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.
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X-ray lateral view reveals an oblique radiolucency in the anterior part of 1st coccygeal segment suggestive of a fracture.
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.
- 1. Lirette LS, Chaiban G, Tolba R et-al. Coccydynia: an overview of the anatomy, etiology, and treatment of coccyx pain. Ochsner J. 2014;14 (1): 84-7. Free text at pubmed - Pubmed citation