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In Vodnarek 2024 et al., on intraobserver performance, which observer achieved **excellent reliability** for both methods?

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Correct. Observer 1, a diplomate of ECVDI, had ICC > 0.9 for ΔL in both methods.
Incorrect. The correct answer is Radiologist (Observer 1).
Observer 1, a diplomate of ECVDI, had ICC > 0.9 for ΔL in both methods.

🔍 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 (ΔL).
  • Outcomes:
    • Intraobserver agreement for ΔL 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 (κ ~0.49–0.53), worse than ΔL-based agreement.
    • ΔL ≥ 0.5 to <1 = partial collapse; ΔL = 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-3

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

Journal: Veterinary Surgery

In Nicolas 2024 et al., what postoperative outcome was observed at 1 month?

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Correct. The dog showed only a slight forelimb lameness, with no pain or neurologic deficit:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Slight thoracic limb lameness.
The dog showed only a slight forelimb lameness, with no pain or neurologic deficit:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • The lateral approach via scapular osteotomy allowed safe access to the T1-2 foramen in a French Bulldog with foraminal disc extrusion.
  • A mini-hemilaminectomy was performed, preserving articular facets.
  • The dog had no neurologic deficits postoperatively, returned to ambulation within 24 hours, and was discharged in 3 days.
  • At 10 months, CT confirmed excellent scapular healing and no recurrence.
  • Double 2.4-mm locking plates provided stable fixation across the scapular spine.
  • The technique avoided thoracic entry or dorsal spine dissection, suggesting a less invasive alternative for select T1-2 foraminal cases.

Nicolas

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Scapular Osteotomy for Lateral Access to a T1-2 Foraminal Disc Extrusion, Treated by Mini-Hemilaminectomy in a Dog

2024-2-VCOT-nicolas-2

Article Title: Scapular Osteotomy for Lateral Access to a T1-2 Foraminal Disc Extrusion, Treated by Mini-Hemilaminectomy in a Dog

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Healy 2025 et al., on incidental PBBs, which CT finding was significantly associated with presence of PBBs?

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Correct. Median age was 10.5 years for dogs with PBBs vs. 8.2 years without; p = .001.
Incorrect. The correct answer is Increased age.
Median age was 10.5 years for dogs with PBBs vs. 8.2 years without; p = .001.

🔍 Key Findings

Population: 2,178 canine CTs reviewed retrospectively.
Prevalence: Incidental PBBs found in 1.37% (30/2178).
Outcome: None of the dogs with incidental PBBs developed clinical spontaneous pneumothorax (SP) over a median follow-up of 1255 days.
Significant Associations:

  • Age: Dogs with PBBs were significantly older (median 10.5 yrs vs. 8.2 yrs, p = .001).
  • CT indication: PBBs more likely during neoplastic staging (p = .006).

PBB Characteristics:

  • Total = 60 PBBs (median 1/dog; range 1–7).
  • Location: 35% in left caudal, 31.6% right caudal, only 13.3% in right cranial lobe.
  • Size-based: 25 bullae (>10 mm), 35 blebs (≤10 mm).

Conclusion: Prophylactic resection of incidental PBBs not justified given no observed SP risk in this population.

Healy

Veterinary Surgery

1

2025

Significance of incidentally identified bullae and blebs on thoracic computed tomography and prevalence of subsequent pneumothorax in dogs

2025-1-VS-healy-4

Article Title: Significance of incidentally identified bullae and blebs on thoracic computed tomography and prevalence of subsequent pneumothorax in dogs

Journal: Veterinary Surgery

In Condon 2024 et al., which statement best describes the impact of fixation method on complication risk?

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Correct. Fixation approach (plate vs K-wire vs screw) was not associated with complication risk (p = 0.87):contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Fixation method had no statistically significant effect.
Fixation approach (plate vs K-wire vs screw) was not associated with complication risk (p = 0.87):contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • Lateral humeral condylar fractures = 69.8% of cases; medial = 16.2%; Y/T = 14.0%
  • Falls/stairs were the inciting trauma in 45.6% of cases; significantly younger dogs were more likely to fracture after major trauma (p = 0.01)
  • Complication rate = 22% (10 major, 20 minor); implant migration and seroma most common
  • Fixation method had no significant impact on complication rates (p = 0.87)
  • Epicondylar comminution was significantly associated with complications (p = 0.02, OR = 3.27)
  • Contralateral intracondylar fissure found in 9.8%, none progressed to fracture during study
  • Wide inter-center variation in complication rate (5–62%, p = 0.002)

Condon

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Humeral Condylar Fractures in French Bulldogs—Inciting Cause and Factors Influencing Complications of Internal Fixation in 136 Dogs

2024-2-VCOT-condon-5

Article Title: Humeral Condylar Fractures in French Bulldogs—Inciting Cause and Factors Influencing Complications of Internal Fixation in 136 Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Deveci 2025 et al., on 3D drill guides, what was the median time for screw guide placement and drilling?

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Correct. The full guide-assisted screw placement process took a median of 7.2 minutes.
Incorrect. The correct answer is 7.2 minutes.
The full guide-assisted screw placement process took a median of 7.2 minutes.

🔍 Key Findings

  • Objective: Evaluate feasibility and accuracy of 3D-printed patient-specific drill guides for iliosacral screw placement in cadaver dogs.
  • N = 10 canine cadavers (20 hemipelves); screw placement done using fluoroscopic-assisted patient-specific guides (PSG).
  • Median cortical breach grade: 0 (IQR 0–1) for all screws.
    19/20 screws breached sacral canal wall (all ≤ grade 2), but no screws breached canal contents (grade 3).
  • Median trajectory deviation: 0.88° transverse, 0.72° dorsal.
  • Procedure time: Median 7.2 minutes for guide placement and drilling.
  • Conclusions: PSG-assisted screw placement was safe, accurate, and fast, offering clinical potential in pelvic trauma.

Deveci

Veterinary Surgery

2

2025

Evaluation of 3D‐printed patient‐specific guides to facilitate fluoroscopic‐assisted iliosacral screw placement in dogs

2025-2-VS-deveci-4

Article Title: Evaluation of 3D‐printed patient‐specific guides to facilitate fluoroscopic‐assisted iliosacral screw placement in dogs

Journal: Veterinary Surgery

In Fitzpatrick 2024 et al., on ESF for pelvic fractures in cats, what was the typical postoperative hospitalization time?

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Correct. Cats were hospitalized for 2–5 days after ESF surgery.
Incorrect. The correct answer is 2–5 days.
Cats were hospitalized for 2–5 days after ESF surgery.

🔍 Key Findings

  • External skeletal fixation (ESF) was successfully applied to a variety of pelvic fracture types in cats, including sacroiliac luxations and ilial body fractures.
  • All fractures achieved radiographic union within 9 weeks, even in comminuted or complex configurations.
  • No intraoperative or long-term complications were reported during the study period.
  • Implant loosening was observed radiographically in 13% of cases, with 8% of pins found to be loose at frame removal.
  • ESF enabled indirect fracture reduction using components as handles, with a limited open approach minimizing soft tissue disruption.
  • No iatrogenic neurological deficits were observed, supporting safe pin placement near neurovascular structures, although some cats presented with pre-existing neurologic signs.
  • No cases required revision surgery, and all cats underwent stabilization solely with ESF as per study inclusion criteria.
  • Postoperative hospitalization ranged from 2 to 5 days, though no comparison to other fixation types was evaluated.

Fitzpatrick

Veterinary Surgery

7

2024

External skeletal fixation for the treatment of pelvic fractures in cats

2024-7-VS-fitzpatrick-4

Article Title: External skeletal fixation for the treatment of pelvic fractures in cats

Journal: Veterinary Surgery

In García 2025 et al., on TIAS shunt confirmation, what was the outcome in dogs with microbubbles still visible after initial occlusion?

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Correct. Two dogs had microbubbles after occlusion due to secondary vessels and required additional ligation.
Incorrect. The correct answer is Required ligation of second vessel.
Two dogs had microbubbles after occlusion due to secondary vessels and required additional ligation.

🔍 Key Findings

  • 40 dogs with congenital EHPSS were surgically treated using intraoperative transsplenic injection of agitated saline (TIAS) to assess full temporary occlusion.
  • TIAS was successful in 38/40 dogs; the remaining 2 had additional shunting vessels not originally seen and required further identification/ligation.
  • No intraoperative or postoperative complications occurred.
  • TIAS allowed real-time confirmation of attenuation success using ultrasound-visible microbubbles.
  • Median postoperative bile acids were 5 μmol/L (preprandial) and 25 μmol/L (postprandial).
  • Long-term outcomes: 29/39 dogs had excellent, 10/39 had good outcomes; 3 dogs died unrelated to EHPSS.
  • Technique is presented as a safe, quick, low-cost, accessible intraoperative assessment alternative to IOMP or SP.

Garcia

Veterinary Surgery

2

2025

Use of intraoperative transsplenic injection of agitated saline to confirm temporary full attenuation of congenital extrahepatic portosystemic shunts in dogs

2025-2-VS-garcia-2

Article Title: Use of intraoperative transsplenic injection of agitated saline to confirm temporary full attenuation of congenital extrahepatic portosystemic shunts in dogs

Journal: Veterinary Surgery

In Mihara 2024 et al., on mitral valve repair in dogs, what geometric change supported improved valve competence?

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Correct. Postoperative CL increased significantly, restoring mitral competence.
Incorrect. The correct answer is Coaptation length increase.
Postoperative CL increased significantly, restoring mitral competence.

🔍 Key Findings

  • Mitral valve plasty (MVP) in dogs with MMVD significantly reduced regurgitant volume and fraction, and normalized LA:Ao ratio, indicating reversal of volume overload.
  • MVP altered mitral valve geometry, with reduced annular dimensions and increased coaptation length, enhancing valve competence.
  • Postoperative LA:Ao ratio dropped from 2.2 to 1.2, consistent with improved left atrial pressure and size.
  • Forward stroke volume index and cardiac index increased at 3 months, reflecting improved hemodynamic function despite reduced fractional shortening.
  • Three dogs (3.9%) died postoperatively, highlighting a 96.1% survival rate within 3 months.
  • The repair technique involved artificial chordal replacement and annuloplasty; no cleft closure or leaflet suturing was used.
  • Color Doppler echocardiography confirmed substantial reduction in mitral regurgitation postoperatively in most dogs.

Mihara

Veterinary Surgery

3

2024

Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

2024-3-VS-mihara-2

Article Title: Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

Journal: Veterinary Surgery

In Knudsen 2024 et al., on CT imaging protocol, what was the maximum volume of contrast solution injected per stifle?

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Correct. CTA contrast solution volume per stifle was capped at 5 mL to achieve joint distension without leakage.
Incorrect. The correct answer is 5 mL.
CTA contrast solution volume per stifle was capped at 5 mL to achieve joint distension without leakage.

🔍 Key Findings Summary

  • Study Design: Prospective case series of 52 scans from 44 dogs with CCL injury.
  • Main Technique: 16-slice CTA; evaluated by 3 observers with varying experience; validated against surgical mini-medial arthrotomy findings.
  • Diagnostic Metrics (Reading 2):
    • Sensitivity: 1.00 (Observers 1 & 2), 0.93 (Observer 3)
    • Specificity: 0.78–0.91
    • Positive Likelihood Ratio: Up to 10.71
    • Negative Likelihood Ratio: As low as 0.08
    • Accuracy: 90%+ for all in Reading 2
  • Observer Effect: Significant improvement between first and second reading for less experienced observers (p < 0.05); learning curve evident.
  • Meniscal lesions found:
    • 9/12 in suspected late meniscal injury cases
    • 19/40 in newly diagnosed CCL cases
    • Most common = bucket handle tears
  • Conclusion: Multidetector CTA is a clinically useful, non-invasive tool for identifying medial meniscal lesions in dogs with CCL disease.

Knudsen

Veterinary Surgery

1

2024

Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

2024-1-VS-knudsen-5

Article Title: Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

Journal: Veterinary Surgery

In Husi 2023 et al., on TPLO vs TPLO-IB biomechanics, what was the intraobserver reliability for the eTPT and iTPT tests after TPLO and TPLO-IB?

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Correct. Intraobserver reliability was excellent with ICCs of 0.93 (eTPT) and 0.91 (iTPT).
Incorrect. The correct answer is Excellent.
Intraobserver reliability was excellent with ICCs of 0.93 (eTPT) and 0.91 (iTPT).

🔍 Key Findings

  • TPLO alone failed to neutralize rotational instability under tibial pivot compression (TPT), despite a negative TCT.
  • TPLO combined with lateral augmentation (TPLO-IB) restored both craniocaudal and rotational stability to near-intact levels.
  • Cranial tibial translation was 6× greater after TPLO vs intact stifles when tested with TPT (p < .001).
  • No significant difference in cranial tibial translation or internal rotation between intact stifles and TPLO-IB group during TCT, eTPT, or iTPT.
  • TPLO-IB did not overconstrain the stifle, avoiding excessive external rotation.
  • External tibial rotation (eTPT) was more sensitive than TCT in detecting persistent instability after TPLO.
  • Excellent intraobserver reliability for both eTPT and iTPT (ICC > 0.9).
  • Study supports intraoperative use of TPT to identify cases needing additional rotational stabilization.

Husi

Veterinary Surgery

5

2023

Comparative kinetic and kinematic evaluation of TPLO and TPLO combined with extra-articular lateral augmentation: A biomechanical study

2023-5-VS-husi-5

Article Title: Comparative kinetic and kinematic evaluation of TPLO and TPLO combined with extra-articular lateral augmentation: A biomechanical study

Journal: Veterinary Surgery

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