Quiz Question

In Evers 2023 et al., on needle arthroscopy, what was a common limitation of needle arthroscopy compared to standard arthroscopy?

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Correct. Visibility scores were significantly lower for needle arthroscopy across all meniscal regions.
Incorrect. The correct answer is Poor visualization of meniscal horns.
Visibility scores were significantly lower for needle arthroscopy across all meniscal regions.

šŸ” Key Findings

  • Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for detecting medial meniscal tears using standard arthroscopy (SA) as the reference.
  • NA correctly identified meniscal status in 25/26 dogs, missing only one stable nondisplaced tear.
  • NA took less time than SA: 8 ± 3 min vs. 15 ± 9 min (P = .0041).
  • Visibility scores were significantly lower with NA than SA for all meniscal horns (medial and lateral) .
  • Probing difficulty was greater with NA, especially for the lateral meniscus (P = .0017).
  • NA caused no measurable morbidity: lameness scores were unchanged before and after the procedure (P = .25).
  • NA was possible in sedated dogs, though 10/26 required additional anesthesia due to delays.
  • NA missed 1 lateral tear, likely due to reduced access and lack of shaving compared to SA.

Evers

Veterinary Surgery

7

2023

Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

2023-7-VS-evers-2

Article Title: Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

Journal: Veterinary Surgery

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In Holman 2024 et al., on lateral arthroscopy of the canine shoulder, what percentage of the medial glenohumeral ligament’s cranial border was visible?

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Correct. 58% of the cranial arm of the medial glenohumeral ligament was within view during standard arthroscopy.
Incorrect. The correct answer is 58%.
58% of the cranial arm of the medial glenohumeral ligament was within view during standard arthroscopy.

šŸ” 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-3

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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In Young 2023 et al., on minimally invasive parathyroidectomy, what was the most common location of affected parathyroid glands identified on ultrasound?

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Correct. The right side was the most common location (46%) for abnormal parathyroid glands identified via ultrasound.
Incorrect. The correct answer is Right side.
The right side was the most common location (46%) for abnormal parathyroid glands identified via ultrasound.

šŸ” Key Findings

  • Short-term resolution of hypercalcemia occurred in 97.8% (44/45) of dogs.
  • Long-term cure rate was 93.3%, comparable to traditional bilateral neck exploration.
  • Postoperative hypocalcemia was observed in only 15.6%, which is lower than traditional approaches (36–63.8%).
  • Permanent hypocalcemia occurred in 4.4%, requiring lifelong calcitriol supplementation.
  • Minimally invasive approach had median surgical times of 26 min (unilateral) and 45.5 min (bilateral).
  • Most lesions were adenomas (54.8%), followed by hyperplasia (27.4%) and carcinomas (3.2%).
  • Ultrasound identified 98.4% (61/62) of abnormal glands, supporting it as the preferred imaging modality.
  • One death due to non-compliance with calcitriol, emphasizing importance of postoperative management.

Young

Veterinary Surgery

1

2023

Surgical description and outcome of ultrasound‐guided minimally invasive parathyroidectomy in 50 dogs with primary hyperparathyroidism

2023-1-VS-young-3

Article Title: Surgical description and outcome of ultrasound‐guided minimally invasive parathyroidectomy in 50 dogs with primary hyperparathyroidism

Journal: Veterinary Surgery

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In Vodnarek 2024 et al., on nasopharyngeal collapse grading, what ΔL value range defined **partial collapse**?

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Correct. Partial collapse was defined as a dynamic change ratio (ΔL) between 0.5 and less than 1.
Incorrect. The correct answer is Ī”L ≄ 0.5 and < 1.
Partial collapse was defined as a dynamic change ratio (ΔL) between 0.5 and less than 1.

šŸ” Key Findings

  • Study population: 36 brachycephalic dogs (20 French bulldogs, 16 pugs).
  • Objective: Compare intra- and interobserver reliability for fluoroscopic measurement of nasopharyngeal collapse using two methods:
    • Functional method
    • Anatomically adjusted method
  • Key measurements: Minimum (LMin), maximum (LMax) dorsoventral height, and dynamic change ratio (Ī”L).
  • Outcomes:
    • Intraobserver agreement for Ī”L was higher with the functional method (ICC 0.751 vs. 0.576).
    • Observer 1 (radiologist) showed excellent repeatability (>0.9 ICC).
    • Agreement for grading collapse was only moderate (Īŗ ~0.49–0.53), worse than Ī”L-based agreement.
    • Ī”L ≄ 0.5 to <1 = partial collapse; Ī”L = 1 = complete collapse.

Vodnarek

Veterinary Surgery

1

2024

Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

2024-1-VS-vodnarek-1

Article Title: Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

Journal: Veterinary Surgery

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In Peng 2025 et al., on grading reliability, … what was the main limitation of remote grading identified?

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Correct. Background distractions and poor audio quality compromised grading accuracy.
Incorrect. The correct answer is Background noise and poor recording quality.
Background distractions and poor audio quality compromised grading accuracy.

šŸ” Key Findings

  • Remote respiratory function grading (RFG) had poor to moderate reliability compared to in-person assessment.
  • Expert graders had higher agreement with in-person scores than novices (Cohen’s kappa 0.37–0.48 vs. 0.21–0.47).
  • Interobserver agreement was moderate among experts (Fleiss’ kappa = 0.59) and poor among novices (Fleiss’ kappa = 0.39).
  • Remote recordings suffered from background noise, short clip durations, and technical limitations of electronic stethoscope recordings.
  • Final RFG scores were based on the highest grade across categories (respiratory noise, inspiratory effort, dyspnea/cyanosis/syncope).
  • Clinical impact: Only in-person grading reliably supports decisions for surgical intervention or breeding restrictions.

Peng

Veterinary Surgery

3

2025

Comparison of remote and in-person respiratory function grading of brachycephalic dogs

2025-3-VS-peng1-3

Article Title: Comparison of remote and in-person respiratory function grading of brachycephalic dogs

Journal: Veterinary Surgery

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In Miyagi 2025 et al., on endoscopic laser sphincterotomy, what defined the transition between the intramural and extramural common bile duct (CBD)?

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Correct. This anatomic separation reliably marked the end of the ICBD and was used to prevent over-ablation.
Incorrect. The correct answer is Separation of the duodenal submucosa from CBD wall.
This anatomic separation reliably marked the end of the ICBD and was used to prevent over-ablation.

šŸ” Key Findings

  • Endoscopic-assisted retrograde catheterization (EARC) and laser sphincterotomy were successful in 18/18 cadavers, demonstrating technical feasibility.
  • Intramural common bile duct (ICBD) length ranged from 10 to 21 mm (mean 15.8 mm), with no correlation to body weight (r = 0.06, p = .79).
  • Transition from ICBD to extramural duct was accurately identified endoscopically in 88% (16/18); transition was heralded by separation of the submucosal layer.
  • Partial lateral perforations occurred in 2/18 dogs, only during early learning phase; no leakage was found on open dissection.
  • Laser sphincterotomy preserved the pancreatic duct orifice, aided by protective catheter positioning.
  • Compared to open duodenotomy, this technique allows for a smaller incision and less manipulation of the pancreas, which may reduce morbidity.
  • No adverse events such as intra-abdominal saline egress or full-thickness perforation occurred, and the technique allowed safe access up to 10 mm from the MDP.
  • Cadaveric limitations included absence of biliary pathology and inability to evaluate live complications, but the technique shows promise for future live animal trials.

Miyagi

Veterinary Surgery

5

2025

Endoscopic‐assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study

2025-5-VS-miyagi-1

Article Title: Endoscopic‐assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study

Journal: Veterinary Surgery

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In Raleigh 2022 et al., on pericardiectomy complications, what preoperative finding may serve as a warning sign for intraoperative VF?

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Correct. 7 of 16 dogs had arrhythmias (e.g., VPCs, VT, bradycardia) before VF occurred.
Incorrect. The correct answer is ECG-detected arrhythmias.
7 of 16 dogs had arrhythmias (e.g., VPCs, VT, bradycardia) before VF occurred.

šŸ” Key Findings

  • Ventricular fibrillation (VF) occurred in 3% of pericardiectomy cases across reporting institutions.
  • 14 of 16 dogs (88%) that developed intraoperative VF died, indicating high mortality.
  • Electrosurgical devices were used in 15/16 dogs; VF onset coincided with their use in 8 dogs, suggesting a potential but unproven association.
  • Preoperative arrhythmias were seen in 7 dogs (e.g., VPCs, VT, bradycardia), possibly serving as early warning signs.
  • Thoracoscopic approach was used in 75% of cases; however, conversion to open surgery was required in 9/13 thoracoscopic procedures after VF onset.
  • Defibrillation was attempted in 13 dogs, but only 3 converted to sinus rhythm, and only 2 survived postoperatively.
  • VF may result from stray current or cardiac manipulation; bipolar energy devices were implicated despite lower theoretical risk.
  • Preventative strategies include judicious electrosurgery use, close ECG monitoring, rapid CPR preparedness, and preop cardiac risk assessment.

Raleigh

Veterinary Surgery

4

2022

The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

2022-4-VS-raleigh-4

Article Title: The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

Journal: Veterinary Surgery

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In Mattioli 2025 et al., on lymphadenectomy complications, which lymph node sites were associated with a higher complication rate when surgery exceeded 21.5 minutes?

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Correct. Mandibular and retropharyngeal lymphadenectomies lasting more than 21.5 minutes were associated with higher complication rates.
Incorrect. The correct answer is Mandibular and retropharyngeal.
Mandibular and retropharyngeal lymphadenectomies lasting more than 21.5 minutes were associated with higher complication rates.

šŸ” Key Findings

Sample: 201 lymphadenectomies in 163 dogs.
Intraoperative techniques:

  • Unassisted: 36%
  • Methylene blue (MB): 24%
  • Gamma probe + MB (γ-MB): 40%

Complication rate: 7.5% overall (93% uncomplicated)

  • 80% were mild, 20% moderate; no severe complications
  • Most common = seroma (2.5%), lymphoedema (1.5%)

Risk factors (via decision tree model):

  • Surgical time > 21.5 min
  • Lymph node site = mandibular or retropharyngeal

No significant difference in complication rate based on:

  • Guidance technique (p = .255)
  • LN palpability, number removed, or LN size

Clinical implication: Peripheral SLN excision is safe regardless of intraoperative technique; certain sites and durations carry slightly higher risk.

Mattioli

Veterinary Surgery

4

2025

Peripheral sentinel lymphadenectomy in 163 dogs: Postoperative surgical complications and comparison between intraoperative dissection techniques

2025-4-VS-mattioli-3

Article Title: Peripheral sentinel lymphadenectomy in 163 dogs: Postoperative surgical complications and comparison between intraoperative dissection techniques

Journal: Veterinary Surgery

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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%.

šŸ” 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

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In Scheuermann 2023 et al., on MIPO with 3D-printed bone models, what was the main advantage of using the fracture reduction system (FRS) compared to intramedullary pin (IMP) reduction?

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Correct. FRS procedures required significantly fewer fluoroscopic images (median 7 vs. 26, *P = .001*).
Incorrect. The correct answer is Reduced intraoperative fluoroscopy use.
FRS procedures required significantly fewer fluoroscopic images (median 7 vs. 26, *P = .001*).

šŸ” Key Findings

  • Precontoured plates based on 3D-printed femurs produced accurate femoral alignment (median deviations <3 mm or <3° in all planes).
  • Both fracture reduction system (FRS) and intramedullary pin (IMP) methods achieved near-anatomic alignment in cadaveric femoral fractures.
  • FRS required fewer fluoroscopic images (median 7 vs. 26, P = .001), but longer surgical time (median 43 vs. 29 min, P = .011).
  • Sagittal plane alignment: FRS led to mild increased recurvatum (median 2.9°), but still within near-anatomic limits (<5°).
  • Axial alignment: Both groups achieved near-anatomic torsion (<10°), though one IMP case had acceptable (not near-anatomic) alignment.
  • Custom drill guides and FRS improved fluoroscopy efficiency but were cumbersome and time-consuming to use. Authors do not recommend current prototype for clinical use.
  • Clinical significance: 3D printed models allow accurate precontouring, reducing intra-op plate adjustment; custom guides may reduce radiation exposure for the surgical team.

Scheuermann

Veterinary Surgery

7

2023

Minimally invasive plate osteosynthesis of femoral fractures with 3D-printed bone models and custom surgical guides: A cadaveric study in dogs

2023-7-VS-scheuermann-1

Article Title: Minimally invasive plate osteosynthesis of femoral fractures with 3D-printed bone models and custom surgical guides: A cadaveric study in dogs

Journal: Veterinary Surgery

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Quiz Results

Topic: Imaging & Decision-Making
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