5. Sports Medicine MCQs

A 20-year-old collegiate female basketball player undergoes an anterior cruciate ligament reconstruction using a bone-patellar tendon-bone (BTB) autograft. She successfully completes rehabilitation and returns to play at 9 months. Which of the following is the most commonly reported complication specifically associated with this choice of graft compared to hamstring autograft?

A 22-year-old male undergoes arthroscopic evaluation of the knee for a medial meniscus tear. The surgeon must decide between meniscal repair and partial meniscectomy. The potential for meniscal healing is primarily dictated by its vascular supply. Which area of the meniscus possesses the greatest intrinsic potential for healing following surgical repair?

Following an anterior cruciate ligament (ACL) reconstruction using a bone-patellar tendon-bone autograft, a patient exhibits a lack of full knee flexion but achieves full extension. The physical examination reveals a tight graft in flexion. Which of the following technical errors during graft placement most likely accounts for this finding?

The 'glenoid track' concept is utilized to evaluate bipolar bone loss in anterior shoulder instability. A Hill-Sachs lesion is considered 'off-track' and at risk for engaging the anterior glenoid rim if its medial margin is located where?

A 24-year-old pitcher undergoes arthroscopic repair of a type II SLAP lesion. Postoperatively, he notes significant weakness with external rotation and a vague, aching pain in the posterior shoulder. Physical examination reveals atrophy of the infraspinatus. Which of the following is the most likely cause?

When performing an anatomic single-bundle anterior cruciate ligament (ACL) reconstruction, improper tunnel placement can lead to graft failure.

Positioning the femoral tunnel too anterior (shallow in the notch) will result in a graft that is:

A 22-year-old collegiate soccer player requires revision anterior cruciate ligament (ACL) reconstruction. The surgeon decides to use a bone-patellar tendon-bone (BPTB) allograft. Which of the following sterilization methods most significantly compromises the biomechanical structural properties of the allograft?

A 19-year-old athlete undergoes an arthroscopic partial meniscectomy and meniscal repair.

Understanding the vascular anatomy of the meniscus is crucial for deciding which tears are repairable. Which anatomical zone of the meniscus possesses the highest intrinsic healing potential?

A 55-year-old male is undergoing an arthroscopic rotator cuff repair. A thorough understanding of the anatomic footprint of the rotator cuff is critical for successful anatomic restoration. According to anatomical studies (e.g., Mochizuki et al.), which of the following tendons has the largest insertion footprint on the greater tuberosity?

A 24-year-old male presents to the emergency department after a high-velocity knee dislocation. Following closed reduction, you document an absent pedal pulse, and the vascular surgeon performs an emergent popliteal artery repair.

Postoperatively, the patient demonstrates an inability to extend his great toe and reports numbness isolated to the dorsal first web space of the foot. Which of the following knee structures is most likely concomitantly injured?

A 21-year-old collegiate rugby player presents with recurrent anterior shoulder instability. He has had 5 dislocations over the past year. A 3D reconstructed CT scan of the shoulder reveals an inverted-pear glenoid with an estimated 28% anterior inferior bone loss. Which of the following surgical interventions provides the most reliable biomechanical stability and lowest recurrence rate for this specific patient?

A 22-year-old female soccer player undergoes primary anterior cruciate ligament (ACL) reconstruction using a bone-patellar tendon-bone autograft. Postoperatively, she experiences loss of terminal extension and anterior knee pain. An MRI indicates graft impingement against the intercondylar roof. Which of the following technical errors during tunnel preparation is the most common cause of this specific impingement pattern?

A 20-year-old collegiate quarterback sustains a traumatic anterior shoulder dislocation. Post-reduction MRI demonstrates an anterior-inferior labral tear that is displaced medially and rolled down the glenoid neck, still attached to an intact but stripped anterior periosteal sleeve. Which of the following eponymous terms best describes this specific soft-tissue lesion?

During an anterior cruciate ligament (ACL) reconstruction, the surgeon places the femoral tunnel excessively anterior to the anatomic footprint. What is the most likely biomechanical consequence of this malpositioning?

During arthroscopic management of anterior shoulder instability, a 'remplissage' procedure is occasionally indicated for a patient with an engaging Hill-Sachs lesion. This technique involves tenodesis of the posterior joint capsule and which of the following structures into the humeral defect?

When comparing operative versus nonoperative management for acute Achilles tendon ruptures using modern functional rehabilitation protocols (early weight-bearing and motion), which of the following statements best reflects the consensus of recent high-level literature?

During arthroscopic evaluation of a 22-year-old athlete's knee, a longitudinal tear is identified in the peripheral red-red zone of the medial meniscus. Which of the following blood vessels provides the primary vascular supply to this region of the medial meniscus?

A 24-year-old football player sustains a twisting injury to the knee. On examination, there is a normal posterior sag sign. The dial test demonstrates 15 degrees of increased external rotation compared to the contralateral side at 30 degrees of knee flexion, but symmetrical external rotation at 90 degrees of flexion. What is the most likely diagnosis?

A 22-year-old male rugby player is evaluated for recurrent anterior shoulder instability. He has had 5 dislocations over the past year. A CT scan of his shoulder indicates 28% anterior glenoid bone loss. What is the most appropriate surgical treatment to minimize his risk of recurrent dislocation?

A 21-year-old collegiate soccer player is undergoing anterior cruciate ligament (ACL) reconstruction. The surgeon discusses various graft options and their respective morbidity profiles. Which of the following complications is most specifically associated with the use of a bone-patellar tendon-bone (BTB) autograft compared to a multi-strand hamstring autograft?