{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T10:43:40Z","timestamp":1774953820538,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"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":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Femoral version abnormalities have been increasingly recognized as a key factor in the pathogenesis of nonarthritic hip pain. Excessive femoral anteversion (EFA), defined as femoral anteversion greater than 20\u00b0, has been postulated to create unstable alignment of the hip, which is exacerbated in patients with concomitant borderline hip dysplasia (BHD). The optimal treatment algorithm for hip pain in EFA\u2010BHD patients remains debated, with some surgeons advocating against arthroscopic procedures in isolation owing to the combined instability due to the femoral and acetabular abnormalities. When determining the treatment approach for an EFA\u2010BHD patient, clinicians should discern whether the patient is presenting with symptoms due to femoroacetabular impingement versus hip instability. When addressing symptomatic hip instability, clinicians are encouraged to evaluate for the Beighton score and additional radiographic factors (other than the lateral center\u2010edge angle) suggestive of instability, such as a T\u00f6nnis angle greater than 10\u00b0, coxa valga, and deficient anterior or posterior acetabular wall coverage. Because the combination of these additional instability findings with EFA\u2010BHD may portend an inferior outcome after arthroscopic treatment in isolation, an open procedure such as periacetabular osteotomy can be a more reliable treatment option for symptomatic hip instability in this cohort.<\/jats:p>","DOI":"10.1016\/j.arthro.2022.12.001","type":"journal-article","created":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T02:00:14Z","timestamp":1677808814000},"page":"978-980","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["<i>Editorial Commentary:<\/i>\n                    Evaluate for the Beighton Score and Additional Radiographic Signs of Instability Prior to Proceeding With Hip Arthroscopy in Patients With Combined Borderline Hip Dysplasia and Excessive Femoral Anteversion"],"prefix":"10.1002","volume":"39","author":[{"given":"Andrew J.","family":"Curley","sequence":"first","affiliation":[{"name":"Chicago Illinois (A.J.C.)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin G.","family":"Domb","sequence":"additional","affiliation":[{"name":"Chicago Illinois (A.J.C.)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,4,1]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211043510"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211007401"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0000000000000298"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517726983"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.06.026"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.10.028"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518812859"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518810731"},{"key":"e_1_2_2_10_2","unstructured":"Dornacher D Lutz B Fuchs M Zippelius T Reichel H. Acetabular deficiency in borderline hip dysplasia is underestimated by lateral center edge angle alone [published online October 22 2022].Arch Orthop Trauma Surg.doi:10.1007\/s00402\u2010022\u201004652\u20106"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517743720"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806322007800?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806322007800?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.2022.12.001","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2022.12.001","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2022.12.001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:56:52Z","timestamp":1773565012000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2022.12.001"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["10.1016\/j.arthro.2022.12.001"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2022.12.001","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Editorial Commentary: Evaluate for the Beighton Score and Additional Radiographic Signs of Instability Prior to Proceeding With Hip Arthroscopy in Patients With Combined Borderline Hip Dysplasia and Excessive Femoral Anteversion","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.2022.12.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}