Shoulder & Hip Sports MCQs

A 22-year-old collegiate baseball pitcher presents with posterior shoulder pain during the late cocking phase of throwing. Physical examination reveals a 20-degree glenohumeral internal rotation deficit (GIRD). Which of the following MRI findings is most characteristic of 'internal impingement' in this patient?

A 45-year-old construction worker presents with a symptomatic Type II SLAP tear. According to recent literature, compared to arthroscopic SLAP repair, primary biceps tenodesis in patients in this age demographic is associated with:

In the evaluation of anterior shoulder instability, the 'glenoid track' concept is used to determine the risk of engagement. A Hill-Sachs lesion is considered 'off-track' (and thus at high risk of engagement) if:

A 26-year-old baseball pitcher presents with posterior shoulder pain and a "dead arm" sensation during the late cocking phase of throwing. He exhibits a 25-degree glenohumeral internal rotation deficit (GIRD). What is the primary pathomechanical cause of his suspected labral pathology?

During hip arthroscopy for mixed femoroacetabular impingement (FAI), excessive bony resection of a cam lesion extending too far posterosuperiorly on the femoral head-neck junction risks injury to the terminal branches of which artery?

A 20-year-old rugby player has recurrent anterior shoulder instability. CT shows 15% glenoid bone loss and a Hill-Sachs lesion. Based on the 'glenoid track' concept, an 'off-track' Hill-Sachs lesion is defined by which of the following?

A 30-year-old male hockey player undergoes hip arthroscopy for symptomatic femoroacetabular impingement (FAI). An isolated cam lesion is resected. Which anatomic landmark marks the most common location of a cam deformity on the femoral head-neck junction?

A 24-year-old professional baseball pitcher presents with vague anterior shoulder pain and a 'dead arm' sensation. Examination reveals Glenohumeral Internal Rotation Deficit (GIRD) of 25 degrees. During the late cocking phase of throwing, which mechanism is primarily responsible for a Type II SLAP tear?

A 28-year-old male undergoes hip arthroscopy for symptomatic femoroacetabular impingement (FAI). He has a large cam lesion requiring osteochondroplasty. To minimize the risk of a postoperative iatrogenic femoral neck fracture, the maximum recommended depth of the resection should not exceed what percentage of the femoral neck diameter?

Which of the following structures is contained within the rotator interval of the shoulder?

A 28-year-old volleyball player presents with isolated weakness in external rotation of the right shoulder. Abduction is full and symmetric to the contralateral side. Atrophy is noted in the infraspinatus fossa. An MRI reveals a paralabral cyst. Where is the cyst most likely located?

A 28-year-old volleyball player presents with isolated atrophy of the infraspinatus muscle. Examination shows preserved supraspinatus strength. Magnetic resonance imaging will most likely show a paralabral cyst compressing the nerve at which specific anatomical location?

A 28-year-old volleyball player presents with isolated weakness in shoulder external rotation. Atrophy is noted over the infraspinatus fossa with a normal supraspinatus bulk. An MRI reveals a paralabral cyst. At which anatomical location is the nerve compression most likely occurring?

An 84-year-old lady's shoulder X-ray shows a large, well-circumscribed, amorphous calcification overlying the supraspinatus tendon insertion. She reports acute, severe pain. This presentation is most consistent with:

Radiographically, how can a chronic, massive rotator cuff tear leading to arthropathy be differentiated from an acute traumatic rotator cuff tear on a standard shoulder X-ray series?

An 84-year-old lady presents after falling on an outstretched arm. Her X-ray shows an anterior glenohumeral dislocation. What is a 'bony Bankart lesion' that might be visible on specific views?

After a suspected posterior shoulder dislocation in an 84-year-old, which radiographic finding on the humeral head is indicative of a 'reverse Hill-Sachs lesion'?

For an 84-year-old lady with a history of recurrent anterior shoulder dislocations, which specific radiographic finding would indicate chronic instability and potential future surgical intervention?

You are reviewing a follow-up X-ray for an 84-year-old with an anatomic TSA. What radiographic sign would be most concerning for glenoid component loosening?