Classification & external resources
| Right sided Protrusio acetabuli
Protrusio acetabuli is an uncommon defect of the acetabulum. The acetabulum is the socket that receives the femoral head to make the hip joint. It is composed of three bones, the ilium, the ischium and the pubis. The socket is too deep and may protrude into the pelvis. 
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
- May be familial
Secondary protrusio acetabuli
may be present bilaterally in Paget's disease, Marfan syndrome, RA, AS, & osteomalacia;
- Femoral head prosthesis
- Cup arthroplasty
- Septic arthritis
- Central fracture dislocation
- Total hip replacement surgery
Signs and Symptoms
- May be asymptomatic
- Limitation of joint range of movement is the earliest sign
The protrusio may progress until the femoral neck impinges against the pelvis.
Diagnosis is made on the basis of an anteroposterior radiograph of the pelvis that demonstrates a center-edge angle greater than 40 degrees and medialisation of the medial wall of the acetabulum past the ilioischial line.
Joint replacement surgery is indicated for severe pain or substantial joint restriction
- ^ 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.
- ^ 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.
- McBride MT, Muldoon MP, Santore RF, Trousdale RT, Wenger DR (2001). "Protrusio acetabuli: diagnosis and treatment". J Am Acad Orthop Surg 9 (2): 79–88. PMID 11281632.
|Diseases of the musculoskeletal system and connective tissue (M, 710-739)|
|Arthropathies||Arthritis (Septic arthritis, Reactive arthritis, Rheumatoid arthritis, Psoriatic arthritis, Felty's syndrome, Juvenile idiopathic arthritis, Still's disease) - crystal (Gout, Chondrocalcinosis) - Osteoarthritis (Heberden's node, Bouchard's nodes)
acquired deformities of fingers and toes (Boutonniere deformity, Bunion, Hallux rigidus, Hallux varus, Hammer toe) - other acquired deformities of limbs (Valgus deformity, Varus deformity, Wrist drop, Foot drop, Flat feet, Club foot, Unequal leg length, Winged scapula)
patella (Luxating patella, Chondromalacia patellae)
Protrusio acetabuli - Hemarthrosis - Arthralgia - Osteophyte
|Polyarteritis nodosa - Churg-Strauss syndrome - Kawasaki disease - Hypersensitivity vasculitis - Goodpasture's syndrome - Wegener's granulomatosis - Arteritis (Takayasu's arteritis, Temporal arteritis) - Microscopic polyangiitis - Systemic lupus erythematosus (Drug-induced) - Dermatomyositis (Juvenile dermatomyositis) - Polymyositis - Scleroderma - Sjögren's syndrome - Behçet's disease - Polymyalgia rheumatica - Eosinophilic fasciitis - Hypermobility|
|Dorsopathies||Kyphosis - Lordosis - Scoliosis - Scheuermann's disease - Spondylolysis - Torticollis - Spondylolisthesis - Spondylopathies (Ankylosing spondylitis, Spondylosis, Spinal stenosis) - Schmorl's nodes - Degenerative disc disease - Coccydynia - Back pain (Radiculopathy, Neck pain, Sciatica, Low back pain)|
|Soft tissue disorders||muscle: Myositis - Myositis ossificans (Fibrodysplasia ossificans progressiva)
synovium and tendon: Synovitis - Tenosynovitis (Stenosing tenosynovitis, Trigger finger, DeQuervain's syndrome)
bursitis (Olecranon, Prepatellar, Trochanteric)
fibroblastic (Dupuytren's contracture, Plantar fasciitis, Nodular fasciitis, Necrotizing fasciitis, Fasciitis, Fibromatosis)
enthesopathies (Iliotibial band syndrome, Achilles tendinitis, Patellar tendinitis, Golfer's elbow, Tennis elbow, Metatarsalgia, Bone spur, Tendinitis)
other, NEC: Muscle weakness - Rheumatism - Myalgia - Neuralgia - Neuritis - Panniculitis - Fibromyalgia
|Osteopathies||disorders of bone density and structure: Osteoporosis - Osteomalacia - continuity of bone (Pseudarthrosis, Stress fracture) - Monostotic fibrous dysplasia - Skeletal fluorosis - Aneurysmal bone cyst - Hyperostosis - Osteosclerosis|
Osteomyelitis - Avascular necrosis - Paget's disease of bone - Algoneurodystrophy - Osteolysis - Infantile cortical hyperostosis
|Chondropathies||Juvenile osteochondrosis (Legg-Calvé-Perthes syndrome, Osgood-Schlatter disease, Köhler disease, Sever's disease) - Osteochondritis - Tietze's syndrome|
|See also congenital conditions (Q65-Q79, 754-756)|