Where the Panel Splits

Every AequOs consult routes a question to a panel of specialist AI models. Most of the time they converge. When they genuinely don't — when the evidence itself is split — that disagreement is captured here: the decision, the two sides, who took which side, and whether the split held. Real, structured clinical equipoise, cited to the literature.

2 Contested Questions

Shoulder Acute RC Tear: Repair or Wait? →
Recommendation flips by patient demand & risk

For an acute full-thickness supraspinatus tear from a fall, should the patient undergo early surgical repair or pursue structured non-operative management as the primary treatment strategy?

Early surgical repair (within 6–12 weeks of injury)Structured non-operative management with delayed surgery reserved for persistent functional failure

What would tip it

Patient demand & surgical risk

  • Average demand, average risk Structured non-operative management with delayed surgery reserved for persistent functional failure
  • High demand, low risk Early surgical repair (within 6–12 weeks of injury)
  • Low demand, high risk Structured non-operative management with delayed surgery reserved for persistent functional failure

The full panel

  • 💊Pain WhispererStructured non-operative management with delayed surgery reserved for persistent functional failureB72% confidence
  • 🔍Movement DetectiveStructured non-operative management with delayed surgery reserved for persistent functional failureB72% confidence
  • 💪Strength SageStructured non-operative management with delayed surgery reserved for persistent functional failureB74% confidence
  • 🧠Mind MenderStructured non-operative management with delayed surgery reserved for persistent functional failureB74% confidence
Knee For a 20-year-old competitive pivoting-sport athlete with a complete ACL tear, is immediate reconstruction or a structured rehabilitation trial first the better choice? →
Panel deliberated and reached consensus

For this 20-year-old competitive pivoting-sport athlete with a complete ACL tear, should reconstruction be performed immediately or should a structured rehabilitation trial be attempted first?

Immediate ACL reconstructionStructured rehabilitation trial with delayed reconstruction if functional goals are not met
Structured rehabilitation trial with delayed reconstruction if functional goals are not met
  • 💊Pain WhispererB72% confidence
Immediate ACL reconstruction
  • 🔍Movement DetectiveB72% confidence
  • 💪Strength SageB78% confidence
  • 🧠Mind MenderB72% confidence

The full panel

  • 💊Pain WhispererImmediate ACL reconstructionB74% confidence
  • 🔍Movement DetectiveImmediate ACL reconstructionB78% confidence
  • 💪Strength SageImmediate ACL reconstructionB82% confidence
  • 🧠Mind MenderImmediate ACL reconstructionB74% confidence

1 specialist revised their stance during deliberation.

Evidence ledger

Supports: Immediate ACL reconstruction

  • Immediate ACL reconstruction — From a biomechanics and movement analysis perspective, a 20-year-old competitive pivoting-sport athlete presents a high-risk movement profile for ongoing joint instability followi…high

    meta_analysis · match PMID: 26772611 ↗

Supports: Structured rehabilitation trial with delayed reconstruction if functional goals are not met

  • Structured rehabilitation trial with delayed reconstruction if functional goals are not met — From a pain management perspective, the acute-to-chronic pain transition risk is a central concern in this population. Young competitive athletes undergoing ACL reconstruction fac…high

    meta_analysis · match PMID: 40603829 ↗

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