Your Custom Quiz

In Schuenemann 2025 et al., on biceps tenodesis, what was a key CT finding during follow-up?

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Correct. CT follow-up showed progressive bone fill at the anchor site with no signs of lysis or failure.
Incorrect. The correct answer is Drill hole filled with new bone.
CT follow-up showed progressive bone fill at the anchor site with no signs of lysis or failure.

🔍 Key Findings

  • Case series of 6 shoulders in 5 working/sporting dogs. Conditions treated: 3 partial biceps ruptures, 3 luxations with fraying.
  • All treated with biceps tenodesis using a bioabsorbable anchor (Weldix 2.3 mm).
  • All dogs returned to function (some to high-level sports); lameness resolved within 1–5 weeks.
  • No implant-related complications with anchor-only cases. One dog had seroma and later infection but recovered.
  • Tendon clamp (used in 2 cases) caused irritation in one dog → resolved after removal.
  • CT follow-up confirmed integrity; drill holes filled with bone.
  • Median LOAD score: 12; higher in older dogs or with concurrent conditions.
  • Authors suggest tenodesis offers more stability and faster return to function than tenotomy in working dogs.
  • Larger, controlled studies are recommended.

Schuenemann

Veterinary Surgery

4

2025

Biceps tenodesis with a bioabsorbable bone anchor using BoneWelding technology: Results in six clinical cases (5 dogs)

2025-4-VS-schuenemann-4

Article Title: Biceps tenodesis with a bioabsorbable bone anchor using BoneWelding technology: Results in six clinical cases (5 dogs)

Journal: Veterinary Surgery

In Nagahiro 2023 et al., on quadriceps-femoral mismatch, which variables were significantly associated with a decreased QML/FL in the final regression model?

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Correct. Multivariate regression revealed QML/FL decreased with increased femoral torsion angle (FTA) and aLDFA, but increased with age.
Incorrect. The correct answer is Age, FTA, aLDFA.
Multivariate regression revealed QML/FL decreased with increased femoral torsion angle (FTA) and aLDFA, but increased with age.

🔍 Key Findings

  • Quadriceps muscle length/femoral length ratio (QML/FL) was significantly lower in dogs with grade IV MPL than grades I–III (p ≤ .002).
  • Shortened QML was associated with increased femoral torsion angle (FTA) and increased aLDFA, indicating correlation with femoral deformity.
  • QML/FL increased with age, possibly due to muscular development or reduced deformity in older dogs (p = .004).
  • Grade IV MPL dogs had QML/FL < 0.87, the lower normal limit based on healthy beagles, suggesting clinically significant muscle shortening.
  • PLL/PL ratio (used to diagnose patella alta) was not associated with QML/FL or MPL severity in small breeds.
  • QML/FL can help preoperatively identify candidates for femoral shortening ostectomy, improving femoropatellar alignment.
  • Multivariate regression model confirmed QML/FL is independently influenced by age, FTA, and aLDFA (R² = 0.45).
  • CT-based 3D measurements enabled objective, noninvasive quantification of femoral and muscle alignment parameters.

Nagahiro

Veterinary Surgery

4

2023

Evaluation of the quadriceps muscle length to femoral length ratio in small breed dogs with medial patellar luxation

2023-4-VS-nagahiro-3

Article Title: Evaluation of the quadriceps muscle length to femoral length ratio in small breed dogs with medial patellar luxation

Journal: Veterinary Surgery

In Townsend 2024 et al., on 3D osteotomy accuracy, which of the following planes showed significant improvement with PSG in both simple and complex cuts?

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Correct. Frontal plane improved in both simple and complex cuts; sagittal improved in complex cuts (Group 3).
Incorrect. The correct answer is Frontal and sagittal.
Frontal plane improved in both simple and complex cuts; sagittal improved in complex cuts (Group 3).

🔍 Key Findings:

  • Design: Ex vivo study with 24 paired limbs from normal beagle dogs.
  • Osteotomy types (3 groups):
    1. 30° uniplanar frontal wedge
    2. Oblique (30° frontal, 15° sagittal)
    3. Single oblique (30° frontal, 15° sagittal, 30° external rotation)
  • Comparison: 3D PSG vs Freehand (FH)
  • Main Outcomes:
    • PSG accuracy: Mean angular deviation = 2.8° vs 6.4° in FH (p < .001).
    • 84% of PSG osteotomies were within 5° of target vs 50% of FH.
  • Significant improvements with PSG in:
    • Group 1 (uniplanar frontal) proximal and distal frontal planes (p < .001, .006)
    • Group 3 (SOO) frontal and sagittal planes (p = .002, .043)
  • Time: PSG faster in complex SOO group (84s vs 162s, p < .001); no difference in others.
  • No difference in osteotomy location (mm) between methods.
  • Clinical relevance: PSG more consistent and accurate, especially for complex cuts.

Townsend

Veterinary Surgery

2

2024

Comparison of three-dimensional printed patient-specific guides versus freehand approach for radial osteotomies in normal dogs: Ex vivo model

2024-2-VS-townsend-4

Article Title: Comparison of three-dimensional printed patient-specific guides versus freehand approach for radial osteotomies in normal dogs: Ex vivo model

Journal: Veterinary Surgery

In Lotsikas 2025 et al., on stifle distraction portal, what was the mean time required to place the thrust lever using the proximal lateral portal?

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Correct. Mean placement time for the lever was 37.25 seconds (range 17–122 s).
Incorrect. The correct answer is 37 seconds.
Mean placement time for the lever was 37.25 seconds (range 17–122 s).

🔍 Key Findings

Study type: Cadaveric stifle arthroscopy in large breed dogs (n=12 joints from 6 dogs)
Goal: Describe and assess the proximal lateral portal for insertion of a Ventura stifle thrust lever (VSTL)
Main results:

  • No damage to the long digital extensor tendon (LDE) with this portal
  • VSTL could be placed without removing the arthroscope
  • Portal creation time ~37 seconds (faster than previously reported)

Cartilage impact:

  • Superficial iatrogenic articular cartilage injury (IACI) present in all specimens
  • No difference in IACI between 5- and 10-minute lever durations
  • Zone 4 (lateral femoral condyle) had significantly more damage than zones 1–3 (p < .05)

Conclusion: Portal was safe, repeatable, minimally invasive, and did not increase cartilage damage with up to 10-minute lever use

Lotsikas

Veterinary Surgery

3

2025

Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study

2025-3-VS-lotsikas-3

Article Title: Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study

Journal: Veterinary Surgery

In Marshall 2022 et al., what **effect did bone grafting** have on delayed or non-union outcomes?

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Correct. Bone graft use was associated with a 3.32× increase in risk, likely reflecting selection bias.
Incorrect. The correct answer is Increased odds (OR 3.32) of delayed or non-union.
Bone graft use was associated with a 3.32× increase in risk, likely reflecting selection bias.

🔍 Key Findings

  • Delayed union occurred in 13.9% of fractures; non-union in 4.6%; mal-union in 0.7%
  • Major implant failure increased odds of delayed or non-union by 12.9×
  • Surgical site infection increased risk 3.2×; bone grafting (any type) was also associated (OR 3.3)
  • Comminuted fractures had 4.2× greater odds of delayed or non-union
  • Older age increased risk, with odds increasing by 21% per year
  • Radius and ulna fractures in toy breeds were not high risk, contrary to historical belief
  • Most non-unions required revision surgery with rhBMP-2 or autograft to achieve union
  • Ilium fractures showed 0% delayed/non-union — possibly due to robust muscle envelope

Marshall

Veterinary Surgery

7

2022

Delayed union, non-union and mal-union in 442 dogs

2022-7-VS-marshall-4

Article Title: Delayed union, non-union and mal-union in 442 dogs

Journal: Veterinary Surgery

In Aly 2024 et al., on simulator training for feline OHE, what was the average surgical time difference between simulator-trained and non-trained students?

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Correct. Simulator-trained students completed surgery 6 minutes faster on average (p = .04).
Incorrect. The correct answer is 6 minutes.
Simulator-trained students completed surgery 6 minutes faster on average (p = .04).

🔍 Key Findings

  • This study evaluated whether high-fidelity surgical simulator training improved live animal and student outcomes in a feline OHE teaching lab involving 186 cats and 146 students.
  • Simulator training significantly improved surgical performance and outcomes:
    • Live surgery was 6 minutes shorter on average in the SIM group vs. NO-SIM (115 ± 21 min vs. 121 ± 16 min, p = .04).
    • Pain scores ≥5/20 occurred in 1% of SIM group cats vs. 15% of NO-SIM group cats (p < .01).
    • Rescue analgesia was needed less frequently in the SIM group (5% vs. 15%, p = .03).
    • Student confidence was significantly higher in the SIM group (median 7/10 vs. 6/10, p < .01).
  • The simulator used a realistic abdominal model with friable tissues and required performance of a full OHE procedure.
  • The study design was nonrandomized, grouped by class year, with limitations including lack of blinding during pain assessment in year two.
  • Authors concluded that pre-lab simulator competency improves both animal welfare and student confidence, recommending it as a prerequisite for live surgical training.

Aly

Veterinary Surgery

6

2024

Effect of surgical simulator training on student and live animal outcomes in a feline ovariohysterectomy teaching laboratory

2024-6-VS-aly-1

Article Title: Effect of surgical simulator training on student and live animal outcomes in a feline ovariohysterectomy teaching laboratory

Journal: Veterinary Surgery

In Schroeder 2022 et al., on fascial anatomy mapping, which fascial type is associated with periosteum and bony structures?

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Correct. Type IV fascia is associated with the periosteum and requires careful subperiosteal elevation or bone resection for clear margins.
Incorrect. The correct answer is D. Type IV.
Type IV fascia is associated with the periosteum and requires careful subperiosteal elevation or bone resection for clear margins.

🔍 Key Findings

  • Fascial planes in dogs were consistently classifiable into four surgical types:
  • Type I (discrete sheets), Type II (tightly adhered to thin muscle), Type III (tightly adhered to thick muscle), and Type IV (periosteum-associated).
  • Two junction types were identified: Type A (easily elevated) and Type B (higher risk of disruption).
  • Disruption-prone areas include the scapular spine (type IV fascia) and lateral thorax near the 13th rib, where rib resection may be needed to preserve margins.
  • The latissimus dorsi transition zones and fascial areas near the thoracic inlet and scapulohumeral joint were prone to fascial thinning or disruption.
  • Partial muscle resections or periosteal elevations may be required in areas with fragile fascia to maintain oncologic margins.
  • Dorsal spinous processes (T6–L6) showed type IV fascia; however, osteotomy may be needed in some dogs for clear margins.
  • Blended fascial transitions (e.g., rectus abdominis: type II cranially, type I caudally) necessitate intraoperative judgment on resection depth.
  • Cutaneous trunci may suffice as a deep margin for small, low-grade tumors in well-muscled dogs, but not reliably for high-grade or larger masses.

Schroeder

Veterinary Surgery

1

2022

Fascial plane mapping for superficial tumor resection in dogs. Part I: Neck and trunk

2022-1-VS-schroeder-5

Article Title: Fascial plane mapping for superficial tumor resection in dogs. Part I: Neck and trunk

Journal: Veterinary Surgery

In Dobberstein 2022 et al., on NSAID ulcer repair, what was a common factor among most dogs that developed gastrointestinal perforations?

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Correct. 9 of 11 dogs had NSAID misuse, such as overdose, prolonged use, or concurrent steroid administration.
Incorrect. The correct answer is Concurrent corticosteroid or NSAID overdose.
9 of 11 dogs had NSAID misuse, such as overdose, prolonged use, or concurrent steroid administration.

🔍 Key Findings

  • Primary repair of NSAID-associated full-thickness gastroduodenal ulcers was successful in 73% (8/11) of cases.
  • NSAID overdose, concurrent corticosteroid use, or extended duration were identified in 9/11 dogs and were major contributors to ulceration.
  • All perforations were in the pylorus or proximal duodenum, locations suitable for primary closure.
  • No significant association between ulcer size or location and postoperative survival.
  • Preoperative hyperlactatemia trended toward increased mortality (P = .0544; OR 2.045).
  • Postoperative vasopressor use was linked with a 9-fold increased risk of mortality (P = .0545).
  • Dehiscence was rare, suspected in only 1 of 11 cases, indicating that primary repair is structurally sound in selected cases.
  • Median follow-up of 444 days showed long-term survival was achievable post-primary repair.

Dobberstein

Veterinary Surgery

7

2022

Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs

2022-7-VS-dobberstein-2

Article Title: Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs

Journal: Veterinary Surgery

In Lemmon 2025 et al., on synovitis severity scoring, what variable was most strongly associated with increased cartilage damage?

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Correct. Higher synovitis scores were significantly associated with worse cartilage grades (OR = 2.1, p = .042).
Incorrect. The correct answer is Synovitis severity score.
Higher synovitis scores were significantly associated with worse cartilage grades (OR = 2.1, p = .042).

🔍 Key Findings

Synovitis was present in 100% of canine stifles with CCL disease (n = 163).

The most frequent severity score was 3/5 (55.2%), followed by 4/5 (24.5%).

Higher synovitis scores were significantly associated with:

  • Higher median cartilage scores (p = .042, OR = 2.1 per unit increase)
  • Longer duration of clinical signs (p < .001, OR = 1.27 per month)

Bodyweight (p = .083) and sex (p = .17) were not statistically significant in multivariable analysis.

Bucket handle meniscal tears were not associated with synovitis severity.

Clinical implication: Earlier intervention may help reduce synovitis and slow OA progression.

Lemmon

Veterinary Surgery

3

2025

Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease

2025-3-VS-lemmon-2

Article Title: Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease

Journal: Veterinary Surgery

In Whyte 2025 et al., on cannulated screw fixation, which breeds made up the majority of dogs in the study population?

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Correct. Spaniels, particularly English Springer Spaniels, were the most common breed in the study cohort.
Incorrect. The correct answer is Spaniels.
Spaniels, particularly English Springer Spaniels, were the most common breed in the study cohort.

🔍 Key Findings

Study focus: Outcomes of cannulated screw fixation in unicondylar humeral condylar fractures (UHCF) in dogs.
Clinical union rate: 89%
Overall complication rate: 36%

  • Major complication: Most common was screw breakage

Significant risk factor for screw breakage:

  • Body weight >20 kg (statistically significant)

Breed distribution:

  • Spaniels, especially English Springer Spaniels, were most common

No mention of plate augmentation as standard in this cohort

Whyte

Veterinary Surgery

2

2025

Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs

2025-2-VS-whyte-5

Article Title: Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs

Journal: Veterinary Surgery

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