CCEP CCEP Sports Injuries & Extremity Conditions 2 — Questions and Answers
Question 1: Osgood-Schlatter disease in adolescent athletes involves inflammation and fragmentation of which structure?
- Medial meniscus
- Tibial tuberosity apophysis (Correct answer)
- Patellar tendon at the patella
- Proximal fibular head
Correct answer: Tibial tuberosity apophysis
Osgood-Schlatter disease involves traction-induced inflammation and fragmentation of the tibial tuberosity apophysis from quadriceps pull.
Question 2: Which clinical test is primarily used to detect a SLAP lesion of the shoulder?
- Speed's test
- O'Brien's active compression test (Correct answer)
- Neer's impingement test
- Hawkins-Kennedy test
Correct answer: O'Brien's active compression test
O'Brien's active compression test detects SLAP lesions by compressing the superior labrum with resisted adduction in internal versus external rotation.
Question 3: Sever's disease is a calcaneal apophysitis caused by traction stress from which structure?
- Plantar fascia
- Achilles tendon (Correct answer)
- Peroneal tendons
- Flexor digitorum longus
Correct answer: Achilles tendon
Sever's disease is caused by repetitive Achilles tendon traction on the calcaneal growth plate in skeletally immature athletes.
Question 4: A cyclist presents with numbness and tingling in the ulnar distribution of the hand from prolonged handlebar pressure. What is the most likely diagnosis?
- Carpal tunnel syndrome
- Pronator teres syndrome
- Handlebar palsy (ulnar neuropathy at Guyon's canal) (Correct answer)
- Thoracic outlet syndrome
Correct answer: Handlebar palsy (ulnar neuropathy at Guyon's canal)
Handlebar palsy is ulnar neuropathy caused by prolonged compression of the ulnar nerve at Guyon's canal from handlebar pressure on the hypothenar eminence.
Question 5: Which condition involves pain at the posterior heel at the exact site where the Achilles tendon inserts into the calcaneus?
- Plantar fasciitis
- Insertional Achilles tendinopathy (Correct answer)
- Retrocalcaneal bursitis
- Haglund's deformity alone
Correct answer: Insertional Achilles tendinopathy
Insertional Achilles tendinopathy causes pain, swelling, and often calcification specifically at the Achilles-calcaneal bone-tendon junction.
Question 6: Skier's thumb involves sprain or rupture of which structure from forced thumb abduction?
- Extensor pollicis longus
- Ulnar collateral ligament of the first MCP joint (Correct answer)
- Radial collateral ligament of the thumb
- Flexor pollicis longus
Correct answer: Ulnar collateral ligament of the first MCP joint
Skier's thumb is a sprain or complete rupture of the UCL of the first MCP joint, caused when a ski pole forces the thumb into radial deviation.
CCEP CCEP Sports Injuries & Extremity Conditions 2
Osgood-Schlatter disease in adolescent athletes involves inflammation and fragmentation of which structure?