5. Sports Medicine MCQs

A 25-year-old soccer player sustains a knee injury. On physical examination, the Dial test shows 15 degrees of increased external rotation at 30 degrees of knee flexion compared to the contralateral side, but symmetric external rotation at 90 degrees. What structure is primarily injured?

A 19-year-old female basketball player undergoes ACL reconstruction using a bone-patellar tendon-bone (BTB) autograft. Six months postoperatively, her knee is stable, but she complains of focal pain at the harvest site. What is the most common complication specifically associated with BTB autograft harvest compared to hamstring autograft?

A 65-year-old woman sustains a 3-part proximal humerus fracture involving the surgical neck and greater tuberosity. The greater tuberosity fragment is severely displaced superiorly and posteriorly. What muscle forces are primarily responsible for the displacement of this specific fragment?

In posterior cruciate ligament (PCL) reconstruction, the tibial inlay technique is often advocated over the transtibial tunnel technique. What is the primary biomechanical advantage of the tibial inlay technique?

A 22-year-old football player sustains a multi-ligament knee injury. A dial test is performed. There is 15 degrees of increased external rotation at 30 degrees of knee flexion compared to the contralateral side, but symmetric external rotation at 90 degrees of knee flexion. This physical examination finding is indicative of an isolated injury to which of the following?

A 25-year-old overhead athlete undergoes shoulder arthroscopy and is diagnosed with a Type IV SLAP (Superior Labrum Anterior Posterior) lesion. The tear extends into the long head of the biceps tendon, involving 60% of the tendon substance. What is the most appropriate surgical management?

A 22-year-old professional athlete undergoes anterior cruciate ligament (ACL) reconstruction using a bone-patellar tendon-bone (BPTB) autograft. What is the most common postoperative complication directly associated with this specific donor site?

A 19-year-old collision athlete is undergoing an open Latarjet procedure for recurrent anterior shoulder instability associated with 25% anterior glenoid bone loss. During the approach, which muscle is typically split to allow passage of the coracoid bone block to the anterior glenoid neck?

A 40-year-old recreational athlete sustains an acute Achilles tendon rupture. If he chooses non-operative management utilizing an early functional rehabilitation protocol instead of open surgical repair, what outcome is most supported by recent high-level clinical trials?

A 24-year-old football player sustains a complex knee injury. Physical examination reveals an isolated increase in external rotation of 15 degrees compared to the contralateral knee at 30 degrees of knee flexion, but symmetrical external rotation at 90 degrees of flexion. Which of the following structures is most likely injured?

In the biomechanics of the native human knee, 'femoral rollback' is the posterior translation of the femoral condyles on the tibial plateau during deep knee flexion, which prevents premature impingement of the posterior distal femur against the posterior tibial margin. This motion is primarily driven by tension in which of the following structures?

During arthroscopy for a 22-year-old male with recurrent anterior shoulder instability, the surgeon visualizes a capsulolabral complex that has displaced medially and scarred down along the anterior scapular neck. The anterior scapular periosteum remains intact but is stripped from the glenoid margin. Which of the following eponymous terms best describes this pathology?

An orthopaedic sports surgeon is performing an isolated single-bundle posterior cruciate ligament (PCL) reconstruction utilizing the anterolateral (AL) bundle footprint. At what degree of knee flexion should the graft be tensioned and fixed?

When comparing autografts for anterior cruciate ligament (ACL) reconstruction, which of the following accurately describes the biomechanical properties of a 10-mm bone-patellar tendon-bone (BPTB) graft compared to the native ACL?

A 22-year-old rugby player has recurrent anterior shoulder instability. CT arthrogram reveals a glenoid bone loss of 12% and a large Hill-Sachs lesion. Applying the glenoid track concept, the Hill-Sachs lesion is calculated to be 'off-track.' Which of the following surgical strategies is most appropriate to restore stability?

Following a zone II flexor digitorum profundus (FDP) and flexor digitorum superficialis (FDS) repair using a 4-strand core suture and epitendinous repair, what is the primary advantage of utilizing an early active motion rehabilitation protocol compared to immobilization or passive-only protocols?

A 40-year-old recreational athlete sustains an acute, closed Achilles tendon rupture. In discussing operative versus non-operative management with a functional rehabilitation protocol, which of the following accurately reflects the current evidence from randomized controlled trials?

A 24-year-old professional rugby player presents with a history of five anterior shoulder dislocations. A 3D CT scan of the shoulder reveals 28% anterior glenoid bone loss and a concomitant engaging Hill-Sachs lesion. He wishes to return to professional contact sports. What is the most appropriate surgical intervention?