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anatomy

Acetabulum

The cup-shaped socket of the pelvis that holds the head of the femur (thigh bone) in the hip joint.

Extended Definition

The acetabulum is the concave surface of the pelvis that forms the socket of the hip joint. Together with the femoral head, it creates one of the most stable joints in the body while still allowing substantial range of motion.

Structure

  • Formed by three pelvic bones - Ilium, ischium, and pubis meet here
  • Lined with articular cartilage - Smooth surface for movement
  • Surrounded by labrum - Fibrocartilage rim that deepens the socket
  • Covered by joint capsule - Contains synovial fluid

Hip Osteoarthritis

In hip OA, both the acetabular cartilage and femoral head cartilage deteriorate:

  • Joint space narrows on X-ray
  • Bone spurs form around the socket rim
  • Range of motion decreases
  • Pain develops, often felt in the groin or thigh

Treatment Relevance

Hip HA injections (often done under imaging guidance) can provide relief by improving lubrication between the femoral head and acetabulum. However, this is typically off-label use, as most HA products are FDA-approved only for knee OA.

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