5. Sports Medicine MCQs

A soccer player presents with chronic groin pain exacerbated by kicking and cutting. An MRI demonstrates a "cleft sign." This represents an injury to the aponeurosis of which two structures?

How does an Anterior Labroligamentous Periosteal Sleeve Avulsion (ALPSA) lesion differ from a classic Bankart lesion in anterior shoulder instability?

In the throwing athlete, a Type II SLAP lesion is most commonly produced by the 'peel-back' mechanism. During which phase of the throwing motion does this mechanism primarily occur?

When comparing the biomechanical properties of a 10-mm bone-patellar tendon-bone (BPTB) graft to the native anterior cruciate ligament (ACL), which of the following statements is true?

A 22-year-old football player sustains a direct blow to the anteromedial tibia. Physical examination demonstrates a positive 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, the external rotation is symmetric bilaterally. What is the most likely diagnosis?

Which of the following describes the underlying pathophysiology initiating the Female Athlete Triad (recognized as part of Relative Energy Deficiency in Sport)?

A 24-year-old hockey player presents with deep anterior groin pain exacerbated by hip flexion and internal rotation. Imaging reveals an aspherical femoral head-neck junction with an alpha angle of 65 degrees. What is the most likely diagnosis?

A 22-year-old collegiate baseball pitcher complains of posterior shoulder pain during the late cocking phase of throwing. MRI demonstrates articular-sided partial tearing of the infraspinatus and posterosuperior labral fraying. What is the pathophysiologic mechanism?

A 19-year-old female collegiate cross-country runner presents with a tibial stress fracture and a history of irregular menses for the past year. Dual-energy X-ray absorptiometry reveals reduced bone mineral density. In the context of the female athlete triad, a deficiency in which of the following hormones is the primary driver of her osteopenia?

A 28-year-old professional volleyball player presents with painless weakness in her dominant serving shoulder. Physical examination reveals isolated atrophy of the infraspinatus muscle and significant weakness during external rotation, but normal supraspinatus strength. At which anatomical location is the nerve most likely compressed?

When evaluating graft choices for an anterior cruciate ligament (ACL) reconstruction, which of the following autografts possesses the highest initial ultimate tensile load compared to the native ACL?

During shoulder arthroscopy in an overhead throwing athlete, a Type II SLAP (superior labrum anterior to posterior) tear is identified. The dynamic 'peel-back' mechanism that exacerbates this injury occurs primarily when the shoulder is placed in which of the following positions?

A patient undergoes a 'dial test' to evaluate a knee injury. The test reveals more than 10 degrees of increased external tibial rotation at 30 degrees of knee flexion compared to the uninjured side. However, the external rotation is symmetric at 90 degrees of knee flexion. What injury pattern does this indicate?

A 14-year-old boy presents with knee pain and intermittent mechanical catching. Imaging confirms an osteochondritis dissecans (OCD) lesion. What is the most common anatomical location for this lesion in the knee?

A 22-year-old baseball pitcher presents with posterior shoulder pain during the late cocking phase of throwing. He is diagnosed with internal impingement. This condition is characterized by pathological contact between the posterosuperior glenoid labrum and which of the following structures?

A patient lies supine with the knee flexed to 90 degrees and the foot flat on the table. The examiner asks the patient to contract their quadriceps while the examiner provides resistance against the foot. The examiner observes an anterior translation of the proximal tibia. What does this 'quadriceps active test' finding indicate?

A collegiate baseball pitcher presents with glenohumeral internal rotation deficit (GIRD). By true definition, GIRD involves a symptomatic loss of internal rotation compared to the contralateral non-throwing shoulder of at least how many degrees?

Accelerated rehabilitation after anterior cruciate ligament reconstruction has resulted in:

Which ligament prevents excessive anterior translation of the tibia relative to the femur?

Which rotator cuff muscle is most commonly torn?