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Traumatic Anterior Dislocation of the Sacrococcygeal Joint Complicated by Defecatory Dysfunction: A Case Report
Yoshifumi Nakayama1, Masahiro Yonekawa2
1Department of Rehabilitation, Koseikai Hospital, Toyohashi City, Aichi, Japan.
Case:
We report a case of coccygeal dislocation complicated by defecatory dysfunction and discuss its treatment and mechanisms. A 58-year-old man was presented with coccygeal pain and defecatory dysfunction after sustaining an injury from a 1-m fall. Following diagnosis, a combined approach involving surgical treatment and physiotherapy was adopted, resulting in early symptom improvement and favorable long-term outcomes.
Conclusion:
Traumatic anterior dislocation of the coccyx is a rare but significant injury with no clear treatment guidelines. This report suggests the mechanisms underlying the association between defecatory dysfunction and coccygeal dislocation and underscores the therapeutic role of surgical intervention and physiotherapy.
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