5. Sports Medicine MCQs

During physical examination, a patient with chronic groin pain demonstrates pain with a resisted sit-up and resisted hip adduction. MRI shows edema at the rectus abdominis insertion. Which anatomic structure is most commonly attenuated in this condition?

A professional hockey player presents with chronic groin pain. Radiographs show symphyseal sclerosis and widening. A single-leg stance (flamingo) view shows 3 mm of superior translation of the pubis. What is the most likely diagnosis?

Which radiographic measurement on a Dunn lateral radiograph is most indicative of Cam-type femoroacetabular impingement (FAI)?

A 35-year-old distance runner presents with deep posterior gluteal pain. MRI reveals narrowing of the space between the lesser trochanter and the ischium with edema in the quadratus femoris muscle. What is the diagnosis?

In the non-operative management of a severe quadriceps contusion, what is the target time-frame to achieve 120 degrees of knee flexion to minimize the risk of prolonged disability?

Which of the following is the most dreaded and functionally limiting complication of surgical repair of a chronic proximal hamstring avulsion?

Which structure forms the medial border of the femoral triangle, a relevant landmark when evaluating groin pain in an athlete?

What is the primary pathophysiology behind Pincer-type femoroacetabular impingement (FAI)?

A patient with suspected athletic pubalgia undergoes a diagnostic local anesthetic injection. Which anatomical structure is typically targeted to confirm the diagnosis of a rectus abdominis/adductor longus aponeurotic plate injury?

During surgical intervention for recalcitrant external snapping hip syndrome, what structure is typically lengthened or released?

Which of the following physical exam findings is considered the most sensitive test for anterior femoroacetabular impingement and labral pathology?

A 35-year-old water skier falls and sustains a forced hyperflexion injury of the hip with the knee extended. MRI demonstrates a complete 3-tendon proximal hamstring avulsion retracted 3.5 cm. What is the most appropriate management?

A 19-year-old female dancer complains of a painful clunking sensation deep in her anterior groin when extending her hip from a flexed, abducted, and externally rotated position. Ultrasound shows sudden tendon displacement. Which anatomic structure is most likely involved?

A 28-year-old marathon runner presents with lateral hip pain and a palpable snap when walking. The Ober test is strongly positive. If extensive non-operative management fails, what surgical intervention is most appropriate?

A 24-year-old hockey player presents with chronic groin pain exacerbated by hip flexion and internal rotation. Radiographs demonstrate an alpha angle of 65 degrees on the lateral view. What is the primary pathophysiologic mechanism of his joint damage?

A 20-year-old rugby player sustains a direct blow to the anterior thigh. He is diagnosed with a quadriceps contusion. Which of the following is the most widely accepted clinical criterion for safe return to play to minimize the risk of re-injury?

In a patient diagnosed with athletic pubalgia (core muscle injury), MRI often shows edema and tearing at the pubic symphysis. This pathology most commonly involves the confluent aponeurosis of which two structures?

A 15-year-old track athlete hears a pop and experiences sudden pain in the anterior pelvis while sprinting. Radiographs show a small avulsion fracture of the anterior superior iliac spine (ASIS). Which two muscles attach at this anatomic site?

A 40-year-old marathon runner complains of chronic, localized pain over the ischial tuberosity that worsens during prolonged sitting and uphill running. Which clinical test is most specific for diagnosing proximal hamstring tendinopathy?

Internal impingement of the shoulder between the posterosuperior glenoid rim and the rotator cuff occurs in which phase of throwing: