Protrusio acetabuli is an uncommon defect of the acetabulum. The acetabulum is the socket that receives the femoral head to make the hip joint. The hip bone of the pelvic bone/girdle is composed of three bones, the ilium, the ischium and the pubis. In protrusio deformity, there is medial displacement of the femoral head in that the medial aspect of the femoral cortex is medial to the ilioischial line. The socket is too deep and may protrude into the pelvis.
Signs and symptoms
Protrusio acetabuli may be asymptomatic. Limitation of joint range of movement is the earliest sign, along with pain.
Protrusio acetabuli is divided into two types, primary and secondary.
Protrusio acetabuli may also be thought of as unilateral or bilateral.
Unilateral protrusio acetabuli may be caused by tuberculous arthritis, trauma, or fibrous dysplasia.
The protrusio may progress until the femoral neck impinges against the pelvis.
Arthroscopic surgery (or open joint surgery) is an effective treatment. Joint replacement surgery may be necessary in the case of severe pain or substantial joint restriction. Prominent trabeculae. * Normal sacro-iliac joints and symphysis pubis.
- Van De Velde S, Fillman R, Yandow S (2006). "The aetiology of protrusio acetabuli. Literature review from 1824 to 2006". Acta Orthop Belg. 72 (5): 524–9. PMID 17152413.
- Dahnert's Radiology
- Van de Velde S, Fillman R, Yandow S (2006). "Protrusio acetabuli in Marfan syndrome. History, diagnosis, and treatment". J Bone Joint Surg Am. 88 (3): 639–46. doi:10.2106/JBJS.E.00567. PMID 16510833.