial-head-marginal-fracture", "requestedScopeIDs": [ "radial-head-fracture" ], "region": "elbow", "title": "Marginal radial-head fracture", "subtype": "One closed lateral rim fragment with fracture wall and matched cartilage step", "kind": "pathology", "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "injuryComparisonAvailable": true, "representativeAuthored": true, "coverageComplete": false, "publicReady": false, "clinicalCertification": false, "genericAnatomyReview": { "decision": "accepted-bounded-original-illustration", "report": "reviews/requested-inventory-reconciliation/elbow-joints-independent-r10/ACCEPTED-INDEX.json", "clinicalCertification": false }, "note": "Original true closed fracture fragment separates from the continuous Normal head and carries matching articular cartilage; adjacent neck/shaft, ulna/humerus and ligaments remain fixed. One representative marginal example, no obligatory dislocation, comminution, blood or assigned grade.", "localLibrary": true, "regionalCompletion": true, "referenceOnly": false, "comparisonApplicable": true, "surfaceEducationComparisonAvailable": false, "sourceCohort": "atlas-original-elbow-v15", "conditionFamilyCoverage": "partial representative example", "sourceGeometry": "Original Atlas authored adult representative geometry; dependency and historical source notices are retained.", "sourceSide": "right", "provenanceHref": "/atlas-preview/README.md" }, { "id": "lumbar-anterolisthesis", "title": "Anterolisthesis (spondylolisthesis)", "finding": "anterolisthesis", "note": "L4 moves forwards relative to L5 in this representative intact-pars alignment example. The neighbouring upper segment follows it and the L4\u2013L5 disc shears. The teal outline is the reference position. No pars break is added: an isthmic slip has a different mechanism. Displacement is enlarged for teaching, not a measured grade. Nerves and ligaments are omitted; compression, instability and pain causation are not established.", "region": "lower-back", "subtype": "Anterolisthesis (spondylolisthesis) \u00b7 L4\u2013L5 representative example", "kind": "pathology", "localLibrary": true, "lumbarFinding": true, "sourceCohort": "BodyParts3D native lumbar reference", "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "coverageComplete": false, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "representativeAuthored": true, "canvasTitle": "Anterolisthesis (spondylolisthesis) \u00b7 L4\u2013L5", "requestedScopeIDs": [ "lumbar-anterolisthesis" ], "injuryComparisonAvailable": true, "referenceOnly": false, "comparisonApplicable": true, "conditionFamilyCoverage": "partial representative example", "provenanceHref": "/atlas-preview/LUMBAR-FINDINGS-SOURCES.md", "reviewMethod": "Independent source/code and bounded geometric checks; not clinical validation. Actual browser/mobile pixel acceptance is pending." }, { "id": "lumbar-retrolisthesis", "title": "Retrolisthesis", "finding": "retrolisthesis", "note": "L4 moves backwards relative to L5 in this representative alignment example. The neighbouring upper segment follows it and the L4\u2013L5 disc shears. The teal outline is the reference position. Displacement is enlarged for teaching, not a measured grade. This alignment finding can occur without symptoms. Nerves and ligaments are omitted; compression and instability are not established.", "region": "lower-back", "subtype": "Retrolisthesis \u00b7 L4\u2013L5 representative example", "kind": "pathology", "localLibrary": true, "lumbarFinding": true, "sourceCohort": "BodyParts3D native lumbar reference", "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "coverageComplete": false, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "representativeAuthored": true, "canvasTitle": "Retrolisthesis \u00b7 L4\u2013L5", "requestedScopeIDs": [ "lumbar-retrolisthesis" ], "injuryComparisonAvailable": true, "referenceOnly": false, "comparisonApplicable": true, "conditionFamilyCoverage": "partial representative example", "provenanceHref": "/atlas-preview/LUMBAR-FINDINGS-SOURCES.md", "reviewMethod": "Independent source/code and bounded geometric checks; not clinical validation. Actual browser/mobile pixel acceptance is pending." }, { "id": "lumbar-disc-height-loss", "title": "Lumbar disc degeneration \u00b7 reduced disc height", "finding": "disc-height-loss", "note": "This L4\u2013L5 example illustrates reduced disc height as one possible feature of lumbar disc degeneration. Reduced height alone does not establish that diagnosis. The disc becomes thinner and the upper segment follows it; the teal outline shows its reference height. Desiccation, annular fissures and bone spurs are not depicted. This is not a disease stage or inevitable progression. Degenerative findings can occur without pain. Nerves and ligaments are omitted; narrowing or compression is not diagnosed.", "region": "lower-back", "subtype": "Lumbar disc degeneration \u00b7 reduced disc height \u00b7 L4\u2013L5 representative example", "kind": "pathology", "localLibrary": true, "lumbarFinding": true, "sourceCohort": "BodyParts3D native lumbar reference", "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "coverageComplete": false, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "representativeAuthored": true, "canvasTitle": "Lumbar disc degeneration \u00b7 reduced disc height \u00b7 L4\u2013L5", "requestedScopeIDs": [ "lumbar-disc-height-loss" ], "injuryComparisonAvailable": true, "referenceOnly": false, "comparisonApplicable": true, "conditionFamilyCoverage": "partial representative example", "provenanceHref": "/atlas-preview/LUMBAR-FINDINGS-SOURCES.md", "reviewMethod": "Independent source/code and bounded geometric checks; not clinical validation. Actual browser/mobile pixel acceptance is pending." }, { "id": "lumbar-facet-arthrosis", "title": "Lumbar facet arthrosis (osteoarthritis)", "region": "lower-back", "kind": "pathology", "localLibrary": true, "subtype": "Representative articular-process hypertrophy \u00b7 left L4\u2013L5", "canvasTitle": "Lumbar facet arthrosis (osteoarthritis) \u00b7 L4\u2013L5", "aliases": [ "Facet osteoarthritis", "Facet arthritis", "Degenerative facet arthropathy" ], "note": "This representative L4\u2013L5 example enlarges a bounded outer part of the left L5 superior articular process, next to the native opposing facet surfaces. The teal outline is its reference contour. Bony enlargement is one possible feature of facet osteoarthritis; this example does not depict cartilage loss, joint-space narrowing, sclerosis, cysts or nerve compression. Cartilage is a source material surface, not a measured thickness. The full native Z-Anatomy L4/L5 bones, cartilage surfaces and L4\u2013L5 disc are retained. The change is illustrative, not a patient measurement, grade or diagnosis of pain. Native disc/endplate overlaps and clinical review remain unresolved.", "sourceCohort": "Z-Anatomy native L4\u2013L5 segment", "lumbarFacetFinding": true, "lumbarFinding": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "coverageComplete": false, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "representativeAuthored": true, "requestedScopeIDs": [ "lumbar-facet-arthrosis" ], "injuryComparisonAvailable": true, "referenceOnly": false, "comparisonApplicable": true, "conditionFamilyCoverage": "partial representative example", "provenanceHref": "/atlas-preview/lumbar-facet-SOURCE-NOTICE.md", "reviewMethod": "Independent source/code and bounded geometric checks; not clinical validation. Actual browser/mobile pixel acceptance is pending." }, { "id": "lumbar-spondylolysis", "title": "Spondylolysis (pars interarticularis defect)", "region": "lower-back", "kind": "pathology", "localLibrary": true, "subtype": "Representative unilateral left L5 pars defect", "canvasTitle": "Spondylolysis \u00b7 left L5 pars", "aliases": [ "Pars defect", "Pars fracture", "Lumbar spondylolysis" ], "sourceCohort": "Z-Anatomy native L4\u2013L5 segment", "lumbarParsFinding": true, "lumbarFinding": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "coverageComplete": false, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "representativeAuthored": true, "note": "An authored oblique gap fully interrupts the left L5 pars bridge between the native superior and inferior articular processes. Bounded planar defect faces close the bone surface. The native facet surfaces, pedicle, central lamina and spinous process are retained; neither vertebra is translated. This is a representative geometric illustration, not a patient-derived fracture, severity stage, stress simulation or diagnosis of pain. The native Z L4/L5 bones, cartilage surfaces and L4\u2013L5 disc provide context. Source disc/endplate overlaps remain. Cartilage is a material surface, not validated thickness. Neural anatomy is omitted. Clinical review remains pending.", "injuryComparisonAvailable": true, "reviewMethod": "Fresh source and bounded geometry checks; combined viewer review recorded separately. Real WebGL and qualified clinical review remain pending." }, { "id": "lumbar-foraminal-narrowing", "title": "Lumbar foraminal narrowing", "aliases": [ "Foraminal stenosis", "Neural foraminal narrowing" ], "region": "lower-back", "kind": "pathology", "localLibrary": true, "lumbarFinding": true, "lumbarForaminalFinding": true, "subtype": "Reduced osseous foraminal height \u00b7 right L4\u2013L5 representative example", "canvasTitle": "Lumbar foraminal narrowing \u00b7 L4\u2013L5", "note": "This representative L4\u2013L5 example shows one foraminal-narrowing mechanism: reduced disc height brings the upper pedicle toward the lower pedicle. The paired short guides mark actual source-bone intersections in a fixed right parasagittal plane; the center gauge measures a local interpedicular separation. It is not the maximum foraminal height or a complete aperture area. The same authored exiting L4 root remains clear of the surrounding source surfaces in both states; it is a teaching reference, not segmented patient nerve anatomy or a biomechanical simulation. The traversing L5 root is not substituted. Normal means source reference, not clinically certified normal anatomy. Physical scale, posterior soft-tissue boundaries, perineural fat, clinical severity and symptoms are not established. Inherited native disc/bone overlaps remain.", "sourceCohort": "BodyParts3D native lumbar source with retained authored L4 neural reference", "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "coverageComplete": false, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "representativeAuthored": true, "injuryComparisonAvailable": true, "reviewMethod": "Fresh source and bounded geometry checks; combined viewer review recorded separately. Real WebGL and qualified clinical review remain pending." }, { "id": "lumbar-central-canal-stenosis", "title": "Central canal stenosis", "region": "lower-back", "kind": "pathology", "localLibrary": true, "sourceCohort": "BodyParts3D native lumbar reference", "canvasTitle": "Central canal stenosis \u00b7 L4\u2013L5", "lumbarCentralCanalFinding": true, "subtype": "L4\u2013L5 \u00b7 representative posterior disc contribution", "lumbarFinding": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "status": "partial", "coverageComplete": false, "publicReady": false, "clinicalReview": "pending", "note": "A bounded broad posterior contour change of the native L4\u2013L5 disc reduces central free space in a matched oblique-axial section. The central cauda equina strands are separately authored, unchanged location references, not segmented patient nerves. They remain separate from the changed disc. This example shows one narrowing mechanism, not pressure, clinical compression, symptom causation, a patient measurement or a stenosis grade. Ligaments, dura, epidural tissues and some canal boundaries are not segmented.", "injuryComparisonAvailable": true, "clinicalCertification": false, "reviewMethod": "Fresh source and bounded geometry checks; combined viewer review recorded separately. Real WebGL and qualified clinical review remain pending." }, { "id": "lumbar-spondylosis", "title": "Lumbar spondylosis", "region": "lower-back", "kind": "pathology", "localLibrary": true, "subtype": "Representative marginal osteophyte \u00b7 anterior-left L5", "canvasTitle": "Lumbar spondylosis \u00b7 marginal osteophyte", "aliases": [ "Lumbar osteophyte", "Vertebral osteophytosis", "Spondylophyte", "Degenerative vertebral bone spur" ], "note": "This representative L4\u2013L5 example shows one horizontally directed bony spur at the anterior-left upper margin of L5. The red highlight marks the locally enlarged cortex; the teal outline marks its native reference contour. The five complete native L4/L5 bone, cartilage and disc parts remain in place. This is one feature associated with lumbar spondylosis, not a complete degenerative-disease model, grade, pain diagnosis or depiction of stenosis. Disc height, cartilage and opposing anatomy are unchanged. The geometric rim landmark is a source material boundary, not a segmented annular attachment. Native disc/endplate overlaps remain outside the changed region. Clinical review is pending.", "sourceCohort": "Z-Anatomy native L4\u2013L5 segment", "lumbarSpondylosisFinding": true, "lumbarFinding": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "coverageComplete": false, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "representativeAuthored": true, "injuryComparisonAvailable": true, "reviewMethod": "Fresh source and bounded geometry checks; combined viewer review recorded separately. Real WebGL and qualified clinical review remain pending." }, { "id": "lumbar-lateral-recess-stenosis", "title": "Lateral recess stenosis", "canvasTitle": "Lateral recess stenosis \u00b7 L4\u2013L5", "region": "lower-back", "kind": "pathology", "localLibrary": true, "sourceCohort": "BodyParts3D native L4\u2013S1 corridor", "subtype": "Right L4\u2013L5 \u00b7 bounded superior-articular-process contribution", "lumbarFinding": true, "lumbarLateralRecessFinding": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "status": "partial", "coverageComplete": false, "publicReady": false, "clinicalReview": "pending", "clinicalCertification": false, "note": "A bounded anteromedial enlargement of the native right L5 superior articular process narrows the subarticular space beside a NEW authored traversing L5 course at L4\u2013L5. The longer reference descends medial to and beneath the L5 pedicle toward the L5\u2013S1 exit. It is a representative native-corridor-constrained course, not segmented patient nerves or a claim of a uniquely measured route. The old six root examples remain unchanged. Normal and Injured keep this new root shape fixed and separated from bone; no compression, pressure, symptoms or grade is diagnosed. The visible superior-process margin changes; protected native joint-facing surfaces, discs, pedicle and other bones are unchanged. Dura, ligaments, DRG and joint cartilage are not reconstructed. Fixed local crops are viewing choices.", "injuryComparisonAvailable": true, "reviewMethod": "Fresh source and bounded geometry checks; combined viewer review recorded separately. Real WebGL and qualified clinical review remain pending." }, { "id": "lumbar-l4-traversing-l3-l4-root-pathway", "region": "lower-back", "title": "L3\u2013L4 disc and traversing L4 root", "subtype": "Right subarticular / lateral recess protrusion contact; L4 eventually exits at L4\u2013L5", "kind": "pathology", "localLibrary": true, "status": "partial", "geometryImplemented": true, "lesionGeometryImplemented": true, "referenceOnly": false, "comparisonApplicable": true, "targetKind": "disc", "nerveRoot": "L4", "discLevel": "L3-L4", "rootRole": "traversing", "rootExit": "L4-L5", "lesionZone": "right subarticular / lateral recess", "rootMechanism": "illustrative focal disc-root contact", "rootGeometryChanges": true, "coverageComplete": false, "conditionFamilyCoverage": "partial-representative-example", "clinicalCertification": false, "publicReady": false, "representativeAuthored": true, "clinicalReview": "pending", "genericAnatomyReview": { "scope": "Independent native cortical corridor candidate; clinical and browser acceptance pending", "clinicalCertification": false }, "note": "An independently authored right L4 course descends behind native L3\u2013L4 disc, medial to the L4 pedicle, and is cropped before its foraminal turn. L4 eventually exits at L4\u2013L5; that exit is not depicted. L4 body/referral imagery is retained. Broad bulge leaves the normal root unchanged and separate; focal protrusion has an exact shared surface contact and bounded local deflection. Extrusion is unavailable. Cropped endpoints are continuations, not origins. No source-segmented nerve, dural takeoff, clinical compression or certification is claimed. Source notes: /authored-reviewed/neuro-context-v19/L3-L4-L4-SOURCE-NOTICE.md.", "injuryComparisonAvailable": true, "reviewMethod": "Fresh source and bounded geometry checks; combined viewer review recorded separately. Real WebGL and qualified clinical review remain pending." }, { "id": "shoulder-ac-joint-arthritis", "title": "AC joint arthritis", "region": "shoulder", "kind": "pathology", "subtype": "Acromioclavicular osteoarthritis", "canvasTitle": "AC joint arthritis", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "One possible osteoarthritis-associated bony change is shown. Native cartilage is retained as a source surface, not a measured thickness; cartilage loss, joint-space narrowing, sclerosis and cysts are not modeled. A visible osteophyte does not establish pain or disease severity.", "clinicalSources": [ { "title": "AAOS OrthoInfo: Arthritis of the Shoulder", "url": "https://www.orthoinfo.org/diseases--conditions/arthritis-of-the-shoulder", "supports": "AC versus glenohumeral arthritis, cartilage loss, osteophytes, asymptomatic AC imaging changes." } ], "relatedModelIds": [], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_0bac3498", "featureShown": "Representative inferior distal-clavicle osteophyte", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true }, { "id": "shoulder-proximal-biceps-tear", "title": "Proximal biceps tendon tear", "region": "shoulder", "kind": "pathology", "subtype": "Complete proximal long-head rupture", "canvasTitle": "Proximal biceps tendon tear", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "Complete proximal long-head tendon rupture with a small illustrative distal recoil. Short-head attachment and the distal biceps insertion are retained. The proximal muscle transition follows the retracted tendon; no specific Popeye contour, clinical severity, accompanying cuff injury or treatment is implied. Gap and recoil are uncalibrated teaching choices.", "clinicalSources": [ { "title": "AAOS OrthoInfo: Biceps Tendon Tear at the Shoulder", "url": "https://www.orthoinfo.org/diseases--conditions/biceps-tendon-tear-at-the-shoulder/", "supports": "Proximal long-head rupture, preserved short-head attachment and distal muscle bulge; distinction from distal biceps rupture." } ], "relatedModelIds": [ "shoulder-biceps-tendinitis", "shoulder-slap-tear" ], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_7107439f", "featureShown": "Complete proximal long-head rupture", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true }, { "id": "shoulder-biceps-tendinitis", "title": "Long-head biceps tendinitis", "region": "shoulder", "kind": "pathology", "subtype": "Proximal long-head tendinopathy with tenosynovial irritation", "canvasTitle": "Long-head biceps tendinitis", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "Illustrative localized free-facing tendon-wall thickening with preserved continuity and a frozen groove-side contact margin. No sheath swelling is claimed because a separately validated tendon sheath is absent. Chronic tendinopathy is not necessarily purely inflammatory; this is not rupture or tendon instability.", "clinicalSources": [ { "title": "AAOS OrthoInfo: Biceps Tendinitis", "url": "https://www.orthoinfo.org/diseases--conditions/biceps-tendinitis/", "supports": "Long-head tendon course and tendinitis, thickening and associated shoulder disorders." } ], "relatedModelIds": [ "shoulder-proximal-biceps-tear", "supraspinatus-partial-tear" ], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_0228e40f", "featureShown": "Bounded proximal tendon thickening; intact continuity", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true }, { "id": "shoulder-calcific-tendinitis", "title": "Calcific tendinitis", "region": "shoulder", "kind": "pathology", "subtype": "Supraspinatus calcific tendinopathy", "canvasTitle": "Calcific tendinitis", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "One original intratendinous deposit is shown with the inferred distal cuff region made pale and transparent for viewing. Acromion and deltoid are omitted from close-up to expose the deposit. Tendon tissue is inferred within the source supraspinatus envelope using its insertion annotation, not a histological segmentation. Deposit size, stage and symptoms are not inferred; calcification is not an acromial bone spur.", "clinicalSources": [ { "title": "Weill Cornell Medicine: Calcific Tendonitis of the Rotator Cuff", "url": "https://weillcornell.org/news/calcific-tendonitis-of-the-rotator-cuff-when-its-not-frozen-shoulder", "supports": "Calcium deposits within cuff tendons and clinical distinction from adhesive capsulitis." }, { "title": "Hospital for Special Surgery: Rotator Cuff Pain", "url": "https://www.hss.edu/health-library/conditions-and-treatments/list/rotator-cuff-pain", "supports": "Subacromial bursa anatomy; distinctions between bursitis, tendinopathy and calcific tendinopathy." } ], "relatedModelIds": [], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_27bc6093", "featureShown": "Representative supraspinatus calcium deposit", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true }, { "id": "shoulder-clavicle-fracture", "title": "Clavicle fracture", "region": "shoulder", "kind": "pathology", "subtype": "Displaced midshaft clavicle fracture", "canvasTitle": "Clavicle fracture", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "One separated midshaft example. Displacement and plane are illustrative; comminuted, segmental, medial and lateral-end fractures are not represented. Illustrative source-derived bone fracture with a deliberately visible gap. Not patient-specific, not a validated clinical classification, and not a treatment guide. Muscles, tendons, capsule, labrum, ligaments, nerves and vessels are omitted from fracture inspection; no associated soft-tissue injury is simulated.", "clinicalSources": [ { "title": "AAOS OrthoInfo: Clavicle Fracture", "url": "https://www.orthoinfo.org/diseases--conditions/clavicle-fracture-broken-collarbone/", "supports": "Clavicular fracture location and displacement variants." } ], "relatedModelIds": [], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_ab11c955", "featureShown": "Clavicle fracture \u00b7 midshaft example", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true }, { "id": "shoulder-greater-tuberosity-fracture", "title": "Greater tuberosity fracture", "region": "shoulder", "kind": "pathology", "subtype": "Isolated greater-tuberosity fracture", "canvasTitle": "Greater tuberosity fracture", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "Isolated greater tuberosity fragment example. Tendon attachment or avulsion is not simulated. Impacted, nondisplaced, comminuted and fracture-dislocation patterns are not represented. Illustrative source-derived bone fracture with a deliberately visible gap. Not patient-specific, not a validated clinical classification, and not a treatment guide. Muscles, tendons, capsule, labrum, ligaments, nerves and vessels are omitted from fracture inspection; no associated soft-tissue injury is simulated.", "clinicalSources": [ { "title": "AO Surgery Reference: Extraarticular 2-part Greater Tuberosity Fracture", "url": "https://surgeryreference.aofoundation.org/orthopedic-trauma/adult-trauma/proximal-humerus/extraarticular-2-part-greater-tuberosity-nondisplaced", "supports": "Isolated greater-tuberosity fracture as a distinct proximal-humerus pattern." }, { "title": "Royal College of Physicians and Surgeons of Canada / OQLF: Greater Tubercle of Humerus", "url": "https://vitrinelinguistique.oqlf.gouv.qc.ca/fiche-gdt/fiche/8436575/tubercule-majeur-de-lhumerus", "supports": "Greater tuberosity insertion sites of supraspinatus, infraspinatus and teres minor." } ], "relatedModelIds": [ "shoulder-proximal-humerus-fracture", "supraspinatus-partial-tear" ], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_d5007a36", "featureShown": "Greater tuberosity fracture \u00b7 isolated fragment", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true }, { "id": "shoulder-glenoid-fracture", "title": "Glenoid fracture", "region": "shoulder", "kind": "pathology", "subtype": "Anteroinferior rim fracture, or bony Bankart pattern", "canvasTitle": "Glenoid fracture", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "One illustrative anterior-inferior bony rim fragment with a matching source-derived defect. Labrum and capsule are omitted; this is not a soft-tissue Bankart model. The humerus is omitted from rim inspection to expose the fragment; this viewing dissection does not represent a dislocation. No clinical subtype, percentage bone loss or instability threshold is asserted. Illustrative source-derived bone fracture with a deliberately visible gap. Not patient-specific, not a validated clinical classification, and not a treatment guide. Muscles, tendons, capsule, labrum, ligaments, nerves and vessels are omitted from fracture inspection; no associated soft-tissue injury is simulated.", "clinicalSources": [ { "title": "AO Surgery Reference: Anterior Partial-articular Glenoid Fracture", "url": "https://surgeryreference.aofoundation.org/orthopedic-trauma/adult-trauma/scapula/glenoid-fossa-partial-articular-anterior-simple/definition", "supports": "Anterior glenoid rim fracture and bony Bankart distinction." } ], "relatedModelIds": [], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_0f6d8fd6", "featureShown": "Glenoid rim fracture \u00b7 anterior-inferior example", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true }, { "id": "shoulder-adhesive-capsulitis", "title": "Adhesive capsulitis", "region": "shoulder", "kind": "pathology", "subtype": "Contracted glenohumeral capsule", "canvasTitle": "Adhesive capsulitis", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "Right-sided, original educational example derived from a licensed anatomy atlas. Shape and displacement are illustrative, not patient-specific measurements; no clinical certification. Shows illustrative inferior capsular recess shortening with local wall thickening, while attachment margins and surrounding bones remain fixed. Dark red emphasizes the altered capsule; it is not a measured tissue color or severity scale. Whole-capsule fibrosis, calibrated joint capacity and restriction of range of motion are not simulated.", "clinicalSources": [ { "title": "AAOS OrthoInfo: Frozen Shoulder", "url": "https://www.orthoinfo.org/diseases--conditions/frozen-shoulder/", "supports": "Capsular thickening, contraction and reduced shoulder movement." } ], "relatedModelIds": [], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_ecda7228", "featureShown": "Thickened, shortened inferior capsular recess example", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true }, { "id": "shoulder-glenoid-labrum-tear", "title": "Glenoid labrum tear", "region": "shoulder", "kind": "pathology", "subtype": "Anteroinferior Bankart lesion", "canvasTitle": "Glenoid labrum tear", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "Right-sided, original educational example derived from a licensed anatomy atlas. Shape and displacement are illustrative, not patient-specific measurements; no clinical certification. Shows an anteroinferior labral segment lifted from an intact glenoid rim. The superior labrum and biceps anchor remain unchanged. No glenoid fracture, capsular avulsion, instability mechanics or recurrent-dislocation behavior is modeled. Close-up uses the same viewing half-section in both states; its cut edge is not the tear. Anatomy context restores the unsectioned ring.", "clinicalSources": [ { "title": "AAOS OrthoInfo: Shoulder Joint Labral Tear", "url": "https://www.orthoinfo.org/diseases--conditions/shoulder-joint-tear-glenoid-labrum-tear", "supports": "Bankart, posterior and superior labral tear locations and stabilizing labral function." } ], "relatedModelIds": [ "shoulder-slap-tear", "shoulder-instability", "shoulder-dislocation" ], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_9aa3de61", "featureShown": "Anteroinferior Bankart-type detachment example", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true }, { "id": "shoulder-glenohumeral-osteoarthritis", "title": "Glenohumeral osteoarthritis", "region": "shoulder", "kind": "pathology", "subtype": "Primary glenohumeral osteoarthritis", "canvasTitle": "Glenohumeral osteoarthritis", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "One possible osteoarthritis-associated bony change is shown. Native cartilage is retained as a source surface, not a measured thickness; cartilage loss, joint-space narrowing, sclerosis and cysts are not modeled. A visible osteophyte does not establish pain or disease severity. Close-up isolates the humeral head to reveal its inferior margin; shoulder context restores the other source bones.", "clinicalSources": [ { "title": "Johns Hopkins Medicine: Shoulder Arthritis", "url": "https://www.hopkinsmedicine.org/health/conditions-and-diseases/shoulder-arthritis", "supports": "Glenohumeral cartilage degeneration and distinction from AC arthritis." }, { "title": "AAOS: Glenohumeral Joint Osteoarthritis Clinical Practice Guideline", "url": "https://www.aaos.org/quality/quality-programs/glenohumeral-joint-osteoarthritis/", "supports": "Primary glenohumeral OA is a different scope from inflammatory arthritis, AVN and cuff-tear arthropathy." } ], "relatedModelIds": [], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_a393e1ec", "featureShown": "Representative inferior humeral-head osteophyte", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true }, { "id": "shoulder-proximal-humerus-fracture", "title": "Proximal humerus fracture", "region": "shoulder", "kind": "pathology", "subtype": "Two-part surgical-neck fracture", "canvasTitle": "Proximal humerus fracture", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "One separated surgical-neck example. No Neer/AO subtype, head-splitting, tuberosity comminution, avascular necrosis or associated nerve injury is simulated. Illustrative source-derived bone fracture with a deliberately visible gap. Not patient-specific, not a validated clinical classification, and not a treatment guide. Muscles, tendons, capsule, labrum, ligaments, nerves and vessels are omitted from fracture inspection; no associated soft-tissue injury is simulated.", "clinicalSources": [ { "title": "Johns Hopkins Medicine: Humerus Fracture", "url": "https://www.hopkinsmedicine.org/health/conditions-and-diseases/humerus-fracture-upper-arm-fracture", "supports": "Proximal versus shaft fracture and variable proximal patterns." }, { "title": "Proximal Humerus Fractures, Current Reviews in Musculoskeletal Medicine", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC3535090/", "supports": "Surgical-neck and multipart proximal-humerus patterns." } ], "relatedModelIds": [ "shoulder-greater-tuberosity-fracture" ], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_5d09a5e8", "featureShown": "Proximal humerus fracture \u00b7 surgical neck", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true }, { "id": "shoulder-scapula-fracture", "title": "Scapula fracture", "region": "shoulder", "kind": "pathology", "subtype": "Extra-articular scapular body fracture", "canvasTitle": "Scapula fracture", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "One extra-articular body fracture example. Glenoid, neck, acromion and coracoid fractures, comminution and chest-wall injury are not represented. Illustrative source-derived bone fracture with a deliberately visible gap. Not patient-specific, not a validated clinical classification, and not a treatment guide. Muscles, tendons, capsule, labrum, ligaments, nerves and vessels are omitted from fracture inspection; no associated soft-tissue injury is simulated.", "clinicalSources": [ { "title": "AAOS OrthoInfo: Scapula Fractures", "url": "https://www.orthoinfo.org/diseases--conditions/scapula-shoulder-blade-fractures/", "supports": "Scapular body, neck, glenoid, acromion and coracoid fracture locations; associated trauma." } ], "relatedModelIds": [], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_b3588b02", "featureShown": "Scapular body fracture \u00b7 extra-articular example", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true, "bilateralNativeScapularContext": true }, { "id": "shoulder-dislocation", "title": "Shoulder dislocation", "region": "shoulder", "kind": "pathology", "subtype": "Complete anterior glenohumeral dislocation", "canvasTitle": "Shoulder dislocation", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "One anterior-inferior complete dislocation example. Capsulolabral injury, fractures and soft-tissue stretch are not reconstructed; soft tissues are omitted for this skeletal alignment view. No reduction maneuver or treatment is illustrated.", "clinicalSources": [ { "title": "AAOS OrthoInfo: Shoulder Dislocation", "url": "https://www.orthoinfo.org/diseases--conditions/dislocated-shoulder/", "supports": "Complete versus partial separation; anterior and posterior directions; associated tissue and neurovascular injuries." } ], "relatedModelIds": [ "shoulder-instability", "shoulder-glenoid-labrum-tear" ], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_3c36f0ae", "featureShown": "Representative anterior-inferior glenohumeral dislocation", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true }, { "id": "shoulder-impingement", "title": "Shoulder impingement", "region": "shoulder", "kind": "pathology", "subtype": "One possible subacromial compression example", "canvasTitle": "Shoulder impingement", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "A fixed elevated-arm teaching pose with matched arm orientation in Normal and Injured. A small superior humeral translation reduces the illustrated bony interval. Elevation itself is normal. The coloured interval guide is an annotation, not tissue. Cuff/bursa deformation, tendon compression, contact, forces, symptoms and scapulohumeral rhythm are not simulated; this is neither a universal cause nor a diagnostic angle/distance threshold.", "clinicalSources": [ { "title": "Hospital for Special Surgery: Exercises for Shoulder Impingement", "url": "https://www.hss.edu/health-library/move-better/exercises-shoulder-impingement", "supports": "The diagnostic label does not necessarily imply tissue pinching; rotator-cuff-related shoulder pain / subacromial pain terminology." }, { "title": "Hospital for Special Surgery: Shoulder Impingement", "url": "https://www.hss.edu/health-library/conditions-and-treatments/list/shoulder-impingement", "supports": "Subacromial, internal and subcoracoid anatomical subtypes and multifactorial causes." }, { "title": "AAOS OrthoInfo: Shoulder Impingement / Rotator Cuff Tendinitis", "url": "https://www.orthoinfo.org/diseases--conditions/shoulder-impingementrotator-cuff-tendinitis/", "supports": "Subacromial relationship of acromion, cuff and bursa." } ], "relatedModelIds": [ "shoulder-sasd-partial", "supraspinatus-partial-tear" ], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_3773e4e6", "featureShown": "Elevated-arm subacromial space narrowing illustration", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true }, { "id": "shoulder-instability", "title": "Shoulder instability", "region": "shoulder", "kind": "pathology", "subtype": "Anterior instability with excessive capsular translation", "canvasTitle": "Shoulder instability", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "One static example of excess anterior translation, not a diagnostic laxity threshold or dynamic test. Instability is symptomatic abnormal translation and can occur without full dislocation. Capsular injury, labral injury, multidirectional and posterior variants are not modeled; soft tissues are omitted.", "clinicalSources": [ { "title": "AAOS OrthoInfo: Chronic Shoulder Instability and Dislocation", "url": "https://www.orthoinfo.org/diseases--conditions/chronic-shoulder-instability/", "supports": "Recurrent symptomatic displacement, capsular laxity, unidirectional and multidirectional presentations." } ], "relatedModelIds": [ "shoulder-dislocation", "shoulder-glenoid-labrum-tear" ], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_fab1fe58", "featureShown": "Representative anterior humeral translation; no complete dislocation", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true }, { "id": "shoulder-slap-tear", "title": "SLAP tear", "region": "shoulder", "kind": "pathology", "subtype": "Type II superior labrum\u2013biceps anchor detachment", "canvasTitle": "SLAP tear", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "Right-sided, original educational example derived from a licensed anatomy atlas. Shape and displacement are illustrative, not patient-specific measurements; no clinical certification. Shows a superior labrum\u2013biceps anchor complex lifted from the glenoid, extending anterior and posterior to the anchor. The proximal tendon moves continuously with the anchor; tendon substance is not cut. Source attachment surfaces are approximate and not a histologically fused insertion. This is one type-II-like pattern, not all SLAP types. Close-up uses the same superior-anchor viewing half-section in both states. Tendon continuation is hidden by the viewing plane, not ruptured; Anatomy context restores the unsectioned surface.", "clinicalSources": [ { "title": "AAOS OrthoInfo: SLAP Tears", "url": "https://www.orthoinfo.org/diseases--conditions/slap-tears/", "supports": "Superior labral injury around the long-head biceps anchor; degenerative fraying can occur with aging." }, { "title": "Superior Labrum Anterior to Posterior Lesions: Classification with Arthroscopic Correlation", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10879901/", "supports": "Type II labrum\u2013biceps anchor detachment; other SLAP patterns exist." } ], "relatedModelIds": [ "shoulder-glenoid-labrum-tear", "shoulder-proximal-biceps-tear" ], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_d9af92cb", "featureShown": "Superior labrum\u2013biceps anchor detachment example (type II pattern)", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true }, { "id": "shoulder-snapping-scapula", "title": "Snapping scapula syndrome", "region": "shoulder", "kind": "pathology", "subtype": "Bursal-irritation example at the superomedial scapulothoracic interface", "canvasTitle": "Snapping scapula syndrome", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "One possible bony contributor to snapping scapula is shown on the ventral superomedial scapula. This static prominence does not establish contact, friction, sound or pain. Scapulothoracic bursitis, soft-tissue causes and scapular motion are not modeled; muscles are omitted and rib context is translucent for this viewing dissection.", "clinicalSources": [ { "title": "Anatomy of the Scapulothoracic Articulation", "url": "https://pubmed.ncbi.nlm.nih.gov/10078149/", "supports": "Deep scapulothoracic layers and the two major bursae." }, { "title": "Diagnosis and Treatment of Snapping Scapula Syndrome: A Scoping Review", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9109590/", "supports": "Scapulothoracic symptoms, bursal and bony causes, clinical evaluation." } ], "relatedModelIds": [ "shoulder-winged-scapula" ], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_7ef6cc2e", "featureShown": "Representative ventral superomedial bony prominence", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true, "bilateralNativeScapularContext": true }, { "id": "shoulder-winged-scapula", "title": "Winged scapula", "region": "shoulder", "kind": "pathology", "subtype": "Medial winging associated with long-thoracic-nerve / serratus-anterior dysfunction", "canvasTitle": "Winged scapula", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "pending", "clinicalCertification": false, "publicReady": false, "note": "One illustrative medial-border winging posture, created by rigid rotation about the lateral scapular region. No specific nerve injury or muscle paralysis is inferred. Muscles, humerus and clavicle are omitted to avoid implying modeled joint or attachment mechanics. Lateral winging and dynamic scapular control are not modeled.", "clinicalSources": [ { "title": "Scapular Winging: Anatomical Review, Diagnosis, and Treatments", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC2684151/", "supports": "Medial winging from serratus dysfunction; lateral patterns and other muscle/nerve causes." }, { "title": "AAOS OrthoInfo: Scapular Disorders", "url": "https://www.orthoinfo.org/diseases--conditions/scapular-shoulder-blade-disorders", "supports": "Scapular motion, dyskinesis, nerve and muscle causes." } ], "relatedModelIds": [ "shoulder-snapping-scapula" ], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_048e2e90", "featureShown": "Representative medial-border winging", "loadable": true, "sourceNotice": "shoulder-conditions/SOURCE-NOTICE.md", "anatomicalReview": "Independent geometry/source review; not qualified clinical certification", "actualWebGLQA": false, "physicalMobileQA": false, "defaultView": "context", "recognisableShoulderContext": true, "fadedSurroundingAnatomy": true, "matchedCameraAcrossStates": true, "bilateralNativeScapularContext": true }, { "id": "shoulder-thoracic-outlet-syndrome", "title": "Thoracic outlet syndrome", "region": "shoulder", "kind": "pathology", "subtype": "Bounded educational illustration in native Atlas context; source/geometry review passed", "canvasTitle": "Thoracic outlet syndrome", "shoulderCondition": true, "shoulderCompletion": true, "localLibrary": true, "status": "partial", "sourceSide": "right", "sourceNativeContext": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "coverageComplete": false, "fullConditionReviewHold": true, "reviewHold": false, "referenceOnly": false, "comparisonApplicable": true, "representativeAuthored": true, "clinicalReview": "Independent review pending", "clinicalCertification": false, "publicReady": false, "note": "Registered native adult right neck-to-hand context: full arm/hand bones, transparent muscles and tendons, and selected radial/ulnar nerve pathways. The local root/anterior-scalene illustration changes only the reviewed focal region; downstream nerve meshes remain unchanged. The source focal root component reaches the superior trunk, but individual axonal continuation and symptom territories are not established. Ulnar is lower-trunk reference context, not a claimed affected continuation. Ambiguous median, musculocutaneous and axillary source joins are omitted. This is one interscalene neurogenic mechanism, not complete plexus coverage, vascular TOS, a diagnostic threshold or patient-specific disease.", "clinicalSources": [ { "title": "Johns Hopkins Medicine: Thoracic Outlet Syndrome", "url": "https://www.hopkinsmedicine.org/health/conditions-and-diseases/thoracic-outlet-syndrome", "supports": "Neurogenic, venous and arterial forms, overlapping symptoms and distinct diagnostic needs." }, { "title": "Anatomy and Embryology of the Thoracic Outlet", "url": "https://pmc.ncbi.nlm.nih.gov/articles/8057296/", "supports": "Scalene triangle, costoclavicular region, artery/plexus versus vein courses." } ], "relatedModelIds": [], "catalogueVideoURL": "https://ondemand.viewmedica.com/132/player/A_7ba6e825", "featureShown": "Registered native adult right neck-to-hand context: full arm/hand bones, transparent muscles and tendons, and selected radial/ulnar nerve pathways. The local root/anterior-scalene illustration changes only the reviewed focal region; downstream nerve meshes remain unchanged. The source focal root component reaches the superior trunk, but individual axonal continuation and symptom territories are not established. Ulnar is lower-trunk reference context, not a claimed affected continuation. Ambiguous median, musculocutaneous and axillary source joins are omitted. This is one interscalene neurogenic mechanism, not complete plexus coverage, vascular TOS, a diagnostic threshold or patient-specific disease.", "loadable": false, "sourceNotice": "../selected-visuals/tos-native-SOURCE-NOTICE.md", "anatomicalReview": { "decision": "Independent source and geometry review recorded separately; clinical certification not claimed", "clinicalCertification": false }, "actualWebGLQA": false, "physicalMobileQA": false, "additionalEducation": [], "gapExpansion": true, "coreInventory": false, "conditionSpecificGeometry": true, "publicationAuthorized": true, "coverageClass": "authored-educational-pathology", "structuralHold": false, "adapterFamily": "selected", "sources": [ { "title": "Johns Hopkins: thoracic outlet syndrome", "url": "https://www.hopkinsmedicine.org/health/conditions-and-diseases/thoracic-outlet-syndrome" }, { "title": "Thoracic outlet anatomy", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8057296/" } ], "published": false, "comparisonId": null, "existingUpgrade": true, "factoryModulePath": "../selected-visuals/tos-native-model.mjs", "factoryExport": "createNativeTOSModel", "factorySignature": "THREE, {id: modelId}", "stateLabels": { "normal": "Reference", "injured": "Illustrative affected" }, "geometryStatus": "authored-educational-candidate", "independentReview": false, "visualStyleAccepted": false, "contextScope": "Native right neck-to-hand anatomy with selected source-faithful radial/ulnar reference pathways", "publicationRequested": true, "previewIncomplete": false, "independentReviewAccepted": true, "independentReviewScope": "Bounded source, geometry, anatomical context, controls and CPU camera/label review. Actual WebGL, physical mobile interaction/performance and qualified clinical validation remain unverified.", "reviewStatus": "bounded-independent-review-passed", "actualWebGLAcceptance": false, "physicalMobileAcceptance": false }, { "id": "gap-foot-bunion", "comparisonId": "C003", "title": "Hallux valgus (bunion)", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One bounded structural example", "note": "One hallux-valgus skeletal alignment example. The first ray and hallux use serial source-registered joint pivots; bone and complementary cartilage remain paired. The sesamoid pair follows the first metatarsal rigidly, preserving its source interface; disease-specific sesamoid migration, soft-tissue adaptation, footwear pressure and clinical angle/severity measurements are not simulated. Educational illustration; assessment and treatment depend on an appropriately qualified clinician.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/toes/bunions" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-bunionette", "comparisonId": "C004", "title": "Bunionette deformity (tailor\u2019s bunion)", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One bounded structural example", "note": "One type-1 bunionette example with a localized lateral fifth-metatarsal-head prominence. The bone and complementary cartilage exterior remain continuous and remote joint surfaces stay fixed. Curved-shaft and splayed-ray variants, footwear pressure and clinical severity are not modelled. Educational illustration; assessment and treatment depend on an appropriately qualified clinician.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-treatments/toes/bunionette-deformity-correction/" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-calcaneus-fracture", "comparisonId": "C005", "title": "Calcaneal fracture", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One bounded structural example", "note": "One aligned extra-articular posterior calcaneal body fracture. The cut is posterior to the source subtalar cartilage envelope, and every remote joint surface remains fixed. No intra-articular comminution, displacement or soft-tissue injury; the gap is an authoring choice. Educational illustration; assessment and treatment depend on an appropriately qualified clinician.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/heel/broken-heel" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-mtp-capsulitis", "comparisonId": "C006", "title": "Second metatarsophalangeal capsulitis", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "nonspecific-feature", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Nonspecific structural feature; no disease-specific completion", "note": "Non-specific capsule swelling illustrates an inflammatory feature only. No universal lesion, plantar-plate tear, infection, or diagnosis is inferred. Other MTP capsules remain exact. Educational illustration; assessment and treatment depend on an appropriately qualified clinician.", "sources": [ { "title": "www.foothealthfacts.org", "url": "https://www.foothealthfacts.org/conditions/capsulitis-of-the-second-toe" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-charcot-midfoot", "comparisonId": "C007", "title": "Charcot neuroarthropathy of the foot", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "nonspecific-feature", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Nonspecific structural feature; no disease-specific completion", "note": "Midfoot fragmentation is a possible advanced Charcot feature, but is not specific for neuropathic arthropathy. The earlier collapse pose introduced anatomical collisions and was removed. Neuropathy, hot swollen early disease, rocker-bottom alignment, dislocation and disease staging remain unmodelled; this does not count as disease-specific Charcot coverage. A new hot, swollen foot in a person with neuropathy needs urgent clinical assessment and protection/offloading directed by the clinical team; infection is an important differential.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/the-diabetic-foot/charcot-arthropathy" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-claw-toe", "comparisonId": "C009", "title": "Claw toe deformity", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One bounded structural example", "note": "One source-registered second-toe skeletal pose with each bone and its complementary cartilage surface moved together. Pivots were bounded to local articular anatomy and numerically contact-tested. Tendons, ligaments, flexibility and muscle imbalance are not simulated. Angles are qualitative authoring parameters. Educational illustration; assessment and treatment depend on an appropriately qualified clinician.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/toes/claw-toe" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-clubfoot-education", "comparisonId": "C010", "title": "Adult residual-clubfoot alignment (CAVE example)", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "authored-educational-pathology", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded educational illustration in native Atlas context; source/geometry review passed", "note": "Original adult residual-clubfoot CAVE alignment on unchanged native bone/cartilage contours, with transparent whole-foot context and a closer hindfoot view. This adult example does not represent infant congenital ossification, all congenital bone deformities or treatment. Source-articular rigid pivots and bounded clearance corrections preserve source dimensions; independent screening found no worsened sampled penetration depth relative to the inherited reference. Clinical biomechanics and actual WebGL appearance remain unverified.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/toes/clubfoot" } ], "factoryModulePath": "../selected-visuals/foot-models.mjs", "factoryExport": "createSelectedFootModel", "factorySignature": "THREE, {id: modelId}", "adapterFamily": "selected", "sourceNotice": "../selected-visuals/foot-provenance.json", "published": false, "clinicalReview": "Independent review pending", "reviewHold": false, "structuralHold": false, "existingUpgrade": true, "stateLabels": { "normal": "Reference", "injured": "Illustrative affected" }, "additionalEducation": [], "featureShown": "Original adult residual-clubfoot CAVE alignment on unchanged native bone/cartilage contours, with transparent whole-foot context and a closer hindfoot view. This adult example does not represent infant congenital ossification, all congenital bone deformities or treatment. Source-articular rigid pivots and bounded clearance corrections preserve source dimensions; independent screening found no worsened sampled penetration depth relative to the inherited reference. Clinical biomechanics and actual WebGL appearance remain unverified.", "canvasTitle": "Adult residual-clubfoot alignment (CAVE example)", "geometryStatus": "authored-educational-candidate", "independentReview": false, "status": "partial", "anatomicalReview": { "decision": "Independent source and geometry review recorded separately; clinical certification not claimed", "clinicalCertification": false }, "visualStyleAccepted": false, "implementationStatus": "native-articulation-review-pending", "fidelityAccepted": false, "independentSourceGeometryReviewAccepted": true, "actualWebGLAcceptance": false, "publicationRequested": true, "previewIncomplete": false, "independentReviewAccepted": true, "independentReviewScope": "Bounded source, geometry, anatomical context, controls and CPU camera/label review. Actual WebGL, physical mobile interaction/performance and qualified clinical validation remain unverified.", "reviewStatus": "bounded-independent-review-passed", "physicalMobileAcceptance": false }, { "id": "gap-foot-corns-calluses", "comparisonId": "C011", "title": "Corns and plantar calluses", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One bounded structural example", "note": "Two schematic keratin-thickening examples anchored to native second-toe/forefoot context. The skin patches are authored reconstructions, not scanned skin; no infection, pressure measurement, or universal corn shape is claimed. Skin thickening needs pressure assessment. People with diabetes, neuropathy or poor circulation should seek professional foot care rather than cutting lesions themselves.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/toes/corns-and-calluses" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-haglund-bursitis", "comparisonId": "C012", "title": "Haglund deformity and retrocalcaneal bursitis", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One bounded structural example", "note": "Combined-title bounded example: a small posterosuperior bony prominence and separately owned bursal swelling. Growth is constrained by source bone/bursa/Achilles clearance, with existing contact zones frozen. Either feature may occur alone. No Achilles lesion, measured severity, symptoms, pressure mechanics or clinical certification. Educational illustration; assessment and treatment depend on an appropriately qualified clinician.", "sources": [ { "title": "www.foothealthfacts.org", "url": "https://www.foothealthfacts.org/conditions/haglund%E2%80%99s-deformity" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-hammertoe", "comparisonId": "C014", "title": "Hammertoe deformity", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One bounded structural example", "note": "One source-registered second-toe skeletal pose with each bone and its complementary cartilage surface moved together. Pivots were bounded to local articular anatomy and numerically contact-tested. Tendons, ligaments, flexibility and muscle imbalance are not simulated. Angles are qualitative authoring parameters. Educational illustration; assessment and treatment depend on an appropriately qualified clinician.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/toes/hammertoe" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-ingrown-toenail", "comparisonId": "C016", "title": "Onychocryptosis (ingrown toenail)", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One bounded structural example", "note": "Schematic nail-plate/fold relationship on native hallux bone context. Local skin and nail are original reconstructions; no infection, abscess, disease stage or individual nail anatomy is inferred. Professional assessment is important with persistent pain, spreading redness, drainage, diabetes, neuropathy or poor circulation. No self-surgery is illustrated.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/toes/ingrown-toenail" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-jones-fracture", "comparisonId": "C017", "title": "Proximal fifth-metatarsal Jones fracture", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One bounded structural example", "note": "One aligned proximal fifth-metatarsal metaphyseal-diaphyseal fracture example near the distal base-articulation envelope. The line is source-registered, not a patient-calibrated zone measurement; radiographic zone validation remains pending. No tuberosity avulsion, distal shaft fracture or displaced joint ends. Educational illustration; assessment and treatment depend on an appropriately qualified clinician.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/midfoot/jones-fracture" }, { "title": "surgeryreference.aofoundation.org", "url": "https://surgeryreference.aofoundation.org/orthopedic-trauma/adult-trauma/metatarsals" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-metatarsalgia-education", "comparisonId": "C019", "title": "Metatarsalgia", "region": "ankle-foot", "kind": "education", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "education-only", "comparisonApplicable": false, "referenceOnly": true, "geometryImplemented": false, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Reference / education; disease-specific geometry held", "note": "Metatarsalgia describes forefoot pain with multiple possible causes. A location-education topic cannot be counted as completed condition-specific 3D. Persistent forefoot pain requires assessment of the cause, including fracture, inflammatory disease, nerve and plantar-plate disorders.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/toes/forefoot-pain-metatarsalgia" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-mortons-neuroma", "comparisonId": "C020", "title": "Interdigital (Morton) neuroma", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One bounded structural example", "note": "Representative interdigital nerve enlargement, not a true neoplasm. This does not model microscopic perineural fibrosis or every web-space presentation; no symptom severity inference. Educational illustration; assessment and treatment depend on an appropriately qualified clinician.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/toes/mortons-neuroma" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-paronychia", "comparisonId": "C021", "title": "Paronychia", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "nonspecific-feature", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Nonspecific structural feature; no disease-specific completion", "note": "Non-specific nail-fold swelling, for paronychia education. Geometry cannot establish infection, organism or abscess; no fabricated pus pocket or fungal nail change. Painful nail-fold swelling or drainage needs clinical assessment; spreading redness, fever, immunosuppression, diabetes or vascular disease warrants prompt care. No drainage procedure is illustrated.", "sources": [ { "title": "my.clevelandclinic.org", "url": "https://my.clevelandclinic.org/health/diseases/15327-nail-infection-paronychia" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-navicular-stress-fracture", "comparisonId": "C022", "title": "Navicular stress fracture", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One bounded structural example", "note": "One incomplete dorsal cortical stress-fracture surface example with a closed source-derived backing. Gap and depth are qualitative authoring choices; marrow edema, occult injury and complete fracture are not shown. Educational illustration; assessment and treatment depend on an appropriately qualified clinician.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/midfoot/navicular-stress-fractures" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-talar-osteochondral-lesion", "comparisonId": "C023", "title": "Osteochondral lesion of the talus", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One bounded structural example", "note": "One focal cartilage-loss and underlying bone-defect example. The source has complementary exterior material surfaces, not stacked cartilage and bone layers; the exposed subchondral floor is explicitly original reconstruction within the source volume. No grading, fragment instability, edema or measured lesion dimensions. Educational illustration; assessment and treatment depend on an appropriately qualified clinician.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/ankle/osteochondral-lesion" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-peroneal-tendon-tear", "comparisonId": "C024", "title": "Longitudinal fibularis brevis tendon tear", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One bounded structural example", "note": "One partial longitudinal surface split behind the lateral malleolus. The licensed muscle-surface companion closes the full donor; remote tendon insertions and muscle junction remain unchanged. Depth is an authoring parameter, not a measured tear grade; no rupture or retraction. Educational illustration; assessment and treatment depend on an appropriately qualified clinician.", "sources": [ { "title": "www.foothealthfacts.org", "url": "https://www.foothealthfacts.org/conditions/peroneal-tendon-injuries" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-peroneal-tendinitis", "comparisonId": "C025", "title": "Peroneal tendinopathy (peroneal tendinitis/tendinosis)", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "nonspecific-feature", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Nonspecific structural feature; no disease-specific completion", "note": "Nonspecific localized fibularis brevis tendon thickening, limited by neighboring fibularis longus and fibular envelopes. Existing source contact zones and remote attachments are retained. This is a possible tendinopathy feature only; inflammation, degeneration, pain, severity and diagnosis cannot be inferred. Educational illustration; assessment and treatment depend on an appropriately qualified clinician.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/ankle/peroneal-tendinosis" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-pilon-fracture", "comparisonId": "C026", "title": "Distal tibial pilon fracture", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One bounded structural example", "note": "Simplified distal tibial articular fracture pattern. Display separations are qualitative; associated fibular injury, soft-tissue trauma and complex impaction are not modelled. Educational illustration; assessment and treatment depend on an appropriately qualified clinician.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/ankle/pilon-fracture" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-posterior-tibial-tendon-dysfunction", "comparisonId": "C028", "title": "Posterior tibial tendon dysfunction", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "nonspecific-feature", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Nonspecific structural feature; no disease-specific completion", "note": "Early tendon-feature example with arch alignment unchanged, explicitly separate from acquired flatfoot. Geometry cannot establish functional insufficiency, inflammation or inevitable arch collapse. Educational illustration; assessment and treatment depend on an appropriately qualified clinician.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/midfoot/progressive-flatfoot" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-rheumatoid-forefoot", "comparisonId": "C029", "title": "Rheumatoid arthritis of the foot and ankle", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "nonspecific-feature", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Nonspecific structural feature; no disease-specific completion", "note": "Non-specific inflammatory/erosive feature example for rheumatoid-foot education. No image establishes rheumatoid arthritis, systemic activity, stage or cause; rheumatology assessment is needed. Persistent multiple-joint swelling needs medical/rheumatology assessment. This illustration does not recommend medication or distinguish infection from inflammatory arthritis.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/midfoot/rheumatoid-arthritis-of-the-foot-and-ankle" }, { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/rheumatoid-arthritis/" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "gap-foot-talus-fracture", "comparisonId": "C032", "title": "Talar neck fracture", "region": "ankle-foot", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One bounded structural example", "note": "One aligned talar-neck fracture example. Does not show body/process fractures, dislocation, vascular disruption, avascular necrosis or measured clinical displacement. Educational illustration; assessment and treatment depend on an appropriately qualified clinician.", "sources": [ { "title": "www.footcaremd.org", "url": "https://www.footcaremd.org/foot-and-ankle-conditions/ankle/talus-fracture" } ], "factoryModulePath": "regions/ankle-foot/foot-ankle-models.mjs", "factoryExport": "createFootAnkleGapModel", "factorySignature": "THREE, modelId, options", "adapterFamily": "foot", "sourceNotice": "regions/ankle-foot/SOURCE-NOTICE.md", "published": false }, { "id": "hip-osteonecrosis", "comparisonId": "C035", "title": "Avascular Necrosis (Osteonecrosis) of the Hip", "region": "hip-groin", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One later-stage osteonecrosis example with localized superior femoral-head collapse. The complementary bone and cartilage shell is continuously deformed together.", "note": "One later-stage osteonecrosis example with localized superior femoral-head collapse. The complementary bone and cartilage shell is continuously deformed together. Early osteonecrosis may have normal external shape; blood flow, marrow death and radiological stages are not simulated. This single collapse pattern is not universal or a diagnostic test.", "sources": [ { "title": "Osteonecrosis of the Hip", "url": "https://www.orthoinfo.org/diseases--conditions/osteonecrosis-of-the-hip/" } ], "factoryModulePath": "regions/hip-thigh/hip-thigh-models.mjs", "factoryExport": "createHipThighCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "hip", "sourceNotice": "regions/hip-thigh/SOURCE-NOTICE.md", "published": false }, { "id": "knee-osteonecrosis", "comparisonId": "C036", "title": "Avascular Necrosis of the Knee (Osteonecrosis of the Knee)", "region": "knee", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "A bounded late structural consequence: focal collapse of the medial femoral condyle and its overlying articular surface.", "note": "A bounded late structural consequence: focal collapse of the medial femoral condyle and its overlying articular surface. Blood flow, bone viability, early disease and causes are not visualised. This does not equate every subchondral insufficiency fracture or spontaneous knee pain with avascular necrosis.", "sources": [ { "title": "AAOS: Osteonecrosis of the Knee", "url": "https://www.orthoinfo.org/diseases--conditions/osteonecrosis-of-the-knee/" } ], "factoryModulePath": "regions/knee/knee-gap-module.mjs", "factoryExport": "createKneeGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "knee", "sourceNotice": "regions/knee/SOURCE-NOTICE.md", "published": false }, { "id": "knee-bakers-cyst", "comparisonId": "C037", "title": "Baker's Cyst", "region": "knee", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "A small distended posteromedial gastrocnemius\u2013semimembranosus bursal envelope with a narrowed proximal neck.", "note": "A small distended posteromedial gastrocnemius\u2013semimembranosus bursal envelope with a narrowed proximal neck. This is an authored location-and-distension example, not the separately named source semimembranosus bursa. No valve mechanics, rupture, DVT, pressure, nerve or vessel compression is simulated. New or increasing calf swelling or pain needs medical assessment because a blood clot can mimic a cyst.", "sources": [ { "title": "AAOS: Baker\u2019s Cyst", "url": "https://www.orthoinfo.org/diseases--conditions/bakers-cyst-popliteal-cyst/" }, { "title": "Anatomy and function of communication between knee joint and popliteal bursae", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC1000556/" } ], "factoryModulePath": "regions/knee/knee-gap-module.mjs", "factoryExport": "createKneeGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "knee", "sourceNotice": "regions/knee/SOURCE-NOTICE.md", "published": false }, { "id": "knee-pes-anserine-bursitis", "comparisonId": "C039", "title": "Bursitis of the Knee (Pes Anserine Bursitis)", "region": "knee", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Illustrative pes anserine bursal distension between the medial tibial surface and the corrected overlying pes-tendon corridor.", "note": "Illustrative pes anserine bursal distension between the medial tibial surface and the corrected overlying pes-tendon corridor. The native intersecting bursal envelope is replaced by an original source-footprint-guided, tibia-conforming reconstruction. Reference thickness and the fixed local tendon-contact correction are illustrative; no fluid volume, pressure or tissue displacement mechanics are claimed.", "sources": [ { "title": "AAOS: Pes Anserine Bursitis", "url": "https://www.orthoinfo.org/diseases--conditions/pes-anserine-knee-tendon-bursitis/" } ], "factoryModulePath": "regions/knee/knee-gap-module.mjs", "factoryExport": "createKneeGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "knee", "sourceNotice": "regions/knee/SOURCE-NOTICE.md", "published": false }, { "id": "hip-femoroacetabular-impingement", "comparisonId": "C040", "title": "Femoroacetabular Impingement (FAI)", "region": "hip-groin", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "A bounded cam-type head-neck prominence illustrating one morphology associated with femoroacetabular impingement.", "note": "A bounded cam-type head-neck prominence illustrating one morphology associated with femoroacetabular impingement. Morphology alone does not diagnose symptomatic FAI; pincer and combined forms are not modelled. Resting pose is retained. No flexion collision, range-of-motion threshold or contact force is claimed.", "sources": [ { "title": "Femoroacetabular Impingement", "url": "https://www.orthoinfo.org/diseases--conditions/femoroacetabular-impingement/" } ], "factoryModulePath": "regions/hip-thigh/hip-thigh-models.mjs", "factoryExport": "createHipThighCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "hip", "sourceNotice": "regions/hip-thigh/SOURCE-NOTICE.md", "published": false }, { "id": "femur-shaft-transverse-fracture", "comparisonId": "C041", "title": "Femoral shaft fracture", "region": "hip-groin", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Representative displaced transverse midshaft fracture", "note": "One illustrative transverse shaft fracture with two capped fragments. Femoral neck, intertrochanteric and distal femoral fractures are separate topics. No comminution, open wound, neurovascular injury or treatment is simulated.", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/femur-shaft-fractures-broken-thighbone/" } ], "factoryModulePath": "regions/lower-leg-femur/candidate/gap-lower-leg/model.mjs", "factoryExport": "createLowerLegGapCondition", "factorySignature": "THREE, {id: modelId}", "adapterFamily": "native", "sourceNotice": null, "published": false }, { "id": "shoulder-hill-sachs-lesion", "comparisonId": "C042", "title": "Hill\u2013Sachs lesion", "region": "shoulder", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Posterolateral humeral-head impaction contour", "note": "One original impaction-contour example in a reduced shoulder; no dislocation movement, associated Bankart injury, marrow changes, glenoid-track measurement or treatment simulation. Native scale is uncalibrated.", "sources": [ { "title": "www.aaos.org", "url": "https://www.aaos.org/videos/video-detail-page/?id=17815__Videos" } ], "factoryModulePath": "regions/shoulder/candidate/gap-shoulder/model.mjs", "factoryExport": "createHillSachsCondition", "factorySignature": "THREE", "adapterFamily": "native", "sourceNotice": null, "published": false }, { "id": "hip-dislocation", "comparisonId": "C043", "title": "Hip Dislocation", "region": "hip-groin", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "authored-educational-pathology", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded educational illustration in native Atlas context; source/geometry review passed", "note": "One posterior hip dislocation: the native femoral head and femur lie outside the native acetabulum. Capsule, muscles and neurovascular structures are omitted; this is skeletal alignment only. Static skeletal relationship, not a reduction maneuver or validated kinematic rig. No fracture-dislocation, anterior dislocation or soft-tissue injury severity simulation. Suspected hip dislocation is an emergency; do not attempt to relocate the joint.", "sources": [ { "title": "Hip Dislocation", "url": "https://www.orthoinfo.org/diseases--conditions/hip-dislocation/" } ], "factoryModulePath": "../selected-visuals/hip-models.mjs", "factoryExport": "createSelectedHipModel", "factorySignature": "THREE, {id: modelId}", "adapterFamily": "selected", "sourceNotice": "../selected-visuals/hip-SOURCE-NOTICE.md", "published": false, "clinicalReview": "Clinical sources consulted; qualified clinical and rendered visual review pending", "reviewHold": false, "structuralHold": false, "existingUpgrade": true, "stateLabels": { "normal": "Reference", "injured": "Illustrative condition" }, "supportsComparison": true, "independentReviewAccepted": true, "hold": null, "sourceCoordinatesRetained": true, "sourceCohort": "Z-Anatomy reference skeleton with original authored pathology", "summary": "One posterior hip dislocation: the native femoral head and femur lie outside the native acetabulum. Capsule, muscles and neurovascular structures are omitted; this is skeletal alignment only.", "limits": [ "Static skeletal relationship, not a reduction maneuver or validated kinematic rig.", "No fracture-dislocation, anterior dislocation or soft-tissue injury severity simulation." ], "cameraDirection": [ 1, 0.25, 1 ], "safetyCallout": "Suspected hip dislocation is an emergency; do not attempt to relocate the joint.", "additionalEducation": [], "featureShown": "One posterior hip dislocation: the native femoral head and femur lie outside the native acetabulum. Capsule, muscles and neurovascular structures are omitted; this is skeletal alignment only. Static skeletal relationship, not a reduction maneuver or validated kinematic rig. No fracture-dislocation, anterior dislocation or soft-tissue injury severity simulation. Suspected hip dislocation is an emergency; do not attempt to relocate the joint.", "canvasTitle": "Hip Dislocation", "geometryStatus": "authored-educational-candidate", "independentReview": false, "status": "partial", "anatomicalReview": { "decision": "Independent source and geometry review recorded separately; clinical certification not claimed", "clinicalCertification": false }, "visualStyleAccepted": false, "publicationRequested": true, "previewIncomplete": false, "independentReviewScope": "Bounded source, geometry, anatomical context, controls and CPU camera/label review. Actual WebGL, physical mobile interaction/performance and qualified clinical validation remain unverified.", "reviewStatus": "bounded-independent-review-passed", "actualWebGLAcceptance": false, "physicalMobileAcceptance": false }, { "id": "hip-fracture", "comparisonId": "C044", "title": "Hip Fracture", "region": "hip-groin", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One illustrative minimally separated femoral-neck fracture, with a bounded gap and closed cut surfaces.", "note": "One illustrative minimally separated femoral-neck fracture, with a bounded gap and closed cut surfaces. No fragment translation or rotation is added; distal femur and original head cartilage stay fixed. Other femoral-neck, intertrochanteric and subtrochanteric patterns are not represented. Gap size is an illustration, not a displacement measurement. Suspected hip fracture after injury, or inability to bear weight, requires urgent medical assessment.", "sources": [ { "title": "Hip Fractures", "url": "https://www.orthoinfo.org/diseases--conditions/hip-fractures/" } ], "factoryModulePath": "regions/hip-thigh/hip-thigh-models.mjs", "factoryExport": "createHipThighCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "hip", "sourceNotice": "regions/hip-thigh/SOURCE-NOTICE.md", "published": false }, { "id": "knee-iliotibial-band-syndrome", "comparisonId": "C045", "title": "Iliotibial Band Syndrome (ITBS)", "region": "knee", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "nonspecific-feature", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Nonspecific structural feature; no disease-specific completion", "note": "One bounded deep soft-tissue oedema example beside the lateral femoral epicondyle. The tract is unchanged. This does not simulate band rolling, obligatory bursitis or all causes of lateral knee pain. The small tissue envelope is authored, not segmented fat or a diagnostic MRI signal.", "sources": [ { "title": "Fairclough et al. 2006: Functional anatomy of the iliotibial band", "url": "https://pubmed.ncbi.nlm.nih.gov/16533314/" }, { "title": "AAOS: Iliotibial Band Syndrome", "url": "https://www.orthoinfo.org/diseases--conditions/iliotibial-band-it-band-syndrome/" } ], "factoryModulePath": "regions/knee/knee-gap-module.mjs", "factoryExport": "createKneeGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "knee", "sourceNotice": "regions/knee/SOURCE-NOTICE.md", "published": false }, { "id": "hip-inflammatory-arthritis", "comparisonId": "C046", "title": "Inflammatory Arthritis of the Hip", "region": "hip-groin", "kind": "representative finding", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "nonspecific-feature", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": false, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Illustrative synovial thickening with intact cartilage and bone", "note": "One illustrative synovial-thickening feature associated with inflammatory arthritis. Native bone and articular cartilage remain intact in both states. The bounded anterior capsular-lining segment is authored from source capsule contours; its cut edges are viewing boundaries, not tears. Cartilage/bone damage, full disease extent and a specific inflammatory subtype are not represented.", "sources": [ { "title": "Inflammatory Arthritis of the Hip", "url": "https://www.orthoinfo.org/diseases--conditions/inflammatory-arthritis-of-the-hip/" } ], "factoryModulePath": "../selected-visuals/hip-models.mjs", "factoryExport": "createSelectedHipModel", "factorySignature": "THREE, {id: modelId}", "adapterFamily": "selected", "sourceNotice": "../selected-visuals/hip-SOURCE-NOTICE.md", "published": false, "clinicalReview": "Clinical sources consulted; qualified clinical and rendered visual review pending", "reviewHold": false, "structuralHold": false, "existingUpgrade": true, "stateLabels": { "normal": "Reference lining", "injured": "Illustrative synovial thickening" }, "supportsComparison": true, "independentReviewAccepted": true, "hold": null, "sourceCoordinatesRetained": true, "sourceCohort": "Z-Anatomy reference skeleton with original authored pathology", "summary": "One illustrative synovial-thickening feature associated with inflammatory arthritis. Native bone and articular cartilage remain intact in both states.", "limits": [ "Source-capsule-derived anterior lining segment, not segmented synovium or a complete capsule.", "Cartilage/bone damage and full disease extent are not represented; thickening is not disease-specific." ], "cameraDirection": [ 1, 0.15, 0.35 ], "additionalEducation": [], "featureShown": "One illustrative synovial-thickening feature associated with inflammatory arthritis. Native bone and articular cartilage remain intact in both states. The bounded anterior capsular-lining segment is authored from source capsule contours; its cut edges are viewing boundaries, not tears. Cartilage/bone damage, full disease extent and a specific inflammatory subtype are not represented.", "canvasTitle": "Inflammatory Arthritis of the Hip", "geometryStatus": "authored-educational-candidate", "independentReview": false, "status": "partial", "anatomicalReview": { "decision": "Independent source and geometry review recorded separately; clinical certification not claimed", "clinicalCertification": false }, "visualStyleAccepted": false, "publicationRequested": true, "previewIncomplete": false, "independentReviewScope": "Bounded source, geometry, anatomical context, controls and CPU camera/label review. Actual WebGL, physical mobile interaction/performance and qualified clinical validation remain unverified.", "reviewStatus": "bounded-independent-review-passed", "actualWebGLAcceptance": false, "physicalMobileAcceptance": false, "layerLabels": { "synovium": "Synovium (joint lining)", "capsules": "Capsule (retained viewing section)" } }, { "id": "hip-labral-tear", "comparisonId": "C047", "title": "Labral Tear of the Hip (Acetabular Labrum Tear)", "region": "hip-groin", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One illustrative anterosuperior radial tear through the acetabular labrum.", "note": "One illustrative anterosuperior radial tear through the acetabular labrum. Tear width is exaggerated for teaching. Detachment, paralabral cysts and other tear patterns are not represented. The posterior labrum and femoral-head alignment are preserved.", "sources": [ { "title": "Hip Labral Tear", "url": "https://www.hss.edu/health-library/conditions-and-treatments/list/hip-labral-tear" }, { "title": "Effect of Acetabular Labral Tear Orientation on Hip Joint Kinematics: A Comparison of Radial Tears, Chondrolabral Junction Tears and Complex Tears in Cadaveric Hips", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11577476/" } ], "factoryModulePath": "regions/hip-thigh/hip-thigh-models.mjs", "factoryExport": "createHipThighCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "hip", "sourceNotice": "regions/hip-thigh/SOURCE-NOTICE.md", "published": false }, { "id": "hip-loose-bodies", "comparisonId": "C050", "title": "Loose Bodies in the Hip", "region": "hip-groin", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Two original small loose-body examples in the hip joint peripheral recess.", "note": "Two original small loose-body examples in the hip joint peripheral recess. Fragment origin and cause are unspecified; no synovial chondromatosis or motion/locking simulation is implied. Capsule containment and absence of osseous penetration are explicit geometric acceptance gates.", "sources": [ { "title": "Hip Arthroscopy and Other Treatments for Hip Conditions", "url": "https://www.hss.edu/health-library/conditions-and-treatments/hip-arthroscopy" } ], "factoryModulePath": "regions/hip-thigh/hip-thigh-models.mjs", "factoryExport": "createHipThighCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "hip", "sourceNotice": "regions/hip-thigh/SOURCE-NOTICE.md", "published": false }, { "id": "hip-muscle-strain", "comparisonId": "C053", "title": "Muscle Strain Injuries of the Hip", "region": "hip-groin", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One severe proximal adductor longus musculotendinous tear example within the hip-strain topic.", "note": "One severe proximal adductor longus musculotendinous tear example within the hip-strain topic. This is a high-grade structural tear, not the appearance of every strain; mild strain may have no visible surface defect. Native tendon and muscle patches form one shell but retain their own display layers. Both remote attachment regions retain source coordinates. No fibre-level histology or tendon-only avulsion is claimed.", "sources": [ { "title": "Hip Strains", "url": "https://www.orthoinfo.org/diseases--conditions/hip-strains/" } ], "factoryModulePath": "regions/hip-thigh/hip-thigh-models.mjs", "factoryExport": "createHipThighCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "hip", "sourceNotice": "regions/hip-thigh/SOURCE-NOTICE.md", "published": false }, { "id": "hip-thigh-muscle-strain", "comparisonId": "C054", "title": "Muscle Strain Injuries of the Thigh", "region": "hip-groin", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One severe rectus femoris muscle tear example within the thigh-strain topic.", "note": "One severe rectus femoris muscle tear example within the thigh-strain topic. This is a high-grade structural tear, not the appearance of every strain; mild strain may have no visible surface defect. Native tendon and muscle patches form one shell but retain their own display layers. Both remote attachment regions retain source coordinates. No fibre-level histology or tendon-only avulsion is claimed.", "sources": [ { "title": "Muscle Strains in the Thigh", "url": "https://www.orthoinfo.org/diseases--conditions/muscle-strains-in-the-thigh/" } ], "factoryModulePath": "regions/hip-thigh/hip-thigh-models.mjs", "factoryExport": "createHipThighCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "hip", "sourceNotice": "regions/hip-thigh/SOURCE-NOTICE.md", "published": false }, { "id": "hip-osteoarthritis", "comparisonId": "C056", "title": "Osteoarthritis of the Hip", "region": "hip-groin", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One bounded hip-osteoarthritis example with focal femoral cartilage loss and a continuous marginal osteophyte.", "note": "One bounded hip-osteoarthritis example with focal femoral cartilage loss and a continuous marginal osteophyte. An original inward backing prevents the native complementary shell from becoming a hole. The cartilage thickness is illustrative. No acetabular cartilage loss, joint-space measurement, subchondral cysts or universal disease stage is claimed.", "sources": [ { "title": "Hip Osteoarthritis", "url": "https://www.orthoinfo.org/diseases--conditions/osteoarthritis-of-the-hip/" } ], "factoryModulePath": "regions/hip-thigh/hip-thigh-models.mjs", "factoryExport": "createHipThighCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "hip", "sourceNotice": "regions/hip-thigh/SOURCE-NOTICE.md", "published": false }, { "id": "knee-osteoarthritis", "comparisonId": "C057", "title": "Osteoarthritis of the Knee", "region": "knee", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One medial tibiofemoral OA feature example: bounded cartilage-surface wear and a marginal tibial osteophyte.", "note": "One medial tibiofemoral OA feature example: bounded cartilage-surface wear and a marginal tibial osteophyte. The bounded lesion has an original fixed subchondral bed; its depth is illustrative. Cartilage outside this patch remains the native complementary material surface. No calibrated thickness, radiographic grade, alignment change or whole-disease severity is claimed. Menisci are unchanged.", "sources": [ { "title": "AAOS: Arthritis of the Knee", "url": "https://www.orthoinfo.org/diseases--conditions/arthritis-of-the-knee/" } ], "factoryModulePath": "regions/knee/knee-gap-module.mjs", "factoryExport": "createKneeGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "knee", "sourceNotice": "regions/knee/SOURCE-NOTICE.md", "published": false }, { "id": "knee-osteochondritis-dissecans", "comparisonId": "C058", "title": "Osteochondritis Dissecans of the Knee", "region": "knee", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One separated osteochondral fragment at the lateral aspect of the medial femoral condyle, with a fixed subchondral donor bed and attached cartilage.", "note": "One separated osteochondral fragment at the lateral aspect of the medial femoral condyle, with a fixed subchondral donor bed and attached cartilage. Adult reference cohort; no growth plate, early stable lesion or juvenile stage is represented. Section depth, separation and donor/fragment faces are authored; no blood supply, stability grade or loose-body motion is claimed.", "sources": [ { "title": "AAOS: Osteochondritis Dissecans", "url": "https://www.orthoinfo.org/diseases--conditions/osteochondritis-dissecans/" } ], "factoryModulePath": "regions/knee/knee-gap-module.mjs", "factoryExport": "createKneeGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "knee", "sourceNotice": "regions/knee/SOURCE-NOTICE.md", "published": false }, { "id": "knee-patellar-fracture", "comparisonId": "C059", "title": "Patellar Fracture", "region": "knee", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One transverse patellar fracture opening through the bone and articular surface.", "note": "One transverse patellar fracture opening through the bone and articular surface. Only one simple pattern is shown; no comminution, extensor-retinacular damage or treatment plan is represented. Fracture edges are illustrative; patellar position remains matched. Suspected fracture after trauma needs medical assessment; this model cannot determine weight-bearing safety.", "sources": [ { "title": "AAOS: Patellar Fractures", "url": "https://www.orthoinfo.org/diseases--conditions/patellar-kneecap-fractures/" } ], "factoryModulePath": "regions/knee/knee-gap-module.mjs", "factoryExport": "createKneeGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "knee", "sourceNotice": "regions/knee/SOURCE-NOTICE.md", "published": false }, { "id": "knee-patellar-tendinitis", "comparisonId": "C060", "title": "Patellar Tendinitis", "region": "knee", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Focal proximal patellar tendon thickening; the menu preserves the requested title, with tendinopathy as the broader term.", "note": "Focal proximal patellar tendon thickening; the menu preserves the requested title, with tendinopathy as the broader term. Thickening is one possible feature; pain, histology and inflammation are not established by this appearance. Tendon envelope and dimensions are illustrative, not patient measurements.", "sources": [ { "title": "Mayo Clinic: Patellar tendinitis", "url": "https://www.mayoclinic.org/diseases-conditions/patellar-tendinitis/symptoms-causes/syc-20376113" }, { "title": "Nishida et al. 2021: An Objective Measure of Patellar Tendon Thickness Based on Ultrasonography and MRI in University Athletes", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8471213/" } ], "factoryModulePath": "regions/knee/knee-gap-module.mjs", "factoryExport": "createKneeGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "knee", "sourceNotice": "regions/knee/SOURCE-NOTICE.md", "published": false }, { "id": "knee-patellar-tendon-tear", "comparisonId": "C061", "title": "Patellar Tendon Tear", "region": "knee", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One illustrative proximal complete patellar tendon interruption.", "note": "One illustrative proximal complete patellar tendon interruption. Patellar migration, torn retinacula, active extension failure and repair are not simulated. The resting source knee alignment is kept for comparison. A sudden injury with loss of active knee extension needs prompt medical assessment.", "sources": [ { "title": "AAOS: Patellar Tendon Tear", "url": "https://www.orthoinfo.org/diseases--conditions/patellar-tendon-tear/" } ], "factoryModulePath": "regions/knee/knee-gap-module.mjs", "factoryExport": "createKneeGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "knee", "sourceNotice": "regions/knee/SOURCE-NOTICE.md", "published": false }, { "id": "knee-pcl-injury", "comparisonId": "C064", "title": "Posterior Cruciate Ligament (PCL) Injuries", "region": "knee", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One illustrative complete midsubstance PCL tear with separated native tissue ends.", "note": "One illustrative complete midsubstance PCL tear with separated native tissue ends. No knee instability, clinical grade, avulsion, combined ligament injury or treatment outcome is simulated. Caps at the severed ends are original illustrative cut faces.", "sources": [ { "title": "AAOS: Posterior Cruciate Ligament Injuries", "url": "https://www.orthoinfo.org/diseases--conditions/posterior-cruciate-ligament-injuries/" } ], "factoryModulePath": "regions/knee/knee-gap-module.mjs", "factoryExport": "createKneeGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "knee", "sourceNotice": "regions/knee/SOURCE-NOTICE.md", "published": false }, { "id": "knee-quadriceps-tendon-tear", "comparisonId": "C066", "title": "Quadriceps Tendon Tear", "region": "knee", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One illustrative complete quadriceps tendon tear near its superior patellar attachment.", "note": "One illustrative complete quadriceps tendon tear near its superior patellar attachment. Retinacular injury, retraction, patellar migration and active extension are not simulated. The layered tendon anatomy is simplified; insertion interpretation needs clinical review. A sudden injury with loss of active knee extension needs prompt medical assessment.", "sources": [ { "title": "AAOS: Quadriceps Tendon Tear", "url": "https://www.orthoinfo.org/diseases--conditions/quadriceps-tendon-tear/" } ], "factoryModulePath": "regions/knee/knee-gap-module.mjs", "factoryExport": "createKneeGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "knee", "sourceNotice": "regions/knee/SOURCE-NOTICE.md", "published": false }, { "id": "knee-septic-arthritis", "comparisonId": "C067", "title": "Septic Arthritis (of the Knee)", "region": "knee", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "nonspecific-feature", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Nonspecific structural feature; no disease-specific completion", "note": "Urgent-referral education using non-specific joint-capsule distension associated with effusion. This appearance cannot distinguish infection from inflammatory, crystal or traumatic effusion. No bacteria, purulence, organism, cartilage destruction, aspiration path or generic MSK treatment is simulated. A suddenly painful, hot or swollen knee, especially with difficulty moving or bearing weight, needs urgent medical assessment. Fever may be absent. Do not delay assessment for exercise or self-treatment.", "sources": [ { "title": "NHS: Septic arthritis", "url": "https://www.nhs.uk/conditions/septic-arthritis/" } ], "factoryModulePath": "regions/knee/knee-gap-module.mjs", "factoryExport": "createKneeGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "knee", "sourceNotice": "regions/knee/SOURCE-NOTICE.md", "published": false }, { "id": "medial-tibial-stress-syndrome", "comparisonId": "C068", "title": "Medial tibial stress syndrome", "region": "lower-leg", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "nonspecific-feature", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Nonspecific structural feature; no disease-specific completion", "note": "An original source-conforming partial periosteal layer thickens as a possible stress-response illustration. This nonspecific feature does not diagnose medial tibial stress syndrome, establish a pain source, or distinguish it from tibial stress fracture. Bone shape and cortex are unchanged; no fracture is shown. Layer thickness is illustrative and uncalibrated.", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/shin-splints/" } ], "factoryModulePath": "regions/lower-leg-femur/candidate/gap-lower-leg/model.mjs", "factoryExport": "createLowerLegGapCondition", "factorySignature": "THREE, {id: modelId}", "adapterFamily": "native", "sourceNotice": null, "published": false }, { "id": "hip-slipped-capital-femoral-epiphysis", "title": "Slipped Capital Femoral Epiphysis (SCFE)", "region": "hip-groin", "comparisonId": "C069", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "kind": "pathology", "coverageClass": "authored-educational-pathology", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "clinicalReview": "Clinical sources consulted; qualified clinical and rendered visual review pending", "publicReady": false, "publicationAuthorized": true, "published": false, "reviewHold": false, "structuralHold": false, "existingUpgrade": true, "factoryModulePath": "../selected-visuals/hip-models.mjs", "factoryExport": "createSelectedHipModel", "factorySignature": "THREE, {id: modelId}", "adapterFamily": "selected", "subtype": "Atlas-context developmental SCFE mechanism; paired illustrative states", "note": "Authored developmental mechanism using the established Atlas hip contours. The reference pelvis and overall proportions derive from adult anatomy; no adolescent scan, patient age, measured growth-plate thickness or severity is claimed. Both states share the same anatomy, camera and materials. Atlas hip context with separately bounded capital epiphysis, open physis and metaphysis. The head and socket stay fixed; the metaphysis is offset anteriorly and superiorly to illustrate the relative SCFE relationship. Developmental capital physis and ossific epiphysis are authored, not pediatric image segmentation. Surrounding reference pelvis retains adult-derived Atlas proportions. The two states illustrate relative physeal shear and widening. They do not simulate the complete rotational mechanism, growth, stability, severity or a treatment maneuver. Other growth plates and apophyses, muscles, labrum, capsule and neurovascular structures are omitted. The native labrum is excluded to expose the developmental interface without representing its inherited contour overlap as tissue contact. Z-Anatomy \u2014 The libre 3D atlas of anatomy \u2014 CC BY-SA 4.0. BodyParts3D \u2014 The Database Center for Life Science \u2014 CC BY-SA 2.1 Japan (historical attribution). Original model: Kousaku OKUBO. Design, 3D and anatomy: Gauthier KERVYN. Original developmental geometry and selected relative offset added; no upstream endorsement.", "stateLabels": { "normal": "Aligned open physis", "injured": "Illustrative SCFE offset" }, "supportsComparison": true, "independentReviewAccepted": true, "hold": { "reason": "Independent source/context/topology/camera review passed for this bounded teaching model; actual Atlas WebGL appearance and qualified clinical validation remain unverified." }, "summary": "Atlas hip context with separately bounded capital epiphysis, open physis and metaphysis. The head and socket stay fixed; the metaphysis is offset anteriorly and superiorly to illustrate the relative SCFE relationship.", "limits": [ "Developmental capital physis and ossific epiphysis are authored, not pediatric image segmentation. Surrounding reference pelvis retains adult-derived Atlas proportions.", "The two states illustrate relative physeal shear and widening. They do not simulate the complete rotational mechanism, growth, stability, severity or a treatment maneuver.", "Other growth plates and apophyses, muscles, labrum, capsule and neurovascular structures are omitted. The native labrum is excluded to expose the developmental interface without representing its inherited contour overlap as tissue contact." ], "cameraDirection": [ 1, 0.2, -1 ], "safetyCallout": "A child or teenager with suspected SCFE needs urgent medical assessment and should avoid weight bearing.", "additionalEducation": [], "featureShown": "Authored developmental mechanism using the established Atlas hip contours. The reference pelvis and overall proportions derive from adult anatomy; no adolescent scan, patient age, measured growth-plate thickness or severity is claimed. Both states share the same anatomy, camera and materials. Atlas hip context with separately bounded capital epiphysis, open physis and metaphysis. The head and socket stay fixed; the metaphysis is offset anteriorly and superiorly to illustrate the relative SCFE relationship. Developmental capital physis and ossific epiphysis are authored, not pediatric image segmentation. Surrounding reference pelvis retains adult-derived Atlas proportions. The two states illustrate relative physeal shear and widening. They do not simulate the complete rotational mechanism, growth, stability, severity or a treatment maneuver. Other growth plates and apophyses, muscles, labrum, capsule and neurovascular structures are omitted. The native labrum is excluded to expose the developmental interface without representing its inherited contour overlap as tissue contact. Z-Anatomy \u2014 The libre 3D atlas of anatomy \u2014 CC BY-SA 4.0. BodyParts3D \u2014 The Database Center for Life Science \u2014 CC BY-SA 2.1 Japan (historical attribution). Original model: Kousaku OKUBO. Design, 3D and anatomy: Gauthier KERVYN. Original developmental geometry and selected relative offset added; no upstream endorsement.", "canvasTitle": "Slipped Capital Femoral Epiphysis (SCFE)", "geometryStatus": "authored-developmental-mechanism", "independentReview": false, "status": "source-geometry-context-reviewed", "anatomicalReview": { "decision": "Independent source and geometry review recorded separately; clinical certification not claimed", "clinicalCertification": false }, "implementationStatus": "atlas_contour_developmental_mechanism", "fidelityAccepted": false, "visualStyleAccepted": false, "side": "left", "contextSourceCoordinatesRetained": true, "previewIncomplete": false, "independentSourceContextReviewAccepted": true, "independentGeometryReviewAccepted": true, "cameraClarityReviewAccepted": true, "webGLAcceptanceVerified": false, "reviewScope": "Independent source registration, closed topology, paired geometry, source-context consistency and CPU camera clarity accepted. Actual Atlas WebGL appearance and qualified clinical validation remain unverified.", "sourceCoordinatesRetained": false, "sourceCohort": "Registered Z-Anatomy Atlas hip contours with authored developmental capital physis and ossific head", "sourceCase": false, "rawSourceCoordinatesPreserved": true, "sourceSha256": "76161cfbbcc7a13fe100bb1e0a982a9d72255a90498df1d67f8b84acb90482a2", "normalStateLabel": "Aligned open physis", "sourceTitle": "Atlas hip contour-derived developmental SCFE mechanism", "sourceCreator": "Original Atlas teaching construction; underlying Z-Anatomy / BodyParts3D", "sourceInstitution": null, "sourceVersion": "developmental-context-v1", "sourceUnits": "Existing Atlas coordinate units; no patient or age calibration", "attribution": "Z-Anatomy \u2014 The libre 3D atlas of anatomy \u2014 CC BY-SA 4.0. BodyParts3D \u2014 The Database Center for Life Science \u2014 CC BY-SA 2.1 Japan (historical attribution). Original model: Kousaku OKUBO. Design, 3D and anatomy: Gauthier KERVYN. Original developmental geometry and selected relative offset added; no upstream endorsement.", "sourceUrl": "https://github.com/Z-Anatomy/Models-of-human-anatomy/tree/e38ea5e6c7e22d229a975f3fde563a5aca52099e", "sourceLicense": "CC BY-SA 4.0", "sourceLicenseUrl": "https://creativecommons.org/licenses/by-sa/4.0/", "ageScope": "Developmental mechanism illustration; adult-derived reference contours are not age-calibrated pediatric anatomy", "sources": [ { "title": "AAOS: SCFE anatomy and direction of relative displacement", "url": "https://www.orthoinfo.org/diseases--conditions/slipped-capital-femoral-epiphysis-scfe/" }, { "title": "Kandzierski et al.: pediatric proximal femoral growth-plate shape", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC3508053/" }, { "title": "Novais et al.: epiphyseal rotation and translation in SCFE", "url": "https://pubmed.ncbi.nlm.nih.gov/33283994/" }, { "title": "Z-Anatomy source model and attribution", "url": "https://github.com/Z-Anatomy/Models-of-human-anatomy/tree/e38ea5e6c7e22d229a975f3fde563a5aca52099e" } ], "sourceNotice": "../selected-visuals/hip-scfe-SOURCE-NOTICE.md", "publicationRequested": true, "independentReviewScope": "Bounded source, geometry, anatomical context, controls and CPU camera/label review. Actual WebGL, physical mobile interaction/performance and qualified clinical validation remain unverified.", "reviewStatus": "bounded-independent-review-passed", "actualWebGLAcceptance": false, "physicalMobileAcceptance": false }, { "id": "hip-snapping-hip", "comparisonId": "C070", "title": "Snapping Hip", "region": "hip-groin", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "authored-educational-pathology", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded educational illustration in native Atlas context; source/geometry review passed", "note": "External snapping hip: the native iliotibial sheet has a bounded local path change across the greater trochanter. Two selected positions illustrate the mechanism; not a continuous patient-specific motion simulation. Internal iliopsoas snapping and intra-articular causes are not shown.", "sources": [ { "title": "Snapping Hip", "url": "https://www.orthoinfo.org/diseases--conditions/snapping-hip/" } ], "factoryModulePath": "../selected-visuals/hip-models.mjs", "factoryExport": "createSelectedHipModel", "factorySignature": "THREE, {id: modelId}", "adapterFamily": "selected", "sourceNotice": "../selected-visuals/hip-SOURCE-NOTICE.md", "published": false, "clinicalReview": "Clinical sources consulted; qualified clinical and rendered visual review pending", "reviewHold": false, "structuralHold": false, "existingUpgrade": true, "stateLabels": { "normal": "Before crossing", "injured": "After crossing" }, "supportsComparison": true, "independentReviewAccepted": true, "hold": { "reason": "Bounded source-envelope rerouting passes independent added-crossing screen. Same-viewer visual fidelity and clinical contact interpretation remain pending." }, "sourceCoordinatesRetained": true, "sourceCohort": "Z-Anatomy reference skeleton with original authored pathology", "summary": "External snapping hip: the native iliotibial sheet has a bounded local path change across the greater trochanter.", "limits": [ "Two selected positions illustrate the mechanism; not a continuous patient-specific motion simulation.", "Internal iliopsoas snapping and intra-articular causes are not shown." ], "cameraDirection": [ 1, 0.12, 0.65 ], "additionalEducation": [], "featureShown": "External snapping hip: the native iliotibial sheet has a bounded local path change across the greater trochanter. Two selected positions illustrate the mechanism; not a continuous patient-specific motion simulation. Internal iliopsoas snapping and intra-articular causes are not shown.", "canvasTitle": "Snapping Hip", "geometryStatus": "authored-educational-candidate", "independentReview": false, "status": "awaiting-visual-fidelity-review", "anatomicalReview": { "decision": "Independent source and geometry review recorded separately; clinical certification not claimed", "clinicalCertification": false }, "visualStyleAccepted": false, "implementationStatus": "revised_native_candidate", "fidelityAccepted": false, "addedCrossingScreenPassed": true, "clinicalContactValidated": false, "publicationRequested": true, "previewIncomplete": false, "independentReviewScope": "Bounded source, geometry, anatomical context, controls and CPU camera/label review. Actual WebGL, physical mobile interaction/performance and qualified clinical validation remain unverified.", "reviewStatus": "bounded-independent-review-passed", "actualWebGLAcceptance": false, "physicalMobileAcceptance": false }, { "id": "knee-supracondylar-femoral-fracture", "comparisonId": "C071", "title": "Supracondylar Femoral Fracture", "region": "knee", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One extra-articular transverse supracondylar femoral fracture, above the condyles.", "note": "One extra-articular transverse supracondylar femoral fracture, above the condyles. No intercondylar extension, comminution, fragment angulation or vascular injury is represented. This bounded fracture opening leaves the rest of the knee in matched reference alignment. A suspected distal femoral fracture needs urgent medical assessment.", "sources": [ { "title": "AAOS: Distal Femur Fractures of the Knee", "url": "https://www.orthoinfo.org/diseases--conditions/distal-femur-thighbone-fractures-of-the-knee/" } ], "factoryModulePath": "regions/knee/knee-gap-module.mjs", "factoryExport": "createKneeGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "knee", "sourceNotice": "regions/knee/SOURCE-NOTICE.md", "published": false }, { "id": "knee-tibial-plateau-fracture", "comparisonId": "C072", "title": "Tibial Plateau Fracture", "region": "knee", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "One anterolateral tibial plateau split-depression pattern; the cartilage segment follows its bone fragment.", "note": "One anterolateral tibial plateau split-depression pattern; the cartilage segment follows its bone fragment. No fracture classification, meniscal tear, ligament rupture or compartment pressure is implied. Translation is schematic and not a patient displacement or indication for surgery. Suspected tibial plateau fracture needs urgent assessment; new numbness, severe escalating pain or a cold foot is an emergency.", "sources": [ { "title": "AAOS: Fractures of the Proximal Tibia", "url": "https://www.orthoinfo.org/diseases--conditions/fractures-of-the-proximal-tibia-shinbone/" } ], "factoryModulePath": "regions/knee/knee-gap-module.mjs", "factoryExport": "createKneeGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "knee", "sourceNotice": "regions/knee/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-boutonniere", "comparisonId": "C074", "title": "Boutonni\u00e8re Deformity", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "Authored central-slip interruption accompanies illustrative PIP flexion and DIP hyperextension. Authored central-slip continuation is constrained by a proximal source extensor window and a distal source middle-base footprint; the proximal crop is not a bone insertion. Lateral-band migration, chronic tissue remodeling and rheumatologic causes are not simulated. Joint angles demonstrate the pattern, not a severity grade. Joint axes are fitted to the fixed articular head curvature. Small rigid clearance corrections avoid source-shell intersections; this is not a cartilage-contact or ligament-balance simulation. A new inability to straighten the middle joint needs prompt hand assessment.", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/boutonniere-deformity" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-carpal-tunnel", "comparisonId": "C076", "title": "Carpal Tunnel Syndrome", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "Focal median-nerve flattening within the carpal tunnel. Flexor tendons and transverse carpal ligament provide same-cohort anatomical context. Illustrative flattening only; pressure, conduction, severity and symptom distribution are not simulated. Flexor retinaculum and flexor tendons are hidden in matched detail views as an explicit viewing cutaway; no tissue loss is implied. New persistent numbness, weakness or loss of hand function warrants clinical assessment.", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/carpal-tunnel-syndrome/" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-dupuytren", "comparisonId": "C079", "title": "Dupuytren's Disease", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "A continuous, tapered authored fibrous cord follows source palmar fascia along the ring ray. It demonstrates an early cord without contracture. Authored cord cross-section and thin reference are uncalibrated, source-constrained educational reconstructions. No skin pits, fascial histology, progression or finger contracture is simulated. The source fascia is surrounding context, not the flexor tendon.", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/dupuytrens-disease" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-finger-dislocation", "comparisonId": "C080", "title": "Finger Dislocation", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "Dorsal displacement of the index middle/distal phalanges demonstrates a PIP joint dislocation. One dorsal PIP example only; other directions, joints and fracture-dislocations are excluded. Ligament rupture is not inferred from the bone pose; this is not a reduction demonstration. A deformed or numb finger needs urgent assessment. Do not attempt self-reduction.", "sources": [ { "title": "www.bssh.ac.uk", "url": "https://www.bssh.ac.uk/patients/conditions/34/finger_dislocations" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-finger-fracture", "comparisonId": "C082", "title": "Finger Fracture", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "An extra-articular index proximal-phalanx shaft fracture has a fixed proximal base and a rigidly displaced distal finger assembly, preserving the intact MCP, PIP and DIP relationships. One simple extra-articular fracture only; no rotation, comminution, growth-plate injury or healing stage. Planar cross-section caps and fracture gap are authored, not patient imaging. The proximal base and its MCP articular patch remain fixed. The distal fragment and all middle/distal phalanx bone/cartilage move together by one rigid translation; native intact-joint relationships are retained, including inherited source-shell overlap. Only a rigid extra-articular separation is shown; surrounding tendon and ligament mechanics are not solved. Open wounds, deformity, numbness or poor circulation require urgent assessment.", "sources": [ { "title": "www.bssh.ac.uk", "url": "https://www.bssh.ac.uk/patients/conditions/31/general_information_on_hand_fractures" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-flexor-tendon-injury", "comparisonId": "C084", "title": "Flexor Tendon Injury", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "A divided index flexor digitorum profundus tendon illustrates a laceration with separated ends. One FDP laceration only; tendon zones, pulleys, FDS injury and associated vessel/nerve injuries are not fully represented. No tendon repair or rehabilitation protocol is simulated. The proximal tendon window is a viewing crop, not another injury; its boundary and distal insertion remain pinned. A cut with loss of finger bending, numbness or poor circulation needs urgent medical assessment.", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/flexor-tendon-injuries" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-ganglion-cyst", "comparisonId": "C086", "title": "Ganglion Cyst", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "An authored cyst sac and stalk arise on the dorsal wrist capsule near the scapholunate region. One dorsal wrist location only; volar and tendon-sheath ganglia are not represented. Cyst size, fluid and stalk are uncalibrated authored geometry. A new or changing lump should be examined; do not puncture it yourself.", "sources": [ { "title": "www.bssh.ac.uk", "url": "https://www.bssh.ac.uk/patients/conditions/20/ganglion_cysts" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-kienbock", "comparisonId": "C087", "title": "Kienb\u00f6ck\u2019s Disease (Avascular Necrosis of the Lunate)", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "Illustrative loss of lunate height demonstrates one late structural consequence of osteonecrosis. Blood supply, marrow change and early disease are not visible in this surface model. This is an ungraded collapse example; surrounding carpal adaptation and all Lichtman stages are excluded. Persistent central wrist pain and stiffness warrant clinical evaluation and appropriate imaging.", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/kienbocks-disease" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-mallet-finger", "comparisonId": "C088", "title": "Mallet Finger", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "A terminal extensor discontinuity with an illustrative 40-degree DIP flexion pattern, referenced to the source middle-phalanx axis. Authored terminal continuation touches a source extensor-tendon window proximally and inserts onto the source dorsal distal-phalanx base. No complete lateral-band reconstruction is claimed. Tendinous mallet example only; bony avulsion and joint subluxation are not depicted. Pose angles are illustrative and not severity grades. Joint axes are fitted to the fixed articular head curvature. Small rigid clearance corrections avoid source-shell intersections; this is not a cartilage-contact or ligament-balance simulation. Loss of active fingertip extension after injury needs prompt assessment.", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/mallet-finger-baseball-finger" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-mucous-cyst", "comparisonId": "C089", "title": "Mucous Cyst of the Finger (Digital Mucous Cyst)", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "An authored dorsal DIP cyst and short stalk illustrate the typical digital mucous-cyst location. Skin, nail and nail-bed effects are unavailable; no claim of nail deformity coverage. Associated osteoarthritis is explained but not automatically depicted as present in this example. A leaking, red or painful cyst needs medical review; do not puncture it.", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/arthritis-of-the-hand/" }, { "title": "www.bssh.ac.uk", "url": "https://www.bssh.ac.uk/patients/conditions/20/ganglion_cysts" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-nerve-injuries", "comparisonId": "C090", "title": "Nerve Injuries of the Hand", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "Separated digital-nerve ends illustrate a complete traumatic division in an index-finger source window. One continuous index digital branch is divided; unrelated distal branches are excluded. The proximal window is a viewing crop, not an additional tear. Neurapraxia, axonal microstructure, recovery and conduction are not simulated. A wound with numbness or new weakness needs prompt assessment.", "sources": [ { "title": "www.bssh.ac.uk", "url": "https://www.bssh.ac.uk/patients/conditions/35/nerve_injury" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-hand-osteoarthritis", "comparisonId": "C091", "title": "Osteoarthritis of the Hand", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "Index DIP cartilage-surface loss and a local dorsal bony prominence illustrate one osteoarthritis pattern. One DIP example only; the full hand distribution, pain, synovitis and radiographic grading are excluded. Cartilage is a source surface, so no quantitative thickness or joint-space measurement is claimed. Source bone/cartilage are complementary material patches. The exposed subchondral floor is an original shallow reconstruction joined to the exact defect rim, not source-recovered layered cartilage.", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/arthritis-of-the-hand/" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-scaphoid-fracture", "comparisonId": "C094", "title": "Scaphoid Fractures", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "A planar waist fracture separates the source scaphoid into two capped fragments. One waist pattern only; proximal/distal pole fracture, nonunion and osteonecrosis are not represented. Surface geometry cannot demonstrate vascular risk or exclude an occult fracture. Bone and cartilage form complementary material patches; one joined fracture cap is built across the combined shell for each fragment. Persistent thumb-side wrist pain after a fall warrants assessment, even if an initial X-ray is normal.", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/scaphoid-fracture-of-the-wrist/" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-swan-neck", "comparisonId": "C095", "title": "Swan Neck Deformity", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "Source-relative PIP hyperextension (18 degrees) and DIP flexion (38 degrees) illustrate one swan-neck pattern; the volar-plate footprints follow their respective bones. One volar-plate insufficiency pattern only; multiple causes including inflammatory disease exist. Extensor balance, tendon migration and stiffness are not simulated. Joint axes are fitted to the fixed articular head curvature. Small rigid clearance corrections avoid source-shell intersections; this is not a cartilage-contact or ligament-balance simulation.", "sources": [ { "title": "my.clevelandclinic.org", "url": "https://my.clevelandclinic.org/health/diseases/swan-neck-deformity" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-thumb-arthritis", "comparisonId": "C097", "title": "Thumb Arthritis", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "Focal trapezium cartilage-surface loss illustrates thumb carpometacarpal osteoarthritis. Thumb-base CMC example only; MCP/IP arthritis and all etiologies are not represented. No quantitative cartilage thickness or joint-space narrowing is inferred from these surfaces. Source bone/cartilage are complementary material patches. The exposed subchondral floor is an original shallow reconstruction joined to the exact defect rim, not source-recovered layered cartilage.", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/arthritis-of-the-thumb/" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-thumb-ucl", "comparisonId": "C098", "title": "Thumb Sprain (UCL Injury of the Thumb)", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "Separated ends of the ulnar-side thumb MCP collateral ligament illustrate a complete ligament tear. One complete midsubstance tear only; does not represent partial sprains, bony avulsion or a Stener lesion. Gap is an educational choice, not a measured injury. Complete division of one simplified source UCL band, not validated proper-plus-accessory ligament-complex coverage. Persistent thumb pain or unstable pinch after injury needs prompt assessment.", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/sprained-thumb" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-trigger-finger", "comparisonId": "C100", "title": "Trigger Finger", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "A focal ring-finger FDP tendon nodule proximal to a thickened, narrowed A1 pulley illustrates a static tendon\u2013pulley size mismatch. Authored A1 palmar arch fitted to the source FDP trajectory, with lateral attachment skirts constrained to the source MCP capsule. A distinct volar plate, detailed enthesis and FDS are not recovered. An isolated FDP-only tendon/pulley size-mismatch example; FDS and tendon gliding are not simulated. The nodule lies outside the pulley in this static pose. Native tendon inside the pulley has clearance; catching, friction, contact forces and tendon excursion are not modeled. Enlargement and narrowing are uncalibrated educational choices, not severity measurements.", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/trigger-finger/" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-volar-plate-injury", "comparisonId": "C101", "title": "Volar Plate Injuries", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "Separated ends of the source index PIP volar plate illustrate an isolated soft-tissue tear. No bony avulsion or dislocation is depicted; the finger-dislocation topic is separate. Does not establish joint stability or prescribe a splinting/exercise plan. A crooked finger, major loss of movement or numbness after injury needs prompt assessment.", "sources": [ { "title": "www.bssh.ac.uk", "url": "https://www.bssh.ac.uk/patients/conditions/1021/volar_plate_injury" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "gap-wrist-wrist-sprain", "comparisonId": "C102", "title": "Wrist Sprain", "region": "wrist-hand", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded illustrative candidate", "note": "A source scapholunate interosseous ligament tear illustrates one structural wrist-sprain subtype. Wrist sprain is broader than this one ligament. TFCC and other ligament injuries remain separate topics. No carpal instability, widening under load or injury-grade measurement is simulated. The source scapholunate component is an eight-vertex simplified band; histological subdivisions are not represented. Persistent pain after a fall may conceal a fracture and warrants assessment.", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/wrist-sprains/" }, { "title": "assh.my.site.com", "url": "https://assh.my.site.com/handcare/condition/scapholunate-torn-ligament" } ], "factoryModulePath": "regions/wrist-hand/model.mjs", "factoryExport": "createWristHandGapCondition", "factorySignature": "THREE, modelId, options", "adapterFamily": "wrist", "sourceNotice": "regions/wrist-hand/SOURCE-NOTICE.md", "published": false }, { "id": "elbow-distal-biceps-tendinopathy", "comparisonId": "C106", "title": "Distal biceps tendinopathy", "region": "elbow", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Focal tendon thickening with intact continuity", "note": "One possible distal tendon thickness change. No rupture is shown; a structural change does not establish symptoms or inflammation.", "sources": [ { "title": "pmc.ncbi.nlm.nih.gov", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5814508/" }, { "title": "pmc.ncbi.nlm.nih.gov", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10497931/" } ], "factoryModulePath": "integration/elbow-context-first-wrapper.mjs", "factoryExport": "createContextFirstElbowCondition", "factorySignature": "THREE, {id: modelId}", "adapterFamily": "native", "sourceNotice": null, "published": false }, { "id": "elbow-cubital-tunnel-syndrome", "comparisonId": "C110", "title": "Cubital tunnel syndrome", "region": "elbow", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Ulnar nerve: illustrative focal flattening", "note": "A bounded contour example behind the medial elbow. The nerve centreline and continuity remain intact. No particular compressing structure, cause or measured severity is established.", "sources": [ { "title": "www.orthoinfo.org", "url": "https://www.orthoinfo.org/diseases--conditions/ulnar-nerve-entrapment-at-the-elbow/" } ], "factoryModulePath": "integration/elbow-context-first-wrapper.mjs", "factoryExport": "createContextFirstElbowCondition", "factorySignature": "THREE, {id: modelId}", "adapterFamily": "native", "sourceNotice": null, "published": false }, { "id": "elbow-hyperextension-injury", "comparisonId": "C116", "title": "Hyperextension injury of the elbow", "region": "elbow", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Representative anterior capsular rupture", "note": "One possible anterior capsular rupture after hyperextension. The mechanism can produce different soft-tissue and bone injuries. This does not simulate overextension motion, diagnose instability or depict all associated injuries.", "sources": [ { "title": "pubmed.ncbi.nlm.nih.gov", "url": "https://pubmed.ncbi.nlm.nih.gov/9658353/" }, { "title": "onlinelibrary.wiley.com", "url": "https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1600-0838.1998.tb00189.x" } ], "factoryModulePath": "integration/elbow-context-first-wrapper.mjs", "factoryExport": "createContextFirstElbowCondition", "factorySignature": "THREE, {id: modelId}", "adapterFamily": "native", "sourceNotice": null, "published": false }, { "id": "elbow-capitellar-ocd", "comparisonId": "C120", "title": "Osteochondritis dissecans of the elbow", "region": "elbow", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded separated capitellar osteochondral fragment", "note": "One separated capitellar osteochondral-fragment example using adult native anatomy. No open growth plate, early stable lesion, blood supply, staging or motion simulation. Separation is illustrative and uncalibrated. The staged C120 factory supersedes the earlier construction hold.", "sources": [ { "title": "www.chop.edu", "url": "https://www.chop.edu/conditions-diseases/osteochondritis-dissecans-elbow" }, { "title": "www.nationwidechildrens.org", "url": "https://www.nationwidechildrens.org/conditions/sports-medicine-osteochondritis-dissecans-of-the-capitellum" } ], "factoryModulePath": "regions/elbow/staging-ocd/ocd.mjs", "factoryExport": "createCapitellarOCD", "factorySignature": "THREE", "adapterFamily": "native", "sourceNotice": null, "published": false }, { "id": "elbow-radial-tunnel-syndrome", "comparisonId": "C123", "title": "Radial tunnel syndrome", "region": "elbow", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Deep radial branch: illustrative focal flattening", "note": "The radial nerve deep branch and a bounded contour example are shown. Radial tunnel pain is a clinical diagnosis; this does not establish a compressing arcade or posterior interosseous motor palsy.", "sources": [ { "title": "assh.my.site.com", "url": "https://assh.my.site.com/handcare/condition/radial-tunnel-syndrome" } ], "factoryModulePath": "integration/elbow-context-first-wrapper.mjs", "factoryExport": "createContextFirstElbowCondition", "factorySignature": "THREE, {id: modelId}", "adapterFamily": "native", "sourceNotice": null, "published": false }, { "id": "complex-regional-pain-syndrome-education", "comparisonId": "C136", "title": "Complex regional pain syndrome (CRPS)", "region": "general", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": true, "coverageClass": "authored-educational-pathology", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": false, "conditionSpecificGeometry": false, "coverageComplete": false, "clinicalCertification": false, "publicReady": false, "publicationAuthorized": true, "subtype": "Bounded educational illustration in native Atlas context; source/geometry review passed", "note": "Adult right hand/wrist with all 29 native hand and forearm bones in the same retained BodyParts3D coordinates as the skin. The translucent skin window ends on the distal forearm; the context view retains complete radius and ulna, and close inspection is a reversible display crop. Matched reference/affected skin opacity preserves a fair comparison. Swelling and colour show one possible CRPS symptom example. Pain, temperature, sweating and sensitivity cannot be inferred; findings vary and may be absent. No universal lesion, nerve injury or diagnostic pattern is claimed.", "sources": [ { "title": "NINDS: CRPS", "url": "https://www.ninds.nih.gov/sites/default/files/2025-05/complex-regional-pain-syndrome.pdf" } ], "factoryModulePath": "../selected-visuals/general-models.mjs", "factoryExport": "createSelectedGeneralModel", "factorySignature": "THREE, {id: modelId}", "adapterFamily": "selected", "sourceNotice": "../selected-visuals/SOURCE-NOTICE.md", "published": false, "clinicalReview": "Independent review pending", "reviewHold": false, "structuralHold": false, "existingUpgrade": true, "stateLabels": { "normal": "Reference", "injured": "Illustrative affected" }, "additionalEducation": [], "featureShown": "Adult right hand/wrist with all 29 native hand and forearm bones in the same retained BodyParts3D coordinates as the skin. The translucent skin window ends on the distal forearm; the context view retains complete radius and ulna, and close inspection is a reversible display crop. Matched reference/affected skin opacity preserves a fair comparison. Swelling and colour show one possible CRPS symptom example. Pain, temperature, sweating and sensitivity cannot be inferred; findings vary and may be absent. No universal lesion, nerve injury or diagnostic pattern is claimed.", "canvasTitle": "Complex regional pain syndrome (CRPS)", "geometryStatus": "authored-educational-candidate", "independentReview": false, "status": "partial", "anatomicalReview": { "decision": "Independent source and geometry review recorded separately; clinical certification not claimed", "clinicalCertification": false }, "visualStyleAccepted": false, "contextScope": "Native hand, wrist and complete forearm bones; transparent distal-forearm/hand skin window", "publicationRequested": true, "previewIncomplete": false, "independentReviewAccepted": true, "independentReviewScope": "Bounded source, geometry, anatomical context, controls and CPU camera/label review. Actual WebGL, physical mobile interaction/performance and qualified clinical validation remain unverified.", "reviewStatus": "bounded-independent-review-passed", "actualWebGLAcceptance": false, "physicalMobileAcceptance": false }, { "kind": "pathology", "educationOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "comparisonApplicable": true, "coverageComplete": false, "clinicalCertification": false, "independentReview": false, "publicationAuthorized": true, "geometryStatus": "bounded-original-adolescent-anatomy-reviewed", "sourceCheckedAt": "2026-10-09", "id": "paediatric-scoliosis-education", "title": "Scoliosis", "summary": "Scoliosis is a three-dimensional spinal deformity with sideways curvature and vertebral rotation. Idiopathic scoliosis is common in adolescents, but congenital and neuromuscular forms have different underlying problems. A developing curve may be noticed through shoulder, rib or waist asymmetry.", "clinicalScope": "Assessment considers the child\u2019s growth, examination and appropriate imaging. A clinical team determines monitoring and treatment. This reference does not diagnose a curve, estimate progression or prescribe bracing, exercises or surgery.", "anatomyHold": "The current licensed reference is adult anatomy. An arbitrary sideways bend of that model would not provide an age-appropriate normal, coupled vertebral rotation, rib relationships, discs or deformity-specific anatomy. A validated pediatric reconstruction and joint/contact review are needed before enabling a structural comparison.", "sources": [ { "url": "https://www.orthoinfo.org/diseases--conditions/idiopathic-scoliosis-in-children-and-adolescents/", "title": "AAOS / POSNA / SRS: Idiopathic scoliosis", "supports": "Adolescent scoliosis context, lateral curvature, vertebral twist and associated rib prominence." }, { "url": "https://www.orthoinfo.org/diseases--conditions/kyphosis-roundback-of-the-spine/", "title": "AAOS: Kyphosis of the spine", "supports": "Distinguishes structural Scheuermann, flexible postural and congenital kyphosis; three or more sequential anterior wedges and diminished anterior disc space." }, { "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8347734/", "title": "Ossification and Fusion of the Vertebral Ring Apophysis as an Important Part of Spinal Maturation", "supports": "Ring apophyses are developmental vertebral features with adolescent maturation. Used for explicit immature apophyseal rims, not quantitative anatomy matching.", "access": "Search-indexed source text reviewed; direct PMC opening returned a browser challenge, no bypass attempted." }, { "url": "https://pubmed.ncbi.nlm.nih.gov/38849690/", "title": "Maturation of the vertebral ring apophysis is delayed in girls with adolescent idiopathic scoliosis compared to the normal population", "supports": "Primary study supports relevance and variation of adolescent ring maturation; geometry does not simulate a particular sex, chronological age or delayed-maturation diagnosis." }, { "url": "https://www.nhs.uk/conditions/ankylosing-spondylitis/diagnosis/", "title": "NHS: Diagnosing ankylosing spondylitis and non-radiographic axial spondyloarthritis", "supports": "Non-radiographic disease can have MRI-visible SI inflammation without confirmatory X-ray changes; diagnosis is clinical and can occur even without positive imaging." }, { "url": "https://www.niams.nih.gov/health-topics/ankylosing-spondylitis", "title": "NIAMS: Ankylosing spondylitis", "supports": "Inflammatory axial disease; fusion may occur in severe cases and is not universal." } ], "region": "spine-supplement", "inventoryScope": "Written spine supplement; outside the core 86", "gapExpansion": true, "coreInventory": false, "localLibrary": true, "referenceOnly": false, "coverageClass": "authored-educational-pathology", "subtype": "Original adolescent thoracolumbar teaching anatomy; bounded source/shape review passed", "note": "Coronal curvature, coupled vertebral rotation and changing rib relationships illustrate one adolescent scoliosis pattern. Original morphometry-informed T1\u2013L5 vertebral contours retain patent canals, connected articular processes, opposed facet surfaces and level-attached discs, with cropped posterior/lateral rib context. Cervical spine, pelvis, sternum and the anterior rib cage are outside this view. Age 14 regression guidance informs population dimensions only; this is not a child scan, an age-calibrated reconstruction or a normative percentile. Ring-apophyseal regions are illustrative because maturation varies by level, sex and individual. Bounded independent source/anatomy/camera checks passed; clinical certification, actual WebGL appearance and phone performance remain unverified.", "adapterFamily": "selected", "published": false, "comparisonId": null, "clinicalReview": "Independent review pending", "publicReady": false, "reviewHold": false, "structuralHold": false, "existingUpgrade": true, "factoryModulePath": "../selected-visuals/spine-models.mjs", "factoryExport": "createSelectedSpineModel", "factorySignature": "THREE, {id: modelId}", "sourceNotice": "../selected-visuals/spine-provenance.json", "stateLabels": { "normal": "Schematic reference", "injured": "Condition illustration" }, "runtimeId": "paediatric-scoliosis-education", "additionalEducation": [], "featureShown": "Coronal curvature, coupled vertebral rotation and changing rib relationships illustrate one adolescent scoliosis pattern. Original morphometry-informed T1\u2013L5 vertebral contours retain patent canals, connected articular processes, opposed facet surfaces and level-attached discs, with cropped posterior/lateral rib context. Cervical spine, pelvis, sternum and the anterior rib cage are outside this view. Age 14 regression guidance informs population dimensions only; this is not a child scan, an age-calibrated reconstruction or a normative percentile. Ring-apophyseal regions are illustrative because maturation varies by level, sex and individual. Bounded independent source/anatomy/camera checks passed; clinical certification, actual WebGL appearance and phone performance remain unverified.", "canvasTitle": "Scoliosis", "status": "partial", "anatomicalReview": { "decision": "Independent source and geometry review recorded separately; clinical certification not claimed", "clinicalCertification": false }, "visualStyleAccepted": false, "anatomicalFidelityHold": false, "anatomicalFidelityStatus": "Bounded source/geometry corrections independently checked; anatomical fidelity and main-renderer visual acceptance remain pending", "previewIncomplete": false, "implementationStatus": "unfinished-facet-and-rib-anatomy", "independentSourceGeometryReviewAccepted": true, "actualWebGLAcceptance": false, "publicationRequested": true, "independentReviewAccepted": true, "independentReviewScope": "Bounded source, geometry, anatomical context, controls and CPU camera/label review. Actual WebGL, physical mobile interaction/performance and qualified clinical validation remain unverified.", "reviewStatus": "bounded-independent-review-passed", "physicalMobileAcceptance": false }, { "kind": "pathology", "educationOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "comparisonApplicable": true, "coverageComplete": false, "clinicalCertification": false, "independentReview": false, "publicationAuthorized": true, "geometryStatus": "bounded-original-adolescent-anatomy-reviewed", "sourceCheckedAt": "2026-10-09", "id": "paediatric-kyphosis-education", "title": "Kyphosis", "summary": "Kyphosis describes a forward-rounding spinal curve. Postural kyphosis is generally flexible; Scheuermann kyphosis is a structural condition associated with wedge-shaped vertebral bodies. Congenital kyphosis is another distinct category. These should not be combined into one posture illustration.", "clinicalScope": "A growing child or adolescent with a concerning or progressive spinal curve needs appropriate assessment. Examination and imaging help distinguish the cause and guide care. This Atlas does not infer the diagnosis from posture or prescribe treatment.", "anatomyHold": "No age-appropriate growing vertebral reference or validated coupled wedge/disc/rib reconstruction is currently available. Simply leaning an adult spine forward would not depict Scheuermann pathology. Structural and flexible forms require separate geometry scopes before a Normal/Injured comparison is enabled.", "sources": [ { "url": "https://www.orthoinfo.org/diseases--conditions/idiopathic-scoliosis-in-children-and-adolescents/", "title": "AAOS / POSNA / SRS: Idiopathic scoliosis", "supports": "Adolescent scoliosis context, lateral curvature, vertebral twist and associated rib prominence." }, { "url": "https://www.orthoinfo.org/diseases--conditions/kyphosis-roundback-of-the-spine/", "title": "AAOS: Kyphosis of the spine", "supports": "Distinguishes structural Scheuermann, flexible postural and congenital kyphosis; three or more sequential anterior wedges and diminished anterior disc space." }, { "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8347734/", "title": "Ossification and Fusion of the Vertebral Ring Apophysis as an Important Part of Spinal Maturation", "supports": "Ring apophyses are developmental vertebral features with adolescent maturation. Used for explicit immature apophyseal rims, not quantitative anatomy matching.", "access": "Search-indexed source text reviewed; direct PMC opening returned a browser challenge, no bypass attempted." }, { "url": "https://pubmed.ncbi.nlm.nih.gov/38849690/", "title": "Maturation of the vertebral ring apophysis is delayed in girls with adolescent idiopathic scoliosis compared to the normal population", "supports": "Primary study supports relevance and variation of adolescent ring maturation; geometry does not simulate a particular sex, chronological age or delayed-maturation diagnosis." }, { "url": "https://www.nhs.uk/conditions/ankylosing-spondylitis/diagnosis/", "title": "NHS: Diagnosing ankylosing spondylitis and non-radiographic axial spondyloarthritis", "supports": "Non-radiographic disease can have MRI-visible SI inflammation without confirmatory X-ray changes; diagnosis is clinical and can occur even without positive imaging." }, { "url": "https://www.niams.nih.gov/health-topics/ankylosing-spondylitis", "title": "NIAMS: Ankylosing spondylitis", "supports": "Inflammatory axial disease; fusion may occur in severe cases and is not universal." } ], "region": "spine-supplement", "inventoryScope": "Written spine supplement; outside the core 86", "gapExpansion": true, "coreInventory": false, "localLibrary": true, "referenceOnly": false, "coverageClass": "authored-educational-pathology", "subtype": "Original adolescent thoracolumbar teaching anatomy; bounded source/shape review passed", "note": "Three consecutive anterior thoracic wedges and anterior disc narrowing illustrate structural Scheuermann kyphosis, not flexible postural or congenital kyphosis. Original morphometry-informed T1\u2013L5 vertebral contours retain patent canals, connected articular processes, opposed facet surfaces and level-attached discs, with cropped posterior/lateral rib context. Cervical spine, pelvis, sternum and the anterior rib cage are outside this view. Age 14 regression guidance informs population dimensions only; this is not a child scan, an age-calibrated reconstruction or a normative percentile. Ring-apophyseal regions are illustrative because maturation varies by level, sex and individual. Bounded independent source/anatomy/camera checks passed; clinical certification, actual WebGL appearance and phone performance remain unverified.", "adapterFamily": "selected", "published": false, "comparisonId": null, "clinicalReview": "Independent review pending", "publicReady": false, "reviewHold": false, "structuralHold": false, "existingUpgrade": true, "factoryModulePath": "../selected-visuals/spine-models.mjs", "factoryExport": "createSelectedSpineModel", "factorySignature": "THREE, {id: modelId}", "sourceNotice": "../selected-visuals/spine-provenance.json", "stateLabels": { "normal": "Schematic reference", "injured": "Condition illustration" }, "runtimeId": "paediatric-kyphosis-education", "additionalEducation": [], "featureShown": "Three consecutive anterior thoracic wedges and anterior disc narrowing illustrate structural Scheuermann kyphosis, not flexible postural or congenital kyphosis. Original morphometry-informed T1\u2013L5 vertebral contours retain patent canals, connected articular processes, opposed facet surfaces and level-attached discs, with cropped posterior/lateral rib context. Cervical spine, pelvis, sternum and the anterior rib cage are outside this view. Age 14 regression guidance informs population dimensions only; this is not a child scan, an age-calibrated reconstruction or a normative percentile. Ring-apophyseal regions are illustrative because maturation varies by level, sex and individual. Bounded independent source/anatomy/camera checks passed; clinical certification, actual WebGL appearance and phone performance remain unverified.", "canvasTitle": "Kyphosis", "status": "partial", "anatomicalReview": { "decision": "Independent source and geometry review recorded separately; clinical certification not claimed", "clinicalCertification": false }, "visualStyleAccepted": false, "anatomicalFidelityHold": false, "anatomicalFidelityStatus": "Bounded source/geometry corrections independently checked; anatomical fidelity and main-renderer visual acceptance remain pending", "previewIncomplete": false, "implementationStatus": "unfinished-facet-and-rib-anatomy", "independentSourceGeometryReviewAccepted": true, "actualWebGLAcceptance": false, "publicationRequested": true, "independentReviewAccepted": true, "independentReviewScope": "Bounded source, geometry, anatomical context, controls and CPU camera/label review. Actual WebGL, physical mobile interaction/performance and qualified clinical validation remain unverified.", "reviewStatus": "bounded-independent-review-passed", "physicalMobileAcceptance": false }, { "id": "high-arch-foot-pes-cavus-hold", "comparisonId": "C137", "title": "High-arch foot (pes cavus)", "region": "adjacent", "kind": "pathology", "gapExpansion": true, "coreInventory": false, "localLibrary": true, "referenceOnly": false, "comparisonApplicable": true, "geometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicationAuthorized": true, "coverageClass": "authored-educational-pathology", "subtype": "Bounded educational illustration in native Atlas context; source/geometry review passed", "note": "Original adult pes-cavus alignment on unchanged native bone/cartilage contours, with transparent whole-foot context and a closer arch view. Articular source-surface pivots and bounded rigid clearance corrections preserve source dimensions. Independent closed-envelope screening found no worsened sampled penetration depth relative to the inherited reference. This is an illustrative static alignment, not clinically validated biomechanics or a disease-specific scan; actual WebGL appearance remains unverified.", "sources": [ { "title": "AOFAS FootCareMD: Cavus Foot Surgery", "url": "https://www.footcaremd.org/foot-and-ankle-treatments/midfoot/cavus-foot-surgery" } ], "adapterFamily": "selected", "inventoryScope": "Adjacent scope outside the core 86", "published": false, "lesionGeometryImplemented": true, "clinicalReview": "Independent review pending", "publicReady": false, "reviewHold": false, "structuralHold": false, "existingUpgrade": true, "factoryModulePath": "../selected-visuals/foot-models.mjs", "factoryExport": "createSelectedFootModel", "factorySignature": "THREE, {id: modelId}", "sourceNotice": "../selected-visuals/foot-provenance.json", "stateLabels": { "normal": "Reference", "injured": "Illustrative affected" }, "additionalEducation": [], "featureShown": "Original adult pes-cavus alignment on unchanged native bone/cartilage contours, with transparent whole-foot context and a closer arch view. Articular source-surface pivots and bounded rigid clearance corrections preserve source dimensions. Independent closed-envelope screening found no worsened sampled penetration depth relative to the inherited reference. This is an illustrative static alignment, not clinically validated biomechanics or a disease-specific scan; actual WebGL appearance remains unverified.", "canvasTitle": "High-arch foot (pes cavus)", "geometryStatus": "authored-educational-candidate", "independentReview": false, "status": "partial", "anatomicalReview": { "decision": "Independent source and geometry review recorded separately; clinical certification not claimed", "clinicalCertification": false }, "visualStyleAccepted": false, "implementationStatus": "native-articulation-review-pending", "fidelityAccepted": false, "independentSourceGeometryReviewAccepted": true, "actualWebGLAcceptance": false, "publicationRequested": true, "previewIncomplete": false, "independentReviewAccepted": true, "independentReviewScope": "Bounded source, geometry, anatomical context, controls and CPU camera/label review. Actual WebGL, physical mobile interaction/performance and qualified clinical validation remain unverified.", "reviewStatus": "bounded-independent-review-passed", "physicalMobileAcceptance": false }, { "id": "axial_spondyloarthritis", "title": "Axial spondyloarthritis / ankylosing spondylitis", "region": "spine-supplement", "reviewHold": false, "additionalEducation": [], "gapExpansion": true, "localLibrary": true, "coreInventory": false, "kind": "pathology", "referenceOnly": false, "comparisonApplicable": true, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "publicationAuthorized": true, "coverageClass": "authored-educational-pathology", "structuralHold": false, "adapterFamily": "selected", "subtype": "Native adult contours with authored SI inflammatory volume", "note": "Native adult source contours with bounded actual-sacrum-supported authored inflammatory layers. Source faces selected near SI cartilage candidate and locally offset inward0.35\u20131.35mm. Open source sacrum prevents certified global containment; clinical distribution and SI interpretation remain unvalidated. Optional source-endpoint bridges are not inevitable progression; native discs absent.", "sources": [ { "url": "https://www.orthoinfo.org/diseases--conditions/idiopathic-scoliosis-in-children-and-adolescents/", "title": "AAOS / POSNA / SRS: Idiopathic scoliosis", "supports": "Adolescent scoliosis context, lateral curvature, vertebral twist and associated rib prominence." }, { "url": "https://www.orthoinfo.org/diseases--conditions/kyphosis-roundback-of-the-spine/", "title": "AAOS: Kyphosis of the spine", "supports": "Distinguishes structural Scheuermann, flexible postural and congenital kyphosis; three or more sequential anterior wedges and diminished anterior disc space." }, { "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8347734/", "title": "Ossification and Fusion of the Vertebral Ring Apophysis as an Important Part of Spinal Maturation", "supports": "Ring apophyses are developmental vertebral features with adolescent maturation. Used for explicit immature apophyseal rims, not quantitative anatomy matching.", "access": "Search-indexed source text reviewed; direct PMC opening returned a browser challenge, no bypass attempted." }, { "url": "https://pubmed.ncbi.nlm.nih.gov/38849690/", "title": "Maturation of the vertebral ring apophysis is delayed in girls with adolescent idiopathic scoliosis compared to the normal population", "supports": "Primary study supports relevance and variation of adolescent ring maturation; geometry does not simulate a particular sex, chronological age or delayed-maturation diagnosis." }, { "url": "https://www.nhs.uk/conditions/ankylosing-spondylitis/diagnosis/", "title": "NHS: Diagnosing ankylosing spondylitis and non-radiographic axial spondyloarthritis", "supports": "Non-radiographic disease can have MRI-visible SI inflammation without confirmatory X-ray changes; diagnosis is clinical and can occur even without positive imaging." }, { "url": "https://www.niams.nih.gov/health-topics/ankylosing-spondylitis", "title": "NIAMS: Ankylosing spondylitis", "supports": "Inflammatory axial disease; fusion may occur in severe cases and is not universal." } ], "published": false, "comparisonId": null, "clinicalReview": "Independent review pending", "publicReady": false, "existingUpgrade": true, "factoryModulePath": "../selected-visuals/spine-models.mjs", "factoryExport": "createSelectedSpineModel", "factorySignature": "THREE, {id: modelId}", "sourceNotice": "../selected-visuals/SOURCE-NOTICE.md", "stateLabels": { "normal": "Schematic reference", "injured": "Condition illustration" }, "runtimeId": "axial_spondyloarthritis", "educationOnly": false, "independentReview": false, "geometryStatus": "original_educational_geometry_pending_visual_and_clinical_review", "variantChoices": [ { "value": "nonradiographic", "label": "Inflammatory SI example" }, { "value": "advanced-as", "label": "Optional advanced AS bridges" } ], "featureShown": "Native adult source contours with bounded actual-sacrum-supported authored inflammatory layers. Source faces selected near SI cartilage candidate and locally offset inward0.35\u20131.35mm. Open source sacrum prevents certified global containment; clinical distribution and SI interpretation remain unvalidated. Optional source-endpoint bridges are not inevitable progression; native discs absent.", "canvasTitle": "Axial spondyloarthritis / ankylosing spondylitis", "status": "partial", "anatomicalReview": { "decision": "Independent source and geometry review recorded separately; clinical certification not claimed", "clinicalCertification": false }, "visualStyleAccepted": false, "anatomicalFidelityHold": true, "anatomicalFidelityStatus": "Bounded source/geometry corrections independently checked; anatomical fidelity and main-renderer visual acceptance remain pending", "publicationRequested": true, "previewIncomplete": false, "independentReviewAccepted": true, "independentReviewScope": "Bounded source, geometry, anatomical context, controls and CPU camera/label review. Actual WebGL, physical mobile interaction/performance and qualified clinical validation remain unverified.", "reviewStatus": "bounded-independent-review-passed", "actualWebGLAcceptance": false, "physicalMobileAcceptance": false }, { "id": "chest-superficial-bruise-native", "title": "Superficial anterior chest-wall bruise", "region": "upper-back", "kind": "pathology", "gapExpansion": true, "localLibrary": true, "coreInventory": false, "coverageClass": "bounded-structural-example", "comparisonApplicable": true, "referenceOnly": false, "geometryImplemented": true, "lesionGeometryImplemented": true, "conditionSpecificGeometry": true, "coverageComplete": false, "clinicalCertification": false, "clinicalReview": "pending", "publicReady": false, "publicationAuthorized": true, "published": false, "localPreview": true, "reviewHold": false, "status": "partial", "factoryModulePath": "../chest-superficial-native-candidate/model.mjs", "factoryExport": "createSuperficialChestBruise", "factorySignature": "THREE", "adapterFamily": "selected", "sourceNotice": "../chest-superficial-native-candidate/SOURCE-NOTICE.md", "independentReviewAccepted": true, "independentReviewScope": "Independent actual-geometry image and CPU API checks accepted for local integration only; browser/mobile rendering and clinical review remain unverified.", "stateLabels": { "normal": "Matched source-derived skin reference", "injured": "Illustrative superficial bruise and bounded swelling" }, "subtype": "Bounded superficial skin bruising and swelling on retained source anatomy", "inventoryScope": "Additional narrow superficial chest-wall example. The existing thorax location / strain education entry remains unchanged.", "note": "Normal is the matched source-derived outer skin reference. Injured adds an illustrative superficial anterior chest-wall bruise with bounded swelling; dimensions and colour are authored teaching choices. This does not depict intercostal strain or muscle contusion. Ribs stay intact; omitted internal organs and intact ribs do not exclude internal injury. Clinical review is pending. Skin is opaque: rib/cartilage opacity changes are visible after Skin is turned off.", "sources": [ { "title": "AAOS: Muscle contusion (bruise)", "url": "https://www.orthoinfo.org/diseases--conditions/muscle-contusion-bruise" }, { "title": "Worcestershire Acute Hospitals NHS: Chest injury", "url": "https://www.worcsacute.nhs.uk/leaflets/chest-injury-waht-pi-2229/" } ] } ], "publicReady": false, "catalogueTotal": 176, "catalogueMeaning": "187 unique catalogue entries, including all86 core missing-topic IDs, preserved existing topics, and separately identified adjacent/spine education. Regional counts describe bounded features, nonspecific features, holds and education; they are not completed disease families or clinical certification.", "sourceCorrectionDate": "2026-10-08", "sourceCorrectionStatus": "Educational review; browser/mobile and clinical review pending", "lumbarExpansion": { "status": "unpublished-expanded-review-candidate", "baseCommit": "c4125bace3cd1421f94cd1cb4820819d0bcb8703", "coverage": "LUMBAR-COVERAGE.json", "clinicalValidation": false, "actualBrowserPixelQA": "pending" }, "shoulderExpansion": { "source": "SHOULDER-COVERAGE.json", "requestedTopics": 21, "selectableTopics": 20, "heldTopics": 1, "newLoadableTopicEntries": 18, "clinicalCertification": false, "actualWebGLQA": false, "physicalMobileQA": false }, "shoulderContextCorrection": { "baseline": "84291b099a4b76231ff181cc31836deecec4be34", "defaultContext": true, "bilateralScapularComparisons": true, "boundedCapsularRecessShortening": true, "impingementDistinctFromBursitis": true, "actualWebGLQA": false, "physicalMobileQA": false, "qualifiedClinicalReview": false }, "gapExpansion": { "coreInventory": 77, "counts": { "bounded-structural-example": 61, "nonspecific-feature": 12, "authored-educational-pathology": 13, "education-only": 1 }, "supplementsOutsideCore": 3, "existingFeatureUpgrades": 7, "existingEducationTopics": 6, "actualWebGL": false, "physicalMobile": false, "clinicalCertification": false, "publicationAuthorized": false, "shoulderPrerequisitePublished": false, "productionBaseline": "977e9463360bdf01b11461405f93bf0deaa4c1c8", "published": false, "releaseStatusFile": "selected-visuals/WORK-STATUS.json", "baselineCoreInventory": 86 }, "selectedVisualCandidate": { "selectedIds": [ "axial_spondyloarthritis", "complex-regional-pain-syndrome-education", "gap-foot-clubfoot-education", "high-arch-foot-pes-cavus-hold", "hip-dislocation", "hip-inflammatory-arthritis", "hip-slipped-capital-femoral-epiphysis", "hip-snapping-hip", "lisfranc-interosseous-complete-tear", "lisfranc-interosseous-partial-tear", "paediatric-kyphosis-education", "paediatric-scoliosis-education", "shoulder-thoracic-outlet-syndrome" ], "removedPendingIds": [ "gap-foot-adult-acquired-flatfoot", "gap-foot-sesamoiditis", "hip-legg-calve-perthes", "hip-transient-osteoporosis", "gap-wrist-finger-felon", "gap-wrist-fingertip-injuries", "gap-wrist-polydactyly", "gap-wrist-rheumatoid-hand", "gap-wrist-syndactyly", "charcot-marie-tooth-education", "raynaud-phenomenon-education", "diabetic-foot-education" ], "unresolved": [ "gap-foot-metatarsalgia-education" ], "publicationAuthorized": false }, "superficialChestLocalIntegration": { "localOnly": true, "published": false, "publicationAuthorized": true, "retainedEntries": 175, "newEntry": "chest-superficial-bruise-native", "clinicalCertification": false, "actualWebGLAcceptance": false, "physicalMobileAcceptance": false, "releaseStatus": "Parent-authorized bounded superficial chest-wall release; deployment not yet verified" }, "osgoodNativeStageEIntegration": { "baselineCommit": "6628a516d1e75a117c304e533d8020ae384af3dd", "isolatedOnly": true, "publicationAuthorized": true, "published": false, "sameID": true, "catalogueTotal": 176 } }