{"id":"https://openalex.org/W7203786418","doi":"https://doi.org/10.1515/bmt-2026-0383","title":"A parallel framework correlating AI radiographic diagnosis with computational biomechanics for tibial plateau fractures in wushu athletes","display_name":"A parallel framework correlating AI radiographic diagnosis with computational biomechanics for tibial plateau fractures in wushu athletes","publication_year":2026,"publication_date":"2026-08-19","ids":{"openalex":"https://openalex.org/W7203786418","doi":"https://doi.org/10.1515/bmt-2026-0383","pmid":"https://pubmed.ncbi.nlm.nih.gov/42617080"},"language":"en","primary_location":{"id":"doi:10.1515/bmt-2026-0383","doi":"https://doi.org/10.1515/bmt-2026-0383","is_oa":true,"landing_page_url":"https://doi.org/10.1515/bmt-2026-0383","pdf_url":null,"source":{"id":"https://openalex.org/S186193465","display_name":"Biomedizinische Technik/Biomedical Engineering","issn_l":"0013-5585","issn":["0013-5585","1862-278X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310313990","host_organization_name":"De Gruyter","host_organization_lineage":["https://openalex.org/P4310313990"],"host_organization_lineage_names":["De Gruyter"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Biomedical Engineering / Biomedizinische Technik","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1515/bmt-2026-0383","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5147660672","display_name":"Xiaoqing Xie","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I173759888","display_name":"Hunan Normal University","ror":"https://ror.org/053w1zy07","country_code":"CN","type":"education","lineage":["https://openalex.org/I173759888"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xiaoqing Xie","raw_affiliation_strings":["School of Physical Education , Hunan Normal University , Changsha , Hunan , China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Physical Education , Hunan Normal University , Changsha , Hunan , China","institution_ids":["https://openalex.org/I173759888"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147509733","display_name":"Bingsi Xi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I18925743","display_name":"Shanghai University of Sport","ror":"https://ror.org/0056pyw12","country_code":"CN","type":"education","lineage":["https://openalex.org/I18925743"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Bingsi Xi","raw_affiliation_strings":["Wushu College , Shanghai University of Sport , Shanghai , China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Wushu College , Shanghai University of Sport , Shanghai , China","institution_ids":["https://openalex.org/I18925743"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147624902","display_name":"Yan Kuang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I149735164","display_name":"Hengyang Normal University","ror":"https://ror.org/006bvjm48","country_code":"CN","type":"education","lineage":["https://openalex.org/I149735164"]},{"id":"https://openalex.org/I4405279429","display_name":"Hengyang Normal University Nanyue College","ror":"https://ror.org/01f4tsm71","country_code":"CN","type":"education","lineage":["https://openalex.org/I4405279429"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yan Kuang","raw_affiliation_strings":["School of Arts and Physical Education, Nanyue College , Hengyang Normal University , Hengyang , Hunan , China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Arts and Physical Education, Nanyue College , Hengyang Normal University , Hengyang , Hunan , China","institution_ids":["https://openalex.org/I149735164","https://openalex.org/I4405279429"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034016908","display_name":"Pingping Dong","orcid":"https://orcid.org/0000-0003-0222-6815","observed_orcids":["https://orcid.org/0000-0003-0222-6815"]},"institutions":[{"id":"https://openalex.org/I173759888","display_name":"Hunan Normal University","ror":"https://ror.org/053w1zy07","country_code":"CN","type":"education","lineage":["https://openalex.org/I173759888"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Pingping Dong","raw_affiliation_strings":["College of Information Science and Engineering , Hunan Normal University , Changsha , Hunan , China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Information Science and Engineering , Hunan Normal University , Changsha , Hunan , China","institution_ids":["https://openalex.org/I173759888"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5147640326","display_name":"Jing Chen","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jing Chen","raw_affiliation_strings":["Aerospace Hospital Branch, Pingtang Street Community Health Service Center, Xiangjiang New Area , Changsha , Hunan , China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Aerospace Hospital Branch, Pingtang Street Community Health Service Center, Xiangjiang New Area , Changsha , Hunan , China","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":0,"currency":"EUR","value_usd":0},"apc_paid":{"value":0,"currency":"EUR","value_usd":0},"fwci":5.0071,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.88130482,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"71","issue":"4-5","first_page":"571","last_page":"585"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.5928000211715698,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.5928000211715698,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.18619999289512634,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11246","display_name":"Sports injuries and prevention","score":0.06669999659061432,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tibial-plateau-fractures","display_name":"tibial plateau fractures","score":0.9940000176429749},{"id":"https://openalex.org/keywords/chinese-martial-arts","display_name":"Chinese martial arts","score":0.8690000176429749},{"id":"https://openalex.org/keywords/knee-injury","display_name":"knee injury","score":0.5220000147819519},{"id":"https://openalex.org/keywords/sports-biomechanics","display_name":"sports biomechanics","score":0.6299999952316284},{"id":"https://openalex.org/keywords/efficientnet-b3","display_name":"EfficientNetB3","score":0.9520000219345093},{"id":"https://openalex.org/keywords/3d-pose-estimation","display_name":"3D pose estimation","score":0.8790000081062317},{"id":"https://openalex.org/keywords/knee-flexion-angle","display_name":"knee flexion angle","score":0.9129999876022339},{"id":"https://openalex.org/keywords/ground-reaction-force","display_name":"ground reaction force","score":0.9399999976158142},{"id":"https://openalex.org/keywords/injury-risk-factors","display_name":"injury risk factors","score":0.7900000214576721},{"id":"https://openalex.org/keywords/landing-impact","display_name":"landing impact","score":0.6600000262260437},{"id":"https://openalex.org/keywords/injury-prevention","display_name":"injury prevention","score":0.8730000257492065}],"concepts":[{"id":"https://openalex.org/C170700871","wikidata":"https://www.wikidata.org/wiki/Q193378","display_name":"Biomechanics","level":2,"score":0.8007000088691711},{"id":"https://openalex.org/C39920418","wikidata":"https://www.wikidata.org/wiki/Q11476","display_name":"Kinematics","level":2,"score":0.6180999875068665},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.6036999821662903},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.5680000185966492},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5425000190734863},{"id":"https://openalex.org/C2781054738","wikidata":"https://www.wikidata.org/wiki/Q4813730","display_name":"Athletes","level":2,"score":0.48339998722076416},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.4620000123977661},{"id":"https://openalex.org/C96332660","wikidata":"https://www.wikidata.org/wiki/Q5610971","display_name":"Ground reaction force","level":3,"score":0.43630000948905945},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.4203999936580658},{"id":"https://openalex.org/C2993494880","wikidata":"https://www.wikidata.org/wiki/Q1816033","display_name":"Elite athletes","level":3,"score":0.4052000045776367},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.3601999878883362},{"id":"https://openalex.org/C2993743986","wikidata":"https://www.wikidata.org/wiki/Q41466","display_name":"Ice hockey","level":2,"score":0.3418000042438507},{"id":"https://openalex.org/C2776737378","wikidata":"https://www.wikidata.org/wiki/Q41392","display_name":"Stress fractures","level":2,"score":0.323199987411499},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.32280001044273376},{"id":"https://openalex.org/C2778444522","wikidata":"https://www.wikidata.org/wiki/Q1081491","display_name":"Football","level":2,"score":0.31189998984336853},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.30630001425743103},{"id":"https://openalex.org/C2780030769","wikidata":"https://www.wikidata.org/wiki/Q4968575","display_name":"Plateau (mathematics)","level":2,"score":0.30309998989105225},{"id":"https://openalex.org/C172525866","wikidata":"https://www.wikidata.org/wiki/Q3661266","display_name":"Sports biomechanics","level":2,"score":0.3028999865055084},{"id":"https://openalex.org/C2777236700","wikidata":"https://www.wikidata.org/wiki/Q178366","display_name":"Tibia","level":2,"score":0.29679998755455017},{"id":"https://openalex.org/C3017825213","wikidata":"https://www.wikidata.org/wiki/Q2066131","display_name":"Competitive athletes","level":3,"score":0.28459998965263367},{"id":"https://openalex.org/C2994306169","wikidata":"https://www.wikidata.org/wiki/Q186222","display_name":"Alpine skiing","level":2,"score":0.27959999442100525},{"id":"https://openalex.org/C66024118","wikidata":"https://www.wikidata.org/wiki/Q1122506","display_name":"Computational model","level":2,"score":0.2782999873161316},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.2741999924182892},{"id":"https://openalex.org/C31601959","wikidata":"https://www.wikidata.org/wiki/Q931309","display_name":"Medical imaging","level":2,"score":0.26980000734329224},{"id":"https://openalex.org/C43893838","wikidata":"https://www.wikidata.org/wiki/Q840545","display_name":"Sports medicine","level":2,"score":0.2547000050544739}],"mesh":[{"descriptor_ui":"D000077321","descriptor_name":"Deep Learning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000092463","descriptor_name":"Tibial Plateau Fractures","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D000092463","descriptor_name":"Tibial Plateau Fractures","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001696","descriptor_name":"Biomechanical Phenomena","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011859","descriptor_name":"Radiography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013977","descriptor_name":"Tibia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D056352","descriptor_name":"Athletes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1515/bmt-2026-0383","doi":"https://doi.org/10.1515/bmt-2026-0383","is_oa":true,"landing_page_url":"https://doi.org/10.1515/bmt-2026-0383","pdf_url":null,"source":{"id":"https://openalex.org/S186193465","display_name":"Biomedizinische Technik/Biomedical Engineering","issn_l":"0013-5585","issn":["0013-5585","1862-278X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310313990","host_organization_name":"De Gruyter","host_organization_lineage":["https://openalex.org/P4310313990"],"host_organization_lineage_names":["De Gruyter"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Biomedical Engineering / Biomedizinische Technik","raw_type":"journal-article"},{"id":"pmid:42617080","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42617080","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Biomedizinische Technik. Biomedical engineering","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1515/bmt-2026-0383","doi":"https://doi.org/10.1515/bmt-2026-0383","is_oa":true,"landing_page_url":"https://doi.org/10.1515/bmt-2026-0383","pdf_url":null,"source":{"id":"https://openalex.org/S186193465","display_name":"Biomedizinische Technik/Biomedical Engineering","issn_l":"0013-5585","issn":["0013-5585","1862-278X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310313990","host_organization_name":"De Gruyter","host_organization_lineage":["https://openalex.org/P4310313990"],"host_organization_lineage_names":["De Gruyter"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Biomedical Engineering / Biomedizinische Technik","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9391000270843506}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":40,"referenced_works":["https://openalex.org/W22804105","https://openalex.org/W2016290529","https://openalex.org/W2032750300","https://openalex.org/W2048896712","https://openalex.org/W2078136282","https://openalex.org/W2078379889","https://openalex.org/W2082319067","https://openalex.org/W2086656914","https://openalex.org/W2097775970","https://openalex.org/W2098792929","https://openalex.org/W2105154637","https://openalex.org/W2108600112","https://openalex.org/W2110485342","https://openalex.org/W2116288631","https://openalex.org/W2131617949","https://openalex.org/W2131978807","https://openalex.org/W2138919834","https://openalex.org/W2145867701","https://openalex.org/W2157222284","https://openalex.org/W2175612431","https://openalex.org/W2190078508","https://openalex.org/W2611650229","https://openalex.org/W2733840449","https://openalex.org/W2776581140","https://openalex.org/W2793251588","https://openalex.org/W2800043213","https://openalex.org/W2803124023","https://openalex.org/W2811095288","https://openalex.org/W2888522033","https://openalex.org/W2895697194","https://openalex.org/W2897228760","https://openalex.org/W2899835486","https://openalex.org/W2900210626","https://openalex.org/W2912558669","https://openalex.org/W3155764194","https://openalex.org/W4220933981","https://openalex.org/W4386485397","https://openalex.org/W4387606721","https://openalex.org/W7128706489","https://openalex.org/W7130617124"],"related_works":["https://openalex.org/W7128706489","https://openalex.org/W7119103312","https://openalex.org/W4205381968","https://openalex.org/W7213374290","https://openalex.org/W4401838388","https://openalex.org/W4399041739","https://openalex.org/W7147338077","https://openalex.org/W2321078634","https://openalex.org/W7147096503","https://openalex.org/W7147234477"],"abstract_inverted_index":{"OBJECTIVES:":[0],"Tibial":[1],"plateau":[2,114],"fractures":[3],"(TPFs)":[4],"are":[5],"serious":[6],"knee":[7],"injuries":[8],"frequently":[9],"associated":[10],"with":[11,31,127,148],"high-impact":[12],"sports":[13,159],"such":[14],"as":[15],"Wushu.":[16],"This":[17,152],"study":[18],"proposes":[19],"a":[20,166],"parallel":[21],"analytical":[22],"framework":[23,153],"that":[24,122],"integrates":[25],"artificial":[26],"intelligence":[27],"(AI)-based":[28],"radiographic":[29,65,149,163],"diagnosis":[30],"computational":[32],"biomechanics":[33,160],"to":[34,82,107],"investigate":[35],"the":[36,45,112,132,155],"risk":[37,133],"factors":[38],"and":[39,60,77,91,161,172],"injury":[40,146,170],"mechanisms":[41],"of":[42,67,134],"TPFs":[43],"during":[44],"Wushu":[46,99,176],"Tornado":[47],"Kick":[48],"(Xuanfengjiao).":[49],"METHODS:":[50],"An":[51],"EfficientNet-B3":[52],"deep":[53],"learning":[54],"model":[55,140],"was":[56],"trained":[57],"on":[58,111],"MURA":[59],"Kaggle":[61],"datasets":[62],"for":[63,169],"automated":[64],"detection":[66],"TPFs,":[68],"achieving":[69],"high":[70],"diagnostic":[71],"accuracy.":[72],"Concurrently,":[73],"3D":[74],"pose":[75],"estimation":[76],"spatial":[78],"kinematics":[79],"were":[80,105],"utilized":[81],"extract":[83],"biomechanical":[84],"parameters,":[85],"specifically":[86],"Knee":[87],"Flexion":[88],"Angle":[89],"(KFA)":[90],"vertical":[92,124],"Ground":[93],"Reaction":[94],"Forces":[95],"(GRF),":[96],"from":[97],"elite":[98],"athletes.":[100,177],"RESULTS:":[101],"The":[102,138],"kinematic":[103],"data":[104],"mapped":[106],"predict":[108],"structural":[109],"stresses":[110],"tibial":[113],"upon":[115],"landing":[116],"impact.":[117],"Our":[118],"dual-pathway":[119],"approach":[120],"demonstrates":[121],"increased":[123],"GRF":[125],"combined":[126],"suboptimal":[128],"KFA":[129],"significantly":[130],"elevates":[131],"specific":[135],"Schatzker-type":[136],"fractures.":[137],"AI":[139],"successfully":[141],"correlated":[142],"these":[143],"mechanically":[144],"predicted":[145],"patterns":[147],"evidence.":[150],"CONCLUSIONS:":[151],"bridges":[154],"gap":[156],"between":[157],"predictive":[158],"clinical":[162],"diagnosis,":[164],"offering":[165],"robust":[167],"tool":[168],"prevention":[171],"targeted":[173],"rehabilitation":[174],"in":[175]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-08-20T00:00:00"}