Sacral Rheumatoid Nodule: An Unusual Indication for Coccygectomy
Zachary R Porter1, Juan C Mejia-Munne2, Bryan M Krueger2
1College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
Case Reports in Surgery
|May 27, 2020
Summary
A rare surgical procedure, coccygectomy, effectively treated a large sacral rheumatoid nodule in a patient who did not respond to conservative management. This approach, typically for tailbone pain, offers a new solution for complex rheumatoid nodules.
Area of Science:
- Rheumatology
- Orthopedic Surgery
Background:
- Rheumatoid nodules are common in rheumatoid arthritis but can occur in other conditions.
- Large sacral rheumatoid nodules can cause significant pain and functional impairment.
- Conservative treatments are often ineffective for large, symptomatic rheumatoid nodules.

