{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T05:01:20Z","timestamp":1790398880302,"version":"4.1.0"},"reference-count":54,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"abstract":"\n Purpose<\/jats:title>\n To compare patient\u2010reported outcomes (PROs) and revision rates between borderline and dysplastic women who underwent an interportal capsulotomy approach versus a capsular sparing periportal capsulotomy approach for the treatment of femoroacetabular impingement syndrome.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Female patients with a lateral center edge angle \u226425\u00b0 who underwent a primary hip arthroscopy with complete capsular closure for the treatment of femoroacetabular impingement syndrome from a single surgeon's database between 2020 and 2022 were retrospectively reviewed. Patients were excluded if they were \u226417\u2009years of age, had a T\u00f6nnis grade \u22652, and required a revision hip procedure 2 years after their initial hip arthroscopy but before their PRO collection date. Patients were contacted at a minimum of 2 years postoperatively to complete PRO questionnaires including Visual Analog Scale for pain, single assessment numeric evaluation, and PRO information system\u2010physical function scores. Categorical variables were compared using\n \u03c7<\/jats:italic>\n 2<\/jats:sup>\n and Fisher exact tests, whereas continuous variables were compared using 2\u2010tailed independent\n t<\/jats:italic>\n tests, Mann\u2010Whitney\n U<\/jats:italic>\n tests, or Welch's\n t<\/jats:italic>\n tests. Minimal clinically important differences were also calculated for the various PROs.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Sixty\u2010two patients (62 hips) were included (31 interportal, 31 periportal). No significant demographic or radiographic differences between capsulotomy groups were appreciated (\n P<\/jats:italic>\n \u2009>\u2009.05). Time to follow\u2010up was longer in the interportal group compared with the periportal group (3.9\u2009\u00b1\u20090.8\u2009years vs 2.6\u2009\u00b1\u20090.6\u2009years;\n P<\/jats:italic>\n \u2009<\u2009.001). Mean improvements in PRO scores were greater in periportal patients compared with interportal patients with regard to single assessment numeric evaluation (34.7\u2009\u00b1\u200920.1 vs 15.4\u2009\u00b1\u200919.1;\n P<\/jats:italic>\n \u2009=\u2009.001) and PRO information system\u2010physical function (15.9\u2009\u00b1\u20099.4 vs 10.3\u2009\u00b1\u20099.3;\n P<\/jats:italic>\n \u2009=\u2009.045) scores. Single assessment numeric evaluation minimal clinically important difference achievement rates were also higher for periportal patients (93% vs 71%;\n P<\/jats:italic>\n \u2009=\u2009.032). Revision rate was lower in the periportal group, although not statistically significant (6.5% vs 23%;\n P<\/jats:italic>\n \u2009=\u2009.15).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The periportal capsulotomy shows promising improvements in short\u2010term PROs compared with an interportal approach in female patients with hip dysplasia undergoing primary hip arthroscopy for femoroacetabular impingement syndrome.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n Level III, retrospective comparative study.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/arj.70634","type":"journal-article","created":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T04:49:57Z","timestamp":1790398197000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Periportal Capsulotomy Shows Promising Short\u2010Term Outcomes Compared With an Interportal Capsulotomy for the Treatment of Femoroacetabular Impingement Syndrome in Borderline and Dysplastic Female Patients"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5360-732X","authenticated-orcid":false,"given":"Benjamin T.","family":"Johnson","sequence":"first","affiliation":[{"name":"Department of Orthopaedics University of Utah Salt Lake City Utah U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8990-3542","authenticated-orcid":false,"given":"Allan K.","family":"Metz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics University of Utah Salt Lake City Utah U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2226-4192","authenticated-orcid":false,"given":"Zoe D.","family":"Trutner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics University of Utah Salt Lake City Utah U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles L.","family":"Holliday","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics University of Utah Salt Lake City Utah U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8214-2234","authenticated-orcid":false,"given":"Keaton","family":"Andra","sequence":"additional","affiliation":[{"name":"School of Medicine University of Utah Salt Lake City Utah U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7677-0667","authenticated-orcid":false,"given":"Collin D. R.","family":"Hunter","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics University of Utah Salt Lake City Utah U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6940-9865","authenticated-orcid":false,"given":"Stephen K.","family":"Aoki","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics University of Utah Salt Lake City Utah U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1007\/s12178-023-09855-x","article-title":"Capsular management during hip arthroscopy","volume":"16","author":"Hartwell MJ","year":"2023","journal-title":"Curr Rev Musculoskelet Med."},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"102893","DOI":"10.1016\/j.eats.2023.102893","article-title":"Capsular management in hip arthroscopy: Interportal and T\u2010capsulotomy, suspension, and closure","volume":"13","author":"Lee DR","year":"2024","journal-title":"Arthrosc Tech."},{"key":"e_1_2_7_4_1","doi-asserted-by":"crossref","first-page":"1833","DOI":"10.1016\/j.arthro.2021.01.035","article-title":"Complete capsular closure provides higher rates of clinically significant outcome improvement and higher survivorship versus partial closure after hip arthroscopy at minimum 5\u2010year follow\u2010up","volume":"37","author":"Beck EC","year":"2021","journal-title":"Arthroscopy."},{"key":"e_1_2_7_5_1","doi-asserted-by":"crossref","first-page":"2642","DOI":"10.1016\/j.arthro.2021.04.004","article-title":"Hip capsular management in patients with femoroacetabular impingement or microinstability: A systematic review of biomechanical studies","volume":"37","author":"Jimenez AE","year":"2021","journal-title":"Arthroscopy."},{"key":"e_1_2_7_6_1","doi-asserted-by":"crossref","first-page":"e252","DOI":"10.1097\/BPO.0000000000003128","article-title":"Periportal capsular repair restores resistance to axial traction in pediatric hip arthroscopy patients: An in vivo study","volume":"46","author":"Khalil AZ","year":"2026","journal-title":"J Pediatr Orthop."},{"key":"e_1_2_7_7_1","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1177\/03635465241311197","article-title":"Comparison of interportal and periportal capsulotomies and axial distraction resistance during hip arthroscopy: An in vivo propensity\u2010matched cohort study","volume":"53","author":"Featherall J","year":"2025","journal-title":"Am J Sports Med."},{"key":"e_1_2_7_8_1","doi-asserted-by":"crossref","first-page":"1722","DOI":"10.1016\/j.arthro.2015.03.023","article-title":"Best practices during hip arthroscopy: Aggregate recommendations of high\u2010volume surgeons","volume":"31","author":"Gupta A","year":"2015","journal-title":"Arthroscopy."},{"key":"e_1_2_7_9_1","doi-asserted-by":"crossref","first-page":"2007","DOI":"10.1177\/03635465211023508","article-title":"Routine capsular closure with hip arthroscopic surgery results in superior outcomes: A systematic review and meta\u2010analysis","volume":"50","author":"Looney AM","year":"2022","journal-title":"Am J Sports Med."},{"key":"e_1_2_7_10_1","doi-asserted-by":"crossref","first-page":"232596712211440","DOI":"10.1177\/23259671221144056","article-title":"Puncture capsulotomy technique for hip arthroscopy: Midterm functional outcomes","volume":"11","author":"Eberlin CT","year":"2023","journal-title":"Orthop J Sports Med."},{"key":"e_1_2_7_11_1","doi-asserted-by":"crossref","first-page":"1977","DOI":"10.2106\/JBJS.20.01932","article-title":"Capsular repair during hip arthroscopy demonstrates restoration of axial distraction resistance in an in vivo intraoperative testing model","volume":"103","author":"O\u2019Neill DC","year":"2021","journal-title":"J Bone Joint Surg Am."},{"key":"e_1_2_7_12_1","doi-asserted-by":"crossref","first-page":"42","DOI":"10.5371\/hp.2020.32.1.42","article-title":"Anatomic evaluation of the interportal capsulotomy made with the modified anterior portal versus standard anterior portal: Comparable utility with decreased capsule morbidity","volume":"32","author":"Weber AE","year":"2020","journal-title":"Hip Pelvis."},{"key":"e_1_2_7_13_1","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/j.arthro.2016.07.022","article-title":"Does the hip capsule remain closed after hip arthroscopy with routine capsular closure for femoroacetabular impingement? 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