5. Sports Medicine MCQs

A 16-year-old girl dislocates her patella laterally. The primary soft-tissue restraint to lateral patellar translation is ruptured. Where is the femoral footprint of this structure located?

A 14-year-old boy presents with mechanical catching in his knee. Radiographs confirm Osteochondritis Dissecans (OCD). What is the most common anatomic location for an OCD lesion in the knee?

A 22-year-old elite soccer player sustains an acute fracture at the metaphyseal-diaphyseal junction of the fifth metatarsal. He desires to return to play as quickly as possible. What is the most appropriate management?

During ACL reconstruction in a patient with a high-grade pivot shift, an anterolateral ligament (ALL) reconstruction is considered. The ALL primarily acts to control which specific knee motion?

A 20-year-old collegiate rugby player suffers from recurrent anterior shoulder instability. A pre-operative CT scan demonstrates 25% anterior glenoid bone loss. Which surgical stabilization procedure is most appropriate?

A 24-year-old presents with deep ankle pain after an inversion injury 6 months ago. MRI shows a 1.2 cm osteochondral lesion on the medial talar dome. After failing conservative management, what is the standard first-line surgical intervention?

A 25-year-old athlete reports restricted knee flexion and persistent anterior knee instability in extension 8 months after an ACL reconstruction. Radiographs reveal an improperly placed femoral tunnel. Which of the following best describes the likely tunnel position and resulting biomechanics?

A 21-year-old rugby player presents with recurrent anterior shoulder dislocations. A CT scan demonstrates 25% anterior glenoid bone loss. He undergoes a Latarjet procedure. Which of the following structures primarily creates the dynamic "sling effect" that stabilizes the anterior shoulder postoperatively?

A 32-year-old male sustains a dashboard injury to his knee. On examination, the tibia rests posteriorly relative to the femoral condyles. A posterior drawer test reveals significantly increased posterior translation of the tibia at 90 degrees of flexion. Which of the following bundles of the affected ligament is the primary restraint to posterior tibial translation at 90 degrees of knee flexion?

A 45-year-old recreational overhead athlete presents with deep shoulder pain and mechanical catching. An MRI arthrogram reveals an isolated Type II SLAP tear. Six months of physical therapy and corticosteroid injections have failed to provide relief. Given the patient's age and pathology, what is the most reliable surgical intervention to provide pain relief while minimizing postoperative stiffness?

A 28-year-old male hockey player presents with groin pain exacerbated by hip flexion and internal rotation. Radiographs demonstrate a prominent bump at the anterolateral head-neck junction. What radiographic measurement is most appropriate to quantify this deformity?

A 40-year-old female presents with activity-related hip pain. Radiographs demonstrate a "crossover sign" on the AP pelvis view. This finding is indicative of which of the following?

A 38-year-old male with Cam-type FAI is considering hip arthroscopy for osteochondroplasty and labral repair. Which of the following preoperative radiographic findings is the strongest predictor of a poor clinical outcome and early conversion to total hip arthroplasty?

During physical examination of a patient suspected of having Femoroacetabular Impingement (FAI), the examiner performs the FADIR test. Which of the following motions are combined during this provocative maneuver?

When evaluating an AP pelvis radiograph for femoroacetabular impingement, which of the following findings is most specific for focal anterior acetabular overcoverage (pincer impingement)?

During surgical dislocation of the hip for treatment of FAI and a labral tear, the trochanteric flip osteotomy is performed. To preserve the blood supply to the femoral head, the osteotomy must stay superficial to which of the following structures?

A 40-year-old male with symptomatic FAI and a labral tear undergoes hip arthroscopy with femoroplasty, acetabuloplasty, and labral repair. Which of the following preoperative factors is the strongest predictor of failure and eventual conversion to THA?

When evaluating a patient for suspected cam-type femoroacetabular impingement (FAI), measurement of the alpha angle is most accurately assessed using which of the following radiographic views?

During a safe surgical dislocation of the hip (Ganz approach) for the treatment of femoroacetabular impingement, a trochanteric flip osteotomy is performed. This technique is specifically designed to protect which critical vascular structure?

In the pathophysiology of cam-type femoroacetabular impingement, the aspherical portion of the femoral head engages the acetabulum during hip flexion and internal rotation. Where does the resulting chondral delamination characteristically occur?