Shoulder & Hip Sports MCQs

A 29-year-old volleyball player has an isolated weakness of external rotation in her dominant shoulder. Atrophy is noted over the infraspinatus fossa, while the supraspinatus muscle belly appears normal. MRI reveals a paralabral cyst. Where is the cyst most likely located?

A 28-year-old overhead athlete is diagnosed with a ganglion cyst causing nerve compression strictly at the spinoglenoid notch. Physical examination is most likely to reveal weakness in which of the following muscles?

A surgeon is repairing a massive rotator cuff tear involving the teres minor and encounters bleeding near the quadrilateral space. What are the anatomic borders of this space?

A 28-year-old volleyball player presents with isolated weakness of the infraspinatus and vague posterior shoulder pain. An MRI reveals a paralabral cyst. Where is the most likely location of the cyst and which nerve is affected?

A 34-year-old weightlifter presents with isolated infraspinatus atrophy and weakness, with completely preserved supraspinatus strength and bulk. An MRI is most likely to reveal a paralabral ganglion cyst compressing the suprascapular nerve at which of the following anatomic locations?

A 29-year-old professional volleyball player presents with progressive weakness in external rotation of the shoulder. Examination reveals isolated atrophy of the infraspinatus muscle, while the supraspinatus is clinically normal. Where is the most likely location of nerve entrapment?

A 28-year-old elite volleyball player presents with painless weakness in external rotation of the right shoulder. Physical examination reveals isolated atrophy of the infraspinatus muscle with normal bulk of the supraspinatus. An MRI is most likely to show a paralabral cyst compressing a nerve at which of the following anatomical locations?

A 32-year-old volleyball player presents with shoulder pain and isolated wasting of the infraspinatus muscle without supraspinatus involvement. An MRI is expected to show a paralabral cyst compressing a nerve at which of the following anatomic locations?

A 30-year-old elite volleyball player develops progressive, isolated weakness of shoulder external rotation with no sensory deficits. Abduction strength is graded 5/5 and is symmetric to the contralateral shoulder. Given this specific clinical presentation, an entrapment neuropathy is suspected. Where is the most likely location of the nerve compression?

During arthroscopic shoulder surgery, the rotator interval is evaluated. Which of the following correctly identifies the anatomical borders and contents of the rotator interval?

A 28-year-old elite volleyball player presents with vague posterolateral shoulder pain and isolated weakness in external rotation. Shoulder abduction strength is normal.

An MRI reveals a paralabral cyst. Based on the clinical findings of isolated infraspinatus weakness with normal supraspinatus function, at which of the following anatomic locations is the nerve compression most likely occurring?

During an arthroscopic evaluation of a shoulder, the surgeon visualizes the rotator interval. Which of the following options correctly identifies the anatomic borders and contents of the rotator interval?

A 28-year-old elite volleyball player presents with insidious onset of posterior shoulder pain and isolated weakness in external rotation. An MRI reveals a paralabral cyst causing nerve compression in the quadrangular space. The space through which this compressed nerve passes is anatomically bordered by which of the following structures?

A surgeon is performing a posterior approach to the shoulder to address a locked posterior glenohumeral fracture-dislocation. To safely access the posterior joint capsule and avoid denervating the dynamic stabilizers of the shoulder, an internervous plane is developed. Which of the following describes the correct internervous plane and its respective muscle innervations?

A 28-year-old overhead athlete presents with insidious onset of poorly localized posterior shoulder pain and paresthesias over the lateral aspect of the deltoid. Examination reveals isolated atrophy of the teres minor. The structure responsible for the patient's symptoms passes through a space bounded by which of the following structures?

A 32-year-old elite volleyball player complains of right shoulder pain and weakness. An MRI demonstrates a large paralabral cyst causing isolated compression at the spinoglenoid notch. Physical examination is most likely to demonstrate weakness in which of the following motions, and normal strength in which?

A 35-year-old male undergoes a Latarjet procedure for recurrent anterior shoulder instability. Postoperatively, he has weakness in elbow flexion and decreased sensation over the lateral forearm. Which of the following anatomic structures was most likely injured during the conjoint tendon retraction?

A 45-year-old tennis player complains of vague posterior shoulder pain and weakness in external rotation. An MRI reveals a multilobulated paralabral cyst at the spinoglenoid notch. Which of the following muscles is most likely to exhibit isolated atrophy on physical examination or imaging?

A 42-year-old woman is evaluated for a 'frozen shoulder' (adhesive capsulitis). Surgical capsular release is considered after 6 months of failed conservative management. The surgeon plans to release the rotator cuff interval. Which of the following structures is NOT a boundary or content of the rotator cuff interval?

A 24-year-old professional volleyball player presents with isolated weakness in external rotation of the shoulder. Electromyography reveals isolated denervation of the infraspinatus muscle with normal supraspinatus function. Entrapment of the affected nerve is most likely occurring at the spinoglenoid notch. Which of the following structures forms the roof of this anatomical space?