Shoulder & Hip Sports MCQs

A 60-year-old male undergoes arthroscopic rotator cuff repair.

To optimize tendon-to-bone healing, the surgeon decorticates the greater trochanter footprint. What is the primary histological mechanism of healing at the tendon-bone interface following this repair?

A 22-year-old rugby player suffers recurrent anterior shoulder instability. 3D CT reconstruction demonstrates 12% anterior glenoid bone loss and a deep, engaging Hill-Sachs lesion. Which of the following is the most appropriate surgical management?

A 28-year-old semi-professional baseball pitcher presents with recurrent anterior glenohumeral instability despite dedicated rehabilitation. He has suffered 5 dislocations in the past 18 months. An axial CT scan reveals a glenoid bone loss of approximately 28% and an engaging Hill-Sachs lesion. The image provided shows a representative axial CT view of a shoulder with bone loss.

What is the most appropriate surgical management for this patient?

A 45-year-old heavy laborer presents with an irreparable massive rotator cuff tear involving the supraspinatus and infraspinatus. The subscapularis and teres minor are intact, and he lacks active external rotation. Which of the following is the most appropriate surgical option?

A 28-year-old elite volleyball player complains of vague posterior shoulder pain. On examination, he has full active abduction but marked weakness in external rotation. MRI reveals a paralabral cyst at the spinoglenoid notch. Which muscle(s) will show denervation changes on EMG?

A 35-year-old male presents to the ER after a generalized seizure. His arm is locked in internal rotation and he cannot passively externally rotate past 0 degrees. An AP radiograph shows a symmetric, rounded humeral head ('lightbulb sign').

CT imaging is obtained. What specific osseous defect is most likely to be present on the humeral head?

A 45-year-old heavy laborer presents with deep shoulder pain and mechanical catching. MRI arthrogram reveals a Type II SLAP tear. Given his age and occupational demands, current literature suggests which surgical intervention provides the most reliable return to work and pain relief?

A 22-year-old football player sustains recurrent anterior shoulder dislocations. Preoperative imaging

reveals 25% anterior glenoid bone loss. What is the most appropriate surgical intervention to minimize recurrence?

A 30-year-old elite volleyball player complains of vague posterior shoulder pain and weakness in external rotation. Examination reveals isolated atrophy of the infraspinatus with preserved supraspinatus bulk. Where is the most likely site of nerve compression?

A 45-year-old male presents to the ED after a generalized tonic-clonic seizure. His shoulder is locked in internal rotation and he is unable to externally rotate. Radiographs show a 'lightbulb' sign. Which of the following associated injuries is most frequently seen in this condition?

A 55-year-old laborer has a massive, irreparable posterosuperior rotator cuff tear. He has an intact subscapularis and a negative hornblower's sign. He struggles primarily with loss of active external rotation and elevation. Which tendon transfer is most historically validated and appropriate for this specific deficit pattern?

A 24-year-old professional baseball pitcher presents with posterior shoulder pain during the late cocking phase of throwing. He exhibits a GIRD (glenohumeral internal rotation deficit) of 25 degrees. What is the primary pathophysiologic mechanism of his shoulder pain?

A 55-year-old male sustains an anterior shoulder dislocation. Post-reduction, he has numbness over the lateral aspect of his shoulder and inability to actively abduct his arm. An EMG performed at 3 weeks shows fibrillation potentials in the deltoid. What is the most appropriate management?

A 40-year-old male presents with severe, acute-onset right shoulder pain that lasted for two weeks, awakened him from sleep, and has now transitioned into profound weakness of shoulder abduction and external rotation. He reports a recent viral respiratory illness. MRI of the shoulder is unremarkable. What is the most likely diagnosis?

A 31-year-old male volleyball player presents with insidious onset of right shoulder weakness. Physical exam reveals notable atrophy of the infraspinatus fossa but normal bulk of the supraspinatus. External rotation strength is significantly decreased, while abduction strength is preserved. What is the most likely etiology of this patient's condition?

The Latarjet procedure involves transfer of the coracoid process to the anterior glenoid neck. During the approach, the subscapularis muscle is often split longitudinally. Which nerve is at greatest risk of iatrogenic injury if this split is extended too far medially?

A 55-year-old male presents with a massive, irreparable tear of the subscapularis tendon following a failed repair. He complains of debilitating anterior pain, has a positive belly-press test, and increased passive external rotation. Which tendon transfer is most appropriate to restore anterior shoulder function?

A 48-year-old manual laborer has a massive, retracted, and fatty-infiltrated tear of the supraspinatus and infraspinatus. He lacks active external rotation and has a positive external rotation lag sign, but has intact subscapularis function and no significant glenohumeral arthritis. Which tendon transfer is most indicated for this patient?

A 65-year-old female sustains an anterior shoulder dislocation. After successful closed reduction in the emergency department, post-reduction radiographs reveal a concentric glenohumeral joint but a displaced greater tuberosity fracture with 7 mm of superior displacement. What is the most appropriate management?

A 40-year-old male presents to the ER after a generalized seizure. He holds his right arm firmly in internal rotation and adduction. Radiographs confirm a posterior glenohumeral dislocation. After closed reduction, a CT scan shows a reverse Hill-Sachs lesion involving 25% of the humeral head articular surface. Which of the following is the most appropriate surgical treatment?