{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T21:17:37Z","timestamp":1788383857963,"version":"build-2803163510"},"reference-count":31,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","sportsmed.theclinics.com","theclinics.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinics in Sports Medicine"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.csm.2026.02.001","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T11:11:48Z","timestamp":1775041908000},"page":"599-609","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous (Periportal) Hip Arthroscopy"],"prefix":"10.1016","volume":"45","author":[{"given":"Kristen I.","family":"Barton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ty L.","family":"Monty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandler A.","family":"Sparks","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane J.","family":"Nho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"11","key":"10.1016\/j.csm.2026.02.001_bib1","doi-asserted-by":"crossref","first-page":"1918","DOI":"10.1177\/0363546507305097","article-title":"Revision hip arthroscopy","volume":"35","author":"Philippon","year":"2007","journal-title":"Am J Sports Med"},{"issue":"6","key":"10.1016\/j.csm.2026.02.001_bib2","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1007\/s12178-021-09732-5","article-title":"Hip capsular deficiency\u2014a cause of post-surgical instability in the revision setting following hip arthroscopy for femoroacetabular impingement","volume":"14","author":"Mortensen","year":"2021","journal-title":"Curr Rev Musculoskelet Med"},{"issue":"10","key":"10.1016\/j.csm.2026.02.001_bib3","doi-asserted-by":"crossref","DOI":"10.1177\/23259671231197435","article-title":"Systematic review and meta-analysis of studies comparing complete capsular closure against unrepaired hip capsules during hip arthroscopy","volume":"11","author":"Dasari","year":"2023","journal-title":"Orthop J Sports Med"},{"issue":"6","key":"10.1016\/j.csm.2026.02.001_bib4","doi-asserted-by":"crossref","DOI":"10.1177\/23259671211017467","article-title":"Effect of capsular closure after hip arthroscopy for femoroacetabular impingement syndrome on achieving clinically meaningful outcomes: a meta-analysis of prospective and comparative studies","volume":"9","author":"Kunze","year":"2021","journal-title":"Orthop J Sports Med"},{"issue":"3","key":"10.1016\/j.csm.2026.02.001_bib5","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1007\/s12178-019-09564-4","article-title":"Contemporary management of the hip capsule during arthroscopic hip preservation surgery","volume":"12","author":"Nho","year":"2019","journal-title":"Curr Rev Musculoskelet Med"},{"issue":"2","key":"10.1016\/j.csm.2026.02.001_bib6","doi-asserted-by":"crossref","first-page":"e205","DOI":"10.1016\/j.eats.2018.10.015","article-title":"Periportal capsulotomy: a technique for limited violation of the hip capsule during arthroscopy for femoroacetabular impingement","volume":"8","author":"Monroe","year":"2019","journal-title":"Arthrosc Tech"},{"issue":"3","key":"10.1016\/j.csm.2026.02.001_bib7","doi-asserted-by":"crossref","DOI":"10.1016\/j.eats.2023.102893","article-title":"Capsular management in hip arthroscopy: interportal and t-capsulotomy, suspension, and closure","volume":"13","author":"Lee","year":"2024","journal-title":"Arthrosc Tech"},{"issue":"11","key":"10.1016\/j.csm.2026.02.001_bib8","doi-asserted-by":"crossref","first-page":"2695","DOI":"10.1016\/j.arthro.2024.02.016","article-title":"Capsular management at the time of hip arthroscopy for femoroacetabular impingement syndrome varies with geography and surgeon subspecialty training: a cross-sectional, multinational surgeon survey","volume":"40","author":"Kerzner","year":"2024","journal-title":"Arthrosc J Arthrosc Relat Surg"},{"issue":"2","key":"10.1016\/j.csm.2026.02.001_bib9","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1093\/jhps\/hnz021","article-title":"A T-capsulotomy provides increased hip joint visualization compared with an extended interportal capsulotomy","volume":"6","author":"Cvetanovich","year":"2019","journal-title":"J Hip Preserv Surg"},{"issue":"1","key":"10.1016\/j.csm.2026.02.001_bib10","doi-asserted-by":"crossref","first-page":"42","DOI":"10.5371\/hp.2020.32.1.42","article-title":"Anatomic evaluation of the interportal capsulotomy made with the modified anterior portal versus standard anterior portal: comparable utility with decreased capsule morbidity","volume":"32","author":"Weber","year":"2020","journal-title":"Hip Pelvis"},{"issue":"4","key":"10.1016\/j.csm.2026.02.001_bib11","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1111\/joa.13893","article-title":"Differentiation of strains in the lateral and medial bands of the iliofemoral ligament: a segmental approach","volume":"243","author":"St-Pierre","year":"2023","journal-title":"J Anat"},{"issue":"5","key":"10.1016\/j.csm.2026.02.001_bib12","doi-asserted-by":"crossref","first-page":"946","DOI":"10.1111\/joa.13140","article-title":"New insight into the iliofemoral ligament based on the anatomical study of the hip joint capsule","volume":"236","author":"Tsutsumi","year":"2020","journal-title":"J Anat"},{"issue":"2","key":"10.1016\/j.csm.2026.02.001_bib13","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/j.arthro.2007.08.024","article-title":"The function of the hip capsular ligaments: a quantitative report","volume":"24","author":"Martin","year":"2008","journal-title":"Arthrosc J Arthrosc Relat Surg"},{"issue":"3","key":"10.1016\/j.csm.2026.02.001_bib14","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1016\/j.arthro.2016.09.019","article-title":"The effect of capsulotomy and capsular repair on hip distraction: a cadaveric investigation","volume":"33","author":"Khair","year":"2017","journal-title":"Arthrosc J Arthrosc Relat Surg"},{"issue":"7","key":"10.1016\/j.csm.2026.02.001_bib15","doi-asserted-by":"crossref","first-page":"1428","DOI":"10.1016\/j.arthro.2016.01.056","article-title":"Hip dislocation or subluxation after hip arthroscopy: a systematic review","volume":"32","author":"Duplantier","year":"2016","journal-title":"Arthrosc J Arthrosc Relat Surg"},{"issue":"8S","key":"10.1016\/j.csm.2026.02.001_bib16","doi-asserted-by":"crossref","first-page":"S301","DOI":"10.1016\/j.otsr.2016.09.002","article-title":"Microinstability of the hip: a review","volume":"102","author":"Dangin","year":"2016","journal-title":"Orthop Traumatol Surg Res"},{"issue":"2","key":"10.1016\/j.csm.2026.02.001_bib17","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1093\/jhps\/hnv017","article-title":"Microinstability of the hip--it does exist: etiology, diagnosis and treatment","volume":"2","author":"Kalisvaart","year":"2015","journal-title":"J Hip Preserv Surg"},{"issue":"9","key":"10.1016\/j.csm.2026.02.001_bib18","doi-asserted-by":"crossref","first-page":"2975","DOI":"10.1016\/j.arthro.2021.03.063","article-title":"Capsular repair may improve outcomes in patients undergoing hip arthroscopy for femoroacetabular impingement: a systematic review of comparative outcome studies","volume":"37","author":"Owens","year":"2021","journal-title":"Arthrosc J Arthrosc Relat Surg"},{"issue":"4","key":"10.1016\/j.csm.2026.02.001_bib19","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1016\/j.arthro.2018.10.142","article-title":"Periportal capsulotomy: technique and outcomes for a limited capsulotomy during hip arthroscopy","volume":"35","author":"Chambers","year":"2019","journal-title":"Arthrosc J Arthrosc Relat Surg"},{"issue":"2","key":"10.1016\/j.csm.2026.02.001_bib20","doi-asserted-by":"crossref","DOI":"10.1016\/j.eats.2024.103192","article-title":"A technique for peripheral compartment first and periportal access for hip arthroscopy","volume":"14","author":"Floyd","year":"2025","journal-title":"Arthrosc Tech"},{"issue":"4","key":"10.1016\/j.csm.2026.02.001_bib21","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/0749-8063(95)90193-0","article-title":"Hip arthroscopy: an anatomic study of portal placement and relationship to the extra-articular structures","volume":"11","author":"Byrd","year":"1995","journal-title":"Arthrosc J Arthrosc Relat Surg"},{"issue":"1","key":"10.1016\/j.csm.2026.02.001_bib22","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.arthro.2012.04.057","article-title":"Arthroscopic capsulotomy, capsular repair, and capsular plication of the hip: relation to atraumatic instability","volume":"29","author":"Domb","year":"2013","journal-title":"Arthroscopy"},{"issue":"2","key":"10.1016\/j.csm.2026.02.001_bib23","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/j.csm.2010.12.008","article-title":"Hip instability: anatomic and clinical considerations of traumatic and atraumatic instability","volume":"30","author":"Shu","year":"2011","journal-title":"Clin Sports Med"},{"issue":"4","key":"10.1016\/j.csm.2026.02.001_bib24","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1007\/s00167-013-2591-z","article-title":"Evidence of capsular defect following hip arthroscopy","volume":"22","author":"McCormick","year":"2014","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"7","key":"10.1016\/j.csm.2026.02.001_bib25","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1053\/jars.2000.7686","article-title":"Avoiding the labrum in hip arthroscopy","volume":"16","author":"Byrd","year":"2000","journal-title":"Arthrosc J Arthrosc Relat Surg"},{"issue":"12","key":"10.1016\/j.csm.2026.02.001_bib26","doi-asserted-by":"crossref","first-page":"1496","DOI":"10.1016\/j.arthro.2005.08.013","article-title":"Arthroscopic labral repair in the hip: surgical technique and review of the literature","volume":"21","author":"Kelly","year":"2005","journal-title":"Arthrosc J Arthrosc Relat Surg"},{"issue":"1","key":"10.1016\/j.csm.2026.02.001_bib27","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.arthro.2020.08.004","article-title":"Arthroscopic capsular management of the hip: a comparison of indications for and clinical outcomes of periportal versus interportal capsulotomy","volume":"37","author":"McGovern","year":"2021","journal-title":"Arthroscopy"},{"key":"10.1016\/j.csm.2026.02.001_bib28","doi-asserted-by":"crossref","DOI":"10.1016\/j.arthro.2025.01.027","article-title":"Patients undergoing hip arthroscopy with periportal and puncture capsulotomy demonstrate favorable outcomes at short-term follow-up: a systematic review","author":"Klug","year":"2025","journal-title":"Arthroscopy"},{"issue":"3","key":"10.1016\/j.csm.2026.02.001_bib29","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1177\/0363546520987226","article-title":"Achievement of meaningful clinical outcomes is unaffected by capsulotomy type during arthroscopic treatment of femoroacetabular impingement syndrome: results from the multicenter arthroscopic study of the hip (MASH) study group","volume":"49","author":"Parvaresh","year":"2021","journal-title":"Am J Sports Med"},{"issue":"2","key":"10.1016\/j.csm.2026.02.001_bib30","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.ST.23.00061","article-title":"Puncture capsulotomy technique during hip arthroscopy","volume":"14","author":"Gillinov","year":"2024","journal-title":"JBJS Essent Surg Tech"},{"issue":"1","key":"10.1016\/j.csm.2026.02.001_bib31","doi-asserted-by":"crossref","DOI":"10.1177\/23259671221144056","article-title":"Puncture capsulotomy technique for hip arthroscopy: midterm functional outcomes","volume":"11","author":"Eberlin","year":"2023","journal-title":"Orthop J Sports Med"}],"container-title":["Clinics in Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0278591926000165?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0278591926000165?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T20:33:17Z","timestamp":1788381197000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0278591926000165"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":31,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S0278591926000165"],"URL":"https:\/\/doi.org\/10.1016\/j.csm.2026.02.001","relation":{},"ISSN":["0278-5919"],"issn-type":[{"value":"0278-5919","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Percutaneous (Periportal) Hip Arthroscopy","name":"articletitle","label":"Article Title"},{"value":"Clinics in Sports Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.csm.2026.02.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}