{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T17:26:56Z","timestamp":1793381216553,"version":"4.5.0"},"reference-count":36,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2020YFC20070405"],"award-info":[{"award-number":["2020YFC20070405"]}],"id":[{"id":"10.13039\/501100012166","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":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To explore the healing status of interportal capsulotomies without repair after arthroscopy in patients with femoroacetabular impingement syndrome (FAIS) and to examine its correlation with clinical outcomes, including the relationship with age and sex subgroups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data collected between August 2015 and January 2022 were reviewed. Patients with FAIS aged 18 to 65 years who underwent hip arthroscopy with interportal capsulotomies without repair with a minimum 2\u2010year follow\u2010up were included. Patients with a lateral center\u2010edge angle of less than 25\u00b0, T\u00f6nnis grade greater than 1, Perthes disease, slipped upper femoral epiphysis, avascular necrosis, prior ipsilateral hip injury or surgery, and absence of magnetic resonance imaging at final follow\u2010up were excluded. Patients were divided into healed and unhealed capsule groups according to magnetic resonance imaging evaluation. The primary patient\u2010reported outcome (PRO) was the modified Harris Hip Score (mHHS). The secondary PROs were the Hip Outcome Score\u2013Activities of Daily Living subscale, Hip Outcome Score\u2013Sport Specific subscale, University of California at Los Angeles score, and visual analog scale pain score at final follow\u2010up. The percentages of patients achieving the minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) for the PROs were also calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The cohort comprised 69 patients (72 hips), with 28 hips (38.89%) in the unhealed capsule group and 44 hips (61.11%) in the healed capsule group. The cohort comprised 32 male and 37 female patients, and the mean age of the patients was 44.15 years. Within each group, there were significant preoperative\u2010to\u2010postoperative increases in the mHHS, Hip Outcome Score\u2013Activities of Daily Living, Hip Outcome Score\u2013Sport Specific subscale, and University of California at Los Angeles score and decreases in the visual analog scale pain score (all\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). There were no significant differences between the healed and unhealed groups in the PROs and the achievement rates of the MCID and PASS (all\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05). In addition, compared with the healed group, the unhealed group showed worse mHHS values in patients older than 40 years (\n                      <jats:italic>P<\/jats:italic>\n                      = .003) and female patients (\n                      <jats:italic>P<\/jats:italic>\n                      = .036) on subgroup analysis by age and sex, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>At a minimum 2\u2010year follow\u2010up, 38.89% of patients with FAIS who underwent arthroscopic surgery with interportal capsulotomy without repair had unhealed hip capsules. There were no significant differences in PROs or achievement rates of the MCID and PASS between the healed and unhealed groups. Subgroup analysis showed that age older than 40 years and female sex may be associated with worse efficacy in patients with unhealed capsules.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective case\u2010control study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2025.01.035","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T11:25:55Z","timestamp":1738668355000},"page":"3540","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["No Significant Differences in Clinical Outcomes Were Observed Between Healed and Unhealed Hip Joint Capsules in Femoroacetabular Impingement Syndrome After Arthroscopy"],"prefix":"10.1002","volume":"41","author":[{"given":"Lin\u2010Yi","family":"Shen","sequence":"first","affiliation":[{"name":"Department of Sports Medicine and Arthroscopy Surgery Huashan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Radiology Institute of Medical Functional and Molecular Imaging Huashan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei\u2010Xing","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine and Arthroscopy Surgery Huashan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian\u2010Ru","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine and Arthroscopy Surgery Huashan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi\u2010Xin","family":"Wen","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Wuhan Fifth Hospital Jianghan University Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi\u2010Wen","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Radiology Institute of Medical Functional and Molecular Imaging Huashan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine and Arthroscopy Surgery Huashan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji\u2010Wu","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Shanghai General Hospital School of Medicine Shanghai Jiao Tong University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong\u2010Yun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine and Arthroscopy Surgery Huashan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,4]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"crossref","unstructured":"GanzR. 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