The coccyx is the last bony structure at the caudal end of the vertebral column and is triangular in shape.
Coccygeal fractures can be caused by trauma such as falling and landing on the buttock...
Mechanism of injury
Look for ecchymosis and palpate for tenderness in the gluteal fold.
Evaluate for other associated injuries (other potential life-threatening injuries such as he...
Rarely, bed rest until ambulation can be tolerated
Oral analgesics are key; may range from over-the-counter (OTC) acetaminophen or ib...
Healing is slow.
Pain may become chronic.
Orthopedic consultation and possible coccygectomy may be required in severe cases.
Avoid activities requir...
Rockwood C, Green D, eds. Fractures in Adults. 8th ed. Philadelphia, PA: Lippincott-Raven; 2014.
Simon R, Sherman SC. Emergency Orthopedics: The Extremities. 6th ed. Norwalk, CT: ...
More common in women
May occur owing to falls or during childbirth 1
A self-limited condition
Treatment includes pain management with oral anti-inflammatory medications, topical agents, a...
Sign up for a 10-day FREE Trial now and receive full access to all content.