Publication: Acute sacrococcygeal dislocation (anterior type): A case report
Date
2004
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Sacrococcygeal dislocation is a rare injury. A twenty-nine year old male presented to us with pain over the lowest
part of spine of 5 days duration. He fell down on stairs with his buttock landing directly over the edge of the stairs.
On examination, a step was felt in the continuity of sacrum and coccyx. The tip of the coccyx was not palpable. Per
rectal examination revealed a small bump on running the finger along the sacrococcygeal curvature. On plain
radiographs of sacro-coccygeal region, lateral view revealed anterior dislocation of the coccyx over the sacrum. On
antero-posterior view, the injury could not be identified. Under general anaesthesia, an attempt to reduce the
dislocation per rectally was tried, but failed. The patient was treated conservatively with analgesics. He refused
surgery, as he was relieved of pain with analgesics.
Key Words: - Sacrococcygeal dislocation, coccydynia, conservative treatment.