5. Sports Medicine MCQs

When comparing bone-patellar tendon-bone (BPTB) autografts to hamstring autografts for primary ACL reconstruction, BPTB grafts are historically associated with a higher incidence of which of the following complications?

A 28-year-old baseball pitcher undergoes shoulder arthroscopy. A partial articular-sided supraspinatus tendon avulsion (PASTA) involving 60% of the tendon thickness is identified. What is the most appropriate surgical management?

Compared to single-row repair, biomechanical studies of double-row rotator cuff repair demonstrate which of the following characteristics?

In the evaluation of chronic rotator cuff tears, which of the following MRI findings is the most significant predictor of structural failure after an attempted rotator cuff repair?

During surgical reconstruction of the posterolateral corner (PLC) of the knee, the surgeon must reconstruct the primary static stabilizer to varus stress. Which structure inserts on the lateral aspect of the fibular head, anterior to the popliteofibular ligament?

A 35-year-old man presents with acute, severe shoulder pain that lasted for two weeks, followed by painless weakness in external rotation and forward elevation. MRI shows no rotator cuff tear but diffuse edema in the supraspinatus and infraspinatus muscles. What is the most likely diagnosis?

The posterior cruciate ligament (PCL) is composed of two primary bundles. Which statement accurately describes the tensioning pattern of the larger bundle during normal knee range of motion?

A patient complains of anterior shoulder pain exacerbated by forward elevation, adduction, and internal rotation ("cross-body" movement). MRI reveals narrowing of the coracohumeral interval to 5 mm and subscapularis tendinosis. This presentation is most consistent with:

A 24-year-old athlete undergoes an anterior cruciate ligament (ACL) reconstruction using a bone-patellar tendon-bone autograft. If the femoral tunnel is inadvertently placed too far anteriorly, what is the most likely biomechanical consequence during range of motion?

A 65-year-old man presents with chronic shoulder weakness. Magnetic resonance imaging reveals a massive, retracted tear involving both the supraspinatus and infraspinatus tendons. Medial retraction of the supraspinatus tendon past the glenoid rim places which of the following structures at the greatest risk of tethering or traction injury?

A 19-year-old soccer player sustains a valgus injury to his left knee. Examination shows 10 mm of medial joint space opening at 30 degrees of flexion with a firm endpoint, but no opening at 0 degrees of flexion. What is the most appropriate initial management?

A 45-year-old weightlifter feels a sudden pop in his shoulder while performing heavy bench presses. Physical examination reveals significantly increased passive external rotation compared to the contralateral side and a positive belly-press test. Which of the following structures is most likely injured?

During an isolated posterior cruciate ligament (PCL) reconstruction using an Achilles tendon allograft, the surgeon utilizes a tibial inlay technique rather than a transtibial tunnel technique. What is the primary biomechanical advantage of the tibial inlay technique?

A 70-year-old patient with a chronic rotator cuff tear is evaluated for potential surgical repair. Preoperative MRI demonstrates Goutallier stage 4 fatty infiltration of the infraspinatus muscle. Which of the following best describes this finding and its clinical implications?

A 55-year-old active manual laborer undergoes arthroscopic repair of a supraspinatus tear and is found to have a concurrent high-grade partial tear of the long head of the biceps tendon. He is heavily reliant on arm strength and explicitly expresses concern regarding postoperative cosmetic deformity and muscle cramping. Which of the following is the most appropriate management for the biceps tendon?

A 22-year-old collegiate football player sustains a direct blow to the anteromedial aspect of his knee. Examination reveals a positive dial test at 30 degrees of knee flexion, but symmetrical external rotation at 90 degrees of flexion. Which structural injury is most consistent with these physical examination findings?

Incorporating the concept of margin convergence during the repair of a massive, U-shaped rotator cuff tear provides which of the following primary biomechanical benefits?

Compared to a bone-patellar tendon-bone autograft, the use of a non-irradiated tibialis anterior allograft for anterior cruciate ligament reconstruction in a 16-year-old competitive athlete is associated with a significantly higher risk of which of the following complications?

A 72-year-old woman presents with severe shoulder pain and pseudoparalysis. Radiographs show significant superior migration of the humeral head with articulation against the acromion. Which of the following is an absolute contraindication to performing a reverse total shoulder arthroplasty in this patient?

In ACL reconstruction utilizing a quadrupled hamstring graft and a cortical suspension button (e.g., Endobutton) for femoral fixation, the "bungee cord effect" and "windshield wiper effect" are established mechanisms that most commonly lead to which of the following postoperative radiographic findings?