{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T12:46:41Z","timestamp":1791722801553,"version":"4.3.4"},"reference-count":9,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"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":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Hip microinstability remains one of the most challenging conditions we encounter in hip preservation surgery. The difficulty is not performing a capsular plication but determining when instability is truly present and clinically relevant. In our experience, no single clinical, radiographic, or intraoperative finding should define the diagnosis. Rather, the entire clinical picture must be considered when evaluating the potentially unstable hip. Capsular plication represents an important component of this strategy but should not be considered in isolation. Careful diagnosis and thoughtful patient selection remain fundamental to successful treatment of hip microinstability.<\/jats:p>","DOI":"10.1002\/arj.70652","type":"journal-article","created":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T12:06:30Z","timestamp":1791720390000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Editorial Commentary<\/i>\n                    : Hip Microinstability: Stability Is the Goal, Plication Is a Tool"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1890-5249","authenticated-orcid":false,"given":"David R.","family":"Maldonado","sequence":"first","affiliation":[{"name":"University of Texas Health Sciences Center, McGovern Medical School  Houston Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,11]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.arthro.2021.12.001","article-title":"Hip microinstability: Understanding a newly defined hip pathology in young athletes","volume":"38","author":"Curtis DM","year":"2022","journal-title":"Arthroscopy."},{"key":"e_1_2_3_3_1","doi-asserted-by":"crossref","first-page":"205","DOI":"10.2147\/OAJSM.S505874","article-title":"Hip microinstability: Current concepts in diagnosis, surgical management, and outcomes a narrative review","volume":"16","author":"Villegas Meza AD","year":"2025","journal-title":"Open Access J Sports Med."},{"key":"e_1_2_3_4_1","doi-asserted-by":"crossref","first-page":"2309","DOI":"10.1002\/arj.70395","article-title":"Diagnostic criteria for hip microinstability are heterogeneous but consistently include ease of intraoperative distraction and physical examination findings: A systematic review","volume":"42","author":"Hatch R","year":"2026","journal-title":"Arthroscopy."},{"key":"e_1_2_3_5_1","article-title":"Outcomes of capsular plication as part of hip arthroscopic management for surgically identified microinstability are comparable to outcomes in matched controls","author":"Bacon CJ","journal-title":"Arthroscopy"},{"key":"e_1_2_3_6_1","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1097\/CORR.0000000000003904","article-title":"What are the biomechanical features and metrics for native hip instability? Consensus statements from a scoping review and an international multidisciplinary Delphi study","volume":"484","author":"Wagner M","year":"2026","journal-title":"Clin Orthop."},{"key":"e_1_2_3_7_1","doi-asserted-by":"crossref","first-page":"1625","DOI":"10.1177\/0363546520914604","article-title":"Achieving successful outcomes of hip arthroscopy in the setting of generalized ligamentous laxity with labral preservation and appropriate capsular management: A propensity matched controlled study","volume":"48","author":"Maldonado DR","year":"2020","journal-title":"Am J Sports Med."},{"key":"e_1_2_3_8_1","doi-asserted-by":"crossref","first-page":"3446","DOI":"10.1177\/0363546518808033","article-title":"Arthroscopic capsular plication in patients with labral tears and borderline dysplasia of the hip: Analysis of risk factors for failure","volume":"46","author":"Maldonado DR","year":"2018","journal-title":"Am J Sports Med."},{"key":"e_1_2_3_9_1","doi-asserted-by":"crossref","first-page":"687","DOI":"10.2106\/JBJS.22.00340","article-title":"Borderline dysplasia after primary hip arthroscopy with capsular plication and labral preservation: Ten\u2010year survivorship and patient\u2010reported outcomes","volume":"105","author":"Domb BG","year":"2023","journal-title":"J Bone Joint Surg Am."},{"key":"e_1_2_3_10_1","doi-asserted-by":"crossref","first-page":"5075","DOI":"10.1016\/j.arthro.2025.06.007","article-title":"Hip arthroscopy with labral repair and capsular closure in patients with joint hypermobility does not result in inferior outcomes compared with patients without joint hypermobility","volume":"41","author":"Ruzbarsky JJ","year":"2025","journal-title":"Arthroscopy."}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70652","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70652","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70652","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T12:06:32Z","timestamp":1791720392000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70652"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,11]]},"references-count":9,"alternative-id":["10.1002\/arj.70652"],"URL":"https:\/\/doi.org\/10.1002\/arj.70652","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,11]]},"assertion":[{"value":"2026-10-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"arj.70652"}}