
Quiz Question
In Griffin 2025 et al., on SLN mapping with ICG, how was indocyanine green administered?
š Key Findings
- Case: 9-year-old Labrador with a right caudal pulmonary adenocarcinoma.
- Technique: Peritumoral injection of indocyanine green (ICG) under VATS guidance, followed by near-infrared (NIR) imaging.
- SLN identified: Right tracheobronchial lymph node fluoresced and was safely extirpated.
- Histology: Grade 1 adenocarcinoma, pneumonia, reactive node.
- Outcome: Patient deteriorated and died on postoperative day 3 due to systemic complications (not linked to surgical technique).
- Clinical relevance: First clinical application of SLN mapping for canine pulmonary neoplasia; method feasible with open or minimally invasive approaches.
Veterinary Surgery
1
2025
Intraoperative sentinel lymph node mapping with indocyanine green via videoāassisted thoracoscopic surgery for primary pulmonary neoplasia in a dog
2025-1-VS-griffin-2
In Holman 2024 et al., on lateral arthroscopy of the canine shoulder, what percentage of the medial glenohumeral ligamentās cranial border was visible?
š 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.
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
In Evers 2023 et al., on needle arthroscopy, what was the reported sensitivity for detecting medial meniscal tears?
š 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.
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-1
In Radke 2022 et al., on outcome measure validation, which of the following OROMs demonstrated the **most rigorous development process** according to COSMIN criteria?
š Key Findings
- CBPI, COI, and LOAD are recommended for assessing canine osteoarthritis based on COSMIN criteria.
- COI scored highest in development rigor and evidence quality among evaluated OROMs.
- Internal consistency, reliability, and responsiveness were commonly validated, though no OROMs reported measurement error.
- LOAD was considered formative, and internal consistency assessment was deemed unnecessary.
- CBPI and COI showed sufficient internal consistency, but CBPIās factor structure was inconsistent across studies.
- All 6 evaluated OROMs (CBPI, COI, LOAD, BHSII, HCPI, HVAS) were quick to complete (under 5 min).
- Three toolsāBHSII, HCPI, HVASāneed more evidence before recommendation; only CBPI, COI, and LOAD are Category A (recommended).
- Future studies should assess interpretability, including measurement error and clinically meaningful change scores (MIC, SDC).
Veterinary Surgery
2
2022
Evidenceābased evaluation of ownerāreported outcome measures for canine orthopedic care ā a COSMIN evaluation of 6 instruments
2022-2-VS-radke-1
In Moreira 2024 et al., what was a key methodological tool used for simulation of all osteotomy types?
2024-1-VS-moreira-5
In Philips 2025 et al., on radiographic IAIP detection, which implant direction was more likely to be misclassified as penetrating the joint?
š Key Findings
Overall accuracy of radiography to detect IAIP: 77.9%
Sensitivity: 97.2%
Specificity: 67.6%
False positive rate: 32.4% of non-penetrating implants were misclassified as penetrating
Implants directed toward the lateral tibial condyle had higher misclassification (23.8%) than medial (8.3%)
Most accurate detection: Implants placed 2 mm into the joint (97.2% correct classification)
Least agreement: For implants placed at 0 mm (subchondral level), especially lateral (AC1 = 0.48)
No palpable abnormalities (e.g., crepitus) observed during ROM for any group
No significant difference in detection by specialty field or reviewer qualification
Suggests radiographic misclassification risk and supports considering CT/fluoroscopy in equivocal cases
Veterinary Surgery
3
2025
Detection of intraāarticular implant penetration of the canine stifle with radiography: A cadaveric study
2025-3-VS-philips-4
In Isono 2025 et al., on tibial malalignment in MPL, what clinical advantage does PTMTA provide over TTA in preoperative assessment?
š Key Findings
- Proximal Tibia Metatarsal Angle (PTMTA) was significantly increased in dogs with grade 3 and 4 MPL, making it a useful marker for severity.
- PTMTA strongly correlated with Tibial Torsion Angle (TTA) (r = 0.733) and Crural Rotation Angle (CRA) (r = 0.643), integrating multiple morphological deformities.
- Grade 4 MPL cases showed significant internal tibial torsion, increased mMPTA, and decreased MDTT/PTWāindicating both rotation and medial displacement.
- DTMTA was significantly more negative in grade 4, indicating a consistent pattern of internal foot rotation with disease severity.
- PTMTA can be visually assessed during palpation, offering preoperative utility without CT.
- Among toy poodles, PTMTA showed significant differences even between grades 3 and normal, suggesting breed-specific severity patterns.
- Corrective osteotomy may need to address tibial as well as femoral deformities in severe MPL cases with high PTMTA.
- Younger dogs with grade 4 MPL had more severe deformities, possibly due to early onset or developmental progression.
Veterinary and Comparative Orthopaedics and Traumatology
4
2025
Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation
2025-4-VCOT-isono-3
In Moore 2023 et al., on Divisional outcomes in canine liver mass resection, which liver division was most commonly affected by liver masses in dogs?
š Key Findings
- Liver masses were most common in the left division (58%), followed by central (27%) and right (15%).
- Right divisional masses were significantly associated with intraoperative complications (33% vs 5.6% left, p = .0037), particularly hemorrhage and injury to major vessels.
- Mortality rate was 6.5% overall, with no significant association with liver lobe location.
- Postoperative complications occurred in 28.7% of cases, but were not significantly associated with mass location.
- Thoracic incision extension (sternotomy or diaphragmotomy) increased odds of postoperative complications by 9.1x (p < .001).
- Use of TA stapler significantly reduced both intraoperative (OR 19x lower) and postoperative complications (OR 4.4x lower) vs other methods.
- Specialist surgeons and heavier dogs had significantly fewer postoperative complications.
- Right lobectomies often required thoracic extension, indirectly linking them to increased postoperative morbidity.
Veterinary Surgery
4
2023
Association between divisional location and short-term outcome of liver mass resection in 124 dogs
2023-4-VS-moore-1
In Philips 2025 et al., on radiographic IAIP detection, how did implants placed 2 mm into the joint perform in terms of accurate classification?
š Key Findings
Overall accuracy of radiography to detect IAIP: 77.9%
Sensitivity: 97.2%
Specificity: 67.6%
False positive rate: 32.4% of non-penetrating implants were misclassified as penetrating
Implants directed toward the lateral tibial condyle had higher misclassification (23.8%) than medial (8.3%)
Most accurate detection: Implants placed 2 mm into the joint (97.2% correct classification)
Least agreement: For implants placed at 0 mm (subchondral level), especially lateral (AC1 = 0.48)
No palpable abnormalities (e.g., crepitus) observed during ROM for any group
No significant difference in detection by specialty field or reviewer qualification
Suggests radiographic misclassification risk and supports considering CT/fluoroscopy in equivocal cases
Veterinary Surgery
3
2025
Detection of intraāarticular implant penetration of the canine stifle with radiography: A cadaveric study
2025-3-VS-philips-5
In Peng 2025 et al., on BOAS clinical grading, ⦠what characterizes a Grade 2 RFG score?
š 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 (Cohenās kappa 0.37ā0.48 vs. 0.21ā0.47).
- Interobserver agreement was moderate among experts (Fleissā kappa = 0.59) and poor among novices (Fleissā 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.
Veterinary Surgery
3
2025
Comparison of remote and in-person respiratory function grading of brachycephalic dogs
2025-3-VS-peng1-4
Quiz Results
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Key Findings
