5. Sports Medicine MCQs

A 28-year-old athlete is undergoing a complex multi-ligament knee reconstruction. The surgeon is reviewing the anatomy of the native posterior cruciate ligament (PCL) to optimize tunnel placement. Which of the following accurately describes the anatomy and biomechanics of the primary functional bundle of the PCL?

A 22-year-old soccer player sustains a twisting injury to his knee. Radiographs reveal a small avulsion fracture of the lateral tibial plateau. What is the most commonly associated ligamentous injury?

A 25-year-old overhead athlete presents with chronic anterior shoulder pain.

MRI arthrogram reveals a Type II SLAP lesion. Following arthroscopic repair, which of the following postoperative range of motion restrictions is most critical to protect the repair during the first 4 weeks?

During knee arthroscopy on a 45-year-old male, a posterior horn medial meniscus root tear is identified. Biomechanical studies indicate that failure to repair this lesion is most equivalent to which of the following?

A 26-year-old female skier presents with a multiligamentous knee injury. Physical examination reveals a positive dial test with 15 degrees of increased external rotation at 30 degrees of flexion, but symmetric external rotation at 90 degrees of flexion. What is the most likely diagnosis?

A 20-year-old gymnast has persistent anterolateral ankle pain 6 months following a severe inversion injury. MRI reveals a 12-mm osteochondral lesion of the talus (OLT) on the anterolateral dome. Initial management with immobilization and physical therapy has failed. What is the most appropriate next step in management?

A 16-year-old female dancer experiences recurrent lateral patellar instability.

Imaging reveals a tibial tubercle-trochlear groove (TT-TG) distance of 22 mm and a normal patellar height. Which of the following surgical interventions is most appropriate?

A 24-year-old male sustains a shoulder injury following a seizure. Examination reveals the arm is locked in internal rotation. Radiographs demonstrate a posterior shoulder dislocation with an anteromedial humeral head defect involving 30% of the articular surface. Which of the following is the most appropriate surgical management?

Which of the following native structures serves as the primary restraint to lateral patellar translation at 0 to 20 degrees of knee flexion?

A 21-year-old collegiate football receiver sustains an acute, non-displaced Jones fracture (zone 2 of the proximal fifth metatarsal). He is eager to return to play this season. What is the most appropriate management?

During reconstruction of the anterior cruciate ligament (ACL) using a bone-patellar tendon-bone autograft, the femoral tunnel is drilled too anteriorly. What is the most likely clinical consequence of this technical error?

A 29-year-old overhead throwing athlete develops gradual onset of posterior shoulder pain. Examination demonstrates a positive impingement sign and localized tenderness at the posterior joint line when the arm is abducted and externally rotated.

What is the most likely pathophysiologic mechanism for this condition?

A 12-year-old male soccer player with widely open physes sustains an acute, complete tear of the anterior cruciate ligament (ACL). He has recurrent episodes of giving way. To minimize the risk of physeal growth arrest or angular deformity during reconstruction, which of the following techniques is most appropriate?

A 22-year-old collegiate rugby player presents with recurrent anterior shoulder dislocations. A 3D computed tomography (CT) scan demonstrates 25% anterior glenoid bone loss. Which of the following is the most appropriate surgical management?

A 24-year-old skier sustains a hyperextension and varus force to her knee. On physical examination, the dial test reveals 15 degrees of increased external rotation compared to the contralateral knee at 30 degrees of flexion, but symmetric external rotation at 90 degrees of flexion. Which injury pattern does this indicate?

A 35-year-old recreational athlete sustains an acute Achilles tendon rupture. When comparing modern operative repair to modern functional nonoperative management (using strict early weight-bearing and functional bracing protocols), operative intervention is most closely associated with which of the following?

A 45-year-old male feels a pop in the back of his knee while squatting. An MRI demonstrates a posterior root tear of the medial meniscus. What is the primary biomechanical consequence of this specific injury?

A 25-year-old professional baseball pitcher presents with a "dead arm" and pain during the late cocking phase of throwing. MRI arthrography reveals a Type II Superior Labrum Anterior to Posterior (SLAP) tear. What is the most widely recommended initial management?

A 19-year-old collegiate soccer player sustains a noncontact pivoting injury to her right knee. MRI confirms an isolated ACL rupture. She undergoes anatomic single-bundle ACL reconstruction using a bone-patellar tendon-bone autograft. During graft harvest, the infrapatellar branch of the saphenous nerve is transected. Where is she most likely to experience numbness?