Your Custom Quiz

In Gollnick 2024 et al., on TCTF risk with Arthrex STS in TPLO, what was the TCTF rate for STS screws placed distal to the osteotomy?

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Correct. 14% of STS screws placed distal to the osteotomy exhibited radiographic signs of TCTF.
Incorrect. The correct answer is 14%.
14% of STS screws placed distal to the osteotomy exhibited radiographic signs of TCTF.

🔍 Key Findings

  • 42% of dogs (33/78) treated with Arthrex 3.5 mm STS during TPLO developed radiographic TCTF
  • TCTFs occurred exclusively distal to the osteotomy
  • 14% of screws (36/250) distal to the osteotomy were associated with TCTFs
  • 6% of dogs with TCTFs developed major complications (e.g., complete tibial fracture requiring surgical revision)
  • Angulation of cortical STS screws, especially in the distal plate holes, was a key contributor to complications
  • Locking screws were also involved, but cortical screws angled improperly were overrepresented in serious outcomes
  • Revision recommendations included preemptive fixation for large TCTFs or angulated screw placements
  • Use of non-self-tapping screws (NSTS) previously showed a <1% TCTF rate, supporting higher risk with STS

Gollnick

Veterinary Surgery

6

2024

Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

2024-6-VS-gollnick-4

Article Title: Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

Journal: Veterinary Surgery

In Smith 2025 et al., on ergonomic injury risk, which factor was most significantly associated with reporting a work-related musculoskeletal disorder (WRMD)?

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Correct. Women had 2.59 times greater odds of reporting WRMDs than men (p = .011).
Incorrect. The correct answer is Being female.
Women had 2.59 times greater odds of reporting WRMDs than men (p = .011).

🔍 Key Findings

140 laparoscopic surgeons surveyed; 37% reported at least one musculoskeletal disorder.
Women had significantly higher odds of reporting WRMD (OR = 2.59, p = .011).
Smaller glove size significantly associated with WRMD (p = .001), shoulder tendonitis (p = .01), and neck strain (p = .001).
Most common injuries: Neck strain (35%), shoulder tendonitis (31%).
WRMD was associated with greater difficulty using:

  • Rotating cup biopsy forceps (p < .001)
  • Vessel sealing device and endo stapler (especially in those with shoulder injuries)

No significant association with surgeon age, dominant hand, height, weight, or case volume.

Smith

Veterinary Surgery

2

2025

Variables associated with the prevalence of self-reported work-related musculoskeletal disorders in veterinary laparoscopic surgeons

2025-2-VS-smith-1

Article Title: Variables associated with the prevalence of self-reported work-related musculoskeletal disorders in veterinary laparoscopic surgeons

Journal: Veterinary Surgery

In Kennedy 2024 et al., what strategy was recommended to minimize iatrogenic cartilage injury (IACI)?

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Correct. Guarded cannulas and joint distractors were recommended to reduce IACI risk, especially for novices:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Use of guarded cannulas and distractors.
Guarded cannulas and joint distractors were recommended to reduce IACI risk, especially for novices:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • 20 shoulders from 11 medium-to-large breed dogs evaluated
  • Lateral portals used: middle arthroscopic, caudal instrument, cranial egress
  • Musculotendinous lesions unavoidable, but small (18G needle); seen in deltoideus (90%), infraspinatus, teres minor, etc.
  • Neurovascular safety:
    • Caudal portal was closest to axillary artery/nerve branches (as close as 7 mm)
    • Only 2/20 shoulders (10%) had omobrachial vein penetrated
  • Cartilage injuries (IACI) occurred in 65%, primarily minor linear defects; use of guarded cannulas and distractors suggested for minimization
  • Supports overall safety of lateral shoulder arthroscopy with portal placement awareness

Kennedy

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Evaluation of Canine Shoulder Arthroscopy for Anatomical and Safety Considerations

2024-4-VCOT-kennedy-5

Article Title: Evaluation of Canine Shoulder Arthroscopy for Anatomical and Safety Considerations

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Zann 2023 et al., on proximal humeral OC, what conclusion was drawn about the progression of osteoarthritis (OA)?

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Correct. OA was present in all cases, but owner-reported outcomes were generally positive.
Incorrect. The correct answer is OA progression was consistent but not clinically relevant in most cases.
OA was present in all cases, but owner-reported outcomes were generally positive.

🔍 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-5-f2454

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

Journal: Veterinary Surgery

In Woelfel 2022 et al., on cervical locked facets, which best describes the neurologic pattern often observed?

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Correct. Half the tetraparetic dogs had greater thoracic than pelvic limb deficits, consistent with central cord-like syndrome.
Incorrect. The correct answer is Thoracic limbs more affected than pelvic limbs.
Half the tetraparetic dogs had greater thoracic than pelvic limb deficits, consistent with central cord-like syndrome.

🔍 Key Findings

  • Locked facet injuries in dogs involved unilateral dorsal displacement of the cranial articular process of the caudal vertebra, most commonly at C5/6 or C6/7.
  • All affected dogs were small/toy breeds, typically following trauma (most often attacks by larger dogs).
  • Neurologic severity ranged from ambulatory tetraparesis to tetraplegia, often with thoracic limb deficits more severe than pelvic limbs — suggesting a central cord syndrome-like pattern.
  • CT and MRI revealed axial rotation, subluxation, and articular process displacement; MRI showed T2 hyperintensity, nerve root impingement, and soft tissue changes.
  • Surgical treatment included ventral fixation with screws, pins, and PMMA, and one case required dorsal facetectomy for reduction.
  • Medical management, including external coaptation or rest, also resulted in functional recovery in select cases.
  • All dogs with follow-up data (8/8) had functional recovery, with nonambulatory dogs regaining ambulation in a median of 4 weeks.
  • No consistent differences in outcome were observed between surgical and nonsurgical management, suggesting locked facets may be biomechanically stable.

Woelfel

Veterinary Surgery

1

2022

Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs

2022-1-VS-woelfel-4

Article Title: Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs

Journal: Veterinary Surgery

In Latifi 2024 et al., on fascial mapping in the canine hindlimb, which region consistently lacked a usable fascial plane for wide tumor excision?

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Correct. The femoral triangle had thin fascia, precluding reliable use as a fascial plane.
Incorrect. The correct answer is Femoral triangle.
The femoral triangle had thin fascia, precluding reliable use as a fascial plane.

🔍 Key Findings

  • This anatomical study mapped fascial planes of the canine hindlimb and pelvis to aid superficial tumor resection.
  • Type I fascia (discrete sheets) was suitable for deep margins in fascia lata, lateral crus, and gluteal regions.
  • Areas with poor or absent fascia included the ischiorectal fossa, femoral triangle, stifle extensor mechanism, and pes.
  • Type IV fascia associated with periosteum (e.g., patella, tibial tuberosity) required partial ostectomy for inclusion in surgical margins.
  • Nerves at risk during deep dissection included obturator, superficial peroneal, and tibial nerves, particularly in regions with weak fascia.
  • In males, bulbospongiosus muscle could act as a fascial plane but dissection was challenging and potentially hemorrhagic.
  • In females, constrictor vulvae/vestibulae muscles were tightly associated with mucosa, limiting clean resection options.
  • Distal hindlimb resections often lacked a usable fascial plane, suggesting that amputation or adjuvant therapy may be more appropriate.

Latifi

Veterinary Surgery

3

2024

Fascial plane mapping for superficial tumor resection in dogs: Part III – Hindlimb and pelvis

2024-3-VS-latifi-1

Article Title: Fascial plane mapping for superficial tumor resection in dogs: Part III – Hindlimb and pelvis

Journal: Veterinary Surgery

In Holman 2024 et al., on shoulder arthroscopy, what proportion of the biceps tendon was visible arthroscopically with the shoulder in flexion?

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Correct. Flexion increased visibility of the biceps tendon from 48% to 63% (p = 0.0003).
Incorrect. The correct answer is 63%.
Flexion increased visibility of the biceps tendon from 48% to 63% (p = 0.0003).

🔍 Key Findings

  • 48% of the intra-articular biceps tendon was visible at a standing angle; this increased to 63% in flexion (p = 0.0003).
  • 58% of the medial glenohumeral ligament's cranial border was within view.
  • 20% of the subscapularis tendon was visualized via the standard lateral arthroscopic approach.
  • Visibility was assessed using tattoo ink markers and confirmed via dissection in cadavers.
  • Limitations of standard lateral portals may lead to underdiagnosis of deeper or distal pathology in these structures.

Holman

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Quantification of the Field of View for Standard Lateral Arthroscopy of the Canine Shoulder

2024-1-VCOT-holman-1

Article Title: Quantification of the Field of View for Standard Lateral Arthroscopy of the Canine Shoulder

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Welsh 2023 et al., on TTAF fixation methods, what was the estimated quadriceps force at a walk used as a benchmark for load testing?

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Correct. 240 N was cited as the estimated quadriceps force during walking, used to benchmark construct strength.
Incorrect. The correct answer is 240 N.
240 N was cited as the estimated quadriceps force during walking, used to benchmark construct strength.

🔍 Key Findings

  • Two-pin fixation had significantly greater strength (639 N) than single-pin fixation (426 N) in TTAF models (p = .003).
  • Stiffness was also higher with two-pin constructs (72 N/mm vs 57 N/mm); statistically significant (p = .029).
  • Both fixation types withstood loads greater than quadriceps force in dogs at a walk (240 N), indicating clinical viability.
  • Failure was most commonly due to pin bending or pullout (82%), with fewer cases of ligament tearing or epiphyseal fracture.
  • K-wire insertion angle (KWIA) did not significantly differ between fixation types (p = .13).
  • Single larger pins delivered ~68% of the strength and ~83% of the stiffness of two smaller vertically aligned pins.
  • Clinical implication: Two vertically aligned pins are biomechanically superior for TTAF fixation in canine models.
  • Study used mature cadavers, which may underestimate loads and stiffness compared to immature clinical cases.

Welsh

Veterinary Surgery

5

2023

Biomechanical comparison of one pin versus two pin fixation in a canine tibial tuberosity avulsion fracture model

2023-5-VS-welsh-5

Article Title: Biomechanical comparison of one pin versus two pin fixation in a canine tibial tuberosity avulsion fracture model

Journal: Veterinary Surgery

In İnal 2025 et al., on supracutaneous locking plates, what was the median fracture healing time observed in cats and dogs?

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Correct. The median healing time was reported as 50.5 days (range: 27–88).
Incorrect. The correct answer is 50.5 days.
The median healing time was reported as 50.5 days (range: 27–88).

🔍 Key Findings

  • Supracutaneous locking plates (SLPs) were successfully used to manage 33 diaphyseal fractures (radial–ulnar and tibial) in 30 cats and dogs.
  • Median fracture healing time was 50.5 days (range: 27–88), with most patients regaining limb use within days postoperatively.
  • CT-based metrics (callus area, HU, and 3D bone volume) increased significantly during healing (p < 0.05), validating CT as a quantitative tool for assessing healing.
  • Complications were minimal: minor in 15/33 (e.g., screw tract discharge, edema), and major in 3/33 (e.g., implant failure, delayed union, nonunion).
  • Minimally invasive osteosynthesis required longer surgery times than closed reduction (p < 0.05), but both techniques were viable.
  • SLPs enabled successful bilateral fracture management without inter-plate interference due to their compact design.
  • Screw orientation challenges were noted in cats, especially with cranial application to the radius due to narrow anatomy.
  • Polyaxial locking screws were used safely and did not dislodge, allowing for angular insertion (≤10°) to avoid neurovascular structures.

İnal

Veterinary and Comparative Orthopaedics and Traumatology

5

2025

Minimally Invasive Radial–Ulnar and Tibial Fracture Management with Supracutaneous Locking Plates in Dogs and Cats

2025-5-VCOT-inal-1

Article Title: Minimally Invasive Radial–Ulnar and Tibial Fracture Management with Supracutaneous Locking Plates in Dogs and Cats

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Holman 2024 et al., on canine shoulder arthroscopy, what was the main method used to mark the limits of visualization?

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Correct. Tattoo ink was injected arthroscopically to mark the visual limits for later dissection.
Incorrect. The correct answer is Ink injection into soft tissue.
Tattoo ink was injected arthroscopically to mark the visual limits for later dissection.

🔍 Key Findings

  • 48% of the intra-articular biceps tendon was visible at a standing angle; this increased to 63% in flexion (p = 0.0003).
  • 58% of the medial glenohumeral ligament's cranial border was within view.
  • 20% of the subscapularis tendon was visualized via the standard lateral arthroscopic approach.
  • Visibility was assessed using tattoo ink markers and confirmed via dissection in cadavers.
  • Limitations of standard lateral portals may lead to underdiagnosis of deeper or distal pathology in these structures.

Holman

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Quantification of the Field of View for Standard Lateral Arthroscopy of the Canine Shoulder

2024-1-VCOT-holman-4

Article Title: Quantification of the Field of View for Standard Lateral Arthroscopy of the Canine Shoulder

Journal: Veterinary and Comparative Orthopedics and Traumatology

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