5. Sports Medicine MCQs

A 25-year-old male complains of knee instability after receiving a blow to the anteromedial tibia. Physical examination reveals an isolated increase in external rotation of 15 degrees compared to the contralateral knee when tested at 30 degrees of knee flexion. There is no asymmetry in external rotation at 90 degrees of flexion. Which structure is most likely injured?

A 52-year-old male presents with acute medial knee pain after rising from a deep squat. MRI reveals a complete radial tear of the medial meniscus posterior root. Biomechanically, this injury is most similar to which of the following conditions?

A 21-year-old collegiate rugby player presents with recurrent anterior shoulder instability. A 3D CT scan demonstrates 28% anterior glenoid bone loss. Which of the following surgical interventions provides the most reliable long-term stability for this patient?

A 45-year-old active laborer presents with chronic, severe shoulder weakness. MRI demonstrates a massive, retracted, and fatty-infiltrated tear of the supraspinatus and infraspinatus tendons. The subscapularis and teres minor are intact. He has a normal coracoacromial arch and no significant glenohumeral arthritis. Which tendon transfer is most appropriate to restore external rotation?

A 42-year-old construction worker presents with persistent deep shoulder pain. MRI arthrogram reveals an isolated Type II Superior Labrum Anterior to Posterior (SLAP) tear. Nonoperative management has failed. What is the most appropriate surgical management to minimize postoperative stiffness and allow a return to heavy labor?

A 45-year-old female presents with acute onset of medial knee pain after squatting. MRI shows a complete radial tear of the posterior horn of the medial meniscus at its root attachment. Which of the following best describes the biomechanical consequence of this injury?

A 22-year-old competitive rugby player sustains his third anterior shoulder dislocation. CT scan with 3D reconstruction demonstrates 25% glenoid bone loss. A Latarjet procedure is performed. The classic "sling effect" of the Latarjet procedure is provided by which of the following structures?

When counseling a 17-year-old female soccer player regarding ACL reconstruction, which of the following is true comparing bone-patellar tendon-bone (BPTB) autograft to hamstring autograft?

A 24-year-old male hockey player presents with right groin pain exacerbated by hip flexion and internal rotation. Radiographs reveal a crossover sign, prominent ischial spines, and an alpha angle of 65 degrees. During hip arthroscopy, a cam lesion is resected. Care must be taken to avoid over-resection of the femoral neck to prevent which of the following complications?

A 28-year-old male sustains a traumatic knee dislocation. Following reduction, his pedal pulses are symmetric, but he has an inability to dorsiflex his ankle or extend his toes. Which of the following ligamentous injuries is most commonly associated with this neurologic deficit?

A 12-year-old male presents with non-specific knee pain. Radiographs demonstrate an osteochondritis dissecans (OCD) lesion of the medial femoral condyle. The physes are widely open. MRI shows no fluid behind the lesion. What is the most appropriate initial management?

A 40-year-old male sustains a knee injury while jumping. On exam, he has a palpable defect proximal to the patella and cannot perform a straight leg raise. Lateral radiographs would most likely demonstrate which of the following?

A 10-year-old Tanner stage 1 male sustains a complete mid-substance anterior cruciate ligament (ACL) tear. Which surgical reconstruction technique minimizes the risk of physeal arrest while providing adequate stability?

A 19-year-old female gymnast presents with recurrent bilateral shoulder pain and subluxation associated with generalized ligamentous laxity. After 6 months of dedicated physical therapy, she continues to have disabling instability in her dominant shoulder. What is the most appropriate surgical intervention?

A 22-year-old collegiate rugby player has sustained three recurrent anterior shoulder dislocations. CT scan with 3D reconstruction reveals 25% anterior glenoid bone loss. What is the most appropriate definitive surgical management?

A 14-year-old female gymnast complains of lateral elbow pain, clicking, and a 15-degree extension block. MRI demonstrates a 12 mm unstable osteochondritis dissecans (OCD) lesion of the capitellum with loose bodies. What is the most appropriate surgical treatment?

A 35-year-old recreational basketball player feels a 'pop' in his knee while landing from a jump and cannot actively perform a straight leg raise. Lateral radiographs show patella baja. Which of the following is the most likely diagnosis?

A 25-year-old soccer player sustains a hyperextension varus knee injury. Examination shows a positive dial test at 30 degrees of flexion, but symmetric rotation compared to the contralateral knee at 90 degrees. What isolated structure is most likely injured?

A 20-year-old female dancer complains of an audible, painless snapping on the lateral aspect of her hip when she flexes and extends it. Ultrasound demonstrates a thick band of tissue snapping over the greater trochanter. What is the initial treatment of choice?