Shoulder & Hip Sports MCQs

During diagnostic arthroscopy for recurrent anterior shoulder instability, the surgeon identifies an anterior labral tear. The anterior scapular periosteum is intact, but the labrum and inferior glenohumeral ligament have healed medially on the anterior glenoid neck.

What is the classic eponym for this lesion?

A 22-year-old overhead athlete undergoes an arthroscopic Bankart repair with a concurrent remplissage procedure. Which of the following kinematic changes is most likely to result from the addition of the remplissage?

A 24-year-old rugby player has recurrent shoulder instability. 3D CT reconstructions are analyzed to determine the 'Glenoid Track'.

How is the width of the intact glenoid track calculated?

During an open Latarjet procedure, the coracoid process is osteotomized and transferred to the anterior glenoid. To minimize the risk of injury to the musculocutaneous nerve, the surgeon must be aware of its anatomical relationship. At approximately what distance distal to the tip of the coracoid process does the musculocutaneous nerve typically enter the coracobrachialis muscle?

During a Latarjet procedure, the subscapularis muscle can be managed either by a split in line with its fibers or by a tenotomy. Proponents of the subscapularis split argue it provides which specific anatomical and functional advantage?

A 22-year-old football player presents with a posterior labral tear and posterior instability.

During physical examination, which of the following tests is most specific for diagnosing a symptomatic posterior labral tear or recurrent posterior subluxation?

A 28-year-old male with recurrent anterior shoulder instability and 30% glenoid bone loss underwent a Latarjet procedure 2 years ago. He now presents with a failed Latarjet, hardware loosening, and recurrent dislocations. A salvage procedure is planned. Which of the following describes an Eden-Hybinette procedure?

In the evaluation of anterior shoulder instability, a Hill-Sachs lesion is considered 'engaging' if its long axis is parallel to the anterior glenoid rim when the arm is in which of the following positions?

A 60-year-old right hand-dominant women fell on her outstretched arm and sustained an anterior shoulder dislocation. The shoulder is reduced in the emergency department and she is seen for follow-up 1 week later wearing a sling. Examination reveals that she has significant difficulty raising her arm in forward elevation and has excessive external rotation compared to the contralateral shoulder. What is the next most appropriate step in management? Review Topic

A 47-year-old landscaper presents with worsening left shoulder pain and weakness. Three years ago, he injured the left shoulder in a fall and elected for nonoperative management to minimize time off from work. Physical therapy was effective until 6 months ago when his shoulder function worsened to the point that he is now unable to work. Examination of his active range of motion reveals forward elevation 120° with pain, abduction 100°, IR at neutral to T8 and ER at neutral 5°. He has a positive ER lag sign and Hornblower's sign. Belly press and lift-off tests are normal. A recent radiograph is shown in Figures A. MRI images are shown in Figures B and C. Which of the following is the best treatment option? Review Topic

A 35-year-old man presents one week after an acute right shoulder posterior dislocation after being electrocuted. He is evaluated in the emergency department and undergoes closed reduction. The patient reports global right shoulder pain and limited active and passive range of motion. He has mild anterior and lateral bruising. He is distally neurovascularly intact. Current radiographs and an MRI scan are shown in Figures 1 through 3. What is the best next step?

A 38-year-old man reports a 6-week history of shoulder pain and stiffness after falling on the stairs and landing onto the affected side. Radiographs are shown in Figures 54a and 54b. What is the most appropriate treatment? Review Topic

A 52-year-old man underwent arthroscopic repair of a 1-cm supraspinatus tendon tear 3 weeks ago. He was doing well until he fell down three stairs. One week after the fall he continues to report pain similar to his preoperative pain. An MRI scan reveals a minimally retracted 1-cm supraspinatus tendon tear in the same location as his original tear. Management should now consist of Review Topic

Atraumatic suprascapular nerve compression usually occurs at which of the following anatomic locations if it develops atraumatically? Review Topic

A 20-year-old man has activity-related deep-seated shoulder pain in his dominant right shoulder. He has taken 3 months off training as a college javelin thrower, and management consisting of physical therapy has failed to provide relief. Shoulder arthroscopic views are shown in Figures 16a through 16c. What is the underlying association with this condition? Review Topic

A 32-year-old volleyball player has dull posterior shoulder pain. An examination reveals moderate external rotation weakness with his arm at his side but normal strength on supraspinatus isolation. Deltoid and supraspinatus bulk appear normal, although there appears to be mild infraspinatus atrophy. Sensation is normal throughout the shoulder and shoulder girdle. What is the most likely diagnosis?

Figures 1 and 2 are the most recent radiographs of an 18-year-old high school student who sustains an anterior shoulder dislocation playing recreational football. He has a low Beighton score on physical examination. He was closed reduced and underwent a course of physical therapy but had a second dislocation playing recreational basketball. What is the most appropriate course of treatment, with the lowest complication rate, to prevent further dislocation?

A 38-year-old man sustained a complete thoracic spinal cord injury at age 14. An MRI scan of his shoulder, when compared with studies from uninjured controls, is more likely to show which of the following? Review Topic