SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
The dimensions of the hip capsule can be measured using magnetic resonance imaging and may have a role in arthroscopic planning.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Favorable subjective clinical outcomes after revision hip arthroscopy for femoroacetabular impingement syndrome despite a high rate of capsular defects and increased capsular thickness.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026Article
- Hip capsular thickness as a marker for inflammatory conditions (capsulitis): an MRI-based case-control study.Skeletal radiology · 2026Article
- Response to the LETTER TO THE EDITOR on the Paper "Imaging evaluation of hip capsule disorders: a comprehensive review".Skeletal radiology · 2025Article
- Age and Preoperative Anterior Hip Capsule Thickness May Affect Capsule Healing in Patients With Femoroacetabular Impingement Syndrome Undergoing Arthroscopic Surgery Without Capsule Repair.Orthopaedic journal of sports medicine · 2025Article
- Imaging evaluation of hip capsule disorders: a comprehensive review.Skeletal radiology · 2025Review
- Ultrasound Evaluation of the Hip.Current reviews in musculoskeletal medicine · 2024Review
- Is hip capsule morphology associated with hip pain in patients without another structural correlate?European radiology · 2024Article
- Relationship Between Hip Capsular Thickness and Instability After Previous Hip Arthroscopic Surgery: A Matched-Cohort Analysis.Orthopaedic journal of sports medicine · 2024Article
- Ultrasound had high accuracy in measuring hip joint capsule thickness.BMC musculoskeletal disorders · 2024Article
- Capsular Management During Hip Arthroscopy.Current reviews in musculoskeletal medicine · 2023Review
- Femoral neck-shaft angle can predict the anterior capsular thickness in patients with femoracetabular impingement syndrome.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Patients With Generalized Joint Hypermobility Have Thinner Superior Hip Capsules and Greater Hip Internal Rotation on Physical Examination.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- Changes in Hip Capsule Morphology after Arthroscopic Treatment for Femoroacetabular Impingement Syndrome with Periportal Capsulotomy are Correlated With Improvements in Patient-Reported Outcomes.Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association · 2022Article
- Dynamic changes of the joint capsule in relation to the zona orbicularis: An anatomical study with possible implications for hip stability mechanism.Clinical anatomy (New York, N.Y.) · 2021Article
- Hip arthroscopy with initial access to the peripheral compartment provides significant improvement in FAI patients.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Correlation of hip capsule morphology with patient symptoms from femoroacetabular impingement.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2021Article
- Predictors of Outcomes After Hip Arthroscopic Surgery for Femoroacetabular Impingement: A Systematic Review.Orthopaedic journal of sports medicine · 2019Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to systematically evaluate the dimensions and thickness of the hip joint capsule. Secondarily, the study assessed whether there were any described correlations between capsule thickness and stability of the hip joint.
methodsFour databases (PubMed, Ovid [MEDLINE], Cochrane Database, and EMBASE) were searched from database inception to May 2018, and two reviewers independently and in duplicate screened the resulting literature. Methodological quality of all included papers was assessed using the Methodological index for non-randomized studies (MINORS) criteria. Mean differences were combined in a meta-analysis using a random effects model when possible.
resultsA total of 14 studies (1 level I, 1 level II, 4 level III, 5 level IV) were identified including 796 patients (1013 hips) with a mean age of 39.5 years (range 2-95). Of the included patients, 55.2% were female and they were followed up for a mean of 7.6 months (range 1-12.5 months). The thickness of the capsule was measured in cadaveric specimens, ultrasound, and magnetic resonance imaging (MRI), with MRI measurements reported most consistently and with the least variation. Mean thickness of the anterior capsule in patients without hip disease on MRI ranged from 4.4 and 4.7 mm. Mean thickness of the anterior capsule in patients with FAI ranged between 4.9 and 5.0 mm. Males had significantly thicker capsules than females (mean difference = 1.92 mm, 0.35-3.49, P = 0.02). Clinical laxity of the hip joint, as well as female gender was correlated with thinner anterior joint capsules.
conclusionThe thickness of the anterior hip capsule can be measured consistently using MRI. A thinner anterior capsule may be associated with clinical laxity of the hip joint. The relevance of capsular thickness on postoperative instability following hip arthroscopy is poorly understood and warrants further investigation. The thickness of the anterior hip capsule, as measured on MRI, has the potential to be used as part of the clinical decision-making in capsular management strategies. LEVEL OF EVIDENCE: IV.
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Registered trials
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