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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:

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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