Coccyx fracture

Case contributed by Dr Manish Malik

Presentation

A 29-year-old female presented to emergency department of our hospital with sudden onset of pain in lower back following history of fall on buttocks. On examination, there was tenderness in the sacral region. X-ray sacrum AP and lateral view was advised.

Patient Data

Age: 29-year-old
Gender: Female

Sacrococcigeal X-rays

Modality: X-ray

X-ray lateral view reveals an oblique radiolucency in the anterior part of 1st coccygeal segment suggestive of a fracture.

Case Discussion

Coccyx fractures are rarely diagnosed on pelvic X-rays and when diagnosed, a high proportion of the time the treatment remains conservative 1. Thus, the need of X-ray examination in suspected coccygeal fractures is questioned as it imparts additional radiation exposure to genitalia. In our case, the patient was counseled regarding the same; however, patient insisted on X-ray examination.

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Case Information

rID: 40487
Case created: 23rd Oct 2015
Last edited: 10th Jul 2016
Inclusion in quiz mode: Included

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