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Home › Body Atlas › Bones › Acetabulum
Bone Pelvis & Hip

Acetabulum

acetabulum ossis coxae

The acetabulum is the hemispherical socket of the hip bone formed by the fusion of the ilium (superior 40 percent), ischium (posteroinferior 40 percent), and pubis (anteroinferior 20 percent) at the triradiate cartilage. It receives the femoral head in the ball-and-socket hip joint, with the acetabular labrum and lunate articular surface providing the primary articular contact.

Anatomical Data

Structure & Landmarks

Articulations
  • Femoral head at the hip joint
  • Acetabular labrum (fibrocartilaginous rim)
Landmarks
  • Acetabular rim, the bony lip around the socket
  • Lunate surface, the horseshoe-shaped articular cartilage
  • Acetabular notch, the inferior gap in the rim
  • Acetabular fossa, the central non-articular depression
OssificationThe triradiate cartilage at the centre of the three iliac, ischial, and pubic contributions to the acetabulum fuses between ages 14 and 16, converting the tripartite childhood acetabulum into the single bone adult acetabulum. Premature triradiate cartilage closure from pelvic trauma produces acetabular dysplasia from inadequate socket depth development.
Clinical Relevance

Clinical Notes

Acetabular fractures from high-energy trauma (posterior dislocations, side impacts, falls from height) are complex injuries classified by Judet and Letournel into five elementary and five associated fracture types. CT reconstruction is essential for fracture characterisation. Associated femoral head fractures and sciatic nerve injury (in posterior patterns) must be assessed. Surgical fixation through anterior and/or posterior approaches restores articular congruity to reduce post-traumatic arthritis risk.

Pathology

Common Injuries & Conditions

Acetabular Fracture

High-energy trauma drives the femoral head into the acetabulum; displaced fractures often need surgical fixation to restore the joint surface.

Acetabular Labral Tear

Tearing of the labrum at the acetabular rim, often linked to femoroacetabular impingement, causes groin pain and catching.

Developmental Dysplasia of the Hip

A shallow acetabulum gives poor coverage of the femoral head, leading to instability in infancy or early arthritis in adults.

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