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Acute sacrococcygeal dislocation (anterior type): a case report.
K P Rijal1, R L Pradhan, S Sharma
1Kathmandu Medical College, Sinamangal, Kathmandu. drkpr@wlink.com.np
Kathmandu University Medical Journal (KUMJ)
|January 3, 2006
Summary
Sacrococcygeal dislocation, a rare spinal injury, can occur from direct trauma. This case highlights conservative management with analgesics for coccygeal anterior dislocation after a fall.
Area of Science:
- Traumatology
- Orthopedic Surgery
- Radiology
Background:
- Sacrococcygeal dislocation is an uncommon injury.
- Traumatic events, such as falls, can lead to sacrococcygeal joint disruption.
Observation:
- A 29-year-old male presented with a 5-day history of pain at the base of the spine following a fall.
- Physical examination revealed a palpable step deformity at the sacrococcygeal junction and an impalpable coccygeal tip.
- Per-rectal examination identified an anteriorly displaced coccyx.
Findings:
- Lateral radiographs confirmed anterior dislocation of the coccyx relative to the sacrum.
- Anteroposterior radiographs were insufficient for diagnosing this specific injury.
- Closed reduction attempts under general anesthesia were unsuccessful.
Implications:
- Conservative management with analgesics can be effective for sacrococcygeal dislocation.
- Radiographic assessment, particularly lateral views, is crucial for diagnosis.
- Patient refusal of surgery, with pain relief from conservative measures, influences treatment outcomes.