Shoulder & Hip Sports MCQs

A 28-year-old volleyball player presents with isolated weakness of external rotation of the shoulder. An MRI reveals a paralabral cyst. If the cyst is located strictly at the spinoglenoid notch, which muscle will show denervation changes on EMG?

A 55-year-old laborer has a massive, irreparable subscapularis tendon tear. He presents with severe weakness in internal rotation, a positive belly-press test, and pain. Which of the following tendon transfers is the most appropriate surgical option to restore function?

When performing an arthroscopic rotator cuff repair, aggressive medial mobilization of a chronically retracted supraspinatus tendon places the suprascapular nerve at greatest risk of traction injury at which anatomic location?

According to the Goutallier classification evaluated on non-contrast CT or MRI, which stage of fatty infiltration in the rotator cuff musculature represents an equal amount of fat and muscle tissue?

In the transverse plane of the shoulder, the dynamic glenohumeral force couple that acts to compress and stabilize the humeral head against the glenoid during active motion is primarily formed by the:

Following an arthroscopic rotator cuff repair, a patient develops severe, global shoulder stiffness and pain out of proportion to the surgical intervention. Inflammatory markers are completely normal. What is the most effective initial management for this condition?

A 45-year-old male presents with weakness in external rotation and a massive, retracted posterosuperior rotator cuff tear. Retraction of the supraspinatus tendon medial to the glenoid rim is most likely to cause traction injury to the suprascapular nerve at which of the following anatomical locations?

A 28-year-old professional baseball pitcher presents with shoulder pain. MRI arthrography reveals a partial articular-sided supraspinatus tendon avulsion (PASTA) involving 60% of the tendon footprint. After failing nonoperative management, what is the most appropriate surgical treatment?

During the physical examination of a patient with suspected rotator cuff pathology, the examiner performs the "belly-press" test. The patient is unable to maintain pressure on their abdomen without bringing their elbow posterior to the mid-coronal plane. This finding indicates weakness of which muscle?

During arthroscopic rotator cuff repair, an anatomic restoration of the footprint is desired. The normal supraspinatus footprint on the greater tuberosity has an average medial-to-lateral width of approximately:

A 55-year-old man presents with anterior shoulder pain and weakness. On examination, he is unable to hold his hand pressed against his abdomen when the elbow is brought anterior to the coronal plane. This finding (a positive Bear-hug or Belly-press test) is most sensitive for detecting a tear of which portion of the rotator cuff?

A 68-year-old woman with a massive, retracted rotator cuff tear involving the supraspinatus and entire infraspinatus presents with 'pseudoparalysis' of forward elevation. In the setting of an intact subscapularis, this pseudoparalysis indicates a disruption of which biomechanical force couple?

When evaluating a patient for a rotator cuff repair, preoperative MRI is used to assess muscle quality via the Goutallier classification. Which Goutallier stage is defined as having equal amounts of fat and muscle within the rotator cuff muscle belly?

The rotator cuff interval is a triangular anatomic space in the anterior shoulder bounded by the supraspinatus superiorly, the subscapularis inferiorly, and the coracoid process medially. Which of the following structures passes through this interval?

Massive retraction of a supraspinatus tear medial to the glenoid rim significantly increases the risk of traction neuropathy to the suprascapular nerve. At which anatomic location does this traction most commonly tether and compress the nerve?

A 35-year-old elite tennis player presents with a PASTA (Partial Articular Supraspinatus Tendon Avulsion) lesion involving 60% of the tendon footprint depth. He has failed 6 months of conservative management. What is the most appropriate surgical treatment?

During an arthroscopic rotator cuff repair, extensive medial mobilization of a massive, chronically retracted supraspinatus tear is required. Which neurological structure is at greatest risk of injury during this mobilization, particularly if releasing the coracohumeral ligament near the base of the coracoid?

According to the Goutallier classification for rotator cuff fatty infiltration evaluated on MRI, a supraspinatus muscle belly that demonstrates equal amounts of fat and muscle tissue is classified as:

A 45-year-old recreational weightlifter feels a sharp pop in his anterior shoulder during a heavy bench press. Exam reveals increased passive external rotation and a distinctly positive belly-press test.

What other associated pathology must the surgeon be highly suspicious of during arthroscopic evaluation?

A 24-year-old rugby player presents with recurrent anterior shoulder instability. Advanced imaging reveals an 'inverted-pear' shaped glenoid. At what threshold of glenoid bone loss is an arthroscopic Bankart repair generally contraindicated in favor of a bony augmentation procedure like the Latarjet?