{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T23:46:16Z","timestamp":1789083976090,"version":"build-2803163510"},"reference-count":11,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T00:00:00Z","timestamp":1746662400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T00:00:00Z","timestamp":1746662400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T00:00:00Z","timestamp":1746662400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T00:00:00Z","timestamp":1746662400000},"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":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The management of borderline hip dysplasia (BHD) remains a topic of particular interest in the hip preservation world. While periacetabular osteotomy remains the gold standard for frank dysplasia, management of mild or borderline dysplasia is more nuanced, and in many cases, isolated hip arthroscopy with capsular plication can yield favorable and durable outcomes, avoiding morbidity associated with osteotomy. However, the benefit of avoiding the morbidity of a periacetabular osteotomy should be carefully weighed against the risk of undertreating this complex pathology. Historically, BHD was defined as a lateral center\u2010edge angle between 20\u00b0 and 25\u00b0, with more recent studies using 18\u00b0 as a lower threshold. Yet, a singular 2\u2010dimensional measurement provides an incomplete picture. Labral hypertrophy, an upsloping lateral sourcil, fovea alta, ligamentum teres tears, T\u00f6nnis angle, Femoro\u2010Epiphyseal Acetabular Roof index, vertical center anterior angle, and abnormal femoral or acetabular version are additional factors that help us understand dynamic pathoanatomy and the severity of instability. Some of these variables\u2014including T\u00f6nnis angle &gt;10\u201015\u00b0, ligamentum teres pathology, and vertical center anterior angle &lt;18\u00b0\u2014have been associated with failure of arthroscopy alone for BHD.<\/jats:p>","DOI":"10.1016\/j.arthro.2025.04.017","type":"journal-article","created":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T20:46:08Z","timestamp":1746737168000},"page":"3973-3974","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["<i>Editorial Commentary:<\/i>\n                    Indications for Periacetabular Osteotomy (Versus Hip Arthroscopy) Alone for Borderline Hip Dysplasia Require Consideration of Multiple Three\u2010Dimensional Factors Contributing to Dynamic Pathoanatomy and Instability Severity"],"prefix":"10.1002","volume":"41","author":[{"given":"Joseph C.","family":"Brinkman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David E.","family":"Hartigan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,8]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2025.02.032"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671241232306"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.08.022"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.22.00340"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231161348"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.11.122"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.05.005"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2003.10.010"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519825636"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517730583"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520914942"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325002798?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325002798?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.2025.04.017","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2025.04.017","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2025.04.017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:10:57Z","timestamp":1773565857000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2025.04.017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,8]]},"references-count":11,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1016\/j.arthro.2025.04.017"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2025.04.017","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Editorial Commentary: Indications for Periacetabular Osteotomy (Versus Hip Arthroscopy) Alone for Borderline Hip Dysplasia Require Consideration of Multiple Three-Dimensional Factors Contributing to Dynamic Pathoanatomy and Instability Severity","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.2025.04.017","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2025.02.032","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}