Your Custom Quiz

In Holman 2024 et al., on canine shoulder arthroscopy, which tendon had the smallest proportion visible from the lateral portal?

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Correct. Only 20% of the subscapularis tendon was visible through the standard lateral portal.
Incorrect. The correct answer is Subscapularis tendon.
Only 20% of the subscapularis tendon was visible through the standard lateral portal.

🔍 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-2

Article Title: Quantification of the Field of View for Standard Lateral Arthroscopy of the Canine Shoulder

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Power 2022 et al., on liposomal bupivacaine use, which of the following statements about surgical wound classification and complication rate is true?

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Correct. The study found no significant differences in complication rates across clean, clean-contaminated, and contaminated wounds (P = 0.55).
Incorrect. The correct answer is No significant difference was seen across wound classifications.
The study found no significant differences in complication rates across clean, clean-contaminated, and contaminated wounds (P = 0.55).

🔍 Key Findings

  • Overall complication rate was 19.7% (43/218), with most being mild (CSS 1).
  • Soft tissue procedures had higher complication rates (26%) than orthopedic procedures (11.6%) (P < 0.01).
  • No difference in complication rates between clean, clean-contaminated, and contaminated wounds (P = 0.55).
  • No difference in complication rates between labeled use (CCL surgery) and off-label orthopedic procedures (P = 0.21).
  • Majority of complications (63%) were mild, resolving without intervention or with topical therapy.
  • Severe complications requiring revision surgery were rare (2.3%) and occurred mainly in soft-tissue surgeries.
  • Most common complications included SSI (25.6%), dehiscence (16.3%), and seroma (14%).
  • Liposomal bupivacaine appears safe for use in broader orthopedic procedures beyond current labeling.

Power

Veterinary Surgery

4

2022

Incidence and severity of short‐term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs

2022-4-VS-power-5

Article Title: Incidence and severity of short‐term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs

Journal: Veterinary Surgery

In Simpson 2022 et al., on feline cholecystectomy outcomes, what was the most common surgical indication?

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Correct. Cholelithiasis was identified in 17 of 23 cats and was the leading reason for surgery.
Incorrect. The correct answer is Cholelithiasis.
Cholelithiasis was identified in 17 of 23 cats and was the leading reason for surgery.

🔍 Key Findings

  • Cholelithiasis was the most common indication for cholecystectomy in cats.
  • Perioperative complications were frequent, with intraoperative hypotension in all recorded cases and postoperative anemia in 14 cats.
  • Perioperative mortality was 21.7%, lower than historical rates for feline biliary surgery.
  • 78.3% of cats survived to discharge, and 83.3% of those lived >6 months; 44.4% survived >3 years.
  • Vomiting was the most common short- and long-term complication, though most cats were medically managed.
  • Concurrent EHBDO was not a contraindication provided CBD patency was restored.
  • Positive bacterial cultures were found in 15 cats, with E. coli and Enterococcus faecalis most common.
  • Owner-reported outcomes were excellent in all cats that survived long-term.

Simpson

Veterinary Surgery

1

2022

Cholecystectomy in 23 cats (2005‐2021)

2022-1-VS-simpson-1

Article Title: Cholecystectomy in 23 cats (2005‐2021)

Journal: Veterinary Surgery

In Ibrahim 2022 et al., on scrotal arterial supply, which artery was identified as the **dominant** source of scrotal perfusion in dogs?

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Correct. The dorsal scrotal arteries, arising from the ventral perineal arteries, provided the most consistent and extensive perfusion in all cadavers.
Incorrect. The correct answer is Dorsal scrotal artery from ventral perineal.
The dorsal scrotal arteries, arising from the ventral perineal arteries, provided the most consistent and extensive perfusion in all cadavers.

🔍 Key Findings

  • Dorsal scrotal arteries, branching from the ventral perineal arteries, are the dominant arterial supply to the scrotum in dogs.
  • The ventral scrotal arteries, arising from the external pudendal arteries, perfused only the cranial scrotal border and were inconsistently present or absent in some dogs.
  • A scrotal flap based on the dorsal scrotal arteries showed strong perfusion and may be a viable axial pattern flap.
  • Perfusion was consistent across fresh and frozen cadavers, showing no difference due to preservation method.
  • Poor flap survival (27%) occurred when based on cranial supply alone (i.e., ventral scrotal arteries), confirming importance of preserving caudal supply.
  • There are anastomoses between dorsal and ventral scrotal arteries, offering collateral flow but insufficient alone for complete perfusion.
  • Scrotal flaps based on the caudal pedicle may be applicable for reconstruction of proximal medial/lateral thigh wounds.
  • Proposed flap requires careful preservation of ventral perineal arteries, ideally designed 2.5–3 cm lateral to midline in large dogs.

Ibrahim

Veterinary Surgery

4

2022

Arterial supply to the scrotum: A cadaveric angiographic study

2022-4-VS-ibrahim-1

Article Title: Arterial supply to the scrotum: A cadaveric angiographic study

Journal: Veterinary Surgery

In Barrett 2023 et al., on complication grading systems, what was the **main limitation** in applying the aCD system to veterinary cases?

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Correct. The aCD system's reliability dropped when assessors misclassified these outcomes as complications.
Incorrect. The correct answer is Difficulty distinguishing sequelae and failure to cure from true complications.
The aCD system's reliability dropped when assessors misclassified these outcomes as complications.

🔍 Key Findings

  • Cook system had good reliability across all cases (ICC = 0.848), even when complications, sequelae, and failure-to-cure were included.
  • aCD system had excellent reliability when excluding sequelae/failure-to-cure cases (ICC = 0.975) but only moderate reliability when including them (ICC = 0.620).
  • Majority of complications (60–63%) were graded as Grade 3 in the aCD system, corresponding to surgical or anesthetic intervention.
  • Cook system classified most cases (78–81%) as major complications.
  • Assessors had difficulty distinguishing sequelae from Grade 1 complications, and failure-to-cure from Grades 1–2, reducing aCD reliability.
  • The aCD system offers more resolution (5 grades vs. 3) and less subjectivity through objective definitions.
  • Novel terminology (e.g., sequelae, failure to cure) in the aCD system may hinder its uptake without proper training.
  • Reclassifying expected events (e.g., swelling, bruising) as sequelae could significantly reduce reported complication rates in other studies.

Barrett

Veterinary Surgery

1

2023

Comparison of two postoperative complication grading systems after treatment of stifle and shoulder instability in 68 dogs

2023-1-VS-barrett-2

Article Title: Comparison of two postoperative complication grading systems after treatment of stifle and shoulder instability in 68 dogs

Journal: Veterinary Surgery

In Grimes 2022 et al., on PDA rupture risks, what factor was significantly associated with increased residual flow after PDA ligation?

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Correct. Residual flow was significantly more likely when rupture occurred and ligation was not achieved.
Incorrect. The correct answer is Residual flow after rupture without ligation.
Residual flow was significantly more likely when rupture occurred and ligation was not achieved.

🔍 Key Findings

  • Rupture occurred in 7.0% of dogs undergoing surgical PDA ligation (20/285).
  • Overall mortality was low (0.4%), with only one death occurring post-rupture.
  • Residual flow occurred in 9.4% of dogs; significantly more common in dogs with rupture.
  • Residual flow odds were not increased when ligation was successfully performed despite rupture.
  • No significant associations between rupture and age, weight, suture size, or dissection technique.
  • Jackson-Henderson and intrapericardial techniques were helpful in managing rupture or fibrosis.
  • Major complications (non-rupture) were rare (1.4%), including pulmonary artery ligation and cardiac arrest.
  • Surgeon preparedness (e.g., hemostatic tools, alternate techniques) was key to successful outcomes.

Grimes

Veterinary Surgery

4

2022

Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture

2022-4-VS-grimes-2

Article Title: Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture

Journal: Veterinary Surgery

In Walter de Bruyn 2024 et al., what was the impact of orthogonal plate addition on torsional stiffness in medium and long working lengths?

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Correct. Torsional stiffness increased significantly for MWL and LWL after adding orthogonal plates:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is Increased significantly.
Torsional stiffness increased significantly for MWL and LWL after adding orthogonal plates:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • Primary 3.5-mm LCP used with short (SWL), medium (MWL), and long (LWL) working lengths
  • Addition of orthogonal 2.7-mm LCP resulted in:
    • Significantly higher bending stiffness for SWL, MWL, and LWL (p < 0.0001)
    • Higher torsional stiffness for MWL and LWL (not for SWL)
    • Significantly lower strain across all working lengths in bending (p < 0.01)
  • Working length inversely related to construct stiffness and directly to plate strain
  • Orthogonal plates eliminated stiffness differences across working lengths in bending
  • Suggests orthogonal plates can improve implant fatigue life and allow compensation when short working lengths are unachievable

Walterdebruyn

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Effect of an Orthogonal Locking Plate and Primary Plate Working Length on Construct Stiffness and Plate Strain in an In vitro Fracture-Gap Model

2024-4-VCOT-walterdebruyn-3

Article Title: Effect of an Orthogonal Locking Plate and Primary Plate Working Length on Construct Stiffness and Plate Strain in an In vitro Fracture-Gap Model

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Winston 2023 et al., on LES-AS surgery outcomes, what percentage of dogs showed objective improvement in VFSS gastric filling scores after surgery?

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Correct. 6 of 9 dogs that underwent postoperative VFSS showed improved gastric filling scores.
Incorrect. The correct answer is 66%.
6 of 9 dogs that underwent postoperative VFSS showed improved gastric filling scores.

🔍 Key Findings

  • Modified Heller myotomy with Dor fundoplication improved vomiting/regurgitation scores by 180%, QoL by 100%, and owner-perceived body weight by 63% (P < .05).
  • 6 of 9 dogs with postoperative VFSS showed objective improvement in gastric filling scores; others remained stable.
  • Oral sildenafil was discontinued postoperatively in all dogs, indicating surgical success comparable to medical management.
  • 12 of 13 dogs survived to discharge; one dog was euthanized due to aspiration pneumonia postoperatively.
  • 50% of dogs experienced gastrostomy tube complications, higher than reported in previous literature.
  • Most complications were gastrostomy-tube related, with some requiring surgical correction (e.g., tube migration, leakage).
  • Feeding strategies (Bailey chair, elevated bowls) and food consistency (gruel/liquid) remained essential postoperatively to control regurgitation.
  • 9 of 11 owners would opt for the surgery again; those who wouldn’t cited risk or lack of efficacy.

Winston

Veterinary Surgery

2

2023

Management and outcomes of 13 dogs treated with a modified Heller myotomy and Dor fundoplication for lower esophageal sphincter achalasia-like syndrome

2023-2-VS-winston-3

Article Title: Management and outcomes of 13 dogs treated with a modified Heller myotomy and Dor fundoplication for lower esophageal sphincter achalasia-like syndrome

Journal: Veterinary Surgery

In Peng 2025 et al., on topical amikacin gel, at what time point were serum levels consistently above the lower limit of quantification (LLOQ)?

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Correct. All detectable serum concentrations >2.5 μg/mL occurred at ~2 hours post-application【90†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is 2 hours post-application.
All detectable serum concentrations >2.5 μg/mL occurred at ~2 hours post-application【90†Veterinary Surgery†L1-L20】

🔍 Key Findings

Objective: Determine if topical 45 mg/mL amikacin in CMC gel leads to systemic absorption in dogs with wounds.

Dogs enrolled: 11 client-owned dogs, with 31 applications of the gel.

Serum findings:

  • Only 5 of 153 samples were above the 2.5 µg/mL quantification limit
  • All values remained <5 µg/mL, the presumed toxicity threshold
  • No correlation was found between dose-related parameters (mg, mg/kg, mg/cm²) and serum amikacin levels

Peak concentrations were observed at ~2 hours post-application, declining rapidly thereafter

No nephrotoxicity observed, and most values were below detection

Conclusion: Topical amikacin gel appears safe at doses up to 24.9 mg/kg, with minimal systemic absorption

Peng

Veterinary Surgery

3

2025

Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel

2025-3-VS-peng2-2

Article Title: Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel

Journal: Veterinary Surgery

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

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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

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