Question 201
Topic: Shoulder & Hip SportsWhich of the following arteries provides the primary blood supply to the supraspinatus tendon:
Correct Answer & Explanation
. Suprascapular artery
Practice Set 11 of 360
This practice set contains high-yield board review questions covering key concepts in 5. Sports Medicine. Each clinical scenario is designed to test your diagnostic and management skills relevant to this subspecialty.
Which of the following arteries provides the primary blood supply to the supraspinatus tendon:
. Suprascapular artery
What is the primary pathophysiologic mechanism thought to underlie the development of athletic pubalgia (sports hernia) in elite athletes?
. Attenuation or tearing of the rectus abdominis insertion and transversalis fascia
Which of the following factors most significantly increases the risk of developing myositis ossificans following a severe quadriceps contusion?
. Premature return to sport and reinjury
Surgical repair is most strongly indicated for a proximal hamstring avulsion in an athlete when there is:
. Complete 3-tendon avulsion with 3 cm of retraction
A professional soccer player sustains an acute, complete proximal adductor longus avulsion. What is the most appropriate initial management for an isolated injury?
. Nonoperative management with brief rest, ice, and progressive rehabilitation
In an athlete with femoroacetabular impingement (FAI), a Cam lesion typically damages the hip joint by causing:
. Delamination of the adjacent acetabular articular cartilage during flexion
A dancer complains of a painful, audible snap on the lateral aspect of the hip when moving from flexion to extension. Which anatomical structure is primarily responsible for this external snapping hip?
. Iliotibial band snapping over the greater trochanter
A 35-year-old female runner presents with deep posterior gluteal pain radiating down the posterior thigh. MRI reveals edema in the quadratus femoris muscle. What is the most likely diagnosis?
. Ischiofemoral impingement
In an athlete undergoing surgical repair for athletic pubalgia (core muscle injury), which anatomic structure is most frequently reinforced or repaired?
. Rectus abdominis insertion to the pubis and the transversalis fascia
Which specific clinical test helps differentiate athletic pubalgia from femoroacetabular impingement (FAI) in a hockey player with vague groin pain?
. Resisted sit-up test
A football player sustains a severe quadriceps contusion. To minimize the risk of prolonged stiffness and myositis ossificans, how should the affected limb be immobilized in the first 24 hours?
. Knee in 120 degrees of flexion
A 22-year-old dancer presents with a painful snapping sensation deep in her anterior groin when extending her hip from a flexed, abducted, and externally rotated position. Which anatomical structure is most likely involved?
. Iliopsoas tendon over the iliopectineal eminence
Which of the following is the most widely accepted indication for acute surgical repair of a proximal hamstring avulsion injury?
. Avulsion of all three tendons with >2 cm of retraction
A 25-year-old hockey player diagnosed with athletic pubalgia undergoes surgical repair of the posterior inguinal wall but continues to experience significant groin pain postoperatively. Which concomitant condition was most likely missed during the initial evaluation?
. Femoroacetabular impingement (FAI)
When performing an open repair of a proximal hamstring avulsion, the surgeon identifies the conjoined tendon. Which muscles form this specific anatomical structure at the ischial tuberosity?
. Long head of biceps femoris and semitendinosus
In the surgical management of athletic pubalgia (core muscle injury), repair most commonly addresses the attenuation or tearing of which specific anatomical structure?
. Transversalis fascia and rectus abdominis insertion
A 21-year-old female runner complains of a painful, audible click on the lateral aspect of her hip when climbing stairs. On physical examination, the snapping is reproduced when the hip is actively flexed and extended while in a lateral decubitus position. Which test is most useful for confirming the tight structures involved in this pathology?
. Ober test
Which of the following interventions has been shown to decrease the risk of developing myositis ossificans following a severe quadriceps contusion in an athlete?
. Early active pain-free knee flexion
A 22-year-old sprinter feels a pop in his buttock during a race. MRI shows a complete proximal avulsion of the conjoint tendon of the biceps femoris and semitendinosus with 3 cm of retraction. What is the most appropriate management?
. Surgical repair of the torn tendons
Internal snapping hip syndrome (coxa saltans interna) is most commonly caused by which of the following structures snapping over the iliopectineal eminence or femoral head?
. Iliopsoas tendon