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Protrusio Acetabuli

 

 

  • Occurs most often with rheumatoid arthritis

    • Also occurs with osteoporosis

    • Osteomalacia

    • Paget’s

    • Idiopathic

  • Defined as 3mm or more between acetabular line and ilioischial line in men and 6 mm or more in women

  • Erosion of cartilage in RA usually results in axial migration of head with uniform loss of joint space

  • Protrusio acetabuli is usually bilateral

  • Occurs more often in patients with RA who are on steroids

    • About 14% of patients with RA will demonstrate this abnormality

 

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