Skip to content

What's New — Hip — December 2025

42 new articles published this month.

Themes: Hip Arthroscopy: Capsular Management and Outcomes · Surgical Techniques and Technology in Hip Preservation · Femoral Neck Fractures: Fixation and Rehabilitation · Periprosthetic Infection, Tumors, and Complex Reconstruction · Patient Selection, Prognosis, and Preoperative Optimization

Digest generated 2026-04-16 00:47:39+00:00.

Highlights

Hip Arthroscopy: Capsular Management and Outcomes

Recent literature critically evaluates capsular management strategies in hip arthroscopy for femoroacetabular impingement syndrome (FAIS). A multilevel meta-analysis compares capsule preservation, repair, and unrepaired techniques, highlighting mid-to-long-term functional outcomes and failure rates [1]. While some studies suggest that patients with joint hypermobility do not have inferior outcomes with labral repair and capsular closure [18], others indicate that revision arthroscopy yields worse patient-reported outcomes and higher conversion rates to total hip arthroplasty compared to primary procedures [22]. Furthermore, the impact of preoperative corticosteroid injections on long-term surgical success remains debated, with matched analyses showing no difference in responder rates at ten years [21].

Surgical Techniques and Technology in Hip Preservation

Advancements in surgical precision and adjunctive therapies for hip preservation are a major focus. Computer navigation-assisted osteochondroplasty may improve resection accuracy, though clinical outcome differences compared to freehand techniques remain limited [29]. In cases of femoral retroversion, combining derotational osteotomy with arthroscopy proves superior to arthroscopy alone [28]. The role of artificial intelligence is also emerging; while retrieval-augmented AI models improve the accuracy of patient education materials, they may compromise readability [42]. Additionally, virtual and augmented reality technologies demonstrate strong validity for hip arthroscopy education [26], and combined procedures like periacetabular osteotomy with arthroscopy show significant short- and medium-term improvements [19].

Femoral Neck Fractures: Fixation and Rehabilitation

Management of femoral neck fractures in young and elderly populations continues to evolve. Comparative studies evaluate the Femoral Neck System against cannulated screws, as well as various screw configurations, to optimize fixation stability [10, 11]. Enhanced external counterpulsation has shown promise in promoting healing when combined with cannulated screw fixation in a pilot randomized trial [17]. In the elderly, the choice between long and short cephalomedullary nails for extracapsular fractures is scrutinized regarding quality of life and mortality, while direct anterior versus posterolateral approaches for hemiarthroplasty are compared for functional outcomes [40, 41].

Periprosthetic Infection, Tumors, and Complex Reconstruction

Complex scenarios involving infection and oncology present significant challenges. Polymicrobial periprosthetic joint infections require specific surgical and antibiotic strategies, with long-term outcomes assessed in retrospective cohorts [37]. Post-debridement, continuous negative pressure therapy is investigated for its effect on acute periprosthetic joint infection management [6]. In the realm of oncology, reconstructive options after periacetabular tumor resection are compared, weighing prosthetic reconstruction against hip transposition to optimize functional results [38].

Patient Selection, Prognosis, and Preoperative Optimization

Preoperative assessment and patient stratification are vital for predicting outcomes. The neutrophil-to-lymphocyte ratio serves as a predictor for postoperative mortality in hip fracture surgery [8], while sarcopenia indices prove superior to creatinine-cystatin ratios for prognostication in older adults [13]. Osteoporosis is frequently underdiagnosed in total hip arthroplasty candidates, necessitating comprehensive bone density and turnover marker assessments [3]. Additionally, the use of preoperative bisphosphonates in total hip arthroplasty is analyzed for its association with adverse surgical outcomes, and AI-assisted 3D planning shows severity-dependent benefits in complex dysplasia cases [15, 39].

Articles by Theme

Hip Arthroscopy: Capsular Management and Outcomes (4)

1. Ramadanov N, Voss M, Hable R, et al. Mid‐ to long‐term outcomes of capsular management in hip arthroscopy for FAIS: A multilevel meta‐analysis. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70259

This multilevel meta-analysis compared mid- to long-term outcomes of capsule preservation, repair, and non-repair following hip arthroscopy for femoroacetabular impingement syndrome. The study found no statistically significant differences in functional scores or pain relief among the three capsular management strategies. Clinically, this suggests that surgeons may select a capsular technique based on intraoperative factors without compromising long-term patient outcomes.

18. Ruzbarsky JJ, Comfort SM, Shelton TJ, et al. Hip Arthroscopy With Labral Repair and Capsular Closure in Patients With Joint Hypermobility Does Not Result in Inferior Outcomes Compared With Patients Without Joint Hypermobility. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.06.007

Researchers compared patient outcomes following hip arthroscopy with labral repair and capsular closure in patients with joint hypermobility versus those without. The key finding was that hypermobile patients achieved outcomes comparable to non-hypermobile patients, with no inferior results observed. This indicates that joint hypermobility should not be considered a contraindication for this surgical procedure.

21. Hu EY, Vega J, Cervantes JE, et al. No Difference in Responders and Nonresponders to Preoperative Intra-articular Corticosteroid Injection Undergoing Hip Arthroscopy for Femoroacetabular Impingement Syndrome at 10 Years: A Matched Analysis. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.013

This matched analysis examined whether preoperative intra-articular corticosteroid injection response predicts long-term outcomes in patients undergoing hip arthroscopy for femoroacetabular impingement. The study found no difference in responder or non-responder rates at 10 years between those who responded to the injection and those who did not. Clinically, this implies that the efficacy of the injection should not be used to stratify patients for surgical decision-making.

22. Villarreal-Espinosa JB, Gómez-Verdejo F, Murray MJ, et al. Revision Hip Arthroscopy Yields Inferior Patient Reported Outcome Measures and Patient Acceptable Symptomatic State Along with Higher Total Hip Arthroplasty Conversion Compared to the Primary Setting at a Minimum 2-Year Follow-Up. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.014

Researchers compared patient-reported outcomes and conversion rates between primary and revision hip arthroscopy procedures over a minimum 2-year follow-up. The study revealed that revision cases yielded inferior outcomes and higher rates of conversion to total hip arthroplasty compared to primary surgeries. This highlights the need for careful patient selection and counseling regarding the reduced efficacy of revision procedures.

Surgical Techniques and Technology in Hip Preservation (5)

19. Comfort SM, Felan NA, Mologne MS, et al. Combined Hip Arthroscopy and Periacetabular Osteotomy Performed Under the Same Anesthesia Event Results in Significant Improvement in Outcomes at Short- and Medium-Term Follow-Up With Low Rates of Complications and Conversion to Total Hip Arthroplasty. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.06.027

This study assessed the safety and efficacy of performing combined hip arthroscopy and periacetabular osteotomy during a single anesthesia event. Results demonstrated significant functional improvements at short- and medium-term follow-up with low complication and conversion rates to total hip arthroplasty. The findings support the feasibility of this combined approach as an effective treatment strategy for complex hip pathology.

26. Vivekanantha P, Ochiai DH, Kotipalli S, et al. Virtual Reality and Augmented Reality Are Uniquely Suited to Hip Arthroscopy Education and Reveal Adequate Face, Content, and Construct Validity: A Systematic Review With Expert Commentary. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.039

A systematic review with expert commentary evaluated the validity of virtual and augmented reality technologies for hip arthroscopy education. The study found that these immersive tools demonstrate adequate face, content, and construct validity for training purposes. This suggests that VR and AR are effective, uniquely suited modalities for enhancing surgical education and skill acquisition.

28. Baker HP, Uvodich ME, Capitano A, et al. Femoral Derotational Osteotomy Alone or Combined With Hip Arthroscopy Is Superior to Arthroscopy Alone in Patients With Femoral Retroversion. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.047

The authors compared outcomes of femoral derotational osteotomy alone or combined with hip arthroscopy against arthroscopy alone in patients with femoral retroversion. Results showed that osteotomy, whether performed independently or in conjunction with arthroscopy, yielded superior outcomes compared to arthroscopy alone. This supports the inclusion of derotational osteotomy as a critical component of treatment for this specific anatomical variant.

29. Saito M, Higashihira S, Yukizawa Y, et al. Computer Navigation-Assisted Osteochondroplasty May Improve Accuracy of Resection Planning With Limited Outcome Differences Compared With Freehand Hip Arthroscopic Technique in Patients With Femoroacetabular Impingement Syndrome. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.048

This study assessed whether computer navigation-assisted osteochondroplasty improves resection planning accuracy compared to the freehand technique in femoroacetabular impingement syndrome. While navigation significantly enhanced the precision of bone resection planning, it resulted in only limited differences in clinical outcomes. The findings suggest that while navigation offers technical advantages, the freehand technique remains clinically viable for many cases.

42. Gültekin O, Sezgin EA, Cakır O, et al. Retrieval‐augmented ChatGPT‐4o improves accuracy but reduces readability in hip arthroscopy patient education. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70207

Researchers evaluated whether retrieval-augmented ChatGPT-4o improves the accuracy of hip arthroscopy patient education compared to the standard model. They found that the retrieval-augmented version significantly enhanced accuracy and comprehensiveness but reduced readability and clarity. Clinically, this suggests that while AI tools can provide more reliable medical information, their output may require editing to ensure it remains accessible to patients.

Femoral Neck Fractures: Fixation and Rehabilitation (5)

10. Ding W, Wang R, Wei Q, et al. Comparative study on the clinical efficacy of femoral neck system and cannulated cancellous screw in the treatment of femoral neck fractures in young patients. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09404-2

This comparative study assessed the clinical efficacy of the femoral neck system versus cannulated cancellous screws for treating femoral neck fractures in young patients. The results likely highlight differences in fixation stability, union rates, or complication profiles between the two fixation methods. Understanding these comparative outcomes helps surgeons select the most appropriate fixation strategy to optimize functional recovery in this specific demographic.

11. Zhao H, Li R, Meng D, et al. Comparative study on femoral neck fractures treatment: partial threaded cannulated screw versus different combinations of partial threaded cannulated screw and fully threaded headless cannulated screw. Journal of Orthopaedic Surgery and Research 2025. doi:10.1186/s13018-025-06466-9

This research compared the treatment outcomes of partial threaded cannulated screws alone against various combinations with fully threaded headless cannulated screws for femoral neck fractures. The study determined which configuration offers superior biomechanical stability or clinical success rates in fracture fixation. These insights guide orthopedic surgeons in choosing the most effective screw combination to minimize failure risks and promote healing.

17. Wang Z, Zhang W, Liu C, et al. Enhanced external counterpulsation-assisted cannulated screw fixation promoted femoral neck fracture healing: a pilot randomized controlled trial. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09363-8

This pilot randomized controlled trial evaluated the efficacy of enhanced external counterpulsation combined with cannulated screw fixation for femoral neck fractures. The study found that the combined approach significantly promoted fracture healing compared to standard fixation alone. Clinically, this suggests that adding ECP could be a viable adjunctive therapy to improve healing outcomes in femoral neck fractures.

40. Goh EL, Png ME, Metcalfe D, et al. Clinical outcomes following treatment of extracapsular hip fractures with long compared with short cephalomedullary nails. The Bone & Joint Journal 2025. doi:10.1302/0301-620x.107b12.bjj-2025-0482.r1

This prospective cohort study compared long versus short cephalomedullary nails for extracapsular hip fractures, analyzing quality of life, mortality, and complications over 120 days. The results indicated that while both nail types are effective, specific differences in complication rates and functional outcomes may guide surgical selection. The findings provide evidence to help surgeons choose the appropriate nail length based on fracture characteristics and patient-specific risk factors.

41. Chen J, Zhang X, Xu W. Direct anterior approach versus posterolateral approach hemiarthroplasty for treating femoral neck fractures in the elderly: a prospective controlled study. Journal of Orthopaedic Surgery and Research 2025. doi:10.1186/s13018-025-06552-y

This prospective controlled study compared the direct anterior and posterolateral approaches for hemiarthroplasty in elderly patients with femoral neck fractures. Although the abstract text is missing, the study design indicates a direct comparison of surgical outcomes between these two techniques. The clinical implication would likely guide surgeons in selecting the optimal approach based on specific patient outcomes and complication rates.

Periprosthetic Infection, Tumors, and Complex Reconstruction (3)

6. Alayed H, Hsu AHS, Wu K, et al. The effect of post-operative continuous negative pressure therapy after debridement, antibiotics, and implant retention for acute periprosthetic joint infection. Journal of Orthopaedic Surgery and Research 2025. doi:10.1186/s13018-025-06355-1

This study examined the efficacy of post-operative continuous negative pressure therapy in patients undergoing debridement, antibiotics, and implant retention for acute periprosthetic joint infection. The intervention was found to significantly improve infection control rates and wound healing outcomes compared to standard care. Implementing this therapy may serve as an effective adjunctive strategy to enhance success in implant retention protocols.

37. Margaryan D, Dos Santos MV, Perka C, et al. Polymicrobial periprosthetic joint infections of the hip and knee. The Bone & Joint Journal 2025. doi:10.1302/0301-620x.107b12.bjj-2024-1656.r2

This retrospective study evaluated 39 patients with polymicrobial periprosthetic joint infections, finding that Staphylococci, Gram-negative bacilli, and enterococci were the most common pathogens. The study assessed surgical and antibiotic strategies, revealing specific risk factors and long-term survival rates associated with two-stage or multistage exchange procedures. These findings support the use of standardized institutional algorithms for managing complex polymicrobial infections to optimize patient outcomes.

38. Wang Z, Fan D, Shen J, et al. Prosthetic reconstruction or hip transposition after periacetabular tumour resection?. The Bone & Joint Journal 2025. doi:10.1302/0301-620x.107b12.bjj-2025-0173.r2

This study compared prosthetic reconstruction and hip transposition for periacetabular tumor resection, finding that both methods offered viable limb salvage options with distinct complication profiles. Researchers developed and validated a preoperative scoring system to predict major complications and assist in surgical decision-making. The clinical implication is that this scoring tool can help surgeons tailor reconstruction strategies to individual patient risks and functional goals.

Patient Selection, Prognosis, and Preoperative Optimization (5)

3. Ueki S, Shoji T, Yamasaki T, et al. High prevalence and underdiagnosis of osteoporosis in total hip arthroplasty candidates: a comprehensive assessment using bone mineral density, trabecular bone score, and bone turnover markers. Journal of Orthopaedic Surgery and Research 2025. doi:10.1186/s13018-025-06560-y

This study assessed bone health using mineral density, trabecular bone score, and turnover markers in candidates for total hip arthroplasty. It revealed a high prevalence of osteoporosis that was frequently underdiagnosed prior to surgery. These results highlight the critical need for routine comprehensive bone health screening in this population to optimize surgical planning and postoperative care.

8. Liu C, Zheng J, Bai Y, et al. Neutrophil-to-lymphocyte ratio for predicting postoperative mortality after hip fracture surgery: a systematic review and meta-analysis. Journal of Orthopaedic Surgery and Research 2025. doi:10.1186/s13018-025-06495-4

This systematic review and meta-analysis evaluated the utility of the neutrophil-to-lymphocyte ratio as a predictor of postoperative mortality following hip fracture surgery. The findings indicate that an elevated preoperative neutrophil-to-lymphocyte ratio is significantly associated with increased mortality risk. Clinicians should consider this biomarker as part of preoperative risk stratification to identify high-risk patients requiring closer monitoring.

13. Sheng R, Song M, Xie T, et al. Sarcopenia index is a superior prognostic marker to creatinine–cystatin C ratio in older adults with hip fracture. Journal of Orthopaedic Surgery and Research 2025. doi:10.1186/s13018-025-06540-2

This study investigated the prognostic value of the sarcopenia index compared to the creatinine–cystatin C ratio in older adults with hip fractures. The findings indicate that the sarcopenia index is a superior marker for predicting clinical outcomes in this population. Clinicians should consider incorporating sarcopenia assessment into preoperative evaluations to better stratify risk and guide postoperative care planning.

15. Lu Z, Wang Q, Wang X, et al. Severity-dependent benefits of AI-assisted 3D planning in total hip arthroplasty: a Crowe I–IV subgroup and trend analysis. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09348-7

This study analyzed the severity-dependent benefits of AI-assisted 3D planning in total hip arthroplasty across Crowe I–IV subgroups. The results demonstrate that the advantages of AI planning are more pronounced in cases with higher deformity severity. This suggests that AI tools should be prioritized for complex cases to improve surgical precision and potentially enhance long-term outcomes.

39. Hong SH, Yu YJ, Han SB. Preoperative bisphosphonates in total hip arthroplasty. The Bone & Joint Journal 2025. doi:10.1302/0301-620x.107b12.bjj-2025-0280.r1

This nationwide cohort study investigated the impact of preoperative bisphosphonate use on complications in total hip arthroplasty, finding that duration of preoperative therapy significantly influenced the risk of periprosthetic fracture. Patients with longer durations of preoperative bisphosphonate use faced higher risks compared to those with shorter durations or no preoperative use. These results suggest that preoperative medication history should be carefully considered when planning THA to mitigate fracture risks.

2. Hou X, Wang H, Liu Z, et al. Biomechanical comparison of two fixation constructs for displaced quadrilateral surface acetabular fractures: a finite elements analysis. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09351-y

This finite element analysis biomechanically compared two fixation constructs for displaced quadrilateral surface acetabular fractures. The study identified specific differences in construct stability and stress distribution between the two methods under simulated loading conditions. These findings provide theoretical guidance for selecting the optimal fixation strategy to enhance fracture stability in complex acetabular injuries.

4. Li C, Zhang X, Chen H, et al. Mid-term outcomes of modified colonna capsular arthroplasty in adolescent and young adult patient with unilateral hip dysplasia dislocation. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09344-x

This study evaluated the mid-term clinical outcomes of modified colonna capsular arthroplasty in adolescents and young adults with unilateral hip dysplasia dislocation. The procedure demonstrated favorable functional improvements and joint preservation in this specific demographic. The findings support the use of this modified technique as a viable option for managing complex dysplasia in young patients.

5. Su W, Ma B, Leng W, et al. The fate of bone marrow edema after core decompression and bone marrow aspiration concentrate grafting for the hip. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09430-0

This research investigated the resolution patterns of bone marrow edema following core decompression and bone marrow aspiration concentrate grafting for the hip. The study tracked the temporal evolution of edema and correlated its resolution with clinical symptom improvement. Understanding these imaging changes aids in monitoring treatment efficacy and guiding rehabilitation timelines for avascular necrosis.

7. Bacaksız T, Uzakgider M, Maden M, et al. Double versus single fluoroscopy for screw fixation of slipped capital femoral epiphysis: does double fluoroscopy improve outcomes? A retrospective comparative study. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09417-x

This retrospective comparative study evaluated whether double fluoroscopy improves screw fixation accuracy and clinical outcomes in slipped capital femoral epiphysis compared to single fluoroscopy. The analysis revealed no significant difference in complication rates or radiographic alignment between the two imaging techniques. Consequently, single fluoroscopy may be sufficient for this procedure, potentially reducing radiation exposure without compromising safety.

9. Streck LE, Springer B, Haralambiev L, et al. Patient reported outcomes during the first month following anterior and posterior total hip arthroplasty and hip resurfacing. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09337-w

This study evaluated patient-reported outcomes during the first month following anterior and posterior total hip arthroplasty and hip resurfacing procedures. The research identified distinct recovery trajectories and functional differences among these surgical approaches in the early postoperative period. These findings assist clinicians in setting realistic patient expectations and tailoring early rehabilitation protocols based on the specific surgical technique employed.

12. Powell R, Davies A, Coffey T, et al. Implementation of hip replacement surgery recommendations: a qualitative study of orthopaedic surgeons’ perspectives. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09334-z

This qualitative study interviewed orthopedic surgeons to identify barriers and facilitators regarding the implementation of hip replacement surgery recommendations from the HipHOP trial. The analysis revealed that advice based on high-quality evidence and alignment with surgeon expertise are critical for successful adoption of trial findings. These insights suggest that future implementation strategies must address specific professional perceptions to ensure guideline uptake.

14. Ayabe Y, Yoshino S, Motomura G, et al. Transcriptomic insights into nerve growth factor–associated appositional bone formation in the reparative zone in osteonecrosis of the femoral head. Journal of Orthopaedic Surgery and Research 2025. doi:10.1186/s13018-025-06549-7

This research utilized transcriptomic analysis to explore the role of nerve growth factor in appositional bone formation within the reparative zone of osteonecrosis of the femoral head. The study identified specific molecular pathways through which nerve growth factor promotes bone repair in this context. These mechanistic insights may inform the development of targeted biological therapies to enhance bone regeneration in osteonecrosis.

16. Li H, Chang S, Hu S, et al. The “double-intra” pertrochanteric femur fracture: an irreducible and redisplaceable fracture pattern. Journal of Orthopaedic Surgery and Research 2025. doi:10.1186/s13018-025-06545-x

This article describes a novel and challenging fracture pattern termed the 'double-intra' pertrochanteric femur fracture, characterized by irreducibility and redisplacement. The study highlights the unique biomechanical instability of this pattern and the difficulties associated with standard reduction techniques. Recognizing this specific fracture morphology is crucial for surgeons to anticipate complications and select appropriate fixation strategies.

20. Quesada-Jimenez R, Strok MJ, Schab AR, et al. Hip Arthroscopy for Femoroacetabular Impingement Syndrome and Labral Tears in Competitive Soccer Players Shows Significant Functional Improvement and High Return-to-Sport Rates at Mid-Term Follow-Up. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.012

The study investigated the mid-term outcomes of hip arthroscopy for femoroacetabular impingement and labral tears specifically in competitive soccer players. It found significant functional improvements and high rates of return to sport among this athletic population. These results suggest that hip arthroscopy is an effective intervention for maintaining athletic performance in competitive soccer players.

23. Generoso TO, Gonzalez FF, Pelegrinelli AR, et al. Minimal Hip Flexion Increase During Gait After Femoroacetabular Impingement Surgery: A Systematic Review and Meta-analysis of Pre- and Postoperative 3-Dimensional Motion Analysis. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.015

This systematic review and meta-analysis evaluated changes in hip flexion during gait following surgery for femoroacetabular impingement using 3-dimensional motion analysis. The analysis found only a minimal increase in hip flexion range during gait postoperatively despite clinical improvements. This suggests that while patients report better function, objective gait mechanics may not fully normalize after surgery.

24. Smith KL, Shah AK, Burkhart RJ, et al. Systemic Hormonal Contraception Is Associated With a Greater Rate of Greater Trochanteric Pain Syndrome, Labral Tear, and Femoroacetabular Impingement Syndrome in Female Patients. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.017

This study investigated the association between systemic hormonal contraception and the prevalence of greater trochanteric pain syndrome, labral tears, and femoroacetabular impingement in female patients. The findings indicated that users of systemic hormonal contraception had a significantly higher rate of these hip pathologies compared to non-users. These results suggest that hormonal contraception may be a risk factor for developing specific hip disorders in women.

25. Malempati M, Terle PM, Dhillon J, et al. Residual Structural Disease and New Labral Tears Are the Most Common Indications for Revision Hip Arthroscopy: A Systematic Review. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.024

This systematic review analyzed indications for revision hip arthroscopy to identify the primary causes of failure. The key finding revealed that residual structural disease and new labral tears are the most frequent reasons for re-operation. Clinically, this underscores the necessity for precise initial surgical planning and thorough intraoperative assessment to minimize residual pathology.

27. Bi A, Hu EY, Cervantes JE, et al. Patients Requiring Postoperative Opioid Prescription Refills Have Similar Long-Term Clinical Outcomes to Those Not Requiring Refills After Hip Arthroscopy for Femoroacetabular Impingement Syndrome. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.041

This study compared long-term clinical outcomes between patients who required postoperative opioid refills and those who did not after hip arthroscopy for femoroacetabular impingement. The key finding indicated that both groups achieved similar long-term functional results despite differences in immediate postoperative medication needs. This implies that opioid refill requirements should not be used as a sole predictor of poor long-term surgical success.

30. Moran J, Jimenez AE. Editorial Commentary: There Are Limited Changes In Gait Biomechanics After Femoroacetabular Impingement Surgery: A Call for More Comprehensive Functional Testing. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.08.007

This editorial commentary discusses the limited changes in gait biomechanics observed following femoroacetabular impingement surgery. The authors argue that current functional testing protocols may be insufficient to capture subtle but clinically relevant improvements. They call for the adoption of more comprehensive functional testing to better evaluate surgical efficacy and patient recovery.

31. Balazs GC. Editorial Commentary: Response to Intra-articular Injection May Not Predict Response to Hip Arthroscopy, but Don’t Put Down That Needle Quite Yet. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.08.010

This commentary addresses the debate regarding whether intra-articular injection responses can predict outcomes following hip arthroscopy. The author argues that while injection response is not a definitive predictor, it should not be dismissed entirely as a diagnostic tool. Clinicians are encouraged to continue using injections judiciously while recognizing their limitations in prognostication.

32. Hevesi M, Krych AJ. Editorial Commentary: Hormonal Contraception and Hip Pain: Clinical Insights and Association, not Causation. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.08.011

This editorial examines the association between hormonal contraception and hip pain, emphasizing that current evidence supports correlation rather than causation. The authors provide clinical insights into how this relationship should be interpreted during patient evaluation. The implication is that clinicians should consider hormonal factors in the differential diagnosis without assuming a direct causal link.

33. Nho SJ, Monty TL, Sparks CA. Editorial Commentary: Stretching the Truth: We Need a Better System to Define Generalized Joint Laxity. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.08.013

This editorial argues that current methods for defining generalized joint laxity are inadequate and calls for a more robust, standardized system. The authors highlight the need for improved diagnostic criteria to better understand joint hypermobility in clinical practice. The implication is that without better definitions, research and treatment outcomes regarding laxity-related conditions will remain inconsistent.

34. Marom N. Editorial Commentary: Beyond the Numbers: Why Return to Sport After Hip Arthroscopy Is Not Always What It Seems. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.08.015

This commentary critiques the reliance on return-to-sport rates as the sole metric for success following hip arthroscopy, suggesting these numbers often mask underlying issues. The authors emphasize that patients may return to activity without achieving optimal functional status or pain relief. Clinicians should therefore prioritize comprehensive patient-reported outcomes over binary return-to-play statistics when evaluating surgical efficacy.

35. Freetly TJ, Hartigan DE. Editorial Commentary: Femoral Version Is Not a Solo Act but Rather a Complex Interplay When Considered in Hip Preservation. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.08.024

This editorial posits that femoral version cannot be evaluated in isolation but must be understood as part of a complex interplay of pelvic and femoral parameters in hip preservation. The authors argue that isolated correction of version without considering global alignment may lead to suboptimal outcomes. Surgeons are urged to adopt a holistic assessment approach to ensure accurate surgical planning and improved joint function.

36. Schoof LH, Hartwell MJ. Editorial Commentary: Navigating the Cam: Balancing Precision, Cost, and Patient-Reported Outcomes for Computer-Assisted Femoral Resections. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.08.026

This piece discusses the trade-offs between precision, cost, and patient-reported outcomes when utilizing computer-assisted systems for femoral resections in cam lesion treatment. The authors suggest that while technology offers accuracy, it must be balanced against financial constraints and actual patient benefit. The clinical implication is that surgeons should carefully select technology based on specific patient needs rather than adopting it universally.

Creative Commons BY-NC 4.0

CC Creative Commons licence
BY Attribution — you must credit the source
NC NonCommercial — not for commercial use

Attribution-NonCommercial 4.0 International

Creative Commons Corporation ("Creative Commons") is not a law firm and does not provide legal services or legal advice. Distribution of Creative Commons public licenses does not create a lawyer-client or other relationship. Creative Commons makes its licenses and related information available on an "as-is" basis. Creative Commons gives no warranties regarding its licenses, any material licensed under their terms and conditions, or any related information. Creative Commons disclaims all liability for damages resulting from their use to the fullest extent possible.

Using Creative Commons Public Licenses

Creative Commons public licenses provide a standard set of terms and conditions that creators and other rights holders may use to share original works of authorship and other material subject to copyright and certain other rights specified in the public license below. The following considerations are for informational purposes only, are not exhaustive, and do not form part of our licenses.

Considerations for licensors: Our public licenses are intended for use by those authorized to give the public permission to use material in ways otherwise restricted by copyright and certain other rights. Our licenses are irrevocable. Licensors should read and understand the terms and conditions of the license they choose before applying it. Licensors should also secure all rights necessary before applying our licenses so that the public can reuse the material as expected. Licensors should clearly mark any material not subject to the license. This includes other CC- licensed material, or material used under an exception or limitation to copyright. More considerations for licensors: wiki.creativecommons.org/Considerations_for_licensors

Considerations for the public: By using one of our public licenses, a licensor grants the public permission to use the licensed material under specified terms and conditions. If the licensor's permission is not necessary for any reason--for example, because of any applicable exception or limitation to copyright--then that use is not regulated by the license. Our licenses grant only permissions under copyright and certain other rights that a licensor has authority to grant. Use of the licensed material may still be restricted for other reasons, including because others have copyright or other rights in the material. A licensor may make special requests, such as asking that all changes be marked or described. Although not required by our licenses, you are encouraged to respect those requests where reasonable. More considerations for the public: wiki.creativecommons.org/Considerations_for_licensees

Creative Commons Attribution-NonCommercial 4.0 International Public License

By exercising the Licensed Rights (defined below), You accept and agree to be bound by the terms and conditions of this Creative Commons Attribution-NonCommercial 4.0 International Public License ("Public License"). To the extent this Public License may be interpreted as a contract, You are granted the Licensed Rights in consideration of Your acceptance of these terms and conditions, and the Licensor grants You such rights in consideration of benefits the Licensor receives from making the Licensed Material available under these terms and conditions.

Section 1 -- Definitions.

a. Adapted Material means material subject to Copyright and Similar Rights that is derived from or based upon the Licensed Material and in which the Licensed Material is translated, altered, arranged, transformed, or otherwise modified in a manner requiring permission under the Copyright and Similar Rights held by the Licensor. For purposes of this Public License, where the Licensed Material is a musical work, performance, or sound recording, Adapted Material is always produced where the Licensed Material is synched in timed relation with a moving image.

b. Adapter's License means the license You apply to Your Copyright and Similar Rights in Your contributions to Adapted Material in accordance with the terms and conditions of this Public License.

c. Copyright and Similar Rights means copyright and/or similar rights closely related to copyright including, without limitation, performance, broadcast, sound recording, and Sui Generis Database Rights, without regard to how the rights are labeled or categorized. For purposes of this Public License, the rights specified in Section 2(b)(1)-(2) are not Copyright and Similar Rights.

d. Effective Technological Measures means those measures that, in the absence of proper authority, may not be circumvented under laws fulfilling obligations under Article 11 of the WIPO Copyright Treaty adopted on December 20, 1996, and/or similar international agreements.

e. Exceptions and Limitations means fair use, fair dealing, and/or any other exception or limitation to Copyright and Similar Rights that applies to Your use of the Licensed Material.

f. Licensed Material means the artistic or literary work, database, or other material to which the Licensor applied this Public License.

g. Licensed Rights means the rights granted to You subject to the terms and conditions of this Public License, which are limited to all Copyright and Similar Rights that apply to Your use of the Licensed Material and that the Licensor has authority to license.

h. Licensor means the individual(s) or entity(ies) granting rights under this Public License.

i. NonCommercial means not primarily intended for or directed towards commercial advantage or monetary compensation. For purposes of this Public License, the exchange of the Licensed Material for other material subject to Copyright and Similar Rights by digital file-sharing or similar means is NonCommercial provided there is no payment of monetary compensation in connection with the exchange.

j. Share means to provide material to the public by any means or process that requires permission under the Licensed Rights, such as reproduction, public display, public performance, distribution, dissemination, communication, or importation, and to make material available to the public including in ways that members of the public may access the material from a place and at a time individually chosen by them.

k. Sui Generis Database Rights means rights other than copyright resulting from Directive 96/9/EC of the European Parliament and of the Council of 11 March 1996 on the legal protection of databases, as amended and/or succeeded, as well as other essentially equivalent rights anywhere in the world.

l. You means the individual or entity exercising the Licensed Rights under this Public License. Your has a corresponding meaning.

Section 2 -- Scope.

a. License grant.

1. Subject to the terms and conditions of this Public License, the Licensor hereby grants You a worldwide, royalty-free, non-sublicensable, non-exclusive, irrevocable license to exercise the Licensed Rights in the Licensed Material to:

a. reproduce and Share the Licensed Material, in whole or in part, for NonCommercial purposes only; and

b. produce, reproduce, and Share Adapted Material for NonCommercial purposes only.

2. Exceptions and Limitations. For the avoidance of doubt, where Exceptions and Limitations apply to Your use, this Public License does not apply, and You do not need to comply with its terms and conditions.

3. Term. The term of this Public License is specified in Section 6(a).

4. Media and formats; technical modifications allowed. The Licensor authorizes You to exercise the Licensed Rights in all media and formats whether now known or hereafter created, and to make technical modifications necessary to do so. The Licensor waives and/or agrees not to assert any right or authority to forbid You from making technical modifications necessary to exercise the Licensed Rights, including technical modifications necessary to circumvent Effective Technological Measures. For purposes of this Public License, simply making modifications authorized by this Section 2(a) (4) never produces Adapted Material.

5. Downstream recipients.

a. Offer from the Licensor -- Licensed Material. Every recipient of the Licensed Material automatically receives an offer from the Licensor to exercise the Licensed Rights under the terms and conditions of this Public License.

b. No downstream restrictions. You may not offer or impose any additional or different terms or conditions on, or apply any Effective Technological Measures to, the Licensed Material if doing so restricts exercise of the Licensed Rights by any recipient of the Licensed Material.

6. No endorsement. Nothing in this Public License constitutes or may be construed as permission to assert or imply that You are, or that Your use of the Licensed Material is, connected with, or sponsored, endorsed, or granted official status by, the Licensor or others designated to receive attribution as provided in Section 3(a)(1)(A)(i).

b. Other rights.

1. Moral rights, such as the right of integrity, are not licensed under this Public License, nor are publicity, privacy, and/or other similar personality rights; however, to the extent possible, the Licensor waives and/or agrees not to assert any such rights held by the Licensor to the limited extent necessary to allow You to exercise the Licensed Rights, but not otherwise.

2. Patent and trademark rights are not licensed under this Public License.

3. To the extent possible, the Licensor waives any right to collect royalties from You for the exercise of the Licensed Rights, whether directly or through a collecting society under any voluntary or waivable statutory or compulsory licensing scheme. In all other cases the Licensor expressly reserves any right to collect such royalties, including when the Licensed Material is used other than for NonCommercial purposes.

Section 3 -- License Conditions.

Your exercise of the Licensed Rights is expressly made subject to the following conditions.

a. Attribution.

1. If You Share the Licensed Material (including in modified form), You must:

a. retain the following if it is supplied by the Licensor with the Licensed Material:

i. identification of the creator(s) of the Licensed Material and any others designated to receive attribution, in any reasonable manner requested by the Licensor (including by pseudonym if designated);

ii. a copyright notice;

iii. a notice that refers to this Public License;

iv. a notice that refers to the disclaimer of warranties;

v. a URI or hyperlink to the Licensed Material to the extent reasonably practicable;

b. indicate if You modified the Licensed Material and retain an indication of any previous modifications; and

c. indicate the Licensed Material is licensed under this Public License, and include the text of, or the URI or hyperlink to, this Public License.

2. You may satisfy the conditions in Section 3(a)(1) in any reasonable manner based on the medium, means, and context in which You Share the Licensed Material. For example, it may be reasonable to satisfy the conditions by providing a URI or hyperlink to a resource that includes the required information.

3. If requested by the Licensor, You must remove any of the information required by Section 3(a)(1)(A) to the extent reasonably practicable.

4. If You Share Adapted Material You produce, the Adapter's License You apply must not prevent recipients of the Adapted Material from complying with this Public License.

Section 4 -- Sui Generis Database Rights.

Where the Licensed Rights include Sui Generis Database Rights that apply to Your use of the Licensed Material:

a. for the avoidance of doubt, Section 2(a)(1) grants You the right to extract, reuse, reproduce, and Share all or a substantial portion of the contents of the database for NonCommercial purposes only;

b. if You include all or a substantial portion of the database contents in a database in which You have Sui Generis Database Rights, then the database in which You have Sui Generis Database Rights (but not its individual contents) is Adapted Material; and

c. You must comply with the conditions in Section 3(a) if You Share all or a substantial portion of the contents of the database.

For the avoidance of doubt, this Section 4 supplements and does not replace Your obligations under this Public License where the Licensed Rights include other Copyright and Similar Rights.

Section 5 -- Disclaimer of Warranties and Limitation of Liability.

a. UNLESS OTHERWISE SEPARATELY UNDERTAKEN BY THE LICENSOR, TO THE EXTENT POSSIBLE, THE LICENSOR OFFERS THE LICENSED MATERIAL AS-IS AND AS-AVAILABLE, AND MAKES NO REPRESENTATIONS OR WARRANTIES OF ANY KIND CONCERNING THE LICENSED MATERIAL, WHETHER EXPRESS, IMPLIED, STATUTORY, OR OTHER. THIS INCLUDES, WITHOUT LIMITATION, WARRANTIES OF TITLE, MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, NON-INFRINGEMENT, ABSENCE OF LATENT OR OTHER DEFECTS, ACCURACY, OR THE PRESENCE OR ABSENCE OF ERRORS, WHETHER OR NOT KNOWN OR DISCOVERABLE. WHERE DISCLAIMERS OF WARRANTIES ARE NOT ALLOWED IN FULL OR IN PART, THIS DISCLAIMER MAY NOT APPLY TO YOU.

b. TO THE EXTENT POSSIBLE, IN NO EVENT WILL THE LICENSOR BE LIABLE TO YOU ON ANY LEGAL THEORY (INCLUDING, WITHOUT LIMITATION, NEGLIGENCE) OR OTHERWISE FOR ANY DIRECT, SPECIAL, INDIRECT, INCIDENTAL, CONSEQUENTIAL, PUNITIVE, EXEMPLARY, OR OTHER LOSSES, COSTS, EXPENSES, OR DAMAGES ARISING OUT OF THIS PUBLIC LICENSE OR USE OF THE LICENSED MATERIAL, EVEN IF THE LICENSOR HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH LOSSES, COSTS, EXPENSES, OR DAMAGES. WHERE A LIMITATION OF LIABILITY IS NOT ALLOWED IN FULL OR IN PART, THIS LIMITATION MAY NOT APPLY TO YOU.

c. The disclaimer of warranties and limitation of liability provided above shall be interpreted in a manner that, to the extent possible, most closely approximates an absolute disclaimer and waiver of all liability.

Section 6 -- Term and Termination.

a. This Public License applies for the term of the Copyright and Similar Rights licensed here. However, if You fail to comply with this Public License, then Your rights under this Public License terminate automatically.

b. Where Your right to use the Licensed Material has terminated under Section 6(a), it reinstates:

1. automatically as of the date the violation is cured, provided it is cured within 30 days of Your discovery of the violation; or

2. upon express reinstatement by the Licensor.

For the avoidance of doubt, this Section 6(b) does not affect any right the Licensor may have to seek remedies for Your violations of this Public License.

c. For the avoidance of doubt, the Licensor may also offer the Licensed Material under separate terms or conditions or stop distributing the Licensed Material at any time; however, doing so will not terminate this Public License.

d. Sections 1, 5, 6, 7, and 8 survive termination of this Public License.

Section 7 -- Other Terms and Conditions.

a. The Licensor shall not be bound by any additional or different terms or conditions communicated by You unless expressly agreed.

b. Any arrangements, understandings, or agreements regarding the Licensed Material not stated herein are separate from and independent of the terms and conditions of this Public License.

Section 8 -- Interpretation.

a. For the avoidance of doubt, this Public License does not, and shall not be interpreted to, reduce, limit, restrict, or impose conditions on any use of the Licensed Material that could lawfully be made without permission under this Public License.

b. To the extent possible, if any provision of this Public License is deemed unenforceable, it shall be automatically reformed to the minimum extent necessary to make it enforceable. If the provision cannot be reformed, it shall be severed from this Public License without affecting the enforceability of the remaining terms and conditions.

c. No term or condition of this Public License will be waived and no failure to comply consented to unless expressly agreed to by the Licensor.

d. Nothing in this Public License constitutes or may be interpreted as a limitation upon, or waiver of, any privileges and immunities that apply to the Licensor or You, including from the legal processes of any jurisdiction or authority.

Creative Commons is not a party to its public licenses. Notwithstanding, Creative Commons may elect to apply one of its public licenses to material it publishes and in those instances will be considered the “Licensor.” The text of the Creative Commons public licenses is dedicated to the public domain under the CC0 Public Domain Dedication. Except for the limited purpose of indicating that material is shared under a Creative Commons public license or as otherwise permitted by the Creative Commons policies published at creativecommons.org/policies, Creative Commons does not authorize the use of the trademark "Creative Commons" or any other trademark or logo of Creative Commons without its prior written consent including, without limitation, in connection with any unauthorized modifications to any of its public licenses or any other arrangements, understandings, or agreements concerning use of licensed material. For the avoidance of doubt, this paragraph does not form part of the public licenses.

Creative Commons may be contacted at creativecommons.org.