Shoulder & Hip Sports MCQs

A 21-year-old rugby player suffers from recurrent anterior shoulder instability. A pre-operative 3D CT scan demonstrates 28 percent anterior glenoid bone loss. What is the most appropriate definitive surgical management?

A 22-year-old collegiate volleyball player complains of posterior shoulder pain when spiking the ball. Examination reveals a positive apprehension test and a relocation test that relieves her posterior shoulder pain. She demonstrates GIRD (glenohumeral internal rotation deficit). What is the most likely diagnosis?

A 20-year-old collegiate rugby player suffers from recurrent anterior shoulder instability. A pre-operative CT scan demonstrates 25% anterior glenoid bone loss. Which surgical stabilization procedure is most appropriate?

A 21-year-old rugby player presents with recurrent anterior shoulder dislocations. A CT scan demonstrates 25% anterior glenoid bone loss. He undergoes a Latarjet procedure. Which of the following structures primarily creates the dynamic "sling effect" that stabilizes the anterior shoulder postoperatively?

A 28-year-old male hockey player presents with groin pain exacerbated by hip flexion and internal rotation. Radiographs demonstrate a prominent bump at the anterolateral head-neck junction. What radiographic measurement is most appropriate to quantify this deformity?

A 40-year-old female presents with activity-related hip pain. Radiographs demonstrate a "crossover sign" on the AP pelvis view. This finding is indicative of which of the following?

During physical examination of a patient suspected of having Femoroacetabular Impingement (FAI), the examiner performs the FADIR test. Which of the following motions are combined during this provocative maneuver?

When evaluating an AP pelvis radiograph for femoroacetabular impingement, which of the following findings is most specific for focal anterior acetabular overcoverage (pincer impingement)?

During surgical dislocation of the hip for treatment of FAI and a labral tear, the trochanteric flip osteotomy is performed. To preserve the blood supply to the femoral head, the osteotomy must stay superficial to which of the following structures?

A 40-year-old male with symptomatic FAI and a labral tear undergoes hip arthroscopy with femoroplasty, acetabuloplasty, and labral repair. Which of the following preoperative factors is the strongest predictor of failure and eventual conversion to THA?

When evaluating a patient for suspected cam-type femoroacetabular impingement (FAI), measurement of the alpha angle is most accurately assessed using which of the following radiographic views?

During a safe surgical dislocation of the hip (Ganz approach) for the treatment of femoroacetabular impingement, a trochanteric flip osteotomy is performed. This technique is specifically designed to protect which critical vascular structure?

In the pathophysiology of cam-type femoroacetabular impingement, the aspherical portion of the femoral head engages the acetabulum during hip flexion and internal rotation. Where does the resulting chondral delamination characteristically occur?

Which of the following radiographic findings on an AP pelvis is most characteristic of Pincer-type femoroacetabular impingement caused by acetabular retroversion?

A 24-year-old male collegiate hockey player presents with insidious onset of deep groin pain, exacerbated by deep squatting and prolonged sitting. Radiographs demonstrate a prominent osseous bump at the anterolateral femoral head-neck junction. Which of the following physical examination maneuvers is most likely to be positive in this patient?

An anteroposterior (AP) pelvis radiograph is performed to evaluate a 30-year-old female with chronic groin pain. The radiograph demonstrates a "crossover sign" and an "ischial spine sign". Which of the following underlying pathomorphologies is most strongly associated with these radiographic findings?

A 22-year-old male collegiate hockey player presents with chronic groin pain exacerbated by prolonged sitting and pivoting. Examination reveals pain with hip flexion, adduction, and internal rotation (FADIR). Radiographs demonstrate an alpha angle of 65 degrees. Which of the following is the most likely primary pathology?

A 24-year-old male hockey player presents with groin pain exacerbated by hip flexion and internal rotation. Radiographs demonstrate a 'crossover sign' and prominent ischial spine.

These radiographic findings are most characteristic of which of the following conditions?

Cam-type femoroacetabular impingement (FAI) is primarily a disorder of the proximal femur that leads to progressive chondrolabral damage. It is most commonly characterized by which of the following radiographic findings?

A 65-year-old woman presents with an anterior shoulder dislocation and an associated greater tuberosity fracture. Following closed reduction, radiographs reveal that the greater tuberosity fragment is displaced superiorly by 8 mm. What is the most appropriate next step in management?