Protrusio acetabuli
Acetabular protrusio (also known as acetabular protrusion) is intrapelvic displacement of the medial wall of the acetabulum.
Pathology
Protrusio acetabuli is divided into two types, primary and secondary.
Primary protrusio acetabuli
Characterized by progressive protrusio in middle aged women, May be associated with OA and May be familial.
Secondary protrusio acetabuli
Causes include:
- Paget's disease
- psoriatic arthropathy
- rheumatoid arthritis
- ankylosing spondylitis
- osteomalacia / rickets
- osteogenesis imperfecta
- Marfan syndrome
- trauma
Mnemonic
Radiographic features
- intrapelvic displacement of the medial wall of the acetabulum
Diagnosis
Diagnosis is made on the basis of an anteroposterior radiograph of the pelvis that demonstrates a center-edge angle greater than 40 degrees and medialization of the medial wall of the acetabulum past the ilioischial line.3

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