Shoulder & Hip Sports MCQs

A 55-year-old man presents with severe shoulder pain and restricted external rotation 15 years after an open anterior shoulder stabilization (Putti-Platt procedure). Radiographs reveal severe glenohumeral osteoarthritis. What is the primary pathophysiological mechanism leading to this complication?

A 40-year-old weightlifter presents with acute weakness in internal rotation and a positive bear-hug test after a heavy bench press. MRI confirms an isolated full-thickness tear of the subscapularis tendon. What associated structural pathology is most critical to evaluate and address during surgical repair?

A 22-year-old collegiate baseball pitcher complains of posterior shoulder pain during the late cocking phase of throwing. Examination shows a loss of 25 degrees of internal rotation compared to the contralateral side, and pain is provoked with the shoulder abducted and externally rotated. What is the most likely diagnosis?

A 24-year-old athlete with recurrent anterior shoulder instability undergoes preoperative evaluation.

Imaging reveals an anterior glenoid bone loss of approximately 30%. Which of the following is the most appropriate definitive management?

A 28-year-old volleyball player presents with insidious onset of posterior shoulder pain and isolated weakness in external rotation. MRI reveals a paralabral cyst in the spinoglenoid notch. Which muscle is primarily affected by this cyst?

A 35-year-old man arrives at the emergency department with a locked shoulder after suffering a grand mal seizure.

He holds his arm in internal rotation and cannot externally rotate. Which of the following osseous lesions is most likely to be present?

A 55-year-old laborer undergoes a massive, irreparable rotator cuff repair using a latissimus dorsi tendon transfer. For this transfer to be biomechanically effective and successful, which of the following prerequisites MUST be met?

A 65-year-old woman with a massive rotator cuff tear undergoes repair. Six weeks postoperatively, she exhibits profound, isolated weakness of the anterior deltoid and reports a sudden inability to actively elevate her arm after a minor fall, although passive elevation is preserved. An axillary nerve injury is ruled out. What surgical complication most likely occurred?

A patient is evaluated for Parsonage-Turner syndrome (idiopathic brachial neuritis). Which of the following clinical patterns is the classic hallmark of this condition?

Which of the following choices represents the correct order of layers in the direct insertion of a human ligament:

In the setting of recurrent anterior shoulder instability, a large engaging Hill-Sachs lesion is best managed surgically by which of the following procedures?

A 65-year-old man sustains a first-time anterior shoulder dislocation. After a successful closed reduction, he is noted to have profound weakness in active external rotation and abduction. What is the most likely structural pathology causing this weakness?

A 28-year-old man undergoes arthroscopic Bankart repair for recurrent anterior shoulder instability. To prevent a large, engaging Hill-Sachs lesion from engaging the anterior glenoid rim, the surgeon performs a "remplissage". What does this procedure entail?

A 22-year-old rugby player has recurrent anterior shoulder instability. An MRI arthrogram reveals a bony Bankart lesion with 25% glenoid bone loss. Which surgical procedure is most appropriate to restore stability?

A 22-year-old male presents with recurrent anterior shoulder instability. An MRI arthrogram reveals an anterior labral tear and an engaging Hill-Sachs lesion. Which of the following procedures specifically addresses the engaging Hill-Sachs defect?

A 26-year-old male undergoes arthroscopic anterior stabilization for recurrent shoulder dislocations. Intraoperatively, he is noted to have a large, engaging Hill-Sachs lesion. Which of the following adjunctive procedures is most appropriate to prevent recurrent anterior instability?

A 55-year-old man presents with chronic right shoulder pain. On examination, he has notable weakness in external rotation with the arm abducted to 90 degrees, demonstrating a positive hornblower's sign. Which rotator cuff tendon is predominantly pathological?

A 65-year-old man presents with a chronic, massive, irreparable posterosuperior rotator cuff tear. He has severe external rotation weakness but an intact subscapularis. Which of the following tendon transfers is most appropriate to restore active external rotation?

A 40-year-old male sustains a traumatic anterior shoulder dislocation. After closed reduction, an MRI shows an avulsion of the anterior labrum along with the anterior band of the inferior glenohumeral ligament (IGHL). What is the specific name of this lesion?