General Sports & Tendon MCQs

A 40-year-old water skier sustains a complete proximal hamstring avulsion. He undergoes acute surgical repair. During the surgical approach to the ischial tuberosity, which of the following neurovascular structures is at the highest risk of iatrogenic injury, particularly with retraction?

When repairing a complete proximal hamstring avulsion, the surgeon must be careful to identify and protect the sciatic nerve. At the level of the ischial tuberosity, what is the anatomical relationship of the sciatic nerve to the hamstring origin?

A 42-year-old competitive water skier fell forward with his knee extended and hip flexed. He presents with severe posterior thigh pain, profound ecchymosis, and a palpable defect at the ischial tuberosity. MRI reveals a complete avulsion of the proximal hamstring conjoined tendon with 6 cm of distal retraction. What is the most appropriate treatment?

A 45-year-old competitive water skier sustains a forced hyperflexion injury of the hip with the knee fully extended. She experiences a loud pop and profound weakness in knee flexion and hip extension. MRI confirms a complete 3-tendon avulsion of the proximal hamstring origin with 4 cm of distal retraction. During surgical repair, what anatomic landmark relationship is most critical for locating and protecting the sciatic nerve?

A 40-year-old water skier sustains a hyperflexion injury to the hip with her knee fully extended. She presents with significant ecchymosis over the posterior thigh, an antalgic gait, and an inability to run. MRI confirms a complete, 3-tendon avulsion of the proximal hamstring complex with 4 cm of retraction. Open surgical repair is planned. Which of the following neurovascular structures is located immediately lateral to the ischial tuberosity and is at highest risk during surgical retrieval and repair?

A 40-year-old water skier sustained a hyperflexion injury of the hip with an extended knee, resulting in an acute 3-tendon proximal hamstring avulsion. Retraction is measured at 4 cm. What is the most significant clinical risk of nonoperative management in this specific scenario?

A 45-year-old male competitive water skier sustains a forced hyperflexion injury of the hip with the knee fully extended. He experiences severe deep buttock pain, extensive posterior thigh ecchymosis, and a palpable defect at the ischial tuberosity. MRI reveals a complete 3-tendon proximal hamstring avulsion with 4 cm of distal retraction. What is the recommended management?

Figure 12 corresponds to a 45-year-old competitive water skier who sustains a severe forced hip flexion injury with the knee extended. He presents with posterior thigh ecchymosis, loss of posterior thigh contour, and profound weakness in knee flexion. He is planned for an open repair of the completely avulsed proximal hamstring tendons. During the surgical approach to the ischial tuberosity, which of the following nerves is at greatest risk of iatrogenic injury?

A 45-year-old water skier sustains a hyperflexion injury of the hip with the knee extended. He has severe posterior thigh pain and a palpable defect at the ischial tuberosity. MRI shows a complete 3-tendon proximal hamstring avulsion with 4 cm of retraction. What is the most appropriate management?

A 45-year-old avid runner presents with deep gluteal pain and posterior thigh radiation that worsens with prolonged sitting. Examination shows tenderness over the ischial tuberosity and pain with resisted knee flexion while the hip is flexed. Which of the following conditions is most likely responsible for his symptoms?

A 35-year-old water skier falls forcefully while accelerating and sustains an avulsion of the proximal hamstring origin. MRI demonstrates a complete avulsion of the conjoined tendon and semimembranosus with 4 cm of distal retraction. During the surgical exposure, which of the following nerves is at greatest risk of injury and must be carefully protected?

A 42-year-old male sustains a complete 3-tendon proximal hamstring avulsion retracted 4 cm. During the surgical approach for repair, which nerve located immediately lateral to the ischial tuberosity must be explicitly identified and protected?

A 40-year-old competitive water skier sustains an acute posterior thigh injury after forceful hip flexion with the knee fully extended. MRI shows an avulsion of the conjoined tendon and semimembranosus from the ischial tuberosity with 3.5 cm of retraction. What is the most appropriate treatment?

A water skier sustains a forced hyperflexion injury of the hip with an extended knee. MRI shows a complete proximal hamstring avulsion with 4 cm of retraction. Which of the following nerves is at greatest risk of injury during surgical repair?

A 35-year-old water skier suffers a forceful hip flexion injury with the knee extended, resulting in a 3 cm retracted avulsion of the proximal hamstring complex. During open surgical repair, the surgeon identifies the ischial tuberosity footprint. Which of the following accurately describes the anatomical footprint of the proximal hamstring complex?

A 45-year-old male sustains an acute, complete avulsion of the proximal hamstring origin (all three tendons) with 4 cm of retraction. If this is treated non-operatively, which long-term complication is he at highest risk for developing?

A 35-year-old water skier falls and sustains a proximal hamstring avulsion. The tear involves the 'conjoined tendon' of the hamstring complex. Which muscles form this specific tendinous structure at the ischial tuberosity?

A 35-year-old competitive water skier sustains an acute, complete, three-tendon proximal hamstring avulsion with 4 cm of retraction. Surgical repair is indicated. Which of the following peripheral nerves is anatomically situated closest to the ischial tuberosity footprint and is at the highest risk of iatrogenic injury during deep surgical dissection?

A 40-year-old water skier suffers a forced hyperflexion injury of the hip with an extended knee, resulting in a proximal hamstring avulsion. Which of the following muscles form the conjoined tendon of the proximal hamstring complex at the ischial tuberosity?