Question 4461
Topic: Knee SportsWhich of the following structures is considered a primary static stabilizer of the posterolateral corner (PLC) of the knee?
Correct Answer & Explanation
. Anterior cruciate ligament
Practice Set 224 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.
Which of the following structures is considered a primary static stabilizer of the posterolateral corner (PLC) of the knee?
. Anterior cruciate ligament
The coracoacromial ligament is a key structure in subacromial impingement syndrome. What are its attachments?
. Acromion to the distal clavicle
When performing an anterior drawer test at 90 degrees of knee flexion, which bundle of the anterior cruciate ligament (ACL) is the primary restraint to anterior tibial translation?
. Posterolateral bundle
A 28-year-old volleyball player presents with isolated atrophy of the infraspinatus muscle and normal supraspinatus strength. Entrapment of the suprascapular nerve is most likely occurring at which anatomical location?
. Suprascapular notch
The medial patellofemoral ligament (MPFL) is a primary restraint to lateral patellar displacement. Where is its femoral attachment located?
. Anterior to the medial epicondyle and proximal to the adductor tubercle
During arthroscopy for a SLAP tear, the surgeon notes that the long head of the biceps tendon originates entirely from the posterior labrum. What is this normal anatomic variant called?
. Buford complex
The posterior cruciate ligament (PCL) consists of two functional bundles. Which bundle is most taut in full knee extension?
. Anterolateral bundle
A 28-year-old professional volleyball player presents with insidious onset of painless weakness in shoulder external rotation. On examination, abduction strength is 5/5, but external rotation is 3/5. At which of the following anatomical sites is the affected nerve most likely compressed?
. Suprascapular notch
During a posterolateral corner (PLC) reconstruction of the knee, anatomic femoral tunnel placement is critical. Which of the following describes the correct anatomic relationship of the popliteus tendon attachment on the lateral femur relative to the lateral collateral ligament (LCL) attachment?
. Popliteus attaches anterior and inferior to the LCL
The anterior cruciate ligament (ACL) is composed of two primary bundles that function synergistically during knee range of motion. Which of the following statements most accurately describes the biomechanics of these bundles?
. The anteromedial bundle provides primary rotational stability in extension
A 32-year-old weightlifter presents with vague posterior shoulder pain and numbness over the lateral deltoid. MRI confirms a mass in the quadrilateral space compressing the axillary nerve. Which muscle forms the superior border of this anatomic space?
. Teres major
Failure to recognize and repair a posterior medial meniscus root tear leads to biomechanical consequences equivalent to a total meniscectomy. Where is the exact anatomical insertion of the posterior horn of the medial meniscus root?
. Anterior to the ACL tibial footprint
A 16-year-old female undergoes medial patellofemoral ligament (MPFL) reconstruction for recurrent patellar instability. Anatomic femoral graft placement is critical to avoid altering joint contact pressures. What is the native anatomic origin of the MPFL on the femur?
. Directly on the adductor tubercle
When performing a posterior cruciate ligament (PCL) reconstruction, the surgeon must accurately identify the native anatomic footprint. Which of the following correctly describes the femoral attachment of the PCL?
. Anterolateral aspect of the medial femoral condyle
A patient presents with weakness in external rotation and abduction following a posterior shoulder dislocation. MRI reveals a paralabral cyst compressing the quadrilateral space. Which of the following defines the superior border of this anatomic space?
. Teres major
When reconstructing the posterolateral corner (PLC) of the knee, understanding the anatomic relationship of the femoral attachments is critical. Which of the following correctly describes the origin of the lateral collateral ligament (LCL) relative to the popliteus tendon on the lateral femoral epicondyle?
. Proximal and posterior
A 28-year-old volleyball player presents with isolated weakness in shoulder external rotation. Abduction strength is normal. An MRI confirms a paralabral cyst. At which of the following locations is the nerve compression most likely occurring?
. Suprascapular notch
A 28-year-old overhead athlete presents with isolated weakness in external rotation of the shoulder but normal abduction. An MRI confirms nerve entrapment by a paralabral cyst. At which anatomical location is the entrapment most likely occurring?
. Suprascapular notch
During an anatomic reconstruction of the posterolateral corner (PLC) of the knee, identifying the fibular collateral ligament (FCL) footprint is critical. What is the anatomical relationship of the FCL femoral footprint to the popliteus tendon insertion?
. Proximal and posterior
The anterior cruciate ligament (ACL) is composed of two functional bundles. During a physical examination, when the knee is in full extension, how are these bundles oriented relative to each other in terms of tension?
. Both bundles are equally lax