
Your Custom Quiz
In Knudsen 2024 et al., on CTA diagnosis, what was the maximum reported sensitivity of multidetector CTA for detecting meniscal lesions?
🔍 Key Findings
- Multidetector CTA had high sensitivity (up to 100%) and specificity (up to 96%) for detecting medial meniscal tears in dogs.
- Observer experience significantly influenced diagnostic accuracy, with more experienced observers showing higher agreement and better performance.
- Training effect was evident, as less experienced observers improved between first and second readings.
- Positive likelihood ratios ≥4.6 and negative likelihood ratios ≤0.08 were observed, suggesting CTA is clinically useful for confirming or ruling out meniscal injury.
- CTA allowed identification of full and partial thickness lesions, with good visualization in sagittal, transverse, and frontal reconstructions.
- Approximately 90% of menisci were correctly classified in second readings.
- No adverse reactions were noted from the contrast injection; sedation was used instead of general anesthesia.
- CTA was less invasive and potentially more cost-effective compared to arthroscopy, especially in settings without MRI access.
Veterinary Surgery
8
2024
Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography
2024-8-VS-knudsen-1
In De Moya 2025 et al., on antebrachial deformity correction, which surgical maneuver was used to correct antebrachiocarpal incongruency?
🔍 Key Findings
- CESF with distraction osteogenesis restored elbow congruity and normalized aLDRA in skeletally immature dogs with PCDRP.
- Radial head subluxation was eliminated in all dogs, and elbow incongruity reduced significantly (from 6.1 mm to 0.3 mm, p <.01).
- Mean radial lengthening of 22.6 mm (∼11% of normal length) was achieved, but only 80% of recorded distraction translated to length gain.
- Major complications occurred in 2/12 dogs: one with permanent carpal contracture, one with radial fracture at wire tract.
- Minor complications (e.g., carpal pain, restricted extension, synostosis, pin tract issues) were noted in 10/12 dogs but generally resolved.
- Owner surveys (8/12 dogs) reported good to excellent long-term function, even up to 6 years post-op.
- Radial valgus deformities were moderate (mean 15°) and less severe than deformities from ulnar physeal closure.
- Surgical strategy included staged distraction, with radial or combined radius/ulna distraction guided by fluoroscopy and adjusted per case.
Veterinary Surgery
6
2025
Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs
2025-6-VS-demoya-5
In Karydas 2025 et al., on follow-up radiography, what was the clinical outcome in dogs with radiographic abnormalities but no clinical concerns?
🔍 Key Findings
139 immature dogs with humeral condylar fractures (HCF) reviewed retrospectively.
Postoperative plan changed in 17% (23/139) of cases.
Key risk factors for plan change:
- Owner concerns (OR: 7.6)
- Analgesic use at follow-up (OR: 7.9)
- Lameness (OR: 5.9)
- Abnormal clinical exam (OR: 44.8)
- Radiographic abnormalities (OR: 51.9)
No plan changes were based solely on radiographs when clinical signs were absent.
Supracondylar K-wire migration noted in 3.5% of dogs without affecting the clinical plan.
Authors conclude that routine follow-up radiographs offer limited value without concurrent clinical indicators.
Veterinary Surgery
2
2025
Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs
2025-2-VS-karydas-3
In Sadowitz 2023 et al., on screw angle & speed, what clinical recommendation is supported to reduce TCF risk?
2023-8-VS-sadowitz-5
In McClean 2025 et al., on shoulder arthrocentesis techniques, which of the following best summarizes the accuracy comparison between SA and ST techniques?
🔍 Key Findings
- Study Type: Cadaveric study using 36 paired canine shoulders (n = 18 per group: Subacromial [SA] and Supratubercular [ST])
- Survey Results: 75% of clinicians preferred SA technique; 25% used ST
- Complete accuracy: 50% (SA), 44% (ST) — no significant difference (p = .8)
- Partial accuracy: 39% (SA), 50% (ST)
- Complete miss: 11% (SA), 5.6% (ST)
- Incidence of IACI:
- SA: 50% (9/18 shoulders)
- ST: 11% (2/18 shoulders) → statistically significant (p = .007)
- Lesion depth: All ST lesions were partial-thickness; SA group had one full-thickness lesion (p = .027)
- Location: Lesions found on glenoid and humeral head with even distribution in SA; only one each in ST
- Landmark-guided injections were ≤50% completely accurate, even by an experienced operator.
- ST technique is safer with lower risk of cartilage damage, despite similar accuracy.
- Findings support considering image-guided techniques to improve both safety and accuracy in clinical settings.
Veterinary Surgery
4
2025
Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs
2025-4-VS-mcclean-3
In Levine 2025 et al., on thoracoscopic pericardiectomy, which approach avoided the need for one-lung ventilation?
🔍 Key Findings
Study design: Randomized cadaveric comparison (n=20 dogs; ILR vs PDR)
Approaches:
- ILR = Intercostal in Left Lateral Recumbency (no OLV required)
- PDR = Paraxiphoid in Dorsal Recumbency (traditional)
Outcomes:
- Pericardiectomy time was shorter for ILR (p = .045)
- Pericardial fragment size was significantly larger in PDR group (p = .004; 23.21 cm² difference)
- Visibility and cardiac exposure were superior in PDR group
Feasibility:
- ILR approach was consistently successful in achieving partial pericardiectomy
- Bilateral ventilation was adequate; no need for OLV
Clinical relevance:
- ILR may improve efficiency when paired with TDL
- PDR remains preferable for cases requiring maximal pericardial resection
Veterinary Surgery
1
2025
Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection
2025-1-VS-levine-2
In Jeong 2025 et al., on contoured saw guide vs jig, what was a key outcome in terms of osteotomy *inclination* on cadaver limbs?
🔍 Key Findings
- TPLO with the contoured saw guide achieved more accurate osteotomy angles for both inclination and torsion in bone models and cadaveric limbs (p < .05).
- Medial cortical damage was significantly lower with the contoured guide (247 vs. 1866 pixels in bone models; p < .001).
- No significant difference in eccentricity (distance between actual and intended osteotomy center) was found between groups.
- Postoperative tibial plateau angle (TPA) was similar between groups (6.4° vs. 7.6°; p = .15), though both were slightly higher than the target of 6°.
- Deviation in medial mechanical proximal tibial angle (mMPTA) showed no significant group difference; valgus deformity occurred in both.
- Osteotomy and device application times were similar between the contoured guide and jig-assisted TPLO.
- The contoured guide eliminated the need for proximal jig pin, potentially reducing intra-articular pin risk.
- The guide's multiple pin fixation system improved stability and alignment, supporting safer osteotomy on curved tibial surfaces.
Veterinary Surgery
7
2025
Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs
2025-7-VS-jeong-1
In Thibault 2023 et al., on DPO for THR luxation, what angle of lateral opening (ALO) is associated with an increased risk of craniodorsal luxation in total hip replacements?
2023-8-VS-thibault-2
In Scott 2023 et al., on thoracoscopic-assisted lung lobectomy, what was the **minimum bodyweight** of dogs in which the procedure was successfully performed?
🔍 Key Findings
- TA lung lobectomy was feasible in dogs ≥3 kg, including those with lesions up to 10 cm.
- 12 intraoperative complications (40%) occurred, with 6 dogs (20%) converted to open thoracotomy, mainly due to adhesions or inability to isolate lobes.
- Postoperative complications occurred in 8 dogs (27%), most were mild (63%), and only 1 death (3%) was reported.
- Median hospitalization was 47 hours; 29/30 dogs were discharged successfully.
- One-lung ventilation (OLV) was attempted in 7 dogs but successfully maintained in only 4.
- Linear staplers had shorter surgery times (median 57.5 min) than endoscopic staplers (80 min).
- Histopathology confirmed neoplasia in 77% of cases, most commonly papillary and bronchioalveolar carcinoma.
- TA lobectomy allows MIS in smaller dogs or with large lesions, avoiding need for full thoracotomy or complex anesthesia/stapling.
Veterinary Surgery
1
2023
Complications and outcomes of thoracoscopic-assisted lung lobectomy in dogs
2023-1-VS-scott-4
In Giansetto 2022 et al., on preputial urethrostomy, what was the primary indication for performing the novel technique in all 4 dogs?
🔍 Key Findings
- Modified preputial urethrostomy without penile amputation was successfully performed in 4 male dogs with urethral stenosis or trauma.
- The technique involved anastomosis of the pelvic urethra to the preputial mucosa via caudal celiotomy, avoiding perineal urethrostomy complications.
- No cases of skin scalding or stoma stenosis were reported during short- and long-term follow-up.
- Two dogs developed mild urinary incontinence, particularly when excited; one improved with phenylpropanolamine.
- The approach preserved local anatomy, avoiding penile amputation, osteotomies, and preputial dissection.
- Postoperative urinary catheterization was used to protect the anastomosis, although optimal duration remains debated.
- Surgical access via the linea alba minimized tension at the anastomosis site and avoided complications from paramedian approaches.
- This technique may serve as a viable alternative to prepubic urethrostomy, reducing urine-related skin complications and improving cosmetic outcome.
Veterinary Surgery
8
2022
Preputial urethrostomy with preservation of the local anatomy in 4 dogs
2022-8-VS-giansetto-3
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
