Shoulder & Hip Sports MCQs

A 28-year-old volleyball player complains of isolated, painless weakness in external rotation of her dominant shoulder. MRI reveals a paralabral cyst in the spinoglenoid notch. Which of the following physical examination findings is most likely present?

A 19-year-old gymnast presents with bilateral shoulder pain and a sensation of "slipping." Examination shows a sulcus sign of 2 cm bilaterally, positive apprehension, and generalized ligamentous laxity. There is no history of a distinct traumatic dislocation. What is the most appropriate initial management?

A patient with a massive rotator cuff tear demonstrates "pseudoparalysis" of the shoulder, being unable to actively elevate the arm past 60 degrees. Anesthetic injection into the subacromial space does not improve active motion. What is the primary biomechanical deficit in this shoulder?

During an arthroscopic anterior stabilization procedure, the surgeon identifies an avulsion of the anterior labrum where the intact anterior scapular periosteum has stripped and displaced medially on the glenoid neck. What is the correct term for this lesion?

In the context of anterior shoulder instability, the "glenoid track" concept is used to determine whether a Hill-Sachs lesion will engage. Which of the following correctly defines an "off-track" Hill-Sachs lesion?

A superior capsular reconstruction (SCR) is planned for a 55-year-old laborer with an irreparable, massive supraspinatus and infraspinatus tear. To optimize the biomechanical success of the SCR, which of the following native structures MUST be intact or repairable?

A 21-year-old collegiate rugby player sustains a fourth anterior shoulder dislocation. A 3D CT scan reveals 25% anterior glenoid bone loss with an engaging Hill-Sachs lesion. Which of the following surgical procedures is most appropriate to minimize the risk of recurrent instability?

A 55-year-old man presents with persistent shoulder pain and profound weakness 3 weeks after an acute, first-time anterior glenohumeral dislocation. The dislocation was reduced in the emergency department, and radiographs confirm a concentric joint. Which of the following is the most common associated injury responsible for his current symptoms?

A 35-year-old man presents with a locked posterior shoulder dislocation after a generalized seizure. CT scan reveals an anterior articular impaction fracture (reverse Hill-Sachs lesion) involving 35% of the humeral head articular surface. Which of the following is the most appropriate treatment?

A 29-year-old male weightlifter complains of vague posterior shoulder pain and selective weakness in external rotation. An MRI reveals an isolated paralabral cyst at the spinoglenoid notch with associated muscle edema. The cyst most likely originated from which of the following?

A 48-year-old man falls on an outstretched arm and is diagnosed with an isolated, complete rupture of the subscapularis tendon. Which of the following physical examination findings is most specific for this injury?

When evaluating a patient with a massive rotator cuff tear for a potential surgical repair, which of the following preoperative MRI findings is the strongest predictor of structural failure after repair?

In the management of recurrent anterior shoulder instability, the "track" concept is used to evaluate interacting bone loss. An arthroscopic Bankart repair combined with an arthroscopic Remplissage is most appropriately indicated for which of the following scenarios?

A 16-year-old female gymnast complains of bilateral shoulder pain and a feeling of the shoulders "sliding out of joint." Examination shows a sulcus sign of 2+ bilaterally, hyperlaxity of the elbows and knees, and positive apprehension tests without a distinct history of trauma. What is the most appropriate initial management?

A 28-year-old man undergoes an MRI arthrogram for recurrent anterior shoulder instability. The radiologist notes a "J-sign" on the coronal sequences, representing extravasation of contrast into the axillary recess. This imaging finding is pathognomonic for which of the following lesions?

The Latarjet procedure provides stability to the anterior shoulder through a "triple blocking" effect. While the osseous block provides static resistance, the dynamic sling effect in abduction and external rotation is provided by which of the following structures?

A 45-year-old manual laborer presents with superior shoulder pain and positive O'Brien and Speed's tests. MRI reveals an isolated Type II SLAP tear. Nonoperative management has failed. Based on current literature, which of the following surgical options offers the most reliable clinical outcome and highest rate of return to work for this patient?

According to the suspension bridge biomechanical model of the rotator cuff proposed by Burkhart, stress is effectively transmitted across the crescent area of the supraspinatus and infraspinatus insertions by a thickened band of capsular tissue. What is this structure called?

Which of the following is considered the most accurate and reliable imaging method for preoperative quantification of glenoid bone loss in a patient with recurrent anterior shoulder instability?

During an open approach for a massive rotator cuff tear, the surgeon must mobilize the supraspinatus and infraspinatus tendons. Excessive medial traction can cause a stretch injury to the suprascapular nerve. Which of the following accurately describes the anatomic path of this nerve?