Question 4021
Topic: Knee SportsThe anterior cruciate ligament (ACL) is composed of two primary bundles. In which position is the anteromedial (AM) bundle under the greatest tension?
Correct Answer & Explanation
. Extension
Practice Set 202 of 360
This practice set contains high-yield board review questions covering key concepts in 5. Sports Medicine. Each clinical scenario is designed to test your diagnostic and management skills relevant to this subspecialty.
The anterior cruciate ligament (ACL) is composed of two primary bundles. In which position is the anteromedial (AM) bundle under the greatest tension?
. Extension
Which of the following structures is NOT a border or content of the rotator interval?
. Coracohumeral ligament
Which of the following structures form the borders of the quadrilateral space in the shoulder?
. Teres minor, teres major, long head of triceps, humerus
The suprascapular nerve passes through the suprascapular notch and then the spinoglenoid notch. At the spinoglenoid notch, it is accompanied by which blood vessel?
. Suprascapular artery
When evaluating injuries to the posterolateral corner of the knee, understanding the intricate capsuloligamentous anatomy is paramount. Which specific structure directly attaches the fibular head to the lateral meniscus?

. Arcuate ligament
The posterolateral corner (PLC) of the knee provides critical rotatory stability. Which structure is the primary restraint to external rotation of the tibia at 30 degrees of knee flexion?
. Anterior cruciate ligament
A 28-year-old overhead athlete presents with isolated weakness in external rotation of the shoulder. An MRI reveals a paralabral cyst in the spinoglenoid notch. Which muscle is predominantly denervated?
. Supraspinatus
A 28-year-old volleyball player presents with insidious onset of vague posterior shoulder pain and profound weakness in external rotation, with preserved abduction. At what anatomical site is the injured nerve most likely compressed?
. Quadrilateral space
. Type III (hooked)
A 24-year-old athlete requires surgical reconstruction for a posterolateral corner knee injury. Identifying and protecting the common peroneal nerve is critical. Which of the following describes its most reliable anatomical position in the posterolateral knee?
. Anterior to the biceps femoris tendon
A 10-year-old male Tanner stage 1 soccer player sustains a complete anterior cruciate ligament (ACL) tear. Which of the following surgical techniques minimizes the risk of iatrogenic growth arrest in this patient?
. Iliotibial band extra-articular tenodesis alone
. Total meniscectomy
A 22-year-old male presents with a knee injury after a tackling collision. The dial test demonstrates 15 degrees of increased external rotation at 30 degrees of knee flexion compared to the contralateral side, but symmetric external rotation at 90 degrees. This finding indicates an isolated injury to which structure?
. Anterior cruciate ligament
During an ACL reconstruction, arthroscopic evaluation of the posteromedial compartment reveals a longitudinal tear at the meniscocapsular junction of the posterior horn of the medial meniscus. This specific pathology is commonly referred to as a:
. Radial tear
During a double-bundle posterior cruciate ligament (PCL) reconstruction, the anterolateral bundle is biomechanically optimized when tensioned and fixed at what angle of knee flexion?
. Full extension
A 22-year-old athlete presents with recurrent instability 1 year after an ACL reconstruction. Radiographs reveal that the femoral tunnel was placed vertically at the 12 o'clock position in the intercondylar notch. What is the most likely clinical consequence of this tunnel malposition?
. Anterior translation instability in full extension only
A 30-year-old runner presents with a palpable, tender mass along the lateral joint line of the knee. MRI shows a multiloculated cystic structure associated with the lateral meniscus. This condition is most strongly associated with which type of meniscal tear?
. Radial tear
A 24-year-old female athlete tears her anterior cruciate ligament (ACL) while playing soccer. During surgical reconstruction, the surgeon specifically aims to restore the posterolateral (PL) bundle. Biomechanically, restoring the PL bundle is most critical for controlling which of the following specific motions?
. Anterior translation in deep flexion
A 32-year-old male undergoes a posterior cruciate ligament (PCL) reconstruction. The surgeon opts for an open tibial inlay technique rather than a traditional transtibial tunnel technique. The primary biomechanical and anatomical advantage of the inlay technique is:
. Decreased risk of popliteal artery injury
A 55-year-old woman feels a pop in her posterior knee while deep squatting. MRI reveals an extruded medial meniscus and a complete defect at the posterior horn root. Biomechanically, an unrepaired complete medial meniscus posterior root tear is equivalent to:
. A 50% partial meniscectomy