5. Sports Medicine MCQs

A 14-year-old boy presents with vague knee pain and intermittent catching. Radiographs demonstrate an osteochondritis dissecans (OCD) lesion. Which of the following is the most classic anatomic location for this lesion?

A 22-year-old collegiate rugby player presents with recurrent anterior shoulder instability. A 3D CT scan reveals 26% anterior glenoid bone loss. Which of the following is the most appropriate surgical management?

A 55-year-old female presents with acute medial knee pain and a feeling of "giving way" after descending stairs. MRI shows a radial tear adjacent to the posterior horn medial meniscus attachment and 4 mm of medial meniscal extrusion. What is the biomechanical consequence of this injury?

A 19-year-old soccer player sustains a twisting knee injury. Radiographs reveal an avulsion fracture of the anterolateral tibial plateau.

This radiographic finding is virtually pathognomonic for an injury to which of the following structures?

A patient presents with knee instability after a hyperextension injury. The dial test demonstrates 15 degrees of increased external rotation of the tibia compared to the contralateral side at 30 degrees of knee flexion, but symmetric rotation at 90 degrees of flexion. What is the most likely injury?

A 14-year-old boy presents with vague, activity-related knee pain and mechanical symptoms. Radiographs suggest osteochondritis dissecans (OCD). Which of the following is the most common anatomic location for this lesion?

A 45-year-old manual laborer presents with persistent anterior shoulder pain. MRI confirms an isolated Type II SLAP tear. Based on current evidence, what is the recommended surgical management to optimize return to work and minimize persistent pain?

A 28-year-old professional volleyball player presents with insidious onset of right shoulder weakness. On examination, he has full active abduction and forward elevation, but profound weakness in external rotation with the arm at the side. Muscle atrophy is isolated to the infraspinatus fossa. Where is the most likely site of neurologic compression?

A 22-year-old rugby player has a history of recurrent anterior glenohumeral dislocations. Advanced imaging demonstrates 26% anterior glenoid bone loss and an engaging Hill-Sachs lesion. Which of the following procedures is the most appropriate surgical treatment?

A patient presents with lateral knee pain and instability after a hyperextension injury. The dial test shows 15 degrees of increased external rotation on the injured side at 30 degrees of knee flexion, but symmetric external rotation at 90 degrees of knee flexion. What does this examination finding indicate?

A 58-year-old laborer with pseudoparalysis of the shoulder is found to have a massive, irreparable tear of the supraspinatus and infraspinatus with an intact subscapularis and no glenohumeral arthritis. A superior capsular reconstruction (SCR) is planned. Between which two bony landmarks is the graft typically attached?

A 25-year-old overhead athlete presents with deep shoulder pain and clicking.

Diagnostic arthroscopy confirms a Type II SLAP lesion. What is the most widely accepted initial surgical management for this specific injury in this demographic if conservative measures fail?

A 14-year-old boy presents with vague, poorly localized knee pain and intermittent swelling. Radiographs reveal an osteochondritis dissecans (OCD) lesion. In which of the following locations is this lesion most commonly found?

The anterior cruciate ligament (ACL) is composed of two distinct functional bundles: the anteromedial (AM) bundle and the posterolateral (PL) bundle. Which of the following best describes their tensioning behavior during knee range of motion?

A 68-year-old male with a history of chronic renal failure falls directly onto a flexed knee. He is unable to perform a straight leg raise. Lateral radiographs demonstrate a high-riding patella (patella alta). What is the most likely diagnosis?

A 55-year-old male falls from a ladder, sustaining a bilateral C5-C6 facet dislocation with significant anterior translation. He presents with an ASIA C incomplete spinal cord injury. The provided image illustrates the complex anatomical relationships in the cervical spine during a dislocation event.

Considering the biomechanics of this injury, which of the following structures is most critically compromised, leading to the profound instability observed?

A 58-year-old male sustains a high-energy fall, resulting in a Neer three-part fracture of the proximal humerus involving the surgical neck and greater tuberosity, with significant displacement of both fragments relative to the humeral head. He is otherwise healthy and has high functional demands. During surgical planning, the orthopedic surgeon is particularly concerned about the risk of avascular necrosis (AVN) of the humeral head. Which of the following anatomical structures is most critical for the primary blood supply to the humeral head and its disruption significantly increases the risk of AVN?

A 42-year-old male presents with a displaced greater tuberosity fracture of the proximal humerus after a snowboarding accident. Radiographs show the greater tuberosity fragment displaced superiorly by 8 mm. He is an active individual with high functional demands. During surgical planning for open reduction and internal fixation (ORIF), the surgeon considers the deforming forces acting on the fracture fragments. Which muscle is primarily responsible for the superior displacement of the greater tuberosity fragment?