{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:35:28Z","timestamp":1787499328527,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,1,13]],"date-time":"2020-01-13T00:00:00Z","timestamp":1578873600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,1,13]],"date-time":"2020-01-13T00:00:00Z","timestamp":1578873600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2020,1,13]],"date-time":"2020-01-13T00:00:00Z","timestamp":1578873600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,13]],"date-time":"2020-01-13T00:00:00Z","timestamp":1578873600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To report preoperative anatomy, patient\u2010related outcomes measures, and return to dance rates in a cohort of competitive dancers undergoing an arthroscopic hip procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Competitive dancers who underwent an arthroscopic hip procedure between 2008 and 2016 were included. Specific types of dance performed, morphology, and\u00a0radiographic parameters were documented. Outcomes were evaluated with Modified Harris Hip Score (mHHS), the 12\u2010Item Short Form Health Survey, visual analog scale, and Hip Disability and Osteoarthritis Outcome Scores (HOOS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 63 competitive dancers (77 hips) with a mean age 21.2 years in the current study. Specific types of dance performed included 57 studio dance and 41 high\u2010kick dance, and 28 dancers (44%) were professional\u2010level. Morphology included cam\u2010type femoroacetabular impingement (95%), pincer\u2010type femoroacetabular impingement (40%), anterior inferior iliac spine impingement (subspine) (83%), and mild (borderline) dysplasia (11%). Procedures performed included 95% labral repairs, 5% labral debridements, 99% femoral resections, 49% rim resections, 88% subspine decompressions, and 66% capsular plications. At mean 36 months\u2019 follow\u2010up post\u2010arthroscopy, the mean outcome improvements were 25.6 points (mHHS), 18.9 points (HOOS\u2010activities of daily living), 29.9 points (HOOS\u2010Sports), 8.7 points (12\u2010Item Short Form Health Survey), and 3.7 points (visual analog scale) (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01 for each). Scores were significantly improved from preoperatively to most recent follow\u2010up for mHHS (60.0 vs 85.6 points), HOOS\u2010activities of daily living (72.5 vs 91.5 points), and HOOS\u2010Sports (49.7 vs 79.6) (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01). Sixty\u2010three percent of dancers returned to their previous level of competitive dance, 21% returned to limited or modified dance, and 16% were unable to return to dance, including 1 retirement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A careful arthroscopic approach to address cam\u2010type pathomorphology, highly prevalent subspine impingement, and capsular laxity in competitive dancers can achieve a modest rate of return to sport and good\u2010to\u2010excellent patient\u2010reported outcomes at short\u2010 to mid\u2010term (3\u2010year) follow\u2010up. Eighty\u2010four percent of dancers ultimately returned to competitive dance, although only 63% returned to their preinjury competitive level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>IV, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2019.09.023","type":"journal-article","created":{"date-parts":[[2020,1,7]],"date-time":"2020-01-07T08:35:32Z","timestamp":1578386132000},"page":"725-731","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":35,"title":["The Dancer\u2019s Hip: The Hyperflexible Athlete: Anatomy and Mean 3\u2010Year Arthroscopic Clinical Outcomes"],"prefix":"10.1002","volume":"36","author":[{"given":"Christopher M.","family":"Larson","sequence":"first","affiliation":[{"name":"Twin Cities Orthopedics Edina Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James R.","family":"Ross","sequence":"additional","affiliation":[{"name":"BocaCare Orthopedics Deerfield Beach Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Russell","family":"Giveans","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics Edina Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca Stone","family":"McGaver","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics Edina Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katelyn N.","family":"Weed","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics Edina Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asheesh","family":"Bedi","sequence":"additional","affiliation":[{"name":"Department of Orthopedics University of Michigan MedSport University of Michigan Ann Arbor Michigan 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