Article

Dislocation of the coccyx: A case report

Department of Orthopaedic Surgery, University Hospital, Maastricht, The Netherlands.
The Bone & Joint Journal (Impact Factor: 3.31). 10/1995; 77(5):831-2.
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    ABSTRACT: To review the literature on coccydynia with specific reference to those cases of pregnancy and birth-related onset. Databases (Medline, CINAHL, MIDIRS) were searched using the keywords coccydynia, coccygodynia, coccyx, spine, pelvis, injury, and trauma. The references contained within this review are those which give clear information about clinical cases and are least anecdotal. Much of the literature is of poor quality when judged by current standards. Where there is no other literature older references remain of interest. There is little information about incidence, prevalence, pathophysiology, methods of differential diagnosis and efficacy of treatment for these women. No qualitative data from women with pregnancy or birth-related coccydynia were identified. Research into this topic needs to be undertaken if midwives are to be enabled to facilitate early diagnosis and provide care and advice for women with pregnancy and birth-related coccydynia.
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    ABSTRACT: Sacrococcygeal dislocation is a rare injury. A twenty nine year old male presented to us with pain over the lowest part of spine of 5 days duration. He fell down on stairs with his buttock landing directly over the edge of the stairs. On examination, a step was felt in the continuity of sacrum and coccyx. The tip of the coccyx was not palpable. Per rectal examination revealed a small bump on running the finger along the sacrococcygeal curvature. On plain radiographs of sacro coccygeal region, lateral view revealed anterior dislocation of the coccyx over the sacrum. On antero posterior view, the injury could not be identified. Under general anaesthesia, an attempt to reduce the dislocation per rectally was tried, but failed. The patient was treated conservatively with analgesics. He refused surgery, as he was relieved of pain with analgesics.
    Preview · Article · Jan 2004 · Kathmandu University Medical Journal
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