Shoulder & Hip Sports MCQs

A 24-year-old rugby player presents with recurrent anterior shoulder instability. A 3D CT scan reveals a 28% defect of the anterior glenoid rim. The most appropriate surgical intervention to prevent recurrence is:

When evaluating a patient with recurrent anterior shoulder instability, a glenoid bone loss of greater than 20% on a 3D CT scan is best treated with which of the following procedures?

Which of the following radiographic findings is most specific for diagnosing Cam-type femoroacetabular impingement (FAI)?

A 68-year-old male presents with pseudo-paralysis of the shoulder and a massive, irreparable rotator cuff tear involving the supraspinatus and infraspinatus. The subscapularis is intact. What is the most appropriate definitive surgical management?

When repairing an acute rupture of the pectoralis major tendon, to which anatomic location should the tendon be reattached to optimize biomechanical restoration?

The internal snapping hip syndrome, characterized by an audible and palpable snap over the anterior hip with hip extension, is most commonly caused by which of the following?

A 24-year-old overhead athlete presents with shoulder pain and weakness. On examination, he has a positive Hornblower's sign. Which muscle is most likely pathologically involved?

The "peel-back" mechanism during the late cocking phase of overhead throwing is primarily responsible for the development of which shoulder pathology?

In treating massive, irreparable rotator cuff tears in patients without severe glenohumeral arthritis, a superior capsular reconstruction (SCR) primarily aims to achieve which biomechanical effect?

Which specific radiographic view is considered the most sensitive for profiling the posterolateral humeral head to identify a Hill-Sachs lesion?

Magnetic resonance imaging (MRI) of the pelvis in patients with athletic pubalgia reveals:

Which of the following arteries provides the primary blood supply to the supraspinatus tendon:

In an athlete with femoroacetabular impingement (FAI), a Cam lesion typically damages the hip joint by causing:

A dancer complains of a painful, audible snap on the lateral aspect of the hip when moving from flexion to extension. Which anatomical structure is primarily responsible for this external snapping hip?

Which specific clinical test helps differentiate athletic pubalgia from femoroacetabular impingement (FAI) in a hockey player with vague groin pain?

A 22-year-old dancer presents with a painful snapping sensation deep in her anterior groin when extending her hip from a flexed, abducted, and externally rotated position. Which anatomical structure is most likely involved?

A 25-year-old hockey player diagnosed with athletic pubalgia undergoes surgical repair of the posterior inguinal wall but continues to experience significant groin pain postoperatively. Which concomitant condition was most likely missed during the initial evaluation?

A 21-year-old female runner complains of a painful, audible click on the lateral aspect of her hip when climbing stairs. On physical examination, the snapping is reproduced when the hip is actively flexed and extended while in a lateral decubitus position. Which test is most useful for confirming the tight structures involved in this pathology?

Internal snapping hip syndrome (coxa saltans interna) is most commonly caused by which of the following structures snapping over the iliopectineal eminence or femoral head?

A professional hockey player presents with chronic groin pain. Radiographs show symphyseal sclerosis and widening. A single-leg stance (flamingo) view shows 3 mm of superior translation of the pubis. What is the most likely diagnosis?