{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T20:19:05Z","timestamp":1779913145447,"version":"3.53.1"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["International Orthopaedics (SICOT)"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1007\/s00264-026-06784-5","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T10:24:39Z","timestamp":1773743079000},"page":"787-796","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Three-Zone threshold of acetabular cartilage damage predicts failure to achieve minimal clinically important difference after hip arthroscopy"],"prefix":"10.1007","volume":"50","author":[{"given":"Miguel","family":"V\u00e1zquez-G\u00f3mez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Seijas-V\u00e1zquez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro","family":"Alvarez-D\u00edaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Laiz-Boada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfred","family":"Ferr\u00e9-Aniorte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramon","family":"Cugat Bertomeu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"6784_CR1","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1097\/01.blo.0000096804.78689.c2","volume":"417","author":"R Ganz","year":"2003","unstructured":"Ganz R, Parvizi J, Beck M et al (2003) Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res 417:112\u2013120","journal-title":"Clin Orthop Relat Res"},{"issue":"19","key":"6784_CR2","doi-asserted-by":"publisher","first-page":"1169","DOI":"10.1136\/bjsports-2016-096743","volume":"50","author":"DR Griffin","year":"2016","unstructured":"Griffin DR, Dickenson EJ, O\u2019Donnell J et al (2016) The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. Br J Sports Med 50(19):1169\u20131176","journal-title":"Br J Sports Med"},{"issue":"1","key":"6784_CR3","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1302\/0301-620X.91B1.21329","volume":"91","author":"MJ Philippon","year":"2009","unstructured":"Philippon MJ, Briggs KK, Yen YM et al (2009) Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction. J Bone Joint Surg Br 91(1):16\u201323","journal-title":"J Bone Joint Surg Br"},{"issue":"5","key":"6784_CR4","doi-asserted-by":"publisher","first-page":"534","DOI":"10.1016\/j.arthro.2007.11.019","volume":"24","author":"VM Ilizaliturri Jr","year":"2008","unstructured":"Ilizaliturri VM Jr, Byrd JW, Sampson TG, Guanche CA, Philippon MJ, Kelly BT, Dienst M, Mardones R, Shonnard P, Larson CM (2008) A geographic zone method to describe intra-articular pathology in hip arthroscopy: cadaveric study and preliminary report. Arthroscopy 24(5):534\u2013539","journal-title":"Arthroscopy"},{"issue":"7","key":"6784_CR5","doi-asserted-by":"publisher","first-page":"2655","DOI":"10.1002\/ksa.12709","volume":"33","author":"S Nikou","year":"2025","unstructured":"Nikou S, Sandlund C, Lindman I, Johansson PE, \u221a\u00f1hlin A, Karlsson L, Sansone M (2025) Ten-year outcomes of hip arthroscopy for femoroacetabular impingement with osteoarthritis: sustained functional benefits but high conversion to total hip arthroplasty. Knee Surg Sports Traumatol Arthrosc 33(7):2655\u20132663","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"6","key":"6784_CR6","doi-asserted-by":"publisher","first-page":"1115","DOI":"10.1007\/s00264-011-1459-4","volume":"36","author":"EJ Griffiths","year":"2012","unstructured":"Griffiths EJ, Khanduja V (2012) Hip arthroscopy: evolution, current practice and future developments. Int Orthop 36(6):1115\u20131121. https:\/\/doi.org\/10.1007\/s00264-011-1459-4","journal-title":"Int Orthop"},{"issue":"7","key":"6784_CR7","doi-asserted-by":"publisher","first-page":"2037","DOI":"10.1016\/j.arthro.2019.01.047","volume":"35","author":"EO Chaharbakhshi","year":"2019","unstructured":"Chaharbakhshi EO, Hartigan DE, Spencer JD, Perets I, Lall AC, Domb BG (2019) Do larger acetabular chondral defects portend inferior outcomes in patients undergoing arthroscopic acetabular microfracture? A matched-controlled study. Arthroscopy 35(7):2037\u20132047","journal-title":"Arthroscopy"},{"issue":"4","key":"6784_CR8","first-page":"354","volume":"6","author":"KN Kunze","year":"2019","unstructured":"Kunze KN, Leong NL, Beck EC et al (2019) Validation of a novel classification system for articular cartilage degeneration of the acetabulum. J Hip Preserv Surg 6(4):354\u2013362","journal-title":"J Hip Preserv Surg"},{"issue":"12","key":"6784_CR9","doi-asserted-by":"publisher","first-page":"3152","DOI":"10.1016\/j.arthro.2022.05.013","volume":"38","author":"DS Carreira","year":"2022","unstructured":"Carreira DS, Shaw DB, Ueland TE, Wolff AB, Christoforetti JJ, Salvo JP, Kivlan BR, Matsuda DK (2022) Acetabular cartilage lesions predict inferior mid-term outcomes for arthroscopic labral repair and treatment of femoroacetabular impingement syndrome. Arthroscopy 38(12):3152\u20133158","journal-title":"Arthroscopy"},{"issue":"52","key":"6784_CR10","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1016\/j.jbiomech.2016.11.056","volume":"8","author":"BJ Klennert","year":"2017","unstructured":"Klennert BJ, Ellis BJ, Maak TG, Kapron AL, Weiss JA (2017) The mechanics of focal chondral defects in the hip. J Biomech 8(52):31\u201337","journal-title":"J Biomech"},{"issue":"3","key":"6784_CR11","doi-asserted-by":"publisher","first-page":"602","DOI":"10.1097\/CORR.0000000000002000","volume":"480","author":"JN Todd","year":"2022","unstructured":"Todd JN, Maak TG, Anderson AE, Ateshian GA, Weiss JA (2022) How does chondrolabral damage and labral repair influence the mechanics of the hip in the setting of cam morphology? A finite-element modeling study. Clin Orthop Relat Res 480(3):602\u2013615","journal-title":"Clin Orthop Relat Res"},{"key":"6784_CR12","doi-asserted-by":"publisher","first-page":"752","DOI":"10.1302\/0301-620X.43B4.752","volume":"43-B","author":"RE Outerbridge","year":"1961","unstructured":"Outerbridge RE (1961) The etiology of chondromalacia patellae. J Bone Joint Surg Br 43-B:752\u2013757","journal-title":"J Bone Joint Surg Br"},{"issue":"12","key":"6784_CR13","doi-asserted-by":"publisher","first-page":"3159","DOI":"10.1016\/j.arthro.2022.07.003","volume":"38","author":"R Kollmorgen","year":"2022","unstructured":"Kollmorgen R (2022) Editorial commentary: degeneration of acetabular cartilage of any degree is a predictor of worse outcome after hip arthroscopy for labral repair and femoroacetabular impingement syndrome: the greater the damage, the worse the outcome. Arthroscopy 38(12):3159\u20133161","journal-title":"Arthroscopy"},{"issue":"11","key":"6784_CR14","doi-asserted-by":"publisher","first-page":"2626","DOI":"10.1177\/0363546519865912","volume":"47","author":"J Chahla","year":"2019","unstructured":"Chahla J, Beck EC, Okoroha K, Cancienne JM, Kunze KN, Nho SJ (2019) Prevalence and clinical implications of chondral injuries after hip arthroscopic surgery for femoroacetabular impingement syndrome. Am J Sports Med 47(11):2626\u20132635","journal-title":"Am J Sports Med"},{"issue":"11","key":"6784_CR15","doi-asserted-by":"publisher","first-page":"4566","DOI":"10.1016\/j.arthro.2025.05.028","volume":"41","author":"GG Gosnell","year":"2025","unstructured":"Gosnell GG, Berzolla E, Mercer NP, Lezak BA, Moore M, Morgan A, Youm T (2025) Body mass index, sex, T\u00f6nnis and Outerbridge grades, but not cam lesion location, influence 10-year outcomes after hip arthroscopy for femoroacetabular impingement syndrome. Arthroscopy 41(11):4566\u20134578","journal-title":"Arthroscopy"},{"issue":"5","key":"6784_CR16","doi-asserted-by":"publisher","first-page":"1502","DOI":"10.1007\/s00167-021-06484-0","volume":"29","author":"R Seijas","year":"2021","unstructured":"Seijas R, Barastegui D, L\u00f3pez-de-Celis C, Monta\u00f1a F, Cusc\u00f3 X, Alentorn-Geli E, Samitier-Solis G, Cugat R (2021) Preoperative risk factors in hip arthroscopy. Knee Surg Sports Traumatol Arthrosc 29(5):1502\u20131509","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"3","key":"6784_CR17","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1007\/s11999-009-0841-7","volume":"468","author":"JW Byrd","year":"2010","unstructured":"Byrd JW, Jones KS (2010) Prospective analysis of hip arthroscopy with 10-year followup. Clin Orthop Relat Res 468(3):741\u2013746. https:\/\/doi.org\/10.1007\/s11999-009-0841-7","journal-title":"Clin Orthop Relat Res"},{"key":"6784_CR18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2022.111424","volume":"146","author":"LL Schuring","year":"2023","unstructured":"Schuring LL, Mozingo JD, Lenz AL, Uemura K, Atkins PR, Fiorentino NM, Aoki SK, Peters CL, Anderson AE (2023) Acetabular labrum and cartilage contact mechanics during pivoting and walking tasks in individuals with cam femoroacetabular impingement syndrome. J Biomech 146:111424","journal-title":"J Biomech"},{"issue":"11","key":"6784_CR19","doi-asserted-by":"publisher","first-page":"1918","DOI":"10.1177\/0363546507305097","volume":"35","author":"MJ Philippon","year":"2007","unstructured":"Philippon MJ, Schenker ML, Briggs KK et al (2007) Revision hip arthroscopy. Am J Sports Med 35(11):1918\u20131921","journal-title":"Am J Sports Med"},{"issue":"3","key":"6784_CR20","doi-asserted-by":"publisher","first-page":"520","DOI":"10.1016\/j.arthro.2014.11.008","volume":"31","author":"BG Domb","year":"2015","unstructured":"Domb BG, Gui C, Lodhia P (2015) How much arthritis is too much for hip arthroscopy: a systematic review. Arthroscopy 31(3):520\u2013529","journal-title":"Arthroscopy"},{"issue":"10","key":"6784_CR21","first-page":"1971","volume":"31","author":"P Lodhia","year":"2015","unstructured":"Lodhia P, Gui C, Chandrasekaran S et al (2015) The effect of acetabular chondral lesion location and extent on hip arthroscopy outcomes. Arthroscopy 31(10):1971\u20131979","journal-title":"Arthroscopy"},{"issue":"6","key":"6784_CR22","first-page":"e20","volume":"102","author":"BU Nwachukwu","year":"2020","unstructured":"Nwachukwu BU, Beck EC, Kunze KN et al (2020) Defining the clinically meaningful outcomes for arthroscopic treatment of femoroacetabular impingement syndrome. J Bone Joint Surg Am 102(6):e20","journal-title":"J Bone Joint Surg Am"},{"issue":"12","key":"6784_CR23","doi-asserted-by":"publisher","first-page":"2371","DOI":"10.1016\/j.arthro.2015.06.028","volume":"31","author":"K Fukui","year":"2015","unstructured":"Fukui K, Briggs KK, Trindade CAC et al (2015) Outcomes after labral repair in patients with femoroacetabular impingement and borderline dysplasia. Arthroscopy 31(12):2371\u20132379","journal-title":"Arthroscopy"},{"issue":"1","key":"6784_CR24","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1177\/0363546518812859","volume":"47","author":"RM Frank","year":"2019","unstructured":"Frank RM, Lee S, Cotter EJ et al (2019) Outcomes of hip arthroscopy in patients with T\u00f6nnis grade 1 osteoarthritis at minimum 5-year follow-up. Am J Sports Med 47(1):123\u2013129","journal-title":"Am J Sports Med"},{"issue":"8","key":"6784_CR25","doi-asserted-by":"publisher","first-page":"2497","DOI":"10.1016\/j.arthro.2021.03.041","volume":"37","author":"MS Hagen","year":"2021","unstructured":"Hagen MS, Hannay WM, Saluan Q, Lynch TS, Westermann RW, Rosneck J (2021) Magnetic resonance imaging predictors of chondral lesions in patients with femoroacetabular impingement: an analysis of 545 cases. Arthroscopy 37(8):2497\u20132501","journal-title":"Arthroscopy"},{"issue":"10","key":"6784_CR26","doi-asserted-by":"publisher","first-page":"6065","DOI":"10.1007\/s00330-025-11546-9","volume":"35","author":"AW Marka","year":"2025","unstructured":"Marka AW, Meurer F, Twardy V, Graf M, Weiss K, Makowski MR, Karampinos DC, Neumann J, Woertler K, Banke IJ, Foreman SC (2025) Deep learning and conventional hip MRI for the detection of labral and cartilage abnormalities using arthroscopy as standard of reference. Eur Radiol 35(10):6065\u20136078","journal-title":"Eur Radiol"},{"issue":"5","key":"6784_CR27","doi-asserted-by":"publisher","first-page":"990","DOI":"10.1097\/CORR.0000000000000593","volume":"477","author":"F Schmaranzer","year":"2019","unstructured":"Schmaranzer F, Arendt L, Liechti EF, Nuss K, von Rechenberg B, Kircher PR, Tannast M (2019) Do dGEMRIC and T2 imaging correlate with histologic cartilage degeneration in an experimental ovine FAI model? Clin Orthop Relat Res 477(5):990\u20131003","journal-title":"Clin Orthop Relat Res"},{"issue":"10","key":"6784_CR28","doi-asserted-by":"publisher","first-page":"2309","DOI":"10.1007\/s00264-018-3862-6","volume":"42","author":"N Nakano","year":"2018","unstructured":"Nakano N, Gohal C, Duong A, Ayeni OR, Khanduja V (2018) Outcomes of cartilage repair techniques for chondral injury in the hip-a systematic review. Int Orthop 42(10):2309\u20132322. https:\/\/doi.org\/10.1007\/s00264-018-3862-6","journal-title":"Int Orthop"}],"container-title":["International Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00264-026-06784-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00264-026-06784-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00264-026-06784-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T07:44:07Z","timestamp":1776152647000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00264-026-06784-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,17]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["6784"],"URL":"https:\/\/doi.org\/10.1007\/s00264-026-06784-5","relation":{},"ISSN":["0341-2695","1432-5195"],"issn-type":[{"value":"0341-2695","type":"print"},{"value":"1432-5195","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,17]]},"assertion":[{"value":"2 February 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}