{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T04:20:39Z","timestamp":1790396439783,"version":"4.1.0"},"reference-count":51,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","arthroscopyjournal.org","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To examine the associations between hip labral width and patient\u2010reported outcomes, clinical threshold achievement rates, and rate of reoperation among patients with femoroacetabular impingement syndrome (FAIS) who underwent hip arthroscopy and labral repair at minimum 5\u2010year follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients were identified from a prospective database who underwent primary hip arthroscopy for treatment of labral tears and FAIS. Modified Harris Hip Score (mHHS) and Nonarthritic Hip Score (NAHS) were recorded preoperatively and at 5\u2010year follow\u2010up. Achievement of the minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient\u2010acceptable symptom state (PASS) was determined using previously established values. Labral width magnetic resonance imaging measurements were performed by 2 independent readers at standardized \u201cclockface\u201d locations. Patients were stratified into 3 groups at each position: lower\u2010width (&lt;\u00bd SD below mean), middle\u2010width (within \u00bd SD of mean), and upper\u2010width (&gt;\u00bd SD above mean). Multivariable regression was used to evaluate associations of labral width with patient\u2010reported outcomes and reoperation rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seventy\u2010three patients (age: 41.0 \u00b1 12.0 years; 68.5% female) were included. Inter\u2010rater reliability for labral width measurements was high at all positions (intraclass correlation coefficient 0.94\u20100.96). There were no significant intergroup differences in mHHS\/NAHS improvement (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05) or in achievement rates of MCID\/SCB\/PASS at each clockface position (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05). Eleven patients (15.1%) underwent arthroscopic revision and 4 patients (5.5%) converted to total hip arthroplasty. Multivariable analysis found lower\u2010width groups at 11:30 (odds ratio 1.75,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .02) and 3:00 (odds ratio 1.59,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .04) positions to have increased odds of revision within 5 years; however, labral width was not associated with 5\u2010year improvement in mHHS\/NAHS, achievement of MCID\/PASS\/SCB, or conversion to total hip arthroplasty (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hip labral width &lt;\u00bd SD below the mean measured on preoperative magnetic resonance imaging at 11:30\u2010 and 3:00\u2010clockface positions was associated with increased odds of reoperation after arthroscopic labral repair and treatment of FAIS. Labral width was not associated with 5\u2010year improvement of mHHS, NAHS, achievement of clinical thresholds, or conversion to arthroplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.11.030","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T17:54:50Z","timestamp":1701798890000},"page":"1793-1804","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":13,"title":["Decreased Hip Labral Width Measured on Preoperative Magnetic Resonance Imaging Is Associated With Greater Revision Rate After Primary Arthroscopic Labral Repair for Femoroacetabular Impingement Syndrome at 5\u2010Year Follow\u2010Up"],"prefix":"10.1002","volume":"40","author":[{"given":"Zachary I.","family":"Li","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery New York University Langone Health New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhruv S.","family":"Shankar","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery New York University Langone Health New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kinjal D.","family":"Vasavada","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery New York University Langone Health New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berkcan","family":"Akpinar","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery New York University Langone Health New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence J.","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery New York University Langone Health New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad M.","family":"Samim","sequence":"additional","affiliation":[{"name":"Department of Radiology New York University Langone Health New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Burke","sequence":"additional","affiliation":[{"name":"Department of Radiology New York University Langone Health New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Youm","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery New York University Langone Health New York New York 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