Shoulder & Hip Sports MCQs

A 28-year-old male hockey player presents with insidious onset groin pain. Radiographs demonstrate a pistol-grip deformity and an alpha angle of 65 degrees. What is the primary pathoanatomy in this condition?

A 26-year-old professional baseball pitcher complains of vague posterior shoulder pain during the late cocking phase of throwing. Physical examination reveals a loss of 25 degrees of internal rotation compared to the non-throwing shoulder, with a positive O'Brien test. What is the initial recommended treatment for this condition?

A 20-year-old collegiate rugby player sustains an anterior shoulder dislocation. After reduction, a CT scan shows a glenoid bone loss of 25%. He is indicated for a Latarjet procedure. The primary stabilizing mechanism of the Latarjet procedure in this setting is:

A 21-year-old collegiate rugby player with a history of recurrent anterior shoulder instability presents for surgical evaluation. A 3D CT scan reveals 26% anterior glenoid bone loss. What is the most appropriate surgical management?

A 22-year-old rugby player with recurrent anterior shoulder instability and 25% glenoid bone loss undergoes a Latarjet procedure. Which nerve is at greatest risk of iatrogenic injury during the coracoid preparation and transfer?

A 45-year-old man falls onto his outstretched arm and subsequently demonstrates weakness in internal rotation. Physical examination reveals a positive lift-off test and increased passive external rotation compared to the contralateral shoulder. Which structure is most likely injured?

A 22-year-old male rugby player presents with recurrent anterior shoulder instability. A 3D CT scan of the shoulder reveals an anterior glenoid bone loss of 25% with an engaging Hill-Sachs lesion. What is the most appropriate surgical management?

A 25-year-old ice hockey player presents with chronic, deep groin pain exacerbated by hip flexion and internal rotation. An AP pelvis radiograph demonstrates a "crossover sign." This radiographic finding is indicative of which of the following pathomorphologies?

A 22-year-old rugby player with recurrent anterior shoulder instability is found to have 25% anterior glenoid bone loss on a 3D CT scan. A Latarjet procedure is planned. What is the primary stabilizing mechanism of this surgical procedure?

A 29-year-old elite volleyball player complains of vague posterior shoulder pain and serving weakness. Physical examination demonstrates isolated atrophy and weakness of the infraspinatus with a normal-appearing supraspinatus. At which anatomic location is nerve compression most likely occurring?

A 22-year-old ice hockey player has chronic groin pain exacerbated by hip flexion and internal rotation. Radiographs reveal a bony prominence at the anterolateral head-neck junction. Which radiographic parameter is specifically used to quantify this cam-type impingement deformity?

A 45-year-old recreational weightlifter presents with deep-seated shoulder pain exacerbated by bench press and overhead activities. Examination reveals a positive O'Brien test and tenderness in the bicipital groove. MRI arthrography demonstrates a type II SLAP tear. After failing 6 months of targeted physical therapy, which surgical intervention provides the most reliable return to sport while minimizing postoperative stiffness in this patient?

A 23-year-old rugby player has recurrent anterior shoulder instability. CT scan shows an off-track Hill-Sachs lesion and 15% anterior glenoid bone loss. Which of the following procedures is most appropriate?

A 21-year-old collegiate rugby player presents with recurrent anterior shoulder instability. A 3D CT scan demonstrates 28% anterior glenoid bone loss. Which of the following surgical interventions provides the most reliable long-term stability for this patient?

A 45-year-old active laborer presents with chronic, severe shoulder weakness. MRI demonstrates a massive, retracted, and fatty-infiltrated tear of the supraspinatus and infraspinatus tendons. The subscapularis and teres minor are intact. He has a normal coracoacromial arch and no significant glenohumeral arthritis. Which tendon transfer is most appropriate to restore external rotation?

A 22-year-old competitive rugby player sustains his third anterior shoulder dislocation. CT scan with 3D reconstruction demonstrates 25% glenoid bone loss. A Latarjet procedure is performed. The classic "sling effect" of the Latarjet procedure is provided by which of the following structures?

A 19-year-old female gymnast presents with recurrent bilateral shoulder pain and subluxation associated with generalized ligamentous laxity. After 6 months of dedicated physical therapy, she continues to have disabling instability in her dominant shoulder. What is the most appropriate surgical intervention?

A 20-year-old female dancer complains of an audible, painless snapping on the lateral aspect of her hip when she flexes and extends it. Ultrasound demonstrates a thick band of tissue snapping over the greater trochanter. What is the initial treatment of choice?

A 21-year-old collegiate baseball pitcher presents with a 5-mph decrease in throwing velocity and posterior shoulder pain during the late cocking phase. Examination reveals a Glenohumeral Internal Rotation Deficit (GIRD) of 25 degrees compared to the contralateral shoulder, but a symmetric total arc of motion. What is the most appropriate initial management?

A 25-year-old ice hockey player presents with chronic groin pain exacerbated by hip flexion and internal rotation. Radiographs demonstrate an alpha angle of 72 degrees on the Dunn view. Which of the following accurately describes the pathophysiology of his condition?