Shoulder & Hip Sports MCQs

A 22-year-old rugby player has recurrent anterior shoulder instability. CT arthrogram demonstrates 25% anterior glenoid bone loss and an engaging Hill-Sachs lesion. Which of the following surgical procedures is most appropriate?

A 22-year-old male hockey player presents with groin pain exacerbated by hip flexion and internal rotation. Radiographs reveal an aspherical femoral head-neck junction with an alpha angle of 70 degrees. During hip arthroscopy for this 'cam-type' femoroacetabular impingement (FAI), where is the characteristic articular cartilage damage (chondral delamination) most likely to be found?

A 13-year-old obese boy undergoes in situ single-screw fixation for a stable slipped capital femoral epiphysis (SCFE). Which of the following is the most common long-term complication associated with the residual deformity of the proximal femur in this condition?

A 45-year-old male presents with shoulder pain and weakness following a fall. The surgeon wishes to isolate and test the subscapularis tendon. Which of the following physical examination tests is most specific for identifying a subscapularis tear?

Biomechanical models of the rotator cuff emphasize load transmission properties. Burkhart et al. described a thick, band-like structure composed of bundled collagen fibers running perpendicular to the supraspinatus and infraspinatus tendons. This structure transmits load to the humerus and stress-shields the thinner, more avascular crescent region. What is this structure called?

An 18-year-old contact athlete undergoes surgical stabilization for recurrent anterior shoulder instability. Preoperative imaging reveals 15% glenoid bone loss and a large, engaging Hill-Sachs lesion. An arthroscopic Bankart repair with a remplissage procedure is performed. Which structure is tenodesed into the humeral head defect during the remplissage?

In the setting of anterior shoulder instability, a 'bony Bankart' lesion is identified on CT scan. What percentage of glenoid bone loss is generally considered the critical threshold at which an arthroscopic soft-tissue repair has an unacceptably high failure rate, thereby necessitating a bony augmentation procedure?

A 40-year-old male presents with a locked shoulder after a generalized tonic-clonic seizure. The arm is internally rotated, and external rotation is mechanically blocked. An axillary radiograph confirms a posterior glenohumeral dislocation. What impaction fracture is typically associated with this injury?

A patient sustains a massive rotator cuff tear involving the supraspinatus and infraspinatus. Atrophy and fatty infiltration of the infraspinatus muscle are most directly associated with retraction of the tendon beyond which anatomical landmark?

A 60-year-old male presents with shoulder pain and weakness. On physical examination, the patient has a positive 'horn blower's' sign. This finding is most specific for pathology involving which of the following muscles?

A 22-year-old male rugby player presents with recurrent anterior shoulder dislocations. A pre-operative 3D CT scan demonstrates 25% anterior glenoid bone loss. Which of the following is the most appropriate surgical treatment?

During preoperative planning for a patient with recurrent anterior shoulder instability, the concept of the 'glenoid track' is evaluated. A Hill-Sachs lesion is considered 'off-track' if it:

A 21-year-old collegiate wrestler suffers his fourth anterior shoulder dislocation. Advanced imaging reveals an anterior inferior glenoid bone defect measuring 28% of the glenoid width. Which of the following surgical procedures is considered the gold standard to restore stability in this patient?

A 22-year-old rugby player presents with recurrent anterior shoulder dislocations. A pre-operative CT scan reveals an inverted pear-shaped glenoid with 30% anterior glenoid bone loss. What is the most appropriate surgical intervention?

A 21-year-old collegiate rugby player with recurrent anterior shoulder instability undergoes advanced imaging. A 3D CT scan reveals 25 percent anterior glenoid bone loss. What is the most appropriate surgical management?

A patient sustains a high-energy motorcycle crash and suffers a traction injury to the upper trunk of the brachial plexus (Erb-Duchenne palsy). Which of the following clinical presentations is expected?

A 22-year-old overhead athlete presents with chronic anterior shoulder instability. MRI reveals a Bankart lesion and a significant engaging Hill-Sachs defect. The surgeon performs an arthroscopic Bankart repair with a Remplissage procedure. Which structure is tenodesed into the Hill-Sachs defect during a Remplissage?

During a Latarjet procedure for recurrent anterior shoulder instability with 30% glenoid bone loss, the coracoid process is transferred to the anterior glenoid. Which structure attached to the transferred coracoid provides a dynamic "sling" effect?

A 28-year-old overhead athlete presents with posterior shoulder pain and isolated weakness in external rotation. An MRI shows a paralabral cyst. Where is the cyst most likely located to produce these specific clinical findings?

The "peel-back" mechanism in overhead-throwing athletes primarily contributes to the pathogenesis of which of the following shoulder lesions?