{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:12:01Z","timestamp":1787170321072,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,4,13]],"date-time":"2017-04-13T00:00:00Z","timestamp":1492041600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,4,13]],"date-time":"2017-04-13T00:00:00Z","timestamp":1492041600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2017,4,13]],"date-time":"2017-04-13T00:00:00Z","timestamp":1492041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To report minimum 2\u2010year patient\u2010reported outcomes (PROs) after hip arthroscopy (HA) for symptomatic labral tears in patients with global acetabular overcoverage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study was a retrospective case series of patients who underwent HA from April 2008 to April 2013. The inclusion criteria were patients with global acetabular overcoverage, defined as a lateral center\u2010edge angle greater than 40\u00b0, and with coxa profunda, defined radiologically by the ilioischial line lateral to the acetabular floor. Only patients with minimum 2\u2010year follow\u2010up and no history of hip conditions or surgery were included. We recorded demographic, examination, radiologic, and intraoperative findings; intraoperative procedures performed; and the following PROs: modified Harris Hip Score (mHHS), Non\u2010Arthritic Hip Score, Hip Outcome Score\u2013Activities of Daily Living (HOS\u2010ADL), Hip Outcome Score\u2013Sports\u2010Specific Subscale (HOS\u2010SSS), visual analog scale, and patient satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The inclusion criteria were met by 39 patients, of whom 35 (89.7%) had 2\u2010year follow\u2010up. There was no distinct pattern of examination findings. The study population had a mean acetabular inclination of\u00a0\u22121.19\u00b0 and an anterior center\u2010edge angle of 35\u00b0. There was no association with measures of acetabular retroversion. Intrasubstance tearing of the labrum occurred in 75% of patients (mean tear size, 2.68 hours on acetabular clock face; mean location, 11.5 to 3 on acetabular clock face). There were significant improvements in the mean scores for all PROs: mHHS, 13.5 \u00b1 17.7 points (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01); Non\u2010Arthritic Hip Score, 14.3 \u00b1 21.3 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001); HOS\u2010ADL, 11.6\u00a0\u00b1 19.7 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001); HOS\u2010SSS, 17.1 \u00b1 35.1 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001); and visual analog scale,\u00a0\u22122.77 \u00b1 2.58 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). The mean patient satisfaction rating was 6.61. The improvements in mHHS, HOS\u2010ADL, and HOS\u2010SSS did not reach the minimal clinically important difference. The incidence of secondary procedures was 17% (4 patients underwent conversion to total hip arthroplasty and 2 required revision HA).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>HA in patients with global acetabular overcoverage was associated with improvements in PROs and pain at minimum 2\u2010year follow\u2010up. However, these improvements did not reach the minimal clinically important difference for the mHHS, HOS\u2010ADL, and HOS\u2010SSS. The incidence of secondary procedures was 17%. The pattern of labral injury is predominantly intrasubstance labral damage with a narrow rim of adjacent chondral injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2017.01.039","type":"journal-article","created":{"date-parts":[[2017,4,12]],"date-time":"2017-04-12T23:15:23Z","timestamp":1492038923000},"page":"1514-1520","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"title":["Minimum 2\u2010Year Outcomes of Arthroscopic Management of Symptomatic Hip Labrum Tears in Patients With Global Acetabular Overcoverage"],"prefix":"10.1002","volume":"33","author":[{"given":"Sivashankar","family":"Chandrasekaran","sequence":"first","affiliation":[{"name":"American Hip Institute Westmont Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nader","family":"Darwish","sequence":"additional","affiliation":[{"name":"American Hip Institute Westmont Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary R.","family":"Close","sequence":"additional","affiliation":[{"name":"American Hip Institute Westmont Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Suarez\u2010Ahedo","sequence":"additional","affiliation":[{"name":"American Hip Institute Westmont Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parth","family":"Lodhia","sequence":"additional","affiliation":[{"name":"American Hip Institute Westmont Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin G.","family":"Domb","sequence":"additional","affiliation":[{"name":"American Hip Institute Westmont Illinois U.S.A."},{"name":"Hinsdale Orthopaedics Westmont Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,4,13]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2013.09.021"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2011.12.001"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.97B4.34577"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-0853-3"},{"key":"e_1_2_2_6_2","first-page":"209","article-title":"Open surgical dislocation versus arthroscopic treatment of femoroacetabular impingement","volume":"43","author":"Botser I.B.","year":"2014","journal-title":"Am J Orthop"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195335010-00007"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-71038-4"},{"key":"e_1_2_2_9_2","first-page":"231","article-title":"Evaluation of the hip: History and physical examination","volume":"2","author":"Byrd J.W.","year":"2007","journal-title":"N\u00a0Am J Sports Phys Ther"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1624-x"},{"key":"e_1_2_2_11_2","first-page":"643","article-title":"False profile of the pelvis. 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