ArticleJournal of orthopaedic surgery and research2022
Healing of joint capsule after hip arthroscopy using interportal capsulotomy and capsular closure influences clinical outcomes.
Article in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Mid- to long-term outcomes of capsular management in hip arthroscopy for FAIS: A multilevel meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Pooled it
- Capsular management strategies in hip arthroscopy for femoroacetabular impingement syndrome: A multilevel meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Pooled it
- 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
- Early post-operative MR appearance of the acetabular labrum after arthroscopic repair.La Radiologia medica · 2026Article
- Extensive Capsule-Labrum Adhesion: A Potential Risk Factor for Continuous Symptom and Worse Patient-Reported Outcomes in Patients With Femoroacetabular Impingement Syndrome With Labrum Tear After Arthroscopy.Orthopaedic journal of sports medicine · 2025Article
- A study on the factors associated with the dimensions of the iliocapsularis muscle.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Article
- Comparative effects of hip capsule repair and cam lesion excision on capsulotomy healing: An in vivo biomechanical and histological analysis.Journal of experimental orthopaedics · 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
- Arthroscopic Management of Femoroacetabular Impingement: Current Concepts.Journal of clinical medicine · 2025Review
- Hip Rotation and Femoral Anteversion and Its Influence on Traction Force of the Pulled Limb in Hip Arthroscopy.Orthopaedic journal of sports medicine · 2024Article
- Eighty-One Percent of Unrepaired Interportal Capsulotomies Showed Healed Capsules on Magnetic Resonance Imaging 5 Years After Primary Hip Arthroscopy.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- Characterizations of Capsule Closure in Hip Arthroscopy Are Infrequently and Incompletely Reported: A Systematic Review.Arthroscopy, sports medicine, and rehabilitation · 2024Review
- Predicting Outcomes in Hip Arthroscopy for Femoroacetabular Impingement Syndrome.Current reviews in musculoskeletal medicine · 2024Review
- Ultrasound had high accuracy in measuring hip joint capsule thickness.BMC musculoskeletal disorders · 2024Article
- 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
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHip arthroscopy for treatment of femoroacetabular impingement (FAI) has developed rapidly and has been shown to significantly decrease pain and improve hip function. However, the relationship between hip capsule characteristics and healing after arthroscopic surgery and changes in patient-reported outcomes scores (PROs) for postoperative pain, function, and symptoms is still uncertain.
methodsWe retrospectively evaluated consecutive patients who were diagnosed with FAI and underwent hip arthroscopy for treatment in our hospital between May 2018 and November 2020. All patients had preoperative MRI and postoperative MRI at least 6 months after arthroscopy. Hip capsular thickness was measured at the proximal, middle, and distal site of the capsule. PROs and PROs at final follow-up were obtained, including visual analog scale (VAS) for pain and modified Harris Hip Score (mHHS).
resultsA total of 194 patients were included in this study. The mean MRI follow-up time was 14.3 (range, 6-37) months, and the mean clinical follow-up time was 26.1 (range, 12-43) months. Postoperative capsular thickness or net change were not correlated with postoperative PROs and VAS (P > .05). Capsular defect was observed in 17 (8.8%) patients. Patients with capsular defect had a relatively higher BMI (P < .05). Patients with capsular defect had a significant lower mHHS and higher VAS compared with patients with continuous capsule (P < .05). Ninety-one percentage of patients with continuous capsule surpassed minimal clinically important difference (MCID) and 80.8% achieved PASS, but only 58.8% of patients with capsular defect surpassed MCID and 47.1% achieved patient acceptable symptom state (PASS).
conclusionsPostoperative capsular thickness may not have influence on the clinical outcomes of hip arthroscopy for treatment of FAI. Some capsule of patients who underwent arthroscopic interportal capsulotomy and repair could not heal. Postoperative capsular continuity had a great impact on the clinical outcomes of hip arthroscopy for FAI. Patients with higher BMI may be more likely to have capsule failure to heal.
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