Shoulder & Hip Sports MCQs

Which of the following muscles is most responsible for deceleration of the arm during pitching:

Which of the following conditions most often accompanies a dislocation of the longhead of the biceps tendon?

A 55-year-old man presents with anterior shoulder pain and increased passive external rotation after a heavy fall. Examination reveals a positive belly-press test and an inability to maintain internal rotation against resistance. Which structure is most likely injured?

A 32-year-old elite volleyball player presents with isolated weakness in external rotation of the shoulder. Examination reveals atrophy of the infraspinatus fossa, but supraspinatus strength and bulk are perfectly normal. Where is the most likely site of nerve entrapment?

A 22-year-old rugby player with recurrent anterior shoulder instability is found to have 25% anterior glenoid bone loss. An open Latarjet procedure is planned. During the surgical approach to the anterior glenoid, which muscle's tendon is classically split horizontally?

A 30-year-old weightlifter presents with vague posterior shoulder pain and paresthesias over the lateral deltoid. MRI demonstrates isolated fatty infiltration and atrophy of the teres minor muscle. The affected nerve is compressed in a space defined by which of the following boundaries?

In the Latarjet procedure for anterior shoulder instability, the transferred coracoid process provides stability through a 'sling effect'. Which of the following structures is responsible for this dynamic sling effect?

A 35-year-old volleyball player has persistent shoulder weakness. MRI reveals a paralabral cyst at the spinoglenoid notch compressing a nerve. Which of the following clinical findings is expected?

A 50-year-old construction worker presents with weakness in internal rotation and a positive belly-press test following a lifting injury 8 months ago. MRI shows a massive, retracted, irreparable tear of the subscapularis with severe fatty infiltration. Which tendon transfer is most appropriate?

A 60-year-old man complains of profound weakness in shoulder elevation and external rotation. Imaging reveals an irreparable massive tear of the supraspinatus and infraspinatus with an intact subscapularis. There is no significant glenohumeral arthritis. Which of the following tendon transfers is best indicated?

Which of the following physical examination tests is most specific for diagnosing a tear involving the upper border of the subscapularis tendon?

In the evaluation of recurrent anterior glenohumeral instability, critical glenoid bone loss often dictates the need for a bony augmentation procedure (e.g., Latarjet) rather than an isolated soft-tissue Bankart repair. The universally accepted threshold for 'critical' bone loss is greater than:

A 22-year-old collegiate baseball pitcher reports posterior shoulder pain during the late cocking phase of throwing. The 'internal impingement' test is positive. What is the primary pathophysiological mechanism of this condition?

A 23-year-old rugby player has recurrent anterior shoulder dislocations. Advanced imaging reveals 12% anterior glenoid bone loss and a Hill-Sachs lesion that is determined to be 'off-track'. What is the most appropriate surgical intervention?

A 28-year-old elite volleyball player presents with isolated weakness in shoulder external rotation. MRI reveals a paralabral cyst causing nerve compression. Where is the cyst most likely located?

During a physical examination for a suspected rotator cuff tear, the examiner places the patient's palm on their contralateral shoulder and asks the patient to resist an anteriorly directed force applied to the hand. What is this test, and which specific muscle portion does it evaluate?

A 30-year-old bodybuilder feels a sudden 'pop' in his chest while performing a heavy bench press. Examination reveals loss of the anterior axillary fold contour and weakness in internal rotation. Which anatomical structure is most commonly ruptured in this scenario?

What is the most common cause of significant, permanent loss of external rotation following an open anterior shoulder stabilization procedure (such as a Putti-Platt or standard open Bankart)?