Shoulder & Hip Sports MCQs

A 19-year-old female competitive swimmer presents with bilateral shoulder pain and a feeling of "looseness." Examination reveals a positive sulcus sign, generalized ligamentous laxity (Beighton score 7/9), and no distinct history of trauma. Initial management for this condition should focus on:

When performing an open Latarjet procedure, the surgeon must be careful to avoid injury to the nerves innervating the subscapularis muscle. The upper and lower subscapular nerves are branches of which cord of the brachial plexus?

A 42-year-old recreational tennis player undergoes arthroscopy for refractory shoulder pain. A partial articular-sided tendon avulsion (PASTA) lesion of the supraspinatus is identified. At what depth of tendon involvement is completion of the tear and full-thickness repair generally recommended?

Which of the following structures is NOT considered a border or content of the rotator interval in the shoulder?

A 28-year-old professional volleyball player presents with isolated weakness in external rotation of the shoulder. Her abduction strength is completely normal (5/5). An MRI is likely to demonstrate a paralabral ganglion cyst compressing a nerve at which of the following locations?

A 24-year-old weightlifter presents with right posterior shoulder pain and selective weakness in external rotation. MRI reveals an isolated paralabral cyst located strictly within the spinoglenoid notch. Which of the following muscles is most likely denervated?

Which of the following structures is NOT a border or content of the rotator interval?

The suprascapular nerve is at risk of entrapment at both the suprascapular notch and the spinoglenoid notch. An isolated lesion at the spinoglenoid notch will typically result in which of the following clinical findings?

The coracoacromial ligament is a key structure in subacromial impingement syndrome. What are its attachments?

A 28-year-old volleyball player presents with isolated atrophy of the infraspinatus muscle and normal supraspinatus strength. Entrapment of the suprascapular nerve is most likely occurring at which anatomical location?

A 28-year-old professional volleyball player presents with insidious onset of painless weakness in shoulder external rotation. On examination, abduction strength is 5/5, but external rotation is 3/5. At which of the following anatomical sites is the affected nerve most likely compressed?

A 32-year-old weightlifter presents with vague posterior shoulder pain and numbness over the lateral deltoid. MRI confirms a mass in the quadrilateral space compressing the axillary nerve. Which muscle forms the superior border of this anatomic space?

A patient presents with weakness in external rotation and abduction following a posterior shoulder dislocation. MRI reveals a paralabral cyst compressing the quadrilateral space. Which of the following defines the superior border of this anatomic space?

A 28-year-old volleyball player presents with isolated weakness in shoulder external rotation. Abduction strength is normal. An MRI confirms a paralabral cyst. At which of the following locations is the nerve compression most likely occurring?

The primary blood supply to the supraspinatus tendon is derived from branches of which of the following arteries?

During an arthroscopic stabilization procedure for anterior shoulder instability, the surgeon performs a rotator interval closure. Which of the following structures form the superior and inferior boundaries of this interval, respectively?

A 26-year-old male volleyball player presents with painless weakness of his hitting arm. Physical examination reveals isolated atrophy of the infraspinatus fossa with normal supraspinatus bulk and strength. An MRI is likely to show a paralabral cyst compressing a nerve at which of the following anatomic locations?

A 40-year-old male presents to the emergency department after falling on his outstretched arm. Radiographs reveal an anterior shoulder dislocation and an associated greater tuberosity fracture. Following a successful closed reduction of the glenohumeral joint, repeat radiographs show the greater tuberosity fragment displaced 8 mm superiorly. What is the most appropriate next step in management?

A 28-year-old competitive swimmer presents with recurrent anterior shoulder dislocations. He has failed a supervised physical therapy program. On examination, he has generalized ligamentous laxity (Beighton score 6/9) and full external rotation with the arm abducted 90 degrees (apprehension test negative in this position). He is concerned about his long-term ability to return to swimming. Which of the following surgical interventions is MOST appropriate to recommend?

A 22-year-old female presents with bilateral, atraumatic shoulder instability. She describes a sensation of the shoulder "slipping out" in multiple directions, often spontaneously or with minimal provocation. On examination, she exhibits a positive sulcus sign, hyperlaxity, and pain with posterior and inferior loading. She has failed a comprehensive rotator cuff and periscapular strengthening program. What is the MOST appropriate surgical intervention?