Quiz Question

In Filho 2024 et al., what was the %BW carried by the contralateral limb in low forelimb amputees?

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Correct. Low forelimb amputees carried 55.5% of their BW on the contralateral limb:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is 55.5%.
Low forelimb amputees carried 55.5% of their BW on the contralateral limb:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • 39 dogs (mostly post-trauma) with either forelimb or hindlimb amputations (high vs low)
  • No significant difference in %BW distribution between high vs low forelimb amputations
  • In hindlimb amputees:
    • High amputations → more overload on contralateral hindlimb (p = 0.01)
    • Low amputations → more even load split, slight preference for contralateral hindlimb and ipsilateral forelimb
  • Values derived from pressure-sensitive walkway confirmed with statistical significance
  • Useful implications for prosthesis selection and rehabilitation planning

Filho

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Gait Analysis of Amputee Dogs Using a Pressure-Sensitive Walkway

2024-4-VCOT-filho-3

Article Title: Gait Analysis of Amputee Dogs Using a Pressure-Sensitive Walkway

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Aldrich 2023 et al., on liposomal bupivacaine in TPLO, what conclusion was drawn about %BW distribution to the operated limb?

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Correct. No difference in %BWdist was found at any time point between LB and placebo dogs.
Incorrect. The correct answer is It did not differ significantly between groups.
No difference in %BWdist was found at any time point between LB and placebo dogs.

🔍 Key Findings

  • Liposomal bupivacaine (LB) infiltration did not reduce the need for rescue analgesia compared with placebo in dogs undergoing TPLO.
  • CMPS-SF pain scores were not significantly different between LB and placebo groups at any postoperative time point.
  • % body weight distribution (%BWdist) to the operated limb did not differ significantly between treatment groups across all time points.
  • No correlation was found between CMPS-SF scores and %BWdist, suggesting these metrics assess different aspects of postoperative pain.
  • Postoperative carprofen administration was standardized, and LB did not provide additional detectable analgesic benefit.
  • Three-layer infiltration technique (joint capsule, fascia, subcutis) was used consistently across all cases.
  • Adverse events were minor and comparable between LB and placebo groups.
  • Post hoc analysis suggested a much larger sample size (58–436 dogs) would be needed to detect significant differences in %BWdist.

Aldrich

Veterinary Surgery

5

2023

Blinded, randomized, placebo-controlled study of the efficacy of bupivacaine liposomal suspension using static bodyweight distribution and subjective pain scoring in dogs after tibial plateau leveling osteotomy surgery

2023-5-VS-aldrich-3

Article Title: Blinded, randomized, placebo-controlled study of the efficacy of bupivacaine liposomal suspension using static bodyweight distribution and subjective pain scoring in dogs after tibial plateau leveling osteotomy surgery

Journal: Veterinary Surgery

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In Davey 2024 et al., on modified closed anal sacculectomy, how was AGASACA most frequently diagnosed in asymptomatic dogs?

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Correct. 57.4% of dogs had no signs, and AGASACA was identified on digital rectal examination.
Incorrect. The correct answer is Palpation during routine rectal exam.
57.4% of dogs had no signs, and AGASACA was identified on digital rectal examination.

🔍 Key Findings

  • Modified closed anal sacculectomy resulted in a local recurrence rate of only 2.2%, substantially lower than prior reports (18–50%).
  • Postoperative complications occurred in 31.9% of dogs; most (93%) were minor, with dehiscence being the most common.
  • Mean survival time in deceased dogs was 521 days; median was 388 days.
  • Surgical technique included complete en bloc excision of the sac and duct with sphincter reconstruction, aiming to reduce seeding risk.
  • Only one major complication resulted in euthanasia due to infection and dehiscence.
  • Histologic margins were complete in 44.7% of dogs; lymphatic invasion was present in 31.9%, and vascular in 8.5%.
  • Adjunctive chemotherapy was administered in 34% of dogs (mostly carboplatin); not standardized due to retrospective design.
  • Routine rectal exam was key to diagnosis in 57.4% of dogs with no clinical signs, underscoring the importance of screening.

Davey

Veterinary Surgery

6

2024

Outcomes of dogs with apocrine gland anal sac adenocarcinoma treated via modified closed anal sacculectomy (2015–2022)

2024-6-VS-davey-5

Article Title: Outcomes of dogs with apocrine gland anal sac adenocarcinoma treated via modified closed anal sacculectomy (2015–2022)

Journal: Veterinary Surgery

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In Cortez 2024 et al., on feline ectopic ureters, what diagnostic imaging modality was successful in all cases in which it was used?

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Correct. CT diagnosed ectopic ureters in 3/3 cases, making it the most consistently accurate modality in this cohort.
Incorrect. The correct answer is Computed tomography (CT).
CT diagnosed ectopic ureters in 3/3 cases, making it the most consistently accurate modality in this cohort.

🔍 Key Findings

  • Ectopic ureters in cats are rare, but most are extramural and bilateral.
  • Surgical techniques used included ureteroneocystostomy (UNC), neoureterostomy (NU), nephroureterectomy, and cystoscopic laser ablation (CLA).
  • All cats showed improvement in urinary continence postoperatively, with 11/12 achieving complete resolution.
  • Major complications were rare; one cat developed uroabdomen requiring revision surgery.
  • Diagnostic imaging was effective, with abdominal ultrasound diagnosing 8/10 and CT 3/3 cases.
  • Short- and long-term complications included urethral spasms, UTIs, stranguria, and rectal prolapse; all were manageable.
  • CLA was successful in 2 cats and is noted as a first-time described technique in feline ectopic ureter cases.
  • Median postoperative follow-up was 340 days, supporting good long-term outcomes.

Cortez

Veterinary Surgery

6

2024

Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters

2024-6-VS-cortez-3

Article Title: Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters

Journal: Veterinary Surgery

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In Scharpf 2024 et al., which statement best reflects the authors' conclusion on subtotal coronoidectomy?

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Correct. Authors concluded that despite improvement in vertical and propulsive forces, braking forces and SIs remained impaired at 26 weeks:contentReference[oaicite:5]{index=5}
Incorrect. The correct answer is It improves force metrics but braking deficits persist.
Authors concluded that despite improvement in vertical and propulsive forces, braking forces and SIs remained impaired at 26 weeks:contentReference[oaicite:5]{index=5}

🔍 Key Findings Summary

  • Subtotal coronoidectomy improved vertical and propulsive forces, but braking forces remained subnormal at 26 weeks.
  • No significant benefit was seen from ACP vs placebo at any timepoint across all force parameters or lameness scores.
  • Force plate analysis was more sensitive than visual lameness scoring.
  • Braking force (%FY+) was best at detecting persistent lameness, and SI < 0.9 persisted in most dogs at 26 weeks.
  • Outcome less favorable than historically reported — challenges status of subtotal coronoidectomy as “gold standard” for MCD.

Scharpf

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis

2024-2-VCOT-scharpf-5

Article Title: Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Holman 2024 et al., what was concluded about the standard lateral approach for shoulder arthroscopy in dogs?

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Correct. Study concluded <75% of medial shoulder stabilizers were visible via lateral arthroscopy.
Incorrect. The correct answer is Visualizes less than 75% of key structures.
Study concluded <75% of medial shoulder stabilizers were visible via lateral arthroscopy.

🔍 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-5

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

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Lopez Barroso 2026 et al., on sacroiliac screw accuracy, which factor most likely contributed to caudal screw angulation in some cases?

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Correct. The study noted caudal angulation in many cases and attributed it to minor malalignment of the pelvis.
Incorrect. The correct answer is Imperfect pelvic positioning.
The study noted caudal angulation in many cases and attributed it to minor malalignment of the pelvis.

🔍 Key Findings

  • Mean SI joint reduction was 94.25%, exceeding the 90% target considered important to reduce screw loosening
  • Mean sacral width purchase was 82.52%, with all screws achieving >60%—a threshold for reducing implant loosening risk
  • All 20 screws were accurately placed within the sacral body, confirmed via CT or radiographs
  • A 3D-printed drill guide and table-bound system facilitated consistent screw placement via minimally invasive technique
  • Craniocaudal and dorsoventral angles were well controlled (mean CCA = –1.22°, DVA = 0.71°), demonstrating accurate trajectory
  • No intraoperative complications were reported; all pilot holes drilled on first attempt
  • Use of fluoroscopy and orthogonal imaging enhanced surgical accuracy and reduced malposition risk
  • The system permitted screw placement through a sleeve that doubled as a muscle retractor, allowing implant delivery without disruption

Lopez Barroso

Veterinary Surgery

1

2026

Accuracy of a table‐bound reduction and drill guide system for minimally invasive sacroiliac screw placement in cats

2026-1-VS-lopezbarroso-5

Article Title: Accuracy of a table‐bound reduction and drill guide system for minimally invasive sacroiliac screw placement in cats

Journal: Veterinary Surgery

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In Takagi 2022 et al., on hepatic venous anatomy, which liver lobe exhibited the greatest variability in the number of veins draining into the left hepatic vein?

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Correct. The left lateral lobe showed 2–8 draining veins into the LHV, the widest range observed.
Incorrect. The correct answer is Left lateral lobe.
The left lateral lobe showed 2–8 draining veins into the LHV, the widest range observed.

🔍 Key Findings

  • Hepatic venous drainage patterns vary widely across all lobes, especially the left lateral lobe.
  • Right lateral lobe had a median of 2 vessels draining directly into the caudal vena cava (CVC); range: 1–4.
  • Caudate process of caudate lobe had the most variability: 1–5 vessels draining into the CVC; 2 vessels was most common (54.5%).
  • Left lateral lobe drained via 2–8 veins into the left hepatic vein (LHV), with 3 veins most common (31.2%).
  • Left medial lobe typically had 1 vein draining into the LHV (61% of dogs).
  • Papillary process drained into the LHV in 93.5% of cases; 6.5% drained directly to the CVC.
  • Quadrate lobe always had 1 vessel draining either directly to the CVC or via the LHV.
  • CTA revealed more variations than previously described in plastinated or cadaveric studies, highlighting its superior value in surgical planning.

Takagi

Veterinary Surgery

4

2022

Computed angiographic variations in hepatic venous vasculature in dogs

2022-4-VS-takagi-3

Article Title: Computed angiographic variations in hepatic venous vasculature in dogs

Journal: Veterinary Surgery

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In Huerta 2025 et al., on TPLO healing assessment, what effect did a postoperative osteotomy gap ≥1 mm have on healing scores?

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Correct. Both scoring systems showed significantly lower 8-week healing scores when a gap ≥1 mm was present
Incorrect. The correct answer is Significantly lower scores.
Both scoring systems showed significantly lower 8-week healing scores when a gap ≥1 mm was present

🔍 Key Findings

Population: 29 Boxer dogs and 29 age-matched Labrador Retrievers undergoing TPLO.
Scoring Systems Compared: 5-point vs. 10-point radiographic healing systems.
Healing Scores (Week 8):

  • Boxers: 5-point mean = 3.3; 10-point mean = 6.9
  • Labradors: 5-point mean = 3.6; 10-point mean = 7.5
  • Statistically significant difference (p = 0.0003 and p < 0.0001)

Osteotomy Gap ≥1 mm (present in 16.4%): Associated with significantly lower healing scores and increased recommendations for additional radiographic follow-up (p < 0.0001).
Observer Reliability:

  • Both systems = good interobserver consistency.
  • Slightly better intraobserver consistency with the 10-point scale.

Clinical Implication: Boxer dogs may need extended healing time or altered follow-up strategy after TPLO.

Huerta

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Evaluation of Osteotomy Healing in Boxer Dogs Undergoing Tibial Plateau Levelling Osteotomy Using Two Radiographic Scoring Systems

2025-1-VC-Huerta-1

Article Title: Evaluation of Osteotomy Healing in Boxer Dogs Undergoing Tibial Plateau Levelling Osteotomy Using Two Radiographic Scoring Systems

Journal: Veterinary and Comparative Orthopedics and Traumatology

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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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Quiz Results

Topic: Imaging & Decision-Making
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