Your Custom Quiz

In Latifi 2022 et al., on forelimb fascial mapping, which of the following structures was typically associated with type IV fascia?

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Correct. Type IV fascia is defined as being periosteal, and was commonly observed at the scapular spine, olecranon, and accessory carpal bone.
Incorrect. The correct answer is Scapular spine.
Type IV fascia is defined as being periosteal, and was commonly observed at the scapular spine, olecranon, and accessory carpal bone.

🔍 Key Findings

  • Fascia was present over most of the canine forelimb, but key areas like the elbow, carpus, and manus lacked robust fascial planes for wide resection.
  • Type I fascia (discrete sheet) was primarily found in the antebrachium, with type IV (periosteal) fascia located at the olecranon, scapular spine, and accessory carpal bone.
  • Distal antebrachial fascia was thin and adherent, often blending with carpal structures and lacking reliable surgical planes.
  • Partial tenectomy or joint capsule resection was often required for wide excision in the distal limb, especially over the triceps tendon and carpus.
  • Nerve transections (e.g., superficial radial or ulnar branches) were commonly needed to maintain fascial margins, though often with minimal functional loss due to overlapping innervation.
  • Digital and metacarpal pads lacked clear deep fascial borders, making digit amputation necessary for oncologic margins in distal tumors.
  • Dissections revealed fascial junctions as either Type A (easily separable) or Type B (risk of disruption), guiding resection plane selection.
  • Findings provide a surgical map to guide preoperative planning for superficial tumor excision on the forelimb.

Latifi

Veterinary Surgery

1

2022

Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

2022-1-VS-latifi-2

Article Title: Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

Journal: Veterinary Surgery

In Zann 2023 et al., on proximal humeral OC surgery, what was the average owner-reported LOAD score indicating?

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Correct. The median LOAD score was 6, which falls into the mild category despite measurable orthopedic and imaging abnormalities.
Incorrect. The correct answer is Mild disability with good perceived function.
The median LOAD score was 6, which falls into the mild category despite measurable orthopedic and imaging abnormalities.

🔍 Key Findings

  • All dogs developed progressive osteoarthritis (OA) after surgical debridement of proximal humeral OC.
  • Ipsilateral muscle atrophy and reduced shoulder range of motion were common, particularly in unilaterally affected dogs.
  • Arthroscopically, lesions showed incomplete cartilage infilling even years after surgery, averaging only ~37% infilling.
  • Synovitis was present in all joints, with moderate-to-severe hypertrophy and vascularity scores.
  • CT identified OC lesions as deeper and wider than radiography, and all affected joints had more advanced OA than contralateral limbs (P = .001 radiograph, P = .005 CT).
  • Kinetic gait analysis showed no significant differences in peak vertical force or impulse, but a subtle 4.4% asymmetric load reduction on the operated limb.
  • Median LOAD score was 6, indicating mild owner-perceived disability despite measurable clinical and imaging abnormalities.
  • Cartilage infilling was incomplete in all cases, with no lesion exceeding 60% restoration, raising questions about the healing potential of debridement alone.

Zann

Veterinary Surgery

6

2023

Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

2023-6-VS-zann-2

Article Title: Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

Journal: Veterinary Surgery

In Smith 2024 et al., on ergonomics and preferences in veterinary laparoscopy, which laparoscopic instrument was reported as the most difficult to use overall?

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Correct. This instrument had a median difficulty score of 4/10 and a 25% difficulty rate.
Incorrect. The correct answer is Endoscopic stapler.
This instrument had a median difficulty score of 4/10 and a 25% difficulty rate.

🔍 Key Findings

  • Surgeons with smaller glove sizes experienced more difficulty using laparoscopic instruments, especially endoscopic staplers, cup biopsy forceps, and vessel sealing devices.
  • Endoscopic stapler was rated the most difficult instrument, with a median difficulty score of 4/10 and 25% usage difficulty.
  • Female surgeons reported significantly more difficulty with several instruments due to smaller glove size.
  • Reusable instruments were preferred over disposable ones for all tasks.
  • Pistol grips were preferred for grasping/retracting and fine dissection, while axial grips were preferred for suturing/knot tying.
  • Articulating handles were consistently associated with increased reported difficulty, especially with scissors and cup biopsy forceps.
  • Left-handed surgeons had more difficulty operating endoscopic staplers, suggesting limited design inclusivity.
  • Surgeons in academic settings reported more difficulty with laparoscopic maneuvers than those in private practice.

Smith

Veterinary Surgery

3

2024

Variables affecting surgeons’ use of, and preferences for, instrumentation in veterinary laparoscopy

2024-3-VS-smith-1

Article Title: Variables affecting surgeons’ use of, and preferences for, instrumentation in veterinary laparoscopy

Journal: Veterinary Surgery

In Filho 2024 et al., what was the effect of hindlimb amputation level on contralateral limb load distribution?

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Correct. Hindlimb high amputation caused significantly more overload on the contralateral hindlimb (p = 0.01):contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is Higher in high amputation.
Hindlimb high amputation caused significantly more overload on the contralateral hindlimb (p = 0.01):contentReference[oaicite:0]{index=0}

🔍 Key Findings Summary

  • 39 dogs (mostly post-trauma) with either forelimb or hindlimb amputations (high vs low)
  • No significant difference in %BW distribution between high vs low forelimb amputations
  • In hindlimb amputees:
    • High amputations → more overload on contralateral hindlimb (p = 0.01)
    • Low amputations → more even load split, slight preference for contralateral hindlimb and ipsilateral forelimb
  • Values derived from pressure-sensitive walkway confirmed with statistical significance
  • Useful implications for prosthesis selection and rehabilitation planning

Filho

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Gait Analysis of Amputee Dogs Using a Pressure-Sensitive Walkway

2024-4-VCOT-filho-1

Article Title: Gait Analysis of Amputee Dogs Using a Pressure-Sensitive Walkway

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Dalton 2023 et al., In Minimally invasive acetabular fracture repair in dogs, which intraoperative complication was observed in cadaveric specimens?

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Correct. One cadaver had mild sciatic nerve indentation; others had no gross nerve injury.
Incorrect. The correct answer is Sciatic nerve indentation.
One cadaver had mild sciatic nerve indentation; others had no gross nerve injury.

🔍 Key Findings

  • Feasibility study in 5 canine cadavers plus 1 clinical case (Chihuahua, 5.5 kg).
  • Technique used two small approaches (caudal and craniolateral) connected with an epiperiosteal tunnel.
  • Plates were precontoured on mirrored 3D-printed hemipelves to improve fit and reduce intraoperative bending.
  • Cadaver outcomes: fracture gap <2 mm, step defect <1 mm, pelvic angulation <5°.
  • Sciatic nerve injury was minimal: 1/5 cadavers had a mild indentation; others had no gross injury.
  • Median total surgical time: ~46 minutes in cadavers; incisions ~5 cm.
  • Clinical Chihuahua case: weight-bearing within 24 hrs, radiographic union at 3 months; one screw fractured but no adverse effect.
  • Authors conclude: MIAF with 3D printing is feasible and accurate, but requires further evaluation before routine use.

Dalton

Veterinary Surgery

7

2023

Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

2023-7-VS-dalton-3

Article Title: Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

Journal: Veterinary Surgery

In Peterson 2022 et al., on crescent guide in TPLO, what is a noted **limitation** of the crescent guide compared to a standard TPLO jig?

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Correct. Unlike a TPLO jig, the crescent guide does not provide fragment stability or assist with plateau rotation.
Incorrect. The correct answer is It does not aid in fragment stabilization or rotation.
Unlike a TPLO jig, the crescent guide does not provide fragment stability or assist with plateau rotation.

🔍 Key Findings

  • Crescent guide use resulted in significantly less medial cortical damage (mean 3.8 mm²) than the radial saw guide (35.7 mm²) and standard jig (51.3 mm²) in bone models.
  • No significant difference in osteotomy accuracy (distance of eccentricity, coronal or axial angulation) among crescent guide, radial guide, or standard jig in either bone models or cadavers.
  • Device application time was shortest with the crescent guide and longest for the radial saw guide.
  • Osteotomy time was fastest with the crescent guide compared to the radial saw guide (P = .015).
  • Participants rated the crescent guide easier to apply than both the radial saw guide (P < .005) and the standard jig (P = .015).
  • 5 of 6 novice participants preferred the crescent guide over the other devices for performing TPLO.
  • Subjective ease of osteotomy performance was higher with the crescent guide vs. radial guide (P < .001).
  • Crescent guide does not assist in fragment stabilization or plateau rotation unlike a standard TPLO jig.

Peterson

Veterinary Surgery

3

2022

Evaluation of a crescent saw guide for tibial plateau‐leveling osteotomy: An ex vivo study

2022-3-VS-peterson-5

Article Title: Evaluation of a crescent saw guide for tibial plateau‐leveling osteotomy: An ex vivo study

Journal: Veterinary Surgery

In Veytsman 2023 et al., on feline insulinoma outcomes, which of the following was NOT a negative prognostic factor?

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Correct. Method of surgical excision was not associated with outcome.
Incorrect. The correct answer is Method of surgical resection.
Method of surgical excision was not associated with outcome.

🔍 Key Findings

  • Surgical excision of insulinomas resulted in euglycemia or hyperglycemia in 90% of cats immediately post-op.
  • 18/20 cats (90%) survived to hospital discharge, with a median survival time of 863 days.
  • Younger age, metastasis at surgery, tumor invasion, and lower glucose levels were negative prognostic factors.
  • Two cats had stage III disease with metastasis; one lived 413 days post-op, suggesting some benefit to surgery even in advanced disease.
  • Postoperative hypoglycemia and seizure activity were associated with poorer outcomes; one cat euthanized due to seizures despite euglycemia.
  • Median disease-free interval (DFI) was 1052 days; for cats with metastasis, DFI dropped to 93 days.
  • Partial pancreatectomy was performed in 11 cats, nodulectomy in 10, and enucleation in 1; method of resection not linked to outcome.
  • Postoperative complications occurred in 25% of cats; most were manageable with supportive care.

Veytsman

Veterinary Surgery

1

2023

Retrospective study of 20 cats surgically treated for insulinoma

2023-1-VS-veytsman-2

Article Title: Retrospective study of 20 cats surgically treated for insulinoma

Journal: Veterinary Surgery

In Bush 2023 et al., on canine salivary gland carcinoma, which complication was most commonly associated with parotid gland excision?

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Correct. Facial nerve injury was exclusive to parotid sialoadenectomy cases in the study.
Incorrect. The correct answer is Facial nerve injury.
Facial nerve injury was exclusive to parotid sialoadenectomy cases in the study.

🔍 Key Findings

Source: Bush et al., 2023, Veterinary Surgery

  • Median survival time (MST) after surgery was 1886 days, which is significantly longer than previously reported.
  • Lymph node metastasis at surgery was a negative prognostic factor, reducing MST to 248 days (vs. 2340 days without nodal involvement).
  • Local recurrence occurred in 42% of dogs, with a median disease-free interval (DFI) of 191 days.
  • Metastatic disease occurred in 32% of dogs, most commonly to the lungs, with a median DFI of 299 days.
  • Histologic features (e.g., margin status, capsular, lymphatic, or vascular invasion) were not significantly correlated with recurrence or metastasis.
  • Facial nerve injury occurred in 9.7% perioperatively, especially after parotidectomy; intraoperative facial nerve transection led to long-term deficits.
  • Adjuvant therapies (chemotherapy, radiation, NSAIDs) did not significantly affect survival time.
  • Incisional biopsy was only 38% concordant with final excisional histology, suggesting limited reliability for definitive diagnosis.

Bush

Veterinary Surgery

3

2023

Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

2023-3-VS-bush-4

Article Title: Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

Journal: Veterinary Surgery

In Nash 2024 et al., on proximal GER, what was the upper reference limit for cumulative proximal esophageal acid exposure?

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Correct. No proximal acid exposure was expected in healthy dogs, setting the upper reference limit at 0%.
Incorrect. The correct answer is 0%.
No proximal acid exposure was expected in healthy dogs, setting the upper reference limit at 0%.

🔍 Key Findings Summary

  • Population: 35 nonbrachycephalic dogs undergoing orthopedic procedures (TPLO)
  • Study design: Prospective observational using transnasal Digitrapper dual-sensor pH probe after short TIVA
  • Upper reference limits:
    • Distal GER events per hour: 2.4
    • Proximal GER events per hour: 0.4
    • Cumulative distal acid exposure: 2.3%
    • Cumulative proximal acid exposure: 0%
  • Median values (normal):
    • Distal GER events per hour: 0.3
    • Proximal GER events per hour: 0
  • Proximal GER observed in 12/31 dogs
  • No regurgitation observed in any dog
  • No major adverse events with probe use
  • Clinical implication: These parameters provide a reference for assessing excessive GER in future canine surgical cases

Nash

Veterinary Surgery

1

2024

Esophageal pH‐monitoring in nonbrachycephalic dogs; a reference

2024-1-VS-nash-5

Article Title: Esophageal pH‐monitoring in nonbrachycephalic dogs; a reference

Journal: Veterinary Surgery

In Cortez 2024 et al., on feline ectopic ureters, what was the most common postoperative complication following surgical correction of ectopic ureters?

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Correct. Although most cats improved, transient urinary incontinence was the most frequent complication noted.
Incorrect. The correct answer is Urinary incontinence.
Although most cats improved, transient urinary incontinence was the most frequent complication noted.

🔍 Key Findings

  • Ectopic ureters in cats are rare, but most are extramural and bilateral.
  • Surgical techniques used included ureteroneocystostomy (UNC), neoureterostomy (NU), nephroureterectomy, and cystoscopic laser ablation (CLA).
  • All cats showed improvement in urinary continence postoperatively, with 11/12 achieving complete resolution.
  • Major complications were rare; one cat developed uroabdomen requiring revision surgery.
  • Diagnostic imaging was effective, with abdominal ultrasound diagnosing 8/10 and CT 3/3 cases.
  • Short- and long-term complications included urethral spasms, UTIs, stranguria, and rectal prolapse; all were manageable.
  • CLA was successful in 2 cats and is noted as a first-time described technique in feline ectopic ureter cases.
  • Median postoperative follow-up was 340 days, supporting good long-term outcomes.

Cortez

Veterinary Surgery

6

2024

Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters

2024-6-VS-cortez-4

Article Title: Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters

Journal: Veterinary Surgery

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