ArticleMuscles, ligaments and tendons journal
Microinstability of the hip: a previously unrecognized pathology.
Article in Muscles, ligaments and tendons journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Treatment type may influence degree of post-dislocation shoulder osteoarthritis: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Pooled it
- Three or More Revision Hip Arthroscopy Surgeries Is More Common in Female Patients and High-Grade Acetabular Chondral Lesions Lead to Increased Risk of Failure.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Borderline Dysplastic Hips With Femoroacetabular Impingement Syndrome Show Increased Axial Distraction Distance on an Intraoperative Traction Examination.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Review
- Imaging characteristics of hip joint microinstability: a case-control study of hip arthroscopy patients.Skeletal radiology · 2025Article
- Hip Microinstability: Current Concepts in Diagnosis, Surgical Management, and Outcomes A Narrative Review.Open access journal of sports medicine · 2025Review
- Hip Flexor Muscle Activation During Common Rehabilitation and Strength Exercises.Journal of clinical medicine · 2024Review
- Superior outcomes after arthroscopic treatment of femoroacetabular impingement and labral tears with closed versus open capsule.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- The posterior crescent sign on MRI and MR arthrography: is it a marker of hip dysplasia and instability?Skeletal radiology · 2023Article
- Can Hip Passive Range of Motion Predict Hip Microinstability? A Comparative Study.Orthopaedic journal of sports medicine · 2023Article
- Treatment of Hip Microinstability with Arthroscopic Capsular Plication: A Retrospective Case Series.Hip & pelvis · 2023Article
- Diagnosing Hip Microinstability: an international consensus study using the Delphi methodology.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Review
- Criteria-Based Rehabilitation Following Revision Hip Arthroscopy: A Clinical Commentary.International journal of sports physical therapy · 2023Article
- Female gender, decreased lateral center edge angle and a positive hyperextension-external rotation test are associated with ease of hip distractability at time of hip arthroscopy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Physical Examination of the Hip: Assessment of Femoroacetabular Impingement, Labral Pathology, and Microinstability.Current reviews in musculoskeletal medicine · 2022Review
- Hip Pain Increases With Age and Experience Level in Adult Karate Athletes: A Statewide Survey Study.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- Hip arthroscopy and T-shaped capsular plication for the treatment of borderline dysplasia: a minimum 2-year follow-up.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Three-Dimensional Magnetic Resonance Arthrography of Post-Arthroscopy Hip Instability Demonstrates Increased Effective Intracapsular Volume and Anterosuperior Capsular Changes.Arthroscopy, sports medicine, and rehabilitation · 2021Article
- Comprehensive analysis of pathological changes in hip joint capsule of patients with developmental dysplasia of the hip.Bone & joint research · 2021Article
- Comparison of postoperative effectiveness of less invasive short external rotator sparing approach versus standard posterior approach for total hip arthroplasty.Journal of orthopaedic surgery and research · 2021Observational
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHip microinstability is an established diagnosis; however, its occurrence is still debated by many physicians. Diagnosis of hip microinstability is often challenging, due to a lack of specific signs or symptoms, and patients may remain undiagnosed for long periods. This may lead to early manifestation of degenerative joint disease. Consequently, careful patient and family history must be obtained and diagnostic imaging should follow. After a thorough clinical evaluation of the patient with suspected hip microinstability, the physician should focus on how to improve symptoms and functionality in daily and sports activities. PURPOSE: The purpose of this review article was to give a current update regarding this diagnosis and to provide a complete diagnostic approach in order to effectively treat hip microinstability.
methodsWe reviewed the literature on the diagnosis, the non-operative and operative indications for the treatment of this complex and often misdiagnosed pathology.
conclusionConservative treatment is considered the best initial approach, though, surgical intervention should be considered if symptoms persist or other hip pathology exists. Successful surgical intervention, such as hip arthroscopy, should focus on restoring the normal anatomy of the hip joint in order to regain its functionality. The role of the hip joint capsule has gained particular research interest during the last years, and its repair or reconstruction during hip arthroscopy is considered necessary in order to avoid iatrogenic hip microinstability. Various capsular closure/plication techniques have been developed towards this direction with encouraging results. LEVEL OF EVIDENCE: V.
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