{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T11:30:43Z","timestamp":1791199843175,"version":"4.2.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Inconsistencies in the workup of labral tears in the hip have been shown to result in a delay in treatment and an increased cost to the medical system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To establish consensus statements among Canadian nonoperative\/operative sports medicine physicians via a modified Delphi process on the diagnosis, nonoperative and operative management, and rehabilitation and return to play (RTP) of those with labral tears in the hip.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>A consensus statement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 40 sports medicine physicians (50% orthopaedic surgeons) were selected for participation based on their level of expertise in the field. Experts were assigned to 1 of 4 balanced working groups defined by specific subtopics of interest. Consensus, strong consensus, and unanimous consensus were defined as achieving 80% to 89%, 90% to 99%, and 100% agreement with a proposed statement, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There was a unanimous consensus that several prognostic factors\u2014including age, pain severity, dysplasia, and degenerative changes\u2014should be taken into consideration with regard to the likelihood of surgical success. There was strong agreement that the cluster of symptoms of anterior groin pain, pain in hyperflexion, and sharp catching pain with rotation make a diagnosis of a labral tear more likely, that radiographs\u2014including a minimum of a standing anteroposterior pelvis and 45\u00b0 Dunn view\u2014should be obtained in all patients presenting with a suspected labral tear, that a diagnostic injection should be performed if there is uncertainty that the pain is intra-articular in origin, and that a minimum of 6 months should elapse after surgical treatment before reinvestigation for persistent symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Overall, 76% of statements reached a unanimous\/strong consensus, thus indicating a high level of agreement between nonoperative sports medicine physicians and orthopaedic surgeons on the management of labral tears in the hip. The statements that achieved unanimous consensus included the timing of RTP after surgery, prognostic factors affecting surgical success, and the timing to begin sport-specific training after nonoperative management. There was no consensus on the use of orthobiologics for nonoperative management, indications for bilateral surgery, whether the postoperative range of motion and weightbearing restrictions should be employed, and whether postoperative hip brace usage is required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671241305409","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T16:41:56Z","timestamp":1737650516000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Management of Labral Tears in the Hip: A Consensus Statement"],"prefix":"10.1177","volume":"13","author":[{"given":"Bogdan A.","family":"Matache","sequence":"first","affiliation":[{"name":"The Ottawa Hospital, Ottawa, Ontario, Canada"},{"name":"The University of Ottawa, Ottawa, Ontario, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c9tienne L.","family":"Belzile","sequence":"additional","affiliation":[{"name":"CHU de Quebec-Universite Laval, Quebec, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olufemi R.","family":"Ayeni","sequence":"additional","affiliation":[{"name":"McMaster University, Hamilton, Ontario, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc De","family":"Garie","sequence":"additional","affiliation":[{"name":"Universite de Montreal, Montreal, Quebec, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan M.","family":"Degen","sequence":"additional","affiliation":[{"name":"Fowler Kennedy Sports Medicine, London, Ontario, Canada"},{"name":"Western University, London, Ontario, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Goudie","sequence":"additional","affiliation":[{"name":"STRIVE Sport & Exercise Medicine Clinic, Barrie, Ontario, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Heroux","sequence":"additional","affiliation":[{"name":"University of Saskatchewan, Regina, Saskatchewan, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Josee","family":"Klett","sequence":"additional","affiliation":[{"name":"The University of Ottawa, Ottawa, Ontario, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Persson","sequence":"additional","affiliation":[{"name":"Glen Sather Sports Medicine Clinic, Edmonton, Alberta, Canada"},{"name":"University of Alberta, Edmonton, Alberta, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan","family":"Wong","sequence":"additional","affiliation":[{"name":"Dalhousie University, Halifax, Nova Scotia, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"The AAC-CASEM Consensus Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Firas","family":"Al-Rawi","sequence":"additional","affiliation":[{"name":"University of Toronto, Toronto, Ontario, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Penny-Jane","family":"Baylis","sequence":"additional","affiliation":[{"name":"McGill University, Montreal, Quebec, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul E.","family":"Beaule","sequence":"additional","affiliation":[{"name":"The Ottawa Hospital and The University of Ottawa, Ontario, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Blanchet","sequence":"additional","affiliation":[{"name":"Clinique Medicale Pierre-Bertrand, Quebec, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan","family":"Buchko","sequence":"additional","affiliation":[{"name":"University of Saskatchewan, Regina, Saskatchewan, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Collin","sequence":"additional","affiliation":[{"name":"Clinique du PEPS-Universite Laval, Quebec, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Crookham","sequence":"additional","affiliation":[{"name":"Pacific Orthopedics and Sports Medicine, Vancouver, British Columbia, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bobby","family":"Homayoon","sequence":"additional","affiliation":[{"name":"University of Calgary, Calgary, Alberta, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7696-2981","authenticated-orcid":false,"given":"Eoghan T.","family":"Hurley","sequence":"additional","affiliation":[{"name":"Duke University, Durham, North Carolina, USA"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Johnston","sequence":"additional","affiliation":[{"name":"University of Calgary, Calgary, Alberta, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8237-8095","authenticated-orcid":false,"given":"Moin","family":"Khan","sequence":"additional","affiliation":[{"name":"McMaster University, Hamilton, Ontario, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane","family":"Lambert","sequence":"additional","affiliation":[{"name":"Clinique du PEPS-Universite Laval, Quebec, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Leblanc","sequence":"additional","affiliation":[{"name":"McGill University, Montreal, Quebec, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devin","family":"Lemmex","sequence":"additional","affiliation":[{"name":"University of Calgary, Calgary, Alberta, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Ling","sequence":"additional","affiliation":[{"name":"Avant Sports Medicine, Saskatoon, Saskatchewan, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parth","family":"Lodhia","sequence":"additional","affiliation":[{"name":"University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Billy","family":"Longland","sequence":"additional","affiliation":[{"name":"University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Kyle Martin","sequence":"additional","affiliation":[{"name":"University of Minnesota, Saint Cloud, Minnesota, USA"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"McConkey","sequence":"additional","affiliation":[{"name":"University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bob","family":"McCormack","sequence":"additional","affiliation":[{"name":"University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mickey","family":"Moroz","sequence":"additional","affiliation":[{"name":"McGill University, Montreal, Quebec, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Lyne","family":"Nault","sequence":"additional","affiliation":[{"name":"Universite de Montreal, Montreal, Quebec, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross","family":"Outerbridge","sequence":"additional","affiliation":[{"name":"Kamloops Orthopedics, Kamloops, British Columbia, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Peltz","sequence":"additional","affiliation":[{"name":"Algonquin College, Ottawa, Ontario, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita","family":"Pozgay","sequence":"additional","affiliation":[{"name":"The University of Ottawa, Ottawa, Ontario, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Reid","sequence":"additional","affiliation":[{"name":"Glen Sather Sports Medicine Clinic and University of Alberta, Edmonton, Alberta, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Shallow","sequence":"additional","affiliation":[{"name":"Queen\u2019s University, Kingston, Ontario, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Shields","sequence":"additional","affiliation":[{"name":"University of Calgary, Calgary, Alberta, USA"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Tucker","sequence":"additional","affiliation":[{"name":"Dalhousie University, Halifax, Nova Scotia, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Urquhart","sequence":"additional","affiliation":[{"name":"Dalhousie University, Halifax, Nova Scotia, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarret","family":"Woodmass","sequence":"additional","affiliation":[{"name":"Pan Am Clinic and University of Manitoba, Winnipeg, Manitoba, Canada"},{"name":"Investigation performed at The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,23]]},"reference":[{"key":"bibr1-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.08.012"},{"key":"bibr2-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1624-x"},{"key":"bibr3-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516652114"},{"key":"bibr4-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-020-02627-0"},{"key":"bibr5-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512467612"},{"key":"bibr6-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000974"},{"issue":"417","key":"bibr7-23259671241305409","first-page":"112","volume":"2003","author":"Ganz R","journal-title":"Clin Orthop Relat Res"},{"key":"bibr8-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.08.013"},{"key":"bibr9-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-096743"},{"key":"bibr10-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1093\/jhps\/hnad023"},{"key":"bibr11-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.06.053"},{"key":"bibr12-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1177\/2325967114523916"},{"key":"bibr13-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2362041987"},{"key":"bibr14-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.10.011"},{"key":"bibr15-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-2862-3"},{"key":"bibr16-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211025526"},{"key":"bibr17-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211046915"},{"key":"bibr18-23259671241305409","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10143125"},{"key":"bibr19-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2017.09.185"},{"key":"bibr20-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-096936"},{"key":"bibr21-23259671241305409","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2023.11666"},{"key":"bibr22-23259671241305409","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2020.9189"},{"key":"bibr23-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516686960"},{"key":"bibr24-23259671241305409","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2016.0605"},{"key":"bibr25-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.08.019"},{"key":"bibr26-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e31818e194f"},{"key":"bibr27-23259671241305409","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.95B10.31647"}],"container-title":["Orthopaedic Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671241305409","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23259671241305409","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671241305409","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:22:25Z","timestamp":1777594945000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23259671241305409"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":27,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1177\/23259671241305409"],"URL":"https:\/\/doi.org\/10.1177\/23259671241305409","relation":{},"ISSN":["2325-9671","2325-9671"],"issn-type":[{"value":"2325-9671","type":"print"},{"value":"2325-9671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"article-number":"23259671241305409"}}