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Historically, periportal capsulotomy has been considered the more difficult and time\u2010consuming approach because of its limited visualization and the perceived learning curve. However, as our understanding of the importance of capsular integrity has grown, so has our prioritization of preserving its stabilizing function to prevent iatrogenic instability. Periportal capsulotomy techniques embody this shift by limiting capsular disruption while still allowing adequate visualization. Recent literature challenges long\u2010held assumptions and demonstrates that periportal capsulotomy can lead to shorter operative times and faster recovery. When performed thoughtfully, the efficiency of periportal capsulotomy may be driven by avoiding the need for an extensive closure often required after larger capsulotomies. Periportal capsulotomy may not be the easiest technique to learn, but in the right hands it can be the more efficient and biologically respectful approach. It may be the mountain worth climbing in hip arthroscopy.<\/jats:p>","DOI":"10.1002\/arj.70100","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T12:20:58Z","timestamp":1774959658000},"page":"742-744","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Editorial Commentary<\/i>\n                    : Periportal Capsulotomy Is the Mountain Worth Climbing in Hip Arthroscopy"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8907-3542","authenticated-orcid":false,"given":"Sailesh V.","family":"Tummala","sequence":"first","affiliation":[{"name":"Stanford University  Redwood City California U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7798-2776","authenticated-orcid":false,"given":"Marc R.","family":"Safran","sequence":"additional","affiliation":[{"name":"Stanford University  Redwood City California U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,31]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/b138526"},{"key":"e_1_2_3_3_1","volume-title":"Operative Arthroscopy","author":"McGinty JB","year":"1996"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.01.007"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511412161"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.20852"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-022-06976-7"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465241311197"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-17-00664"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.10.142"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519832868"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671231197435"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520936255"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.08.004"},{"key":"e_1_2_3_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520987226"},{"key":"e_1_2_3_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.01.021"},{"key":"e_1_2_3_17_1","first-page":"733","article-title":"Hip arthroscopy for femoroacetabular impingement syndrome with periportal capsulotomy yields shorter procedure times and shorter recovery room length of stay compared with interportal capsulotomy","volume":"42","author":"Pepic L","year":"2026","journal-title":"Arthroscopy"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70100","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70100","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70100","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T13:20:58Z","timestamp":1778851258000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,31]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/arj.70100"],"URL":"https:\/\/doi.org\/10.1002\/arj.70100","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,31]]},"assertion":[{"value":"2026-03-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}