Your Custom Quiz

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 Lederer 2025 et al., on MIPO vs ORPS, what was the median surgical time difference between the techniques?

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Correct. MIPO had a median surgical time of 130 min vs 85 min for ORPS (p < .001).
Incorrect. The correct answer is 45 minutes longer for MIPO.
MIPO had a median surgical time of 130 min vs 85 min for ORPS (p < .001).

🔍 Key Findings

Study size: 105 dogs (73 ORPS; 32 MIPO)

MIPO vs ORPS differences:

  • Surgical time: MIPO median 130 min vs ORPS 85 min (p < .001)
  • Explant rate: MIPO 25% vs ORPS 4.1% (p = .003)
  • Time to clinical union: MIPO 85 days vs ORPS 57 days (p = .010)
  • Frontal alignment deviation: MIPO 3.5° vs ORPS 2.0° (p = .047)
  • Comminution more frequent in MIPO (41% vs 16%; p = .012)

Significant predictors for MIPO use: More proximal fracture margin (p = .004), surgeon identity (p < .001)

No significant difference: Sagittal alignment, radial length, union rate, or complication rate by surgeon

Implant preference: Fixin plates used in 84% of MIPO; locking plates more common in ORPS

Lederer

Veterinary Surgery

4

2025

Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)

2025-4-VS-lederer-3

Article Title: Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)

Journal: Veterinary Surgery

In Quitzan 2022 et al., on staple line configuration, which FEESA variation did *not* significantly increase ILP compared to 2V/2T?

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Correct. 3V/2T did not show a statistically significant increase in ILP vs. 2V/2T, unlike 2V/3T and 3V/3T.
Incorrect. The correct answer is 3V/2T.
3V/2T did not show a statistically significant increase in ILP vs. 2V/2T, unlike 2V/3T and 3V/3T.

🔍 Key Findings

  • All FEESA configurations leaked at lower pressures than intact segments, confirming reduced integrity vs. native tissue.
  • FEESA with 3-row transverse staples (3V/3T or 2V/3T) had significantly higher leak pressures than 2-row configurations.
  • 3V/3T configuration had the highest ILP (69.88 ± 21.23 mmHg) among all groups, significantly greater than 2V/2T and 3V/2T (P < .001).
  • Leakage consistently occurred at the transverse staple line (not vertical), regardless of configuration.
  • No significant difference in maximum intraluminal pressure (MIP) between FEESA groups.
  • All FEESA constructs withstood intraluminal pressures >25 mmHg, exceeding normal physiological jejunal pressure in dogs.
  • No leaks occurred from the vertical staple line, highlighting it as a more robust closure site.
  • Third staple row in transverse line may be a viable alternative to suture oversew, pending further clinical evaluation.

Quitzan

Veterinary Surgery

5

2022

Influence of staple line number and configuration on the leakage of small intestinal functional end-to-end stapled anastomosis: An ex vivo study

2022-5-VS-quitzan-4

Article Title: Influence of staple line number and configuration on the leakage of small intestinal functional end-to-end stapled anastomosis: An ex vivo study

Journal: Veterinary Surgery

In Jeong 2025 et al., on contoured saw guide vs jig, what was the effect of each on *postoperative tibial plateau angle (TPA)*?

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Correct. Despite improved cutting accuracy, TPA outcomes were statistically similar between techniques (p = .15).
Incorrect. The correct answer is TPA was equivalent across both groups (~6–7.6°)..
Despite improved cutting accuracy, TPA outcomes were statistically similar between techniques (p = .15).

🔍 Key Findings

  • TPLO with the contoured saw guide achieved more accurate osteotomy angles for both inclination and torsion in bone models and cadaveric limbs (p < .05).
  • Medial cortical damage was significantly lower with the contoured guide (247 vs. 1866 pixels in bone models; p < .001).
  • No significant difference in eccentricity (distance between actual and intended osteotomy center) was found between groups.
  • Postoperative tibial plateau angle (TPA) was similar between groups (6.4° vs. 7.6°; p = .15), though both were slightly higher than the target of 6°.
  • Deviation in medial mechanical proximal tibial angle (mMPTA) showed no significant group difference; valgus deformity occurred in both.
  • Osteotomy and device application times were similar between the contoured guide and jig-assisted TPLO.
  • The contoured guide eliminated the need for proximal jig pin, potentially reducing intra-articular pin risk.
  • The guide's multiple pin fixation system improved stability and alignment, supporting safer osteotomy on curved tibial surfaces.

Jeong

Veterinary Surgery

7

2025

Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs

2025-7-VS-jeong-3

Article Title: Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs

Journal: Veterinary Surgery

In Rocheleau 2024 et al., on arthroscopic meniscal suturing, what structure was repaired in all cases?

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Correct. All cases involved tears of the caudal horn of the medial meniscus.
Incorrect. The correct answer is Caudal horn of medial meniscus.
All cases involved tears of the caudal horn of the medial meniscus.

🔍 Key Findings

  • Arthroscopic meniscal suturing was performed in 43 client-owned dogs, involving 44 meniscal repairs (one dog was bilateral). All injuries involved the caudal horn of the medial meniscus and were associated with cranial cruciate ligament (CrCL) disease.
  • All dogs underwent simultaneous TPLO, with some also receiving an internal brace (IB). Most repairs used simple vertical mattress sutures.
  • The overall complication rate was 34.1% (15/44). Most complications were attributed to the TPLO/TPLO+IB and did not compromise the meniscal repair outcome.
  • No median time to “acceptable” or “full” function was reported, but most dogs showed improvement in lameness and LOAD scores (p < .001), indicating good to excellent outcomes.
  • Meniscal repair success rate was 88% (38/44), with TPLO + IB outperforming TPLO-only (93.3% vs 71.4%). Follow-up was performed at 8 weeks (40 dogs) and 6 months (16 dogs).
  • Six failures occurred, all managed with arthroscopic meniscectomy, leading to normal activity in those dogs. Two IB-associated failures led to CrCL instability.
  • The authors concluded the technique was safe, practical, and effective, with a reasonable complication rate.
  • The findings support arthroscopic suturing as a feasible alternative to meniscectomy or meniscal release, offering long-term benefits for preserving the meniscus.

Rocheleau

Veterinary Surgery

5

2024

Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

2024-5-VS-rocheleau-1

Article Title: Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

Journal: Veterinary Surgery

In Nicolas 2024 et al., how was the scapular osteotomy stabilized?

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Correct. Two locking plates were placed cranial and caudal to the scapular spine:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is Double 2.4-mm locking plates.
Two locking plates were placed cranial and caudal to the scapular spine:contentReference[oaicite:2]{index=2}

🔍 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-3

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 Cruciani 2022 et al., on feline pancreaticoduodenostomy, what complication did *not* occur during the follow-up period?

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Correct. The cat showed no signs of pancreatitis or pancreatic insufficiency; weight gain was observed.
Incorrect. The correct answer is All of the above.
The cat showed no signs of pancreatitis or pancreatic insufficiency; weight gain was observed.

🔍 Key Findings

  • Left pancreaticoduodenostomy successfully restored digestive continuity after right lobe and body pancreatectomy in a cat.
  • No clinical signs of exocrine or endocrine insufficiency were observed postoperatively up to 225 days.
  • Histopathology confirmed chronic pancreatitis with abscess formation and reactive lymphadenopathy.
  • No postoperative pancreatitis developed, based on imaging and normal feline pancreatic lipase levels.
  • Progressive focal ampulla-like dilation of the pancreatic duct occurred near the anastomosis without clinical signs.
  • The cat maintained weight and improved clinically for several months post-op, indicating satisfactory outcomes.
  • Surgical technique involved end-to-side anastomosis between the left pancreatic duct and duodenum.
  • Ultimately, the cat was euthanized due to disseminated carcinoma, presumed unrelated to the pancreatic surgery.

Cruciani

Veterinary Surgery

8

2022

Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat

2022-8-VS-cruciani-4

Article Title: Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat

Journal: Veterinary Surgery

In Farrell 2022 et al., on checklist reliability in OVH simulation, what was the main benefit of using digital recordings for student performance assessment?

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Correct. Digital recordings allowed multiple raters to evaluate performance without introducing bias.
Incorrect. The correct answer is Enabled blinded multi-rater evaluation.
Digital recordings allowed multiple raters to evaluate performance without introducing bias.

🔍 Key Findings

  • 39 of 40 checklist items for simulated OVH surgical assessment had good content validity (CVI = 0.81)
  • Only 1 of 6 items from the OSATS GRS (respect for tissue) met inclusion criteria (CVI = 0.80)
  • Checklist showed strong reliability (G-coefficient = 0.85) for moderate-stakes exams
  • Modified OSATS GRS showed acceptable reliability (G-coefficient = 0.79)
  • Two raters needed for acceptable reliability in high-stakes exams when using the checklist
  • Minimal interrater bias found; variance largely due to interaction among student, rater, and item
  • Digital recordings were a reliable method of evaluating surgical performance
  • Study supports using checklist over OSATS GRS for assessing preclinical students on simulated models

Farrell

Veterinary Surgery

5

2022

Evaluating validity evidence for 2 instruments developed to assess students' surgical skills in a simulated environment

2022-5-VS-farrell-5

Article Title: Evaluating validity evidence for 2 instruments developed to assess students' surgical skills in a simulated environment

Journal: Veterinary Surgery

In Shetler 2022 et al., on radial head OCD, which of the following was reported at the 5-month postoperative follow-up?

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Correct. The patient returned to normal activity and showed no pain on exam.
Incorrect. The correct answer is Complete resolution of lameness and elbow pain.
The patient returned to normal activity and showed no pain on exam.

🔍 Key Findings

  • Bilateral radial head OCD lesions were identified in a 6-month-old English Bulldog with elbow lameness.
  • Medial arthroscopic portals allowed only partial visualization of radial head lesions, insufficient for treatment.
  • Lateral arthroscopy portals provided excellent access for fragment removal and abrasion arthroplasty.
  • Histopathology confirmed OCD, showing cartilage degeneration and retained cartilaginous cores.
  • Dog showed complete resolution of lameness and no elbow pain at 5 months post-op.
  • Lesions were caudolateral on the radial head, with discoid elevation of cartilage and clefts.
  • Lateral approach avoids major neurovascular structures, reducing iatrogenic risk.
  • The authors suggest lateral elbow arthroscopy may have broader indications, including for medial compartment disease or synovial biopsies.

Shetler

Veterinary Surgery

8

2022

The use of lateral arthroscopy portals for the management of bilateral osteochondritis dissecans of the radial head in an English bulldog

2022-8-VS-shetler-5

Article Title: The use of lateral arthroscopy portals for the management of bilateral osteochondritis dissecans of the radial head in an English bulldog

Journal: Veterinary Surgery

In Townsend 2024 et al., on 3D osteotomy accuracy, which osteotomy type showed the most significant time reduction using PSG versus freehand?

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Correct. PSG reduced execution time for SOO osteotomies (84s vs 162s, p < .001).
Incorrect. The correct answer is Single oblique (SOO).
PSG reduced execution time for SOO osteotomies (84s vs 162s, p < .001).

🔍 Key Findings:

  • Design: Ex vivo study with 24 paired limbs from normal beagle dogs.
  • Osteotomy types (3 groups):
    1. 30° uniplanar frontal wedge
    2. Oblique (30° frontal, 15° sagittal)
    3. Single oblique (30° frontal, 15° sagittal, 30° external rotation)
  • Comparison: 3D PSG vs Freehand (FH)
  • Main Outcomes:
    • PSG accuracy: Mean angular deviation = 2.8° vs 6.4° in FH (p < .001).
    • 84% of PSG osteotomies were within 5° of target vs 50% of FH.
  • Significant improvements with PSG in:
    • Group 1 (uniplanar frontal) proximal and distal frontal planes (p < .001, .006)
    • Group 3 (SOO) frontal and sagittal planes (p = .002, .043)
  • Time: PSG faster in complex SOO group (84s vs 162s, p < .001); no difference in others.
  • No difference in osteotomy location (mm) between methods.
  • Clinical relevance: PSG more consistent and accurate, especially for complex cuts.

Townsend

Veterinary Surgery

2

2024

Comparison of three-dimensional printed patient-specific guides versus freehand approach for radial osteotomies in normal dogs: Ex vivo model

2024-2-VS-townsend-3

Article Title: Comparison of three-dimensional printed patient-specific guides versus freehand approach for radial osteotomies in normal dogs: Ex vivo model

Journal: Veterinary Surgery

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