Your Custom Quiz

In Karydas 2025 et al., on follow-up radiography, what is the recommended role of follow-up imaging in the absence of clinical signs?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Routine radiographs were not justified without owner concerns or clinical abnormalities.
Incorrect. The correct answer is Not recommended unless clinical signs present.
Routine radiographs were not justified without owner concerns or clinical abnormalities.

🔍 Key Findings

139 immature dogs with humeral condylar fractures (HCF) reviewed retrospectively.
Postoperative plan changed in 17% (23/139) of cases.
Key risk factors for plan change:

  • Owner concerns (OR: 7.6)
  • Analgesic use at follow-up (OR: 7.9)
  • Lameness (OR: 5.9)
  • Abnormal clinical exam (OR: 44.8)
  • Radiographic abnormalities (OR: 51.9)

No plan changes were based solely on radiographs when clinical signs were absent.
Supracondylar K-wire migration noted in 3.5% of dogs without affecting the clinical plan.
Authors conclude that routine follow-up radiographs offer limited value without concurrent clinical indicators.

Karydas

Veterinary Surgery

2

2025

Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

2025-2-VS-karydas-5

Article Title: Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

Journal: Veterinary Surgery

In Stoneburner 2024 et al., on MIS survey results, which factor was most strongly associated with increased MIS proficiency?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Those trained in MIS during residency had significantly greater perceived proficiency (p < .001).
Incorrect. The correct answer is Residency training in MIS.
Those trained in MIS during residency had significantly greater perceived proficiency (p < .001).

🔍 Key Findings

  • The survey included 111 practicing surgeons and 28 residents from ACVS, ECVS, and ANZCVS. 98.2% had performed soft tissue minimally invasive surgery (MIS).
  • In the past year, surgeons reported a median caseload of 90% basic laparoscopy, 0% advanced laparoscopy, and 10% thoracoscopy; for residents: 100% basic laparoscopy, 0% advanced, 0% thoracoscopy.
  • Laparoscopic ovariectomy and OHE were the most commonly performed MIS procedures, with most respondents proficient in basic laparoscopy, but few performing advanced laparoscopy or thoracoscopy.
  • Top barriers to MIS adoption were: lack of consistent caseload, lack of training, difficult learning curve, equipment limitations, and cost.
  • 76.6% of surgeons and 92.9% of residents received MIS training during residency. Those trained had completed residency median 6 years ago, compared to 22 years ago for those without MIS training (p < .001). Perceived adequate training correlated with higher proficiency.
  • MIS was recognized as having a steep learning curve, but patient benefits (mean score 4.0/5) were the top motivation — less pain, faster recovery, improved visualization.
  • The authors conclude basic laparoscopy is widely adopted, but advanced and thoracoscopic MIS remain underutilized. Training and access are key to future growth.
  • Expanded training and improved access to equipment are necessary to promote broader integration of MIS into veterinary soft-tissue surgery.

Stoneburner

Veterinary Surgery

5

2024

Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal surgical diplomates and residents

2024-5-VS-stoneburner-3

Article Title: Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal surgical diplomates and residents

Journal: Veterinary Surgery

In Nicetto 2024 et al., what was the most common complication after TRP implantation?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Minor complications included grade 1 lameness from periarticular fibrosis; only one case had luxation recurrence.
Incorrect. The correct answer is Periarticular fibrosis.
Minor complications included grade 1 lameness from periarticular fibrosis; only one case had luxation recurrence.

🔍 Key Findings Summary

  • 48 dogs (60 stifles) underwent custom 3D-printed TRP implantation for patellar luxation
  • 24 treated with TRP alone; 36 with additional procedures (e.g., DFO, TTT)
  • Success rate: 59/60 corrected patellar tracking
  • Functional outcome: 57/60 full function, 2 acceptable, 1 unacceptable
  • Complication rate: 3 total (2 minor, 1 major recurrence)
  • TRP spares cartilage unlike trochleoplasty, offering implant-based ridge augmentation
  • No implant loosening or infection observed

Nicetto

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation

2024-2-VCOT-nicetto-2

Article Title: Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Tobias 2025 et al., on frontal sinus mucoceles, which imaging finding was most consistently reported across all dogs?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. All dogs had a fluid-attenuating, expansile lesion with a contrast-enhancing soft tissue rim on CT.
Incorrect. The correct answer is Fluid-filled frontal sinus with soft tissue rim.
All dogs had a fluid-attenuating, expansile lesion with a contrast-enhancing soft tissue rim on CT.

🔍 Key Findings

  • Frontal sinus mucoceles occurred in young dogs, often linked to prior skull trauma by 10 months of age.
  • All dogs presented with expansile, fluid-filled lesions causing facial swelling; CT showed multicentric bone erosion, including the frontal bone and cribriform plate.
  • Surgical options included frontal sinusotomy with either sinus lining ablation or re-establishment of nasofrontal drainage, with or without stenting.
  • Nasofrontal stenting led to long-term resolution in most dogs, although recurrence occurred in 4/8 dogs, requiring revision surgery in 3.
  • Complications were minor and included swelling or nasal discharge; no intraoperative complications were reported.
  • Histology confirmed sterile mucoceles with neutrophilic inflammation and mucin, and cultures were negative in all cases.
  • Guaifenesin was used postoperatively in several cases to reduce mucus viscosity; its benefit is unproven in dogs but may support drainage.

Tobias

Veterinary Surgery

6

2025

Clinical findings and outcomes of eight dogs with surgically treated frontal sinus mucoceles

2025-6-VS-tobias-2

Article Title: Clinical findings and outcomes of eight dogs with surgically treated frontal sinus mucoceles

Journal: Veterinary Surgery

In Mazdarani 2022 et al., on CBLO and stifle biomechanics, which statement best describes the **patellar ligament angle (PTA)** after CBLO?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. CBLO resulted in a parallel but lower PTA curve, indicating effective flexion induced by the osteotomy.
Incorrect. The correct answer is PTA was consistently lower than intact, mimicking flexion.
CBLO resulted in a parallel but lower PTA curve, indicating effective flexion induced by the osteotomy.

🔍 Key Findings

  • CBLO reduced tibial plateau angle (TPA) from a mean of 28.1° to 9.7°, aligning with its goal of flattening the tibial slope.
  • CBLO eliminated cranial tibial translation (CTT) following CCL transection and meniscal release at all angles except 140° without hamstring load.
  • Hamstring loading (20% quadriceps load) significantly reduced or delayed the onset of CTT, improving stifle stability.
  • Medial meniscus was confirmed as a secondary stabilizer; its release (MMR) caused more CTT than CCLx alone.
  • PTA (patellar tendon angle) increased with joint extension; CBLO shifted the PTA curve lower and parallel to intact values, suggesting effective flexion of the joint.
  • Combined CBLO and hamstring loading resulted in the most stable joints, especially from 50° to 135° joint angles.
  • Residual CTT occurred in CBLO-only limbs at higher extension angles (e.g., 140°), but hamstring load mitigated this.
  • Stifle stability post-CBLO is multifactorial, depending on joint angle, meniscal integrity, and hamstring activation.

Mazdarani

Veterinary Surgery

6

2022

Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

2022-6-VS-mazdarani-5

Article Title: Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

Journal: Veterinary Surgery

In Dobberstein 2022 et al., on NSAID ulcer repair, what was the most commonly used surgical closure technique for ulcer repair?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The majority of cases used a one-layer full-thickness closure with simple interrupted sutures.
Incorrect. The correct answer is One-layer full-thickness simple interrupted closure.
The majority of cases used a one-layer full-thickness closure with simple interrupted sutures.

🔍 Key Findings

  • Primary repair of NSAID-associated full-thickness gastroduodenal ulcers was successful in 73% (8/11) of cases.
  • NSAID overdose, concurrent corticosteroid use, or extended duration were identified in 9/11 dogs and were major contributors to ulceration.
  • All perforations were in the pylorus or proximal duodenum, locations suitable for primary closure.
  • No significant association between ulcer size or location and postoperative survival.
  • Preoperative hyperlactatemia trended toward increased mortality (P = .0544; OR 2.045).
  • Postoperative vasopressor use was linked with a 9-fold increased risk of mortality (P = .0545).
  • Dehiscence was rare, suspected in only 1 of 11 cases, indicating that primary repair is structurally sound in selected cases.
  • Median follow-up of 444 days showed long-term survival was achievable post-primary repair.

Dobberstein

Veterinary Surgery

7

2022

Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs

2022-7-VS-dobberstein-4

Article Title: Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs

Journal: Veterinary Surgery

In Vannini 2026 et al., on gastrocnemius tendinopathy, which finding did the authors consider the most reliable clinical indicator of clinically significant TGMO?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The authors specifically emphasized pain elicited by direct pressure over the fabella as a very reliable indication of TGMO.
Incorrect. The correct answer is Pain on palpation over the fabella.
The authors specifically emphasized pain elicited by direct pressure over the fabella as a very reliable indication of TGMO.

🔍 Key Findings

  • TGMO was common despite absence of overt lameness, with 18/34 dogs showing abnormal clinical examination findings.
  • Ultrasonographic abnormalities were highly prevalent, with only 5/34 dogs classified as bilaterally normal and 29/34 showing mild or moderate lesions.
  • Only four dogs had normal clinical, radiographic, and ultrasonographic findings, supporting a high prevalence of subclinical pathology.
  • Pain on palpation over the fabella was considered the most clinically meaningful indicator of TGMO, whereas imaging abnormalities alone did not reliably indicate clinical disease.
  • Gait analysis was sensitive but nonspecific, with asymmetry detected in 17 dogs, including some with otherwise normal findings.
  • Radiographic mineralization or enthesiophytes were identified in 7/34 dogs (~20%), indicating chronic tendon pathology but not necessarily clinical symptoms.
  • Moderate ultrasonographic lesions were present in 10 dogs, often associated with irregular supracondylar bone contours and occasionally pain or gait abnormalities.
  • TGMO appears substantially underrecognized in agility Border Collies, supporting routine clinical and imaging assessment when hindlimb performance issues occur.

Vannini

Veterinary and Comparative Orthopaedics and Traumatology

3

2026

Prevalence of Tendinopathy of the Gastrocnemius Muscle Origin in a Cohort of Sound Border Collies

2026-3-vcot-vannini-2

Article Title: Prevalence of Tendinopathy of the Gastrocnemius Muscle Origin in a Cohort of Sound Border Collies

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Foster 2026 et al., on right hepatic lobectomy, which factor was significantly associated with increased short-term postoperative complications?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Dogs requiring fluid + cardiovascular support had 17× higher odds of short-term complications (p = .029).
Incorrect. The correct answer is Advanced hemodynamic support.
Dogs requiring fluid + cardiovascular support had 17× higher odds of short-term complications (p = .029).

🔍 Key Findings

  • Perioperative mortality rate was low (2.9%), with no intraoperative deaths reported.
  • Intraoperative complications occurred in 54.3% of dogs, most commonly hemorrhage and cardiovascular events.
  • 21% of dogs required blood transfusions, though transfusion was not associated with higher complication risk.
  • Advanced hemodynamic support (fluid + cardiovascular) was significantly associated with short-term complications (OR 17.3, p = .029) and shorter survival.
  • No surgical method (e.g., TA stapler, vessel sealing device, hilar resection) was associated with increased risk of complications.
  • Hepatocellular carcinoma (HCC) was the most common diagnosis (53%), with an MST of 741 days and 17.6% recurrence.
  • Surgical margins (complete vs incomplete) were not associated with overall survival time in dogs with HCC.
  • The use of preoperative CT and improved surgical instrumentation may have contributed to the lower observed mortality.

Foster

Veterinary Surgery

1

2026

Outcomes and prognostic variables associated with right divisional hepatic lobectomies in 70 dogs

2026-1-vs-foster-2

Article Title: Outcomes and prognostic variables associated with right divisional hepatic lobectomies in 70 dogs

Journal: Veterinary Surgery

In McClean 2025 et al., on shoulder arthrocentesis techniques, which technique showed a significantly lower rate of iatrogenic cartilage injury?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. ST injections had a significantly lower IACI rate (11% vs 50%, p = .007).
Incorrect. The correct answer is Supratubercular (ST) approach.
ST injections had a significantly lower IACI rate (11% vs 50%, p = .007).

🔍 Key Findings

  • Study Type: Cadaveric study using 36 paired canine shoulders (n = 18 per group: Subacromial [SA] and Supratubercular [ST])
  • Survey Results: 75% of clinicians preferred SA technique; 25% used ST
Accuracy Outcomes:
  • Complete accuracy: 50% (SA), 44% (ST) — no significant difference (p = .8)
  • Partial accuracy: 39% (SA), 50% (ST)
  • Complete miss: 11% (SA), 5.6% (ST)
Safety Outcomes (India Ink Assay for Iatrogenic Articular Cartilage Injury [IACI]):
  • Incidence of IACI:
    • SA: 50% (9/18 shoulders)
    • ST: 11% (2/18 shoulders) → statistically significant (p = .007)
  • Lesion depth: All ST lesions were partial-thickness; SA group had one full-thickness lesion (p = .027)
  • Location: Lesions found on glenoid and humeral head with even distribution in SA; only one each in ST
Clinical Implications:
  • Landmark-guided injections were ≤50% completely accurate, even by an experienced operator.
  • ST technique is safer with lower risk of cartilage damage, despite similar accuracy.
  • Findings support considering image-guided techniques to improve both safety and accuracy in clinical settings.

Mcclean

Veterinary Surgery

4

2025

Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

2025-4-VS-mcclean-2

Article Title: Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

Journal: Veterinary Surgery

In Heikkilä 2024 et al., on COPLA scaffold evaluation, which adverse event was observed in the COPLA group?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. One COPLA-treated dog developed lameness due to a dislodged fragment from the lesion site requiring arthroscopic removal:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is Fragment dislodgment requiring repeat arthroscopy.
One COPLA-treated dog developed lameness due to a dislodged fragment from the lesion site requiring arthroscopic removal:contentReference[oaicite:3]{index=3}

🔍 Key Findings Summary

  • 22 dogs (36 shoulders) with shoulder OCD randomly assigned to COPLA scaffold (n=19) or Control (n=17) group
  • At 6 months: Significantly fewer dogs in COPLA group had OA (14% vs. 67%; p = 0.019)
  • At 1.5 years: OA prevalence increased in both groups with no significant difference (COPLA: 64%, Control: 60%)
  • HCPI (pain index) increased significantly at 1 week post-op in COPLA dogs only (p = 0.001), but later normalized
  • Static weight-bearing improved only in unilaterally operated COPLA limbs (p = 0.015)
  • One dog in COPLA group had a fragment dislodge requiring arthroscopic removal
  • Overall, COPLA scaffold may provide short-term benefit in OA reduction, but long-term outcomes were similar

Heikkila

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Randomized, Blinded, Controlled Clinical Trial of Polylactide–Collagen Scaffold in Treatment of Shoulder Osteochondritis Dissecans in Dogs

2024-6-VCOT-heikkila-4

Article Title: Randomized, Blinded, Controlled Clinical Trial of Polylactide–Collagen Scaffold in Treatment of Shoulder Osteochondritis Dissecans in Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

Quiz Results

Previously Missed Questions
70%

You answered 7 out of 10 questions correctly

Question 1:

❌ Incorrect. You answered: Answer

Correct answer:

Rationale

Question 1:

✅ Correct! You answered: Answer

Rationale

Author: Journal Name - 2025

Article Title

Key Findings

Something off with this question?
Tell us what needs fixing—drop your note below.

You’re flagging: [question text]

Thanks for your feedback!
We’ll review your comment as soon as possible.
Oops! Something went wrong while submitting the form.