Sports

Question 1

What is most common complication seen after posterior labral repair in shoulder?

Answer 1

Stiffness

Question 2

What is next step in workup for a female teenage runner w/ low BMI and amenorrhea presenting with a few weeks of thigh pain?

Answer 2

MRI to look for femoral bone stress injury

Question 3

What are outcomes of IMN or tension band plating for tibial stress fractures?

Answer 3

very good symptomatic relief

Question 4

What adaptive change in the heart do you see in the heart with athletic heart syndrome?

Answer 4

increase in left ventricular cavity size

Question 5

What is treatment of an ACL tear with a distal MCL avulsion?

Answer 5

ACL recon and MCL repair

Question 6

What is workup in a first time patellar dislocation in skeletally immature patient?

Answer 6

MRI to look for loose osteochondral fragments

Question 7

What is a common concomitant injury you see with subluxated biceps tendon?

Answer 7

Subscapularis tear

Question 8

What nerve/muslce pair is involved in medial scapula winging? What about lateral scapular winging?

Answer 8

medial - long thoracic nerve and serratus anterior

lateral - spinal accessory nerve and trapezius

Question 9

What degrees of flexion do the MPFL and trochlea act as primary restraint to patellar instability?

Answer 9

MPFL - 0-30

Trochlear groove - greater than 30

Question 10

How do you measure alpha angle in FAI? What value is considered significant?

Answer 10

On frog lateral, draw first line from center of head to center of neck, draw second line from center of head to the start of the anterolateral head where the prominence starts.

over 42 is considered abnormal

over 50 is considered CAM

Question 11

What is treatment for osteochondritis dissecans in skeletally immature patient?

Answer 11

partial weightbearing with crutches for 6 weeks

Question 12

What is highest predictor of recurrent instability after isolated MPFL reconstruction?

Answer 12

trochlear dysplasia

Question 13

For joint injections, what factor is higher in bone marrow aspirate compared to PRP?

Answer 13

IL-1ra

Question 14

What is management of football player who has bilateral UE weakness after tackle but it resolves?

Answer 14

MRI c- spine

since it is bilateral you know it’s not a stinger. If it was a stinger he could return to play once symptoms resolve

Question 15

Which extensor tendon is implicated in lateral epicondylitis?

Answer 15

ECRB

Question 16

What additional procedure needs to be done when treating trochlea osteochondral defect with osteochondral allograft?

Answer 16

medializing and anteriorizing tibial tubercle osteotomy