Shoulder & Hip Sports MCQs

A 72-year-old man presents with chronic shoulder pain and an inability to actively raise his arm above 45 degrees. He has a positive drop arm sign. MRI reveals a massive, retracted, and irreparable posterosuperior rotator cuff tear with fatty infiltration of the infraspinatus and teres minor. The subscapularis is intact. What is the most appropriate definitive management?

A 21-year-old collegiate linebacker presents with recurrent anterior shoulder instability. An en face 3D CT scan of the glenoid demonstrates significant anterior bone loss. At what percentage of anterior glenoid bone loss is an isolated arthroscopic Bankart repair generally considered to have an unacceptably high failure rate, warranting a bony augmentation procedure?

A 22-year-old rugby player presents with recurrent anterior shoulder instability. CT scan imaging demonstrates 25% anterior glenoid bone loss. What is the most appropriate definitive surgical management?

A 24-year-old professional baseball pitcher reports posterior shoulder pain during the late cocking phase of throwing. MRI arthrography reveals posterosuperior labral fraying and a partial-thickness articular-sided supraspinatus tear. What is the primary pathophysiologic mechanism of this injury pattern?

A 28-year-old volleyball player presents with isolated atrophy of the infraspinatus muscle and painless weakness in external rotation. MRI reveals a paralabral cyst. At what anatomical location is this cyst most likely compressing the suprascapular nerve?

A 22-year-old collegiate rugby player presents with his fourth anterior shoulder dislocation. A 3D CT scan reveals 25% anterior glenoid bone loss. Which of the following is the most appropriate surgical intervention to minimize the risk of recurrent instability?

A 45-year-old manual laborer presents with persistent anterior shoulder pain and painful catching despite 6 months of targeted physical therapy and NSAIDs. An MRI arthrogram reveals a Type II SLAP lesion. He has no other rotator cuff pathology. What is the most appropriate surgical treatment?

A 28-year-old volleyball player presents with isolated weakness of external rotation in the dominant shoulder. MRI shows an isolated paralabral cyst. Compression of the suprascapular nerve at the spinoglenoid notch will result in denervation of which of the following muscles?

Compression of the suprascapular nerve at the spinoglenoid notch will result in isolated weakness of which of the following muscles?

During a Latarjet procedure, the conjoined tendon is retracted to expose the anterior glenoid. The musculocutaneous nerve must be protected. At what average distance distal to the coracoid process does this nerve enter the coracobrachialis muscle?

A 22-year-old collegiate volleyball player presents with isolated weakness of the infraspinatus without supraspinatus involvement. Entrapment of the suprascapular nerve is suspected. At what anatomical location does this isolated compression typically occur?

A 35-year-old volleyball player is found to have a large paralabral ganglion cyst extending into the spinoglenoid notch. Physical examination is most likely to demonstrate which of the following isolated findings?

A patient presents with isolated weakness in external rotation of the shoulder. An MRI reveals a paralabral cyst in the spinoglenoid notch. Which of the following muscles is most likely affected?

During an arthroscopic rotator interval release for adhesive capsulitis, the surgeon must identify the structures comprising the interval. Which two tendons form the superior and inferior borders of the rotator interval, respectively?

When performing a surgical dislocation of the hip for a femoroacetabular impingement procedure, the deep branch of the medial femoral circumflex artery is protected by preserving which of the following muscles?

A patient undergoes arthroscopic shoulder surgery for a biceps pulley lesion. The rotator interval is evaluated. Which of the following structures forms the inferior border of the rotator interval?

A 28-year-old volleyball player develops an isolated paralytic ganglion cyst at the spinoglenoid notch. Physical examination is most likely to demonstrate which of the following isolated deficits?

A weightlifter presents with vague posterior shoulder pain and selective atrophy of the teres minor muscle on MRI. Compression of the axillary nerve in the quadrilateral space is diagnosed. What are the superior and inferior muscular borders of this space?

Based on the diagram shown in Figure 16, what muscle derives its innervation from the nerve identified by the letter "A"?

The rotator interval is a critical anatomical space in the anterior shoulder. Which of the following structures is NOT considered a border or content of the rotator interval?