Shoulder & Hip Sports MCQs

A 19-year-old female gymnast complains of bilateral shoulder pain and a sensation of her shoulders "slipping." Examination demonstrates a positive sulcus sign and a positive apprehension test bilaterally, without a discrete history of trauma. Initial management should primarily consist of:

A 24-year-old rugby player undergoes arthroscopic Bankart repair for recurrent anterior shoulder instability. Intraoperatively, an engaging Hill-Sachs lesion is identified with a glenoid bone loss of 10%. Which of the following adjunct procedures is most appropriate?

An obese 12-year-old boy presents with right groin pain and an obligate external rotation of the hip during passive flexion. He is diagnosed with a stable slipped capital femoral epiphysis (SCFE). Which complication is most closely associated with the natural history of the altered anatomy if left untreated?

A 19-year-old female swimmer presents with bilateral shoulder pain and a sensation of her shoulders slipping out of place. Examination reveals a positive sulcus sign bilaterally, apprehension and relocation tests, and generalized ligamentous laxity. What is the most appropriate initial management?

The detailed neurological examination of the newborn in the case revealed absent spontaneous movement for shoulder abduction/external rotation and elbow flexion, but present elbow extension and full spontaneous movement of fingers and thumb. Sensory examination showed intact withdrawal reflex in the hand but absent withdrawal in the lateral upper arm. This pattern of motor and sensory deficit is most indicative of involvement of which specific nerve roots?

A 40-year-old male develops sudden, severe right shoulder pain that wakes him at night. Two weeks later, the pain subsides, but he notices profound weakness in shoulder abduction and external rotation. MRI of the shoulder is unremarkable. EMG shows active denervation in the supraspinatus and infraspinatus without radicular findings. What is the most likely diagnosis?

A 26-year-old elite volleyball player complains of vague posterior shoulder pain and weakness. Examination shows atrophy isolated to the infraspinatus fossa, with normal supraspinatus bulk and strength. An MRI reveals a paralabral cyst. Where is the most likely location of the nerve compression?

A 28-year-old elite volleyball player complains of vague posterior shoulder pain and weakness. Examination reveals isolated atrophy of the infraspinatus muscle with normal bulk and strength of the supraspinatus. Where is the most likely location of the nerve compression?

A 20-year-old male sustains an anterior shoulder dislocation during a rugby match. A subsequent MRI arthrogram reveals an avulsion of the anterior-inferior glenoid labrum with the attached inferior glenohumeral ligament complex. What is the specific eponym for this lesion?

Following the initial AP shoulder X-ray showing proximal humeral migration and subacromial narrowing, the candidate requests an axillary view. What specific finding is the candidate MOST likely looking for on the axillary view in this clinical context?

The 76-year-old gentleman is diagnosed with rotator cuff tear arthropathy. Which of the following is the primary pathophysiological mechanism leading to the characteristic radiographic findings and symptoms in RCAT?

The candidate correctly explains that reverse shoulder arthroplasty (RSA) brings the center of rotation of the glenohumeral joint medially and increases the moment arm of the deltoid. How does this biomechanical change primarily contribute to improved shoulder function in patients with rotator cuff tear arthropathy?

A 22-year-old rugby player has recurrent anterior shoulder instability. Computed tomography shows a 28% anterior glenoid bone loss. An open Latarjet procedure is planned. Which structure passes through the "split" of the subscapularis during this procedure?

A patient has just undergone a successful open reduction and ligament reconstruction for a chronic posterior sternoclavicular joint dislocation. The surgeon is discussing the immediate post-operative rehabilitation protocol with the physical therapist.

During the initial 0-6 week post-operative phase, which of the following is a critical precaution or restriction that MUST be strictly adhered to?

A 24-year-old male presents with recurrent anterior shoulder instability. MRI arthrogram reveals an avulsion of the anterior labrum along with the anterior band of the inferior glenohumeral ligament (IGHL) from the glenoid rim. This lesion is formally known as:

During arthroscopic stabilization for recurrent anterior shoulder instability, the surgeon notes an intact anterior labrum but an avulsion of the inferior glenohumeral ligament from its humeral insertion. What is the appropriate terminology for this lesion?

A 50-year-old patient presents with acute shoulder pain after a seizure. On examination, the arm is held in internal rotation, and the anterior shoulder appears flattened. External rotation is severely restricted. Which radiographic finding on an AP shoulder view is pathognomonic for a posterior shoulder dislocation?

A 70-year-old male sustains an anterior shoulder dislocation. After reduction, plain radiographs show a concomitant fracture. Which fracture is MOST commonly associated with anterior shoulder dislocation in this age group?

A 40-year-old male sustains a posterior shoulder dislocation during a seizure. After successful closed reduction, a CT scan reveals a reverse Hill-Sachs defect involving 25% of the humeral head articular surface. Which of the following is the most appropriate surgical management to prevent recurrent instability?

A 60-year-old male presents with persistent shoulder weakness 4 weeks after an anterior shoulder dislocation that was successfully reduced. He has full passive range of motion but positive bear-hug and belly-press tests. What is the most likely diagnosis?