{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T20:21:11Z","timestamp":1781122871951,"version":"3.54.1"},"reference-count":35,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T00:00:00Z","timestamp":1738886400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T00:00:00Z","timestamp":1738886400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T00:00:00Z","timestamp":1738886400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T00:00:00Z","timestamp":1738886400000},"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 evaluate patient\u2010reported outcomes (PROs), achievement of clinically significant outcomes (CSOs), and reoperation\u2010free survivorship at long\u2010term follow\u2010up after primary hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS) in patients with and without preoperative low back pain (LBP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A repository was reviewed to identify patients who underwent primary HA for FAIS between January 2012 and May 2014 with 10\u2010year follow\u2010up. Exclusion criteria included previous ipsilateral hip surgery, concomitant procedures, congenital hip disorders, non\u2010FAIS hip pathologies, T\u00f6nnis grade &gt;1, history of platelet\u2010rich plasma injections, and missing 10\u2010year follow\u2010up. Patients who self\u2010reported preoperative, concomitant LBP were propensity\u2010matched 1:1 to patients without LBP by age, sex, and body mass index. PROs collected included Hip Outcome Score\u2010Activities of Daily Living and Sports Subscale (HOS\u2010ADL\/HOS\u2010SS), 12\u2010item International Hip Outcome Tool (iHOT\u201012), modified Harris Hip Score (mHHS), and visual analog scale (VAS) for pain and satisfaction. Minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) were compared. Subgroup analysis was conducted comparing female and male patients with LBP. Reoperation\u2010free survivorship was compared with Kaplan\u2010Meier analysis. An a priori power analysis determined sample size.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 69 hips in 67 patients with LBP were matched to 69 hips in 67 patients without LBP. Demographics were similar between groups, including age (39.22 \u00b1 10.3 vs 38.99 \u00b1 10.7 years,\n                      <jats:italic>P<\/jats:italic>\n                      = .90), sex (55.1% vs 55.1% female,\n                      <jats:italic>P<\/jats:italic>\n                      = 1.0), and body mass index (26.15 \u00b1 4.6 vs 26.36 \u00b1 5.1,\n                      <jats:italic>P<\/jats:italic>\n                      = .80). Average follow\u2010up duration was 10.43 \u00b1 0.4 years. The most common cause of LBP was degenerative lumbar or sacral conditions, including degenerative disc disease, degenerative joint disease, or spondylosis, accounting for 38.8% (26\/69) of the cohort. Mean preoperative HOS\u2010ADL (62.38 \u00b1 18.7 vs 64.45 \u00b1 21.1,\n                      <jats:italic>P<\/jats:italic>\n                      = .57), HOS\u2010SS (37.83 \u00b1 22.6 vs 45.67 \u00b1 24.7,\n                      <jats:italic>P<\/jats:italic>\n                      = .09), mHHS (53.63 \u00b1 14.6 vs 57.01 \u00b1 14.6,\n                      <jats:italic>P<\/jats:italic>\n                      = .22), iHOT\u201012 (33.29 \u00b1 19.0 vs 39.49 \u00b1 15.8,\n                      <jats:italic>P<\/jats:italic>\n                      = .27), and VAS\u2010Pain (71.88 \u00b1 18.3 vs 71.87 \u00b1 19.1,\n                      <jats:italic>P<\/jats:italic>\n                      = 1.0) were similar between patients with and without LBP. In addition, the mean 10\u2010year follow\u2010up HOS\u2010ADL (81.48 \u00b1 21.2 vs 79.57 \u00b1 22.0,\n                      <jats:italic>P<\/jats:italic>\n                      = .66), HOS\u2010SS (66.87 \u00b1 31.3 vs 67.36 \u00b1 30.4,\n                      <jats:italic>P<\/jats:italic>\n                      = .94), mHHS (74.15 \u00b1 18.8 vs 73.19 \u00b1 17.7,\n                      <jats:italic>P<\/jats:italic>\n                      = .79), iHOT\u201012 (77.77 \u00b1 23.3 vs 69.63 \u00b1 29.3,\n                      <jats:italic>P<\/jats:italic>\n                      = .13), VAS\u2010Pain (23.98 \u00b1 25.0 vs 32.19 \u00b1 28.4,\n                      <jats:italic>P<\/jats:italic>\n                      = .11), and VAS\u2010Satisfaction (83.47 \u00b1 25.3 vs 81.43 \u00b1 29.7,\n                      <jats:italic>P<\/jats:italic>\n                      = .73) were similar between patients with and without LBP. Patients with and without LBP had comparable MCID achievement for HOS\u2010ADL (72% vs 56%,\n                      <jats:italic>P<\/jats:italic>\n                      = .13), HOS\u2010SS (74% vs 50%,\n                      <jats:italic>P<\/jats:italic>\n                      = .06), mHHS (74% vs 65%,\n                      <jats:italic>P<\/jats:italic>\n                      = .47), iHOT\u201012 (83% vs 72%,\n                      <jats:italic>P<\/jats:italic>\n                      = .67), VAS\u2010Pain (89% vs 75%,\n                      <jats:italic>P<\/jats:italic>\n                      = .10), and any PRO (98% vs 93%,\n                      <jats:italic>P<\/jats:italic>\n                      = .32). Similarly, patients with and without LBP had comparable PASS achievement for HOS\u2010ADL (64% vs 65%,\n                      <jats:italic>P<\/jats:italic>\n                      = 1.0), HOS\u2010SS (66% vs 69%,\n                      <jats:italic>P<\/jats:italic>\n                      = .83), mHHS (64% vs 60%,\n                      <jats:italic>P<\/jats:italic>\n                      = .84), iHOT\u201012 (65% vs 61%,\n                      <jats:italic>P<\/jats:italic>\n                      = .84), VAS\u2010Pain (55% vs 50%,\n                      <jats:italic>P<\/jats:italic>\n                      = .71), and any PRO (76% vs 80%,\n                      <jats:italic>P<\/jats:italic>\n                      = .81). Subgroup analysis revealed no significant differences between female and male patients with LBP in preoperative or 10\u2010year follow\u2010up PROs as well as MCID and PASS achievement rates. Reoperation\u2010free survivorship was comparable (\n                      <jats:italic>P<\/jats:italic>\n                      = 1.0).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients undergoing primary HA for FAIS with concomitant LBP may achieve comparable PROs, CSOs, and reoperation\u2010free time\u2010dependent survivorship to patients without LBP at long\u2010term follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective, matched case\u2010control study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2025.01.046","type":"journal-article","created":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T15:00:52Z","timestamp":1738940452000},"page":"3555-3565","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["Hip Arthroscopy Patients with Concomitant Low Back Pain Show Clinical Improvement and Time\u2010Dependent Survivorship Comparable to Those Without Low Back Pain: A Propensity Matched Study at Long\u2010Term Follow\u2010Up"],"prefix":"10.1002","volume":"41","author":[{"given":"Jesus E.","family":"Cervantes","sequence":"first","affiliation":[{"name":"Section of Young Adult Hip Surgery Division of Sports Medicine Department of Orthopedic Surgery Rush Medical College of Rush University Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Hu","sequence":"additional","affiliation":[{"name":"Section of Young Adult Hip Surgery Division of Sports Medicine Department of Orthopedic Surgery Rush Medical College of Rush University Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Lemme","sequence":"additional","affiliation":[{"name":"Section of Young Adult Hip Surgery Division of Sports Medicine Department of Orthopedic Surgery Rush Medical College of Rush University Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane J.","family":"Nho","sequence":"additional","affiliation":[{"name":"Section of Young Adult Hip Surgery Division of Sports Medicine Department of Orthopedic Surgery Rush Medical College of Rush University Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,7]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.52965\/001c.37513"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231210958"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.03.044"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671231204337"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211056964"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.04.015"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmrj.12572"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2024.02.050"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2021.12.036"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.05.004"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.09.014"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.01.068"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.08.024"},{"key":"e_1_2_3_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221108975"},{"key":"e_1_2_3_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211067546"},{"key":"e_1_2_3_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.07.020"},{"key":"e_1_2_3_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519843936"},{"key":"e_1_2_3_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2019.05.003"},{"key":"e_1_2_3_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512457157"},{"key":"e_1_2_3_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-4941-3"},{"key":"e_1_2_3_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/jhps\/hnaa064"},{"key":"e_1_2_3_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.02.029"},{"key":"e_1_2_3_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.04.029"},{"key":"e_1_2_3_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.09.028"},{"key":"e_1_2_3_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211015687"},{"key":"e_1_2_3_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197-2456(89)90005-6"},{"key":"e_1_2_3_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/JTO.0b013e3181ec173d"},{"key":"e_1_2_3_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519877179"},{"key":"e_1_2_3_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13075-015-0658-6"},{"key":"e_1_2_3_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/pst.433"},{"key":"e_1_2_3_32_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.100B10.BJJ-2018-0060.R1"},{"key":"e_1_2_3_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231219261"},{"key":"e_1_2_3_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-016-4787-2"},{"key":"e_1_2_3_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519892916"},{"key":"e_1_2_3_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231197374"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325000647?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325000647?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.2025.01.046","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2025.01.046","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2025.01.046","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:48:57Z","timestamp":1773564537000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2025.01.046"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,7]]},"references-count":35,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1016\/j.arthro.2025.01.046"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2025.01.046","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Hip Arthroscopy Patients with Concomitant Low Back Pain Show Clinical Improvement and Time-Dependent Survivorship Comparable to Those Without Low Back Pain: A Propensity Matched Study at Long-Term Follow-Up","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.2025.01.046","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}