{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T07:03:04Z","timestamp":1788591784148,"version":"build-2803163510"},"reference-count":45,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,4,29]],"date-time":"2021-04-29T00:00:00Z","timestamp":1619654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,4,29]],"date-time":"2021-04-29T00:00:00Z","timestamp":1619654400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2021,4,29]],"date-time":"2021-04-29T00:00:00Z","timestamp":1619654400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,4,29]],"date-time":"2021-04-29T00:00:00Z","timestamp":1619654400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100008542","name":"Arthroscopy Association of North America","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008542","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006397","name":"ATI","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006397","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007244","name":"MAKO Surgical Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007244","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005930","name":"ASCRS Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005930","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008894","name":"Stryker","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008894","id-type":"DOI","asserted-by":"publisher"}]}],"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":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>(1) To investigate intra\u2010articular damage in the hip joint associated with subspine impingement (SSI); (2) to evaluate clinical outcomes of arthroscopic treatment of hips with SSI; and (3) to compare the findings and outcomes to a control group without SSI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eligible patients had arthroscopic treatment for femoroacetabular impingement (FAI) concurrent with SSI between January 2015 and December 2017. Inclusion criteria consisted of preoperative and minimum 2\u2010year patient\u2010reported outcomes and preoperative measurements for T\u00f6nnis, lateral center edge angle, and alpha angle. Included patients were propensity\u2010matched in a 1:3 ratio to patients who had FAI without SSI. Patient\u2010reported outcomes were compared between groups. Minimal clinically important difference was calculated for modified Harris Hip Score (mHHS) and Hip Outcome Score\u2010Sports Specific Subscale (HOS\u2010SSS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty SSI cases were matched to 150 patients who had FAI without SSI. A greater proportion of the SSI cohort required labral reconstruction (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .010). The size and locations for labral tears and chondral defects were comparable between groups (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05). Both groups demonstrated similar minimum 2\u2010year outcomes for mHHS (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .103), Nonarthritic Hip Score (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .200), HOS\u2010SSS (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .119), visual analog scale (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .231), international Hip Outcome Tool\u201012 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=.300), Short Form\u201012 Mental (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.426), Short Form\u201012 Physical (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .328), Veterans RAND 12\u2010Item Health Survey, Mental (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .419), and Veterans RAND 12\u2010Item Health Survey, Physical (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .316). The percentage of patients achieving minimal clinically important difference for mHHS and HOS\u2010SSS was similar (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05). Survivorship was 96.0% and 98.7% for the SSI and control cohorts at 2 years, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopic treatment of hips with SSI with subspine decompression and concomitant treatment of labral tears and FAI yielded significant improvement in patients\u2019 outcomes, which compared favorably with the control group. SSI may correlate with more complex labral tears, not amenable to repair, and complete tears of the ligamentum teres. Other findings, such as location and size of intra\u2010articular damage, were similar between the cohorts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>III, case\u2013control study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2021.03.057","type":"journal-article","created":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T00:23:09Z","timestamp":1619742189000},"page":"3090-3101","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":15,"title":["Intraoperative Findings and Clinical Outcomes Associated With Arthroscopic Management of Subspine Impingement: A Propensity\u2010Matched, Controlled Study"],"prefix":"10.1002","volume":"37","author":[{"given":"Jacob","family":"Shapira","sequence":"first","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell J.","family":"Yelton","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel M.","family":"Glein","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip J.","family":"Rosinsky","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R.","family":"Maldonado","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell B.","family":"Meghpara","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."},{"name":"AMITA Health St. Alexius Medical Center Hoffman Estates Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hari K.","family":"Ankem","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay C.","family":"Lall","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."},{"name":"AMITA Health St. Alexius Medical Center Hoffman Estates Illinois U.S.A."},{"name":"American Hip Institute Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin G.","family":"Domb","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."},{"name":"AMITA Health St. Alexius Medical Center Hoffman Estates Illinois U.S.A."},{"name":"American Hip Institute Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,29]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-015-1591-8"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-014-4001-3"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514534181"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117723109"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-013-2847-4"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519873666"},{"key":"e_1_2_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519897273"},{"key":"e_1_2_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2019.10.007"},{"key":"e_1_2_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.08.035"},{"key":"e_1_2_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519863411"},{"key":"e_1_2_3_12_2","unstructured":"Maldonado DR Kyin C Shapira J et\u00a0al. Defining the maximum outcome improvement of the modified Harris Hip Score the Nonarthritic Hip Score the visual analogue scale for pain and the International Hip Outcome Tool\u201012 in the arthroscopic management for femoroacetabular impingement syndrome and labral tear [Published online January 12 2021].Arthroscopy.10.1016\/j.arthro.2021.01.002."},{"key":"e_1_2_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117724772"},{"key":"e_1_2_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518825246"},{"key":"e_1_2_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519836429"},{"key":"e_1_2_3_16_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-17-00258"},{"issue":"3","key":"e_1_2_3_17_2","article-title":"Do alterations in pelvic rotation on the false profile radiograph effect the apparent AIIS morphology?","volume":"7","author":"Khan A.Z.","year":"2019","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-011-1302-y"},{"key":"e_1_2_3_19_2","doi-asserted-by":"publisher","DOI":"10.5301\/hipint.5000602"},{"key":"e_1_2_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.10.004"},{"key":"e_1_2_3_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000000804"},{"key":"e_1_2_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2019.01.017"},{"key":"e_1_2_3_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200101000-00031"},{"key":"e_1_2_3_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517708192"},{"key":"e_1_2_3_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310012601"},{"key":"e_1_2_3_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511413865"},{"key":"e_1_2_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(97)90182-1"},{"key":"e_1_2_3_28_2","first-page":"643","article-title":"False profile of the pelvis. A new radiographic incidence for the study of the hip. Its use in dysplasias and different coxopathies","volume":"28","author":"Lequesne M.","year":"1961","journal-title":"Rev Rhum Mal Osteoartic"},{"key":"e_1_2_3_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518779064"},{"key":"e_1_2_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.08.051"},{"issue":"3","key":"e_1_2_3_31_2","article-title":"Decision making for labral treatment in the hip: Repair versus d\u00e9bridement versus reconstruction","volume":"25","author":"Domb B.G.","year":"2017","journal-title":"J\u00a0Am Acad Orthop Surg"},{"key":"e_1_2_3_32_2","doi-asserted-by":"publisher","DOI":"10.1093\/jhps\/hnz008"},{"key":"e_1_2_3_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518808033"},{"key":"e_1_2_3_34_2","doi-asserted-by":"publisher","DOI":"10.1177\/1120700018760263"},{"key":"e_1_2_3_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.07.042"},{"key":"e_1_2_3_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518785966"},{"key":"e_1_2_3_37_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.ST.18.00020"},{"key":"e_1_2_3_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.08.006"},{"key":"e_1_2_3_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.10.019"},{"key":"e_1_2_3_40_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517724743"},{"key":"e_1_2_3_41_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517749475"},{"key":"e_1_2_3_42_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-018-9646-0"},{"key":"e_1_2_3_43_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518795696"},{"key":"e_1_2_3_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.07.020"},{"key":"e_1_2_3_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.01.053"},{"key":"e_1_2_3_46_2","doi-asserted-by":"publisher","DOI":"10.26603\/ijspt20180208"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806321003236?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806321003236?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2021.03.057","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2021.03.057","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2021.03.057","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:43:32Z","timestamp":1773564212000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2021.03.057"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,29]]},"references-count":45,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1016\/j.arthro.2021.03.057"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2021.03.057","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,29]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Intraoperative Findings and Clinical Outcomes Associated With Arthroscopic Management of Subspine Impingement: A Propensity-Matched, Controlled Study","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2021.03.057","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}