5. Sports Medicine MCQs

A 60-year-old man presents with chronic shoulder weakness. MRI demonstrates a massive, retracted rotator cuff tear involving the supraspinatus and infraspinatus. Electromyography (EMG) shows denervation changes specifically isolated to the infraspinatus. Traction neuropathy of which nerve is most likely responsible for this finding?

A 65-year-old male sustains an anterior shoulder dislocation after a fall down stairs. Following successful closed reduction in the emergency department, he continues to have profound weakness in external rotation and elevation. Sensation over the lateral deltoid is completely intact. What is the most likely concomitant injury?

When comparing bone-patellar tendon-bone (BPTB) autograft to quadrupled hamstring autograft for primary ACL reconstruction, the BPTB graft is most consistently associated with an increased incidence of which of the following postoperative findings?

A 14-year-old male athlete presents with insidious onset of knee pain and intermittent mechanical catching. Radiographs demonstrate a focal subchondral radiolucency consistent with osteochondritis dissecans (OCD). What is the most common anatomical location for an OCD lesion in the knee?

A 25-year-old elite javelin thrower complains of posterior shoulder pain during the late cocking phase of throwing. Arthroscopy is performed for suspected internal impingement. Which of the following combined pathological findings is the hallmark of internal impingement of the shoulder?

A 55-year-old male with end-stage renal disease falls and presents with sudden swelling and an inability to actively extend his knee. A lateral radiograph demonstrates patella baja. Based on this radiographic finding, which of the following injuries is most likely?

During an anatomic reconstruction of the posterolateral corner (PLC) of the knee, careful dissection is required to protect the common peroneal nerve. To avoid iatrogenic injury, the surgeon must consistently identify the nerve in relation to which primary anatomic landmark?

A 22-year-old athlete presents 6 months after an anterior cruciate ligament (ACL) reconstruction with a bone-patellar tendon-bone autograft, complaining of anterior knee pain and a 10-degree extension deficit. Radiographs demonstrate the tibial tunnel is positioned entirely anterior to the Blumensaat line with the knee in full extension. What is the most likely biomechanical cause of his extension deficit?

A 20-year-old collegiate rugby player presents with recurrent anterior shoulder instability. A 3D CT scan demonstrates a 28% anterior glenoid bone loss and an engaging Hill-Sachs lesion. Which of the following is the most appropriate surgical management?

A football running back sustains a blow to the anteromedial aspect of his knee. Physical examination reveals 15 degrees of increased external rotation at both 30 and 90 degrees of knee flexion compared to the contralateral side. A posterior sag sign is also present. Which structures are most likely injured?

In patients with a massive, retracted rotator cuff tear involving the supraspinatus and infraspinatus tendons, traction neuropathy of the suprascapular nerve is most likely to occur at which of the following anatomic locations?

An elite baseball pitcher presents with vague, deep shoulder pain and decreased throwing velocity. Physical examination demonstrates a positive O'Brien test and pain with the "peel-back" mechanism in the late cocking phase. Which of the following describes a Type II SLAP lesion?

Following a first-time lateral patellar dislocation in a 16-year-old female, the medial patellofemoral ligament (MPFL) is identified on MRI as the primary torn restraint. If surgical reconstruction is planned, where is the normal anatomic femoral origin of the MPFL (Schottle's point) located?

A 14-year-old male soccer player presents with vague anterior knee pain and mechanical catching. Radiographs demonstrate an osteochondritis dissecans (OCD) lesion. What is the most common anatomic location for an OCD lesion of the knee?

A 22-year-old female collegiate soccer player undergoes anterior cruciate ligament (ACL) reconstruction using a bone-patellar tendon-bone (BPTB) autograft. When comparing this graft choice to a hamstring autograft, what is the most common long-term complication she may face?

A 45-year-old manual laborer presents with chronic anterior shoulder pain.

MRI demonstrates a Type II SLAP tear. Nonoperative management has failed. Which of the following is the most definitive and reliable surgical treatment for this patient?

A 28-year-old male presents with knee pain and instability after a hyperextension injury. Physical examination demonstrates an abnormal dial test with 15 degrees of increased external rotation at 30 degrees of knee flexion compared to the contralateral side. At 90 degrees of flexion, external rotation is symmetrical bilaterally. Which structure(s) is/are injured?

A 19-year-old collegiate football player sustains a first-time traumatic anterior shoulder dislocation.

What is the single most important risk factor for recurrent instability in this patient if treated nonoperatively?

A 45-year-old female feels a "pop" in the posterior aspect of her knee while deep squatting. MRI confirms a posterior root tear of the medial meniscus. Left untreated, this injury biomechanically alters the knee in a manner most similar to which of the following?

A 28-year-old male volleyball player reports vague posterior shoulder pain and profound weakness with external rotation.

MRI demonstrates a large paralabral cyst located strictly within the spinoglenoid notch. Which muscle is primarily affected by this lesion?