Table 4 Detailed descriptions of discordant cases for surgical triage

1

Hip osteoarthritis

Surgical

First patient seen during study period;

PS made same diagnosis as OS, however deemed condition to be of lesser severity when interpreting X-rays;

PS suggested a conservative treatment.

2

Glenohumeral osteoarthritis

Surgical

Second patient seen during study period;

PS made wrong diagnosis of rotator cuff tear due to misinterpretation of x-rays;

PS suggested a conservative treatment.

3

Patellofemoral osteoarthritis

Surgical

PS made wrong diagnosis of patellofemoral pain syndrome due to inaccurate physical examination of patient;

PS suggested a conservative treatment

4

Rotator cuff tear

Surgical

PS made same diagnosis as OS, however was unaware of existence of a rarely performed new surgical intervention (arthroscopic superior capsule reconstruction for irreparable rotator cuff tears);

PS suggested a conservative treatment due to perceived inability to operate patient.

5

Knee Osteoarthritis

Conservative

PS made same diagnosis as OS;

Patient had previously undergone a meniscectomy on same knee and developed knee osteoarthritis afterwards;

PS deemed the condition to be of greater severity;

PS suggested a surgical treatment.