Shoulder & Hip Sports MCQs

A 29-year-old elite volleyball player complains of vague, deep, posterior shoulder pain and weakness in external rotation. MRI reveals an isolated paralabral cyst at the spinoglenoid notch. Which physical examination finding is most expected?

During an arthroscopic anterior shoulder stabilization for recurrent instability, the surgeon notes an anterior labroligamentous periosteal sleeve avulsion (ALPSA) lesion. How does this lesion uniquely differ from a classic Bankart lesion?

A 42-year-old recreational tennis player has persistent shoulder pain despite 6 months of conservative management. MRI reveals an isolated Type II Superior Labrum Anterior Posterior (SLAP) tear. What is the most appropriate surgical management for this patient?

A 29-year-old elite volleyball player presents with insidious onset of right shoulder weakness. Examination reveals isolated atrophy of the infraspinatus with weakness in external rotation, but normal strength in forward elevation and abduction. Where is the most likely location of nerve compression?

A 68-year-old man presents with a massive, retracted, and irreparable posterosuperior rotator cuff tear. He has significant weakness in external rotation, a positive hornblower's sign, but intact forward elevation and a functional subscapularis. Which tendon transfer is most appropriate?

A 34-year-old man suffers an anterior shoulder dislocation with an associated Hill-Sachs lesion. On preoperative MRI, the glenoid track is calculated. The lesion is determined to be "off-track." What are the biomechanical implications of this finding?

A 29-year-old volleyball player complains of vague posterior shoulder pain and weakness with external rotation. MRI demonstrates a paralabral cyst in the spinoglenoid notch. Which of the following clinical findings is most likely present?

An active 55-year-old male undergoes arthroscopic rotator cuff repair with a concomitant subpectoral biceps tenodesis. Compared to a biceps tenotomy, what is the primary biomechanical and clinical advantage of tenodesis?

A 24-year-old professional hockey player presents with chronic anterior groin pain exacerbated by hip flexion and internal rotation. AP pelvis radiographs reveal a prominent 'crossover sign'. Which of the following pathomorphologies is primarily associated with this radiographic finding?

When assessing an AP pelvis radiograph for suspected femoroacetabular impingement (FAI), the presence of a 'crossover sign' is indicative of which specific anatomic abnormality?

A 13-year-old obese boy presents with left hip pain and an obligatory external rotation of the hip with passive flexion. Radiographs confirm a stable slipped capital femoral epiphysis (SCFE). He undergoes in situ single-screw fixation. What is the most common long-term complication directly related to the residual deformity of this condition?

A 25-year-old male athlete presents with groin pain exacerbated by hip flexion and internal rotation. Radiographs demonstrate an alpha angle of 68 degrees on the Dunn lateral view. Which of the following accurately describes the primary pathomechanical consequence of this specific structural abnormality?

A 24-year-old male athlete presents with anterior groin pain that is exacerbated by deep hip flexion and internal rotation. Radiographs reveal an osseous prominence at the anterolateral head-neck junction. What radiographic measurement is widely used to quantify this specific deformity, and what is the typical diagnostic threshold?

A 22-year-old rugby player has recurrent anterior shoulder dislocations. Preoperative imaging reveals an anterior glenoid bone loss of 25%. Which of the following surgical procedures is the most appropriate definitive management for this patient?

A 22-year-old elite baseball pitcher complains of posterior shoulder pain during the late cocking phase of throwing. MRI shows partial-thickness articular-sided tearing of the posterior supraspinatus and anterior infraspinatus, along with posterosuperior labral fraying. What is the primary pathomechanism?

Which muscle of the rotator cuff is primarily responsible for internal rotation of the humerus?

A 38-year-old male presents with sudden onset, excruciating right shoulder pain that awakened him from sleep, lasting for 5 days before slowly resolving. Following pain resolution, he notices profound weakness in elevating and externally rotating his arm. MRI of the cervical spine and shoulder are normal. EMG demonstrates denervation isolated to the supraspinatus and infraspinatus. What is the most likely diagnosis?

When evaluating a patient with recurrent anterior shoulder instability, the concept of the 'glenoid track' is utilized to determine the risk of a Hill-Sachs lesion engaging the anterior glenoid rim. Which of the following best describes an 'off-track' Hill-Sachs lesion?

In the evaluation of recurrent anterior shoulder instability, the 'glenoid track' concept is utilized to determine if a Hill-Sachs lesion is engaging. By definition, a Hill-Sachs lesion is considered 'off-track' (engaging) if its medial margin extends medial to the glenoid track. In a patient with an intact anterior glenoid rim (no bony Bankart), the width of the glenoid track is calculated as approximately what percentage of the native anterior-posterior glenoid width?

A 22-year-old rugby player undergoes an anterior stabilization procedure for recurrent shoulder dislocations. Preoperative CT reveals a 25% loss of the anterior glenoid rim. Which of the following procedures is most appropriate to restore glenohumeral stability?