Shoulder & Hip Sports MCQs

A 40-year-old man suffers a first-time seizure and sustains a locked posterior shoulder dislocation. CT scan shows an impaction fracture of the anteromedial humeral head involving 35% of the articular surface. Which of the following is the most appropriate surgical treatment?

A 35-year-old man presents with posterior shoulder pain and weakness in external rotation. Forward elevation strength is normal. Examination reveals atrophy isolated to the infraspinatus fossa. Where is the most likely location of nerve compression?

A 28-year-old professional volleyball player presents with insidious onset of right shoulder pain and weakness. Clinical examination reveals isolated atrophy of the infraspinatus with normal supraspinatus bulk and strength. MRI demonstrates a paralabral cyst in the spinoglenoid notch. What is the most likely location of the labral tear associated with this condition?

A 22-year-old collegiate rugby player presents with recurrent anterior shoulder instability. A 3D CT scan reveals a 25% anterior glenoid bone loss. What is the most appropriate surgical management to restore stability?

A 48-year-old recreational tennis player presents with persistent shoulder pain despite 6 months of conservative management. MRI confirms an isolated Type II SLAP tear. What is the most reliable surgical option for this specific patient?

A 22-year-old rugby player presents with recurrent anterior shoulder instability. A 3D CT scan reveals 25% anterior glenoid bone loss. What is the most appropriate surgical management?

A 28-year-old elite volleyball player complains of vague posterior shoulder pain and weakness with external rotation. Examination reveals isolated atrophy of the infraspinatus with normal supraspinatus strength. MRI reveals a paralabral cyst. Which nerve is most likely compressed, and at what anatomical location?

A 65-year-old man presents with an inability to actively elevate his arm above 45 degrees, despite full passive range of motion. MRI reveals a massive, retracted tear of the supraspinatus and infraspinatus with Goutallier stage 4 fatty infiltration. His acromiohumeral distance is 4 mm. What is the most appropriate surgical treatment?

A 42-year-old man presents with a locked shoulder in internal rotation after a generalized seizure. An axillary lateral radiograph confirms a posterior dislocation with a reverse Hill-Sachs lesion involving 35% of the articular surface. Which of the following is the most appropriate surgical treatment?

A 22-year-old rugby player presents with recurrent anterior shoulder instability. CT evaluation reveals 22% anterior glenoid bone loss and an engaging 'off-track' Hill-Sachs lesion. Which of the following is the most appropriate definitive management?

A 55-year-old man presents with anterior shoulder pain and weakness after attempting to catch a falling heavy object. Physical examination reveals increased passive external rotation compared to the contralateral side, and profound weakness on the belly-press test. MRI confirms an isolated full-thickness tendon tear. The involved tendon normally inserts onto which of the following structures?

A 45-year-old manual laborer has a massive, irreparable posterosuperior rotator cuff tear. He exhibits severe weakness in external rotation and elevation but has intact subscapularis function. He is considering a latissimus dorsi tendon transfer. Which of the following is considered an absolute contraindication to this procedure?

A 40-year-old man presents with a locked, internally rotated shoulder following a generalized seizure. Radiographs confirm a posterior glenohumeral dislocation with an anteromedial humeral head impaction fracture involving 30% of the articular surface. After closed reduction, what is the most appropriate surgical intervention?

A 26-year-old elite volleyball player complains of vague posterior shoulder pain and selective weakness in external rotation. Forward elevation and internal rotation strength are 5/5. MRI demonstrates an isolated paralabral ganglion cyst at the spinoglenoid notch. Which of the following physical exam findings is most likely present?

A 55-year-old laborer has an irreparable, massive posterosuperior rotator cuff tear with an intact subscapularis. He lacks active external rotation. Which tendon transfer is most appropriate?

Which physical examination test provides the highest sensitivity and specificity for diagnosing an upper border subscapularis tear?

A 22-year-old collegiate baseball pitcher complains of posterior shoulder pain during the late cocking phase of throwing. He has a positive apprehension test, but pain is relieved with a relocation maneuver. What is the primary pathomechanics of this condition?

A 30-year-old professional volleyball player presents with isolated atrophy and weakness of the infraspinatus muscle. MRI reveals a paralabral cyst. At which of the following locations is the cyst most likely compressing the nerve?

During a Latarjet procedure, the coracoid is transferred through the subscapularis split. Which nerve is most at risk of injury when dissecting medial to the conjoint tendon?

A 22-year-old collegiate rugby player presents with his fourth anterior shoulder dislocation this season. A 3D CT scan demonstrates a 25% anterior glenoid bone loss. He wishes to return to contact sports. What is the most appropriate definitive surgical management?