Purpose
Methods
Results
Conclusion
Level of evidence
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ArthroscopyReferences
- Can the FEAR index be used to predict microinstability in patients undergoing hip arthroscopic surgery?.Am J Sports Med. 2019; 47: 3158-3165
- Hip instability treated with arthroscopic capsular plication.Knee Surg Sports Traumatol Arthrosc. 2017; 25: 24-30
- Microinstability of the hip-gaining acceptance.J Am Acad Orthop Surg. 2019; 27: 12-22
- Arthroscopic capsulotomy, capsular repair, and capsular plication of the hip: Relation to atraumatic instability.Arthroscopy. 2013; 29: 162-173
- Arthroscopic capsular plication and labral preservation in borderline hip dysplasia: Two-year clinical outcomes of a surgical approach to a challenging problem.Am J Sports Med. 2013; 41: 2591-2598
- Biomechanical effects of capsular shift in the treatment of hip microinstability: Creation and testing of a novel hip instability model.Am J Sports Med. 2016; 44: 689-695
- Does capsular laxity lead to microinstability of the native hip?.Am J Sports Med. 2018; 46: 1315-1323
- Are there sex-dependent differences in acetabular dysplasia characteristics?.Clin Orthop Relat Res. 2015; 473: 1432-1439
- The Cliff sign: A new radiographic sign of hip instability.Orthop J Sports Med. 2018; 6 (2325967118807176)
- Diagnostic accuracy of 3 physical examination tests in the assessment of hip microinstability.Orthop J Sports Med. 2017; 5 (2325967117740121)
- The femoral head "divot" sign: A useful arthroscopic sign of hip microinstability.Orthop J Sports Med. 2020; 8 (2325967120917919)
- Microinstability of the hip: a systematic review of the imaging findings.Skeletal Radiol. 2020; 49: 1903-1919
- The "outside-in" lesion of hip impingement and the "inside-out" lesion of hip dysplasia: Two distinct patterns of acetabular chondral injury.Am J Sports Med. 2019; 47: 2978-2984
- Is there a distinct pattern to the acetabular labrum and articular cartilage damage in the non-dysplastic hip with instability?.Knee Surg Sports Traumatol Arthrosc. 2017; 25: 84-93
- Decreased synovial inflammation in atraumatic hip microinstability compared with femoroacetabular impingement.Arthroscopy. 2017; 33: 553-558
- Patient-Specific parameters associated with traction in primary and revision hip arthroscopic surgery.Orthop J Sports Med. 2018; 6 (2325967118807707)
- Capsular laxity of the hip: Findings at magnetic resonance arthrography.Arthroscopy. 2013; 29: 1615-1622
- Clinical and radiographic presentation of capsular iatrogenic hip instability after previous hip arthroscopy.Am J Sports Med. 2020; 48: 2927-2932
- Arthroscopic capsular repair for symptomatic hip instability after previous hip arthroscopic surgery.Am J Sports Med. 2016; 44: 39-45
- Hip distraction without a perineal post: A prospective study of 1000 hip arthroscopy cases.Am J Sports Med. 2018; 46: 632-641
- Hip morphology influences the pattern of damage to the acetabular cartilage: Femoroacetabular impingement as a cause of early osteoarthritis of the hip.J Bone Joint Surg Br. 2005; 87: 1012-1018
- The etiology of osteoarthritis of the hip: An integrated mechanical concept.Clin Orthop Relat Res. 2008; 466: 264-272
- Femoroacetabular impingement: A cause for osteoarthritis of the hip.Clin Orthop Relat Res. 2003; : 112-120
- The anatomy, diagnosis and pathology of femoroacetabular impingement.Br J Hosp Med. 2009; 70: 72-77
- Patient and disease characteristics associated with hip arthroscopy failure in acetabular dysplasia.J Arthroplasty. 2014; 29: 160-163
- Hip instability: A review of hip dysplasia and other contributing factors.Muscles Ligaments Tendons J. 2016; 6: 343-353
- Microinstability of the hip-it does exist: Etiology, diagnosis and treatment.J Hip Preserv Surg. 2015; 2: 123-135
- Acetabular cartilage delamination in femoroacetabular impingement. Risk factors and magnetic resonance imaging diagnosis.J Bone Joint Surg Am. 2009; 91: 305-313
- Lateral acetabular coverage predicts the size of the hip labrum.Am J Sports Med. 2016; 44: 1582-1589
- Standardizing the prearthritic hip joint space width: An analysis of 994 hips.Arthroscopy. 2018; 34: 2114-2120
- Differences in the locations and modes of labral tearing between dysplastic hips and those with femoroacetabular impingement.Bone Joint J. 2013; 95-b: 1320-1325
- In vitro analysis of peri-articular soft tissues passive constraining effect on hip kinematics and joint stability.Knee Surg Sports Traumatol Arthrosc. 2013; 21: 1655-1663
- Relationship between femoroacetabular contact areas and hip position in the normal joint: An in vitro evaluation.Knee Surg Sports Traumatol Arthrosc. 2013; 21: 408-414
- Role of the acetabular labrum and the iliofemoral ligament in hip stability: An in vitro biplane fluoroscopy study.Am J Sports Med. 2011; 39: 85s-91s
- Capsulotomy size affects hip joint kinematic stability.Arthroscopy. 2016; 32: 1571-1580
- The effect of capsulotomy and capsular repair on hip distraction: A cadaveric investigation.Arthroscopy. 2017; 33: 559-565
- Gross instability after hip arthroscopy: An analysis of case reports evaluating surgical and patient factors.Arthroscopy. 2016; 32 (e1191): 1196-1204
- Hip instability: Anatomic and clinical considerations of traumatic and atraumatic instability.Clin Sports Med. 2011; 30: 349-367
- A quantitative analysis of hip capsular thickness.Knee Surg Sports Traumatol Arthrosc. 2015; 23: 2548-2553
- The dimensions of the hip capsule can be measured using magnetic resonance imaging and may have a role in arthroscopic planning.Knee Surg Sports Traumatol Arthrosc. 2020; 28: 1246-1261
- Generalized joint hypermobility is predictive of hip capsular thickness.Orthop J Sports Med. 2017; 5 (2325967117701882)
- Capsular thinning on magnetic resonance arthrography is associated with intra-operative hip joint laxity in women.J Hip Preserv Surg. 2020; 7: 298-304
- Secondary capsular laxity of the hip.Hip Int. 2010; 20: 497-504
- Intra-articular volume reduction with arthroscopic plication for capsular laxity of the hip: A cadaveric comparison of two surgical techniques.Arthroscopy. 2019; 35: 471-477
- The role of the ligamentum teres in the adult hip: Redundant or relevant? A review.J Hip Preserv Surg. 2018; 5: 15-22
- A cadaveric model for ligamentum teres function: A pilot study.Knee Surg Sports Traumatol Arthrosc. 2013; 21: 1689-1693
- Structural properties of the native ligamentum teres.Orthop J Sports Med. 2014; 2 (2325967114561962)
- MR findings associated with positive distraction of the hip joint achieved by axial traction.Skeletal Radiol. 2015; 44: 787-795
- Emerging topics on the hip: ligamentum teres and hip microinstability.Eur J Radiol. 2012; 81: 3745-3754
- Ligamentum teres: A functional description and potential clinical relevance.Knee Surg Sports Traumatol Arthrosc. 2012; 20: 1209-1214
- Acute osteochondral injuries of the hip.Clin Nucl Med. 2002; 27: 547-549
- Ligamentum teres tears and femoroacetabular impingement: Prevalence and preoperative findings.Arthroscopy. 2016; 32: 1293-1297
- Tears of the ligamentum teres: Prevalence in hip arthroscopy using 2 classification systems.Am J Sports Med. 2011; 39: 117s-125s
- Magnetic resonance arthrography in children with developmental hip dysplasia.Clin Orthop Relat Res. 2000; 374: 235-246
- Risk factors for ligamentum teres tears.Arthroscopy. 2013; 29: 64-73
- The gymnasts' hip and groin: A magnetic resonance imaging study in asymptomatic elite athletes.Skeletal Radiol. 2014; 43: 1071-1077
- Atraumatic tears of the ligamentum teres are more frequent in professional ballet dancers than a sporting population.Skeletal Radiol. 2016; 45: 959-967
- Crevasse" lesions: A unique pattern of femoral head chondral damage.Cartilage. 2014; 5: 5-10
- A systematic review investigating the presence of inflammatory synovitis in hip and knee joint replacement surgery.Arthritis. 2015; 2015: 729410
- Arthroscopic evaluation of the lateral compartment of knees with grade 3 posterolateral knee complex injuries.Am J Sports Med. 1997; 25: 596-602
- Arthroscopic shoulder stabilization using transglenoid sutures. A four-year minimum followup.Am J Sports Med. 1996; 24: 459-467
- Capsular plication for treatment of iatrogenic hip instability.Arthrosc Tech. 2015; 4: 625-630
- Hip dislocation or subluxation after hip arthroscopy: A systematic review.Arthroscopy. 2016; 32: 1428-1434
- Protocol—The RAMESES II Study: Developing guidance and reporting standards for realist evaluation.BMJ Open. 2015; 5e008567
- The Use of the Delphi and Other Consensus Group Methods in Medical Education Research: A Review.Acad Med. 2017; 92: 1491-1498
- Stability of response characteristics of a Delphi panel: application of bootstrap data expansion.BMC Med Res Methodol. 2005; 5: 37
- Consensus methods for medical and health services research.BMJ. 1995; 311: 376-380
- The Delphi technique: Making sense of consensus.Practical Assess Res Eval. 2007; 12: 1-8
- Determination and quantification of content validity.Nurs Res. 1986; 35: 382-385
- The Pull Test: A dynamic rest to confirm hip microinstability.Arthrosc Sports Med Rehabil. 2019; 1 (e67-e74)
- Catastrophic failure of hip arthroscopy due to iatrogenic instability: Can partial division of the ligamentum teres and iliofemoral ligament cause subluxation?.Arthroscopy. 2012; 28: 440-445
- Anatomic arthroscopic ligamentum teres reconstruction for hip instability.Arthrosc Tech. 2016; 5e737-e42
- Ligamentum teres reconstruction: Indications, technique and minimum 1-year results in nine patients.J Hip Preserv Surg. 2020; 7: 140-146
- Central femoral head chondromalacia is associated with a diagnosis of hip instability.ASMAR. 2022; 4e453-e457
Article info
Publication history
Footnotes
The authors report the following potential conflicts of interest or sources of funding: A.J.A. reports personal fees from ConMed, Smith & Nephew, and Corin; other from Hip International, ISHA—The Hip Preservation Society, and Non-Arthroplasty Hip Registry (UK-NAHR). S.K.A. reports other from Stryker Medical. O.R.A. reports Speakers Bureau for ConMed and Smith & Nephew. N.B. reports personal fees from Dedienne Sante, ConMed, and Stryker; patents for Symbol System with royalties paid to Dedienne Sante and Paradigm with royalties paid to ConMed. M.J.B. reports grants from Stryker and personal fees from Stryker. B.G.D. reports board membership for the American Hip Institute Research Foundation, AANA Learning Center Committee, the Journal of Hip Preservation Surgery, and the Journal of Arthroscopy; ownership interests in the American Hip Institute, Hinsdale Orthopedic Associates, Hinsdale Orthopedic Imaging, SCD#3, North Shore Surgical Suites, and Munster Specialty Surgery Center; grants from the American Optometric Foundation, Arthrex, Medacta, Stryker, Breg, Medwest Associates, ATI Physical Therapy, and Ossur; other from the American Orthopedic Foundation, and Stryker; personal fees from Amplitude, Arthrex, DJO Global, Medacta, Stryker, Orthomerica, and St. Alexius Medical Center; and non-financial support from Arthrex, DJO Global, Medacta, Stryker, Medwest Associates, St. Alexius Medical Center, Zimmer Biomet, DePuy Synthes Sales, Medtronic, Prime Surgical, and Trice Medical; patent 8920497 – Method and instrumentation for acetabular labrum reconstruction with royalties paid to Arthrex, patent 8708941 – Adjustable multi-component hip orthosis with royalties paid to Orthomerica and DJO Global, and patent 9737292 – Knotless suture anchors and methods of tissue repair with royalties paid to Arthrex; board membership of American Hip Institute Research Foundation, AANA Learning Center Committee, the Journal of Hip Preservation Surgery, the Journal of Arthroscopy; has had ownership interests in the American Hip Institute, Hinsdale Orthopedic Associates, Hinsdale Orthopedic Imaging, SCD#3, North Shore Surgical Suites, and Munster Specialty Surgery Center. R.E.F. reports personal fees from Medacta International. V.K. reports an Educational Consultant -- Smith & Nephew and Arthrex; board of directors for SICOT; and executive committee of BHS and ESSKA. F.L. reports grants from Medacta and personal fees from Medacta. O.M-D. reports personal fees from Stryker. I.R.M. reports personal fees from Arthrex; and other from Bone and Joint Journal and Bone and Joint Research. S.J.N. reports non-financial support from Allosource, Arthrex, Athletico, DJ Orthopaedics, Linvatec, Miomed, and Smith & Nephew; other from American Orthopaedic Association, American Society for Sports Medicine, and Arthroscopy Association of North America; and personal fees from Ossur, Springer, and Stryker. M.J.P. reports grants from Smith & Nephew, Ossur, and Siemens; personal fees from Smith & Nephew and Siemens; and other from Arthrosurface, MJP Innovations, LLC, MIS, Bledsoe, ConMed Linvatec, DonJoy, Slack, Elsevier, VaIL Valley Surgery Center, EffRX, Vail MSO Holdings, LLC, and Synthes GMBH. M.R.S. reports grants from Smith & Nephew; and personal fees from Smith & Nephew and Medacta. Full ICMJE author disclosure forms are available for this article online, as supplementary material.