Sudden onset of pain in lower back following history of fall onto buttocks. On examination, there was tenderness in the sacral region.
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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, the treatment is usually 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 radiation exposure but they 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