CCSP Sports Injury Diagnosis 2

Question 1

A soccer player reports lateral ankle pain after an inversion sprain. The anterior drawer test is positive but the talar tilt test is negative. Which ligament is most likely injured?

Accepted Answer

Anterior talofibular ligament

Answer

A positive anterior drawer test with a negative talar tilt indicates isolated anterior talofibular ligament (ATFL) injury, the most commonly sprained ankle ligament.

Question 2

Which mechanism of injury is most associated with a posterior shoulder dislocation in athletes?

Accepted Answer

Seizure or electric shock with shoulder in internal rotation

Answer

Posterior shoulder dislocation is classically caused by seizures or electric shock due to powerful, unopposed internal rotator muscle contraction.

Question 3

A gymnast presents with wrist pain over the anatomical snuffbox after a fall. X-rays are negative. What is the most appropriate next diagnostic step?

Accepted Answer

MRI of the wrist

Answer

MRI is the gold standard for early detection of scaphoid fractures when plain films are negative, as it identifies bone marrow edema within 24 hours.

Question 4

A runner complains of lateral knee pain that worsens with downhill running. The Ober test is positive. What structure is most likely involved?

Accepted Answer

Iliotibial band

Answer

A positive Ober test indicates iliotibial band (ITB) tightness, and ITB friction syndrome classically presents with lateral knee pain worsened by downhill running.

Question 5

Which Ottawa Ankle Rule criterion mandates radiographic evaluation of the foot rather than the ankle?

Accepted Answer

Tenderness at the base of the fifth metatarsal

Answer

Ottawa Foot Rules require radiographs if there is pain in the midfoot zone with tenderness at the base of the fifth metatarsal or navicular.

(CCSP) Certified Chiropractic Sports Physician Practice Test

(CCSP) Certified Chiropractic Sports Physician Practice Test

CCSP Sports Injury Diagnosis 2