Shoulder & Hip Sports MCQs

A 28-year-old rugby player has recurrent anterior shoulder instability. CT scan indicates a 25% anterior glenoid bone loss. Which of the following is the most appropriate surgical management?

A 31-year-old professional tennis player undergoes arthroscopic evaluation of his shoulder for chronic pain. A SLAP lesion is suspected. What associated normal anatomic variant is most commonly confused with a type II SLAP tear?

A 29-year-old rock climber presents with a popping sensation in his shoulder. MRI reveals an isolated tear of the subscapularis tendon. Which physical examination test is most specific for this injury?

A 22-year-old rugby player has recurrent anterior shoulder instability. Computed tomography reveals 25% anterior glenoid bone loss. What is the most appropriate surgical treatment?

A 40-year-old manual laborer has deep, aching shoulder pain. MRI arthrogram demonstrates a Type II SLAP tear. After failing a 4-month course of physical therapy, surgery is planned. What is the most reliable surgical treatment to provide pain relief and facilitate return to work?

A 30-year-old man presents with a locked posterior shoulder dislocation following a seizure. A CT scan reveals a reverse Hill-Sachs lesion involving 35% of the anterior articular surface. What is the most appropriate surgical management?

A 19-year-old collegiate football player sustains a primary anterior shoulder dislocation.

Imaging demonstrates an anteroinferior labral tear accompanied by 25% glenoid bone loss. What is the most appropriate definitive management for this athlete?

A 22-year-old collegiate pitcher complains of posterior shoulder pain and decreased velocity.

Physical examination reveals 20 degrees of internal rotation and 130 degrees of external rotation in the dominant arm (contralateral internal rotation is 60 degrees). Initial treatment should emphasize which of the following?

During arthroscopic repair of a massive, retracted superior rotator cuff tear, extensive medial mobilization is required. What is the generally accepted "safe zone" distance from the superior glenoid rim to avoid injury to the suprascapular nerve at the suprascapular notch?

In a young, active patient with an irreparable posterosuperior rotator cuff tear (supraspinatus and infraspinatus) but an intact subscapularis, which of the following tendon transfers is biomechanically and clinically most appropriate to restore external rotation and elevation?

Understanding the anatomical "footprint" of the rotator cuff is essential for proper repair. The supraspinatus footprint on the greater tuberosity is best described by which of the following medial-to-lateral dimensions?

Which of the following patient factors has been clinically demonstrated to have the most significant negative impact on tendon-to-bone healing and functional outcomes following arthroscopic rotator cuff repair?

During clinical examination of a patient with shoulder pain, the examiner places the palm of the patient's hand on the opposite shoulder and attempts to pull the hand anteriorly while the patient resists. This test is highly specific for a tear of which tendon?

A 45-year-old tennis player presents with persistent shoulder pain despite conservative management. MRI reveals a Partial Articular-Sided Supraspinatus Tendon Avulsion (PASTA) lesion that involves roughly 60% of the tendon thickness. What is the most appropriate surgical treatment?

A 32-year-old elite volleyball player presents with isolated weakness in external rotation of his dominant shoulder. Physical examination reveals atrophy isolated to the infraspinatus fossa, with normal supraspinatus bulk and strength. Magnetic resonance imaging (MRI) is most likely to reveal a paralabral cyst causing nerve compression at which anatomical location?

The rotator cable is a thick band of capsuloligamentous tissue that transfers forces from the rotator cuff muscles to the humerus. According to the "suspension bridge" model proposed by Burkhart, in which of the following tear patterns is near-normal cuff kinematics most likely maintained?

Accurate anatomic restoration is critical during rotator cuff repair. The native footprint of the supraspinatus tendon on the greater tuberosity is best described as having which of the following approximate dimensions?

In the evaluation of a partial-thickness articular-sided rotator cuff tear (PASTA lesion), surgical repair (either via transtendinous technique or tear completion) is generally indicated over simple arthroscopic debridement when the tear involves what percentage of the native tendon thickness?

The Goutallier classification is utilized on imaging to grade fatty infiltration of the rotator cuff muscles, which correlates with repair prognosis. Which Goutallier grade is specifically defined as having more fat than muscle within the muscle belly?

A 65-year-old man presents with chronic weakness in external rotation and abduction. MRI reveals a massive, retracted tear of the supraspinatus and infraspinatus. Retraction of these tendons medial to the glenoid places which nerve at greatest risk of tethering and subsequent injury?