5. Sports Medicine MCQs

A 17-year-old female soccer player sustains a noncontact deceleration injury to her knee, accompanied by a 'pop'.

Which of the following is an established intrinsic skeletal risk factor for this specific ligamentous injury?

A 28-year-old professional tennis player presents with right shoulder pain. Physical examination reveals a glenohumeral internal rotation deficit (GIRD) of 25 degrees compared to the contralateral side, alongside normal overall arc of motion. What is the most appropriate initial treatment?

A 30-year-old male presents with knee pain after a dashboard injury. Physical examination reveals increased external tibial rotation of 15 degrees at 30 degrees of knee flexion, but symmetric external rotation at 90 degrees compared to the normal knee. Which structure is most likely injured?

A 25-year-old gymnast presents with recurrent lateral patellar instability. An MRI indicates a torn medial patellofemoral ligament (MPFL). During surgical reconstruction, where should the femoral tunnel be placed anatomically?

A 21-year-old collegiate volleyball player complains of vague, deep posterior shoulder pain.

She has normal strength with shoulder abduction, but notable weakness with external rotation when the arm is positioned at the side. At which anatomic site is the affected nerve most likely compressed?

A 28-year-old professional skier sustains a multi-ligamentous knee injury.

During surgical reconstruction of the posterolateral corner (PLC), an anatomic reconstruction technique is chosen. Which three primary structures must be addressed to restore stability to the PLC?

Improper tunnel placement is a frequent cause of anterior cruciate ligament (ACL) reconstruction failure. What is the primary kinematic consequence of placing the femoral tunnel too anteriorly?

A 45-year-old active male presents with acute posterior knee pain and a palpable 'pop' while deep squatting. MRI reveals a complete medial meniscus posterior root tear. Left untreated, the biomechanical consequences of this injury are most equivalent to which of the following?

A 20-year-old rugby player presents with recurrent anterior shoulder instability. A 3D CT scan demonstrates 25% glenoid bone loss. Which surgical procedure is most indicated?

A 28-year-old is involved in a motor vehicle collision and sustains a dashboard injury. Examination and MRI confirm an isolated Grade II Posterior Cruciate Ligament (PCL) tear. What is the recommended initial management?

A 24-year-old elite baseball pitcher presents with vague, deep shoulder pain during the late cocking phase of throwing. MRI confirms an isolated Type II SLAP tear. After confirming a glenohumeral internal rotation deficit (GIRD), what is the most appropriate initial management?

A 19-year-old gymnast presents with persistent medial ankle pain after an inversion injury 6 months ago. MRI reveals a 12 mm osteochondral lesion of the medial talar dome with intact overlying cartilage. If a 3-month trial of immobilization and non-weight bearing fails, what is the best initial surgical treatment?

The medial patellofemoral ligament (MPFL) provides the primary soft-tissue restraint to lateral patellar translation at which range of knee flexion?

A 14-year-old boy presents with anterior knee pain and catching. Imaging shows an osteochondritis dissecans (OCD) lesion of the lateral aspect of the medial femoral condyle. MRI indicates fluid tracking behind the lesion, suggesting instability. His physes remain open. What is the most appropriate management?

An elite overhead throwing athlete presents with posterior shoulder pain during the late cocking phase. Which combination of intra-articular pathology is most characteristic of internal impingement?

A rugby player is tackled with a blow to the anteromedial tibia. Exam reveals increased varus laxity at 30 degrees of knee flexion but normal varus stability at 0 degrees. The dial test shows increased external rotation at 30 degrees, but it is symmetric to the contralateral side at 90 degrees. Which structures are most likely injured?

A 27-year-old male presents to the ER following a traumatic knee dislocation during a football game. The knee spontaneously reduced prior to arrival. An ankle-brachial index (ABI) is calculated to be 0.8. What is the next most appropriate step in management?

A 26-year-old professional volleyball player complains of vague posterior shoulder pain and profound weakness in external rotation.

MRI reveals a paralabral cyst in the spinoglenoid notch. Which muscle would exhibit isolated weakness on clinical exam?

A 21-year-old female presents with recurrent lateral patellar dislocations. An axial CT scan measures a tibial tubercle-trochlear groove (TT-TG) distance of 24 mm. Which procedure should be included in her definitive surgical plan to correct this specific pathomechanics?

A 17-year-old female high school soccer player is scheduled to undergo an anterior cruciate ligament (ACL) reconstruction. When discussing graft choices, which of the following is associated with the highest rate of clinical failure and need for revision in this specific patient demographic?