{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T17:26:53Z","timestamp":1792517213192,"version":"4.5.0"},"reference-count":35,"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"}],"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 systematically review factors affecting hip capsule thickness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses guidelines. The terms \u201chip,\u201d \u201carthroscopy,\u201d \u201ccapsule,\u201d \u201ccapsular,\u201d and \u201cthickness\u201d were used to search the PubMed, Ovid [MEDLINE], Cochrane Database, and EMBASE databases from inception to January 15, 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The initial search identified 1,735 studies. Twenty\u2010three studies were included in the systematic review. Eight reported the relationship between sex and capsule thickness. Seven reported that capsule thickness was significantly lower in women. Of the 4 studies reporting the relationship between capsular laxity and capsule thickness or Beighton test score (BTS), 4 studies showed the association of lower capsule thickness in patients with capsular laxity or BTS \u22654. Of the 6 studies reporting the relationship between arthroscopic surgery and capsular thickness, 2 showed significantly greater capsule thickness after capsulotomy with repair and 2 found significantly decreased postoperative capsule thickness without repair. One study illustrated that anterior capsule thickness was significantly smaller in patients with femoral torsion angle &gt;20\u00b0. One study showed that neck\u2010shaft angle was negatively corelated with anterior capsule thickness. Of the 3 studies that examined lateral central edge angle, 2 reported that lower angle correlated with thinner capsule thickness; one study reported the opposite result. Hip inflammatory disease was associated with thicker hip capsule.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Female sex, capsular laxity, BTS \u22654, greater femoral torsion angle, and greater neck\u2010shaft angle were associated with a thinner hip capsule. Hip inflammatory disease and capsule repair after arthroscopic surgery were associated with a thicker capsule.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, systematic review of Level I\u2010IV studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2025.01.036","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T11:25:57Z","timestamp":1738668357000},"page":"3776-3788","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Female Sex, Capsular Laxity, and Heightened Beighton Test Score, Femoral Torsion Angle, Neck\u2010Shaft Angle Decrease Whereas Hip Inflammatory Disease and Capsular Repair Increase Hip Capsular Thickness: A Systematic Review"],"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":"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":"Kai\u2010Zhe","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine and Arthroscopy Surgery Huashan Hospital Fudan 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_3_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.19.00346"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517697956"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518755717"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119890846"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-021-09732-5"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-5162-5"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-022-03208-z"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-022-07022-2"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/jhps\/hnaa018"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117701882"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.04.013"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07347-6"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000100"},{"key":"e_1_2_3_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2022.04.031"},{"key":"e_1_2_3_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2485-2"},{"key":"e_1_2_3_17_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02748.x"},{"key":"e_1_2_3_18_1","article-title":"RoB 2: A revised tool for assessing risk of bias in randomised trials","volume":"366","author":"Sterne J.A.C.","year":"2019","journal-title":"BMJ"},{"key":"e_1_2_3_19_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.210.2.r99fe52499"},{"key":"e_1_2_3_20_1","first-page":"72","article-title":"US assessment of hip joint synovitis in rheumatic diseases. 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