Acetabular rim sclerosis and roughness refers to the manifestation of imaging, if not treated systematically may cause degenerative diseases of the hip joint, necrosis of the femoral head, acetabular impingement syndrome and other diseases, which may ultimately lead to the patient’s hip joint pain, activity limitation and even deformity and so on. 1. Hip degenerative disease: due to long-term hip friction, strain injury caused by cartilage degeneration, sclerosis, hyperplasia, imaging may appear acetabular rim sclerosis and roughness. If there is no systematic treatment, the inflammatory reaction and cartilage damage at the damaged area will gradually aggravate, and the hip joint may have symptoms such as pain and activity limitation, and deformity may occur in the late stage, affecting walking. 2. Necrosis of the femoral head: due to various reasons, the blood supply of the femoral head is impaired, necrosis of bone tissues occurs, and the acetabular rim can be sclerotic and rough. If this disease is not treated, it can cause joint pain, stiffness, limping and other symptoms. 3. Acetabular impingement syndrome: Due to the abnormal anatomical shape of the femoral head and acetabulum, daily activities lead to repeated friction between the bone and the acetabulum, which can cause the acetabular rim to become hardened and rough. If not treated systematically, patients may experience long-term deep hip pain, which may cause serious problems in life and study, and eventually lead to osteoarthritis. Acetabular rim sclerosis and roughness is recommended and early formal treatment to avoid adverse consequences.