Shoulder & Hip Sports MCQs

A 50-year-old male presents with acute shoulder pain and weakness after attempting to catch a falling heavy box.

Physical examination reveals a positive Bear-Hug test. Which of the following muscles is most likely injured?

A 21-year-old collegiate rugby player presents with recurrent anterior shoulder instability. A 3D CT scan reveals 28% bone loss of the anteroinferior glenoid. Which of the following surgical procedures is most appropriate to prevent recurrent dislocation?

A 28-year-old professional volleyball player presents with insidious onset posterior shoulder pain. Examination reveals profound weakness in external rotation, but normal forward elevation and abduction. An MRI shows an isolated paralabral cyst in the spinoglenoid notch. Which nerve is compressed, and which muscle is consequently affected?

A 45-year-old recreational tennis player presents with persistent anterior shoulder pain and clicking. An MRI arthrogram reveals a Type II SLAP (Superior Labrum Anterior and Posterior) tear. After 6 months of failed physical therapy, surgery is planned. What is the most appropriate surgical treatment for this patient?

A 22-year-old male presents with recurrent anterior shoulder dislocations. A 3D CT scan reveals a 25 percent defect of the anterior glenoid rim. What is the most appropriate surgical procedure to restore lasting stability?

A 48-year-old construction worker presents with chronic anterior shoulder pain exacerbated by heavy lifting. MRI arthrogram shows a Type II SLAP tear. Six months of physical therapy has failed to provide relief. What is the surgical treatment of choice?

A 20-year-old collegiate rugby player has recurrent anterior shoulder instability. Three-dimensional CT reveals 28% glenoid bone loss. What is the most appropriate surgical intervention to minimize recurrence?

A 13-year-old obese boy undergoes in situ percutaneous single-screw fixation for a stable slipped capital femoral epiphysis (SCFE). Which of the following represents the most significant long-term clinical complication directly associated with the residual deformity from this condition?

A 68-year-old female undergoes open reduction and internal fixation of a proximal humerus fracture with a locking plate. Six months postoperatively, she complains of persistent shoulder pain and impingement, particularly with overhead activities. Clinical examination and radiographs confirm hardware prominence at the superior aspect of the greater tuberosity. Which factor is most commonly implicated in this complication?

A 50-year-old patient presents with acute shoulder pain after a seizure. On examination, the arm is held in internal rotation, and the anterior shoulder appears flattened. External rotation is severely restricted. Which radiographic finding on an AP shoulder view is pathognomonic for a posterior shoulder dislocation?

Which finding on a post-reduction physical exam of an anterior shoulder dislocation indicates successful reduction and suggests stability?

A 70-year-old male sustains an anterior shoulder dislocation. After reduction, plain radiographs show a concomitant fracture. Which fracture is MOST commonly associated with anterior shoulder dislocation in this age group?

A 55-year-old female presents to the clinic two weeks after successfully undergoing closed reduction of an anterior shoulder dislocation. She complains of persistent pain and is unable to actively abduct her arm past 45 degrees. Passive range of motion is full. What is the most likely underlying diagnosis?

A 24-year-old male presents with recurrent anterior shoulder instability. Diagnostic arthroscopy reveals the anterior-inferior labrum is avulsed from the glenoid margin, but the scapular periosteum remains intact, allowing the labrum to roll medially and inferiorly down the glenoid neck. Which of the following describes this lesion?

A 32-year-old male with a history of multiple anterior shoulder dislocations presents for surgical evaluation. A 3D CT scan of the shoulder reveals 28% anterior glenoid bone loss. Which of the following is the most appropriate definitive surgical intervention?

A 45-year-old male presents with severe shoulder pain following a generalized tonic-clonic seizure. On examination, his arm is locked in internal rotation. Radiographs demonstrate a locked posterior shoulder dislocation with a 35% anteromedial humeral head defect. What is the most appropriate surgical treatment?

A 21-year-old collegiate volleyball player complains of vague posterior shoulder pain. Examination reveals isolated weakness in external rotation, with normal internal rotation and normal abduction strength. An MRI reveals a paralabral cyst. Where is the cyst most likely located?

A 26-year-old male presents with recurrent anterior shoulder instability but no evidence of a Bankart lesion on initial imaging. An MRI arthrogram is obtained, revealing extravasation of contrast inferiorly forming a classic "J-sign." What is the diagnosis?

A 28-year-old weightlifter feels a sudden pop in his shoulder while performing heavy bench presses. On physical examination, he demonstrates weakness in internal rotation and an inability to lift his hand away from his lower back against resistance. Which of the following tendons is most likely injured?

A 22-year-old collegiate wrestler presents with a history of recurrent anterior shoulder dislocations. Advanced imaging demonstrates an engaging Hill-Sachs lesion and a 26% anterior glenoid bone loss. What is the most appropriate definitive surgical management?