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Coccygeal Fracture

Coccyx Fracture


Presentation

  • We present a complex case of hypertensive encephalopathy with seizures as the initial presentation of a pelvic mass, describe the initial work-up and stabilization and present an overview of the literature.[journals.lww.com]
  • A 28-year-old female presented to the orthopaedic department 4 weeks after the birth of her first child with the complaint of coccygeal pain. Examination revealed marked local tenderness over the coccyx but no crepitus was felt.[ncbi.nlm.nih.gov]
  • Epidural hematoma is well-described with vertebral fractures and can present as acute cauda equina syndrome.[ncbi.nlm.nih.gov]
  • We present a first series of 15 cases of coccygeal fractures in adults as a result of similar mode of trauma due to fall on frozen snow during the winter months in the valley of Kashmir.[scopemed.org]
  • In the example given, if a patient presents with a fractured coccyx, 805.6 (fracture of sacrum and coccyx, closed) would be reported as the diagnosis. The CPT code(s) reported would depend on the actual services rendered.[supercoder.com]
Collapse
  • […] cord injury spinal cord injury (closed) NEC 806.8 cervical 806.0 chronic 733.13 dorsal, dorsolumbar 806.2 thoracic, thoracolumbar 806.2 atlanto-axial - see Fracture, vertebra, cervical cervical (hangman) (teardrop) (closed) 805.00 coccyx (closed) 805.6 collapsed[icd9data.com]
Pelvic Mass
  • We present a complex case of hypertensive encephalopathy with seizures as the initial presentation of a pelvic mass, describe the initial work-up and stabilization and present an overview of the literature.[journals.lww.com]
Acute Low Back Pain
  • Resources American Orthopaedic Society for Sports Medicine Ortho Info—American Academy of Orthopaedic Surgeons Canadian Resources The Canadian Orthopaedic Association When it Hurts to Move—Canadian Orthopaedic Foundation References Acute low back pain[winchesterhospital.org]
Joint Tenderness
Medial Tibial Stress Syndrome
  • Tibial Stress Syndrome Jason D Johnson Benjamin 228 Fracture Zygoma Raymond A Widucich 168169 Olecranon Bursitis Dan Ostlie 234235 234 Glenohumeral Dislocation AnteriorSourav Poddar Allen 0steitis Pubis Eric Jenkinson 240241 240 Glenoid Labral TearsSLAP[books.google.com]
Calf Pain
  • Mr S has had lower back, groin and back of thigh and calf pain for fourth months. He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica.[chiropractic-help.com]
Metatarsalgia
  • Ankle Sprains Lateral Douglas Browning Michael B Potter Fracture Blow OutShari Schabowski 7879 78 Ankylosing Spondylitis Gregory F Keenan 1819 Fracture Coccyx James B Rivas Teresa Carlin 9091 90 QUINCY WANG M D Emergency Physician 91 Anterior Metatarsalgia[books.google.com]
Thalamic Pain
  • Get a broader perspective on your field from new chapters on Labral Tears of the Shoulder and Hip, Pubalgia, Chondral Injuries, Central Post-Stroke Pain (Thalamic Pain Syndrome), Chemotherapy-induced Peripheral Neuropathy, Radiation Fibrosis Syndrome,[books.google.com]
Stroke
  • Get a broader perspective on your field from new chapters on Labral Tears of the Shoulder and Hip, Pubalgia, Chondral Injuries, Central Post-Stroke Pain (Thalamic Pain Syndrome), Chemotherapy-induced Peripheral Neuropathy, Radiation Fibrosis Syndrome,[books.google.com]
Encephalopathy
  • We present a complex case of hypertensive encephalopathy with seizures as the initial presentation of a pelvic mass, describe the initial work-up and stabilization and present an overview of the literature.[journals.lww.com]
Dystonia
  • Stay current with expanded and updated coverage of diagnosis, management and rehabilitation of Cervical Dystonia, Suprascapular Neuropathy, Epicondylitis, Temporomandibular Joint Pain, Spinal Cord Injury, Stroke, Adhesive Capsulitis of the Hip, and Adductor[books.google.com]
Hyperesthesia
  • Drueck (17) stated coccygodynia was most apt to occur in women with a history of functional nervous disease, and believed the muscle spasm comparable to vaginismus, and was the result of a mental reflex rather than from real hyperesthesia of the parts[coccyx.org]

Workup

  • (See Presentation, Workup, Treatment, and Medication.)[emedicine.medscape.com]
  • Coccyx Pain Diagnostic Workup: Necessity of MRI in Detecting Malignancy Presenting with Tailbone Pain. Foye, PM.. 2010. Coccyx pain triggered by the biological mammalian response to tail-pulled-between-the-legs. Wise, D.. 2010. Coccyx Pain.[coccyx.org]
  • Coccyx Pain Diagnostic Workup: Necessity of MRI in Detecting Malignancy Presenting with Tailbone Pain. 2010. Foye, PM. Stigma Against Patients with Coccyx Pain. 2010. Foye, PM. Coccyx Pain. 2006. Foye, PM.[coccyx.org]

Treatment

  • The diagnosis must be established at the outset and appropriate treatment instituted to avoid these complications.[ncbi.nlm.nih.gov]
  • Preferred Name Closed treatment of coccygeal fracture Synonyms Closed treatment of broken tailbone ID altLabel Closed treatment of broken tailbone Closed reduction of fracture of coccyx CLOSED TREATMENT COCCYGEAL FRACTURE CPT LEVEL PC CPTLINK CONCEPT[purl.bioontology.org]
  • Discover which treatment options are right for you with our Treatment Finder. What Are The Advantages Of a Coccygectomy? When conservative treatments no longer provide relief for your tailbone pain, surgical treatment may be the best solution.[njspineandortho.com]
  • Surgery for a traumatic coccyx injury may be indicated if there is no response to the above treatments.[saintlukeshealthsystem.org]
  • Treatment Treatment of injuries of the coccyx in the first place depends on the type of injury and there is misalignment in the vertebrae or not.[back.vsebolezni.com]

Prognosis

  • The prognosis is of approximately 4 to 6 weeks.[pathologies.lexmedicus.com.au]
  • The expert will give a prognosis setting out what symptoms you are likely to experience into the future, including a time estimate for complete recovery or alternatively whether you are likely to be left with a permanent disability and restricted movement[accident-claim-expert.co.uk]
  • What Is the Prognosis of Tailbone Pain? Most cases of coccyx pain due to injury improve within several weeks with proper medical management and self-care at home.[emedicinehealth.com]
  • Treatment by excision gave a good prognosis. The author has removed the coccyx in 2 cases, in which, while there was no evidence of an infectious process, there was marked atrophy and softening of the bone structure.[coccyx.org]
  • Outlook The prognosis for tailbone discomfort depends on many factors.[webmd.com]

Etiology

  • Comments are made upon the various etiological possibilities of coccygodynia. Those cases resulting from trauma are considered most important and the treatment outlined in some detail.[coccyx.org]
  • […] and multiple body system manifestations due to the underlying etiology.[icd10data.com]
  • Neither term specifies the underlying etiology. Coccyx pain can occur from local trauma or a tumor, but many cases are idiopathic, with no identifiable cause.[emedicine.medscape.com]
  • Epidemiology / Etiology The prevalence for coccygodynia is five times greater in women than in men [3]. This may be related to increased pressure during pregnancy or delivery (post-partum coccygodynia) [4].[physio-pedia.com]
  • 2 The most common etiology for a coccyx injury is trauma to the coccyx from a fall or a direct blow during contact sports.[morphopedics.wikidot.com]

Epidemiology

  • Epidemiology / Etiology The prevalence for coccygodynia is five times greater in women than in men [3]. This may be related to increased pressure during pregnancy or delivery (post-partum coccygodynia) [4].[physio-pedia.com]
Sex distribution
Age distribution

Pathophysiology

  • No abstract available Anorectal and perineal pain: new pathophysiological hypothesis. Mazza L, Formento E, Fonda G.. 2004. Anorectal neuralgias. Suduca P.. 1985. Anorektale Schmerzsyndrome. Kokzygodynie - Levatorsyndrom. Proktologie.[coccyx.org]
  • Anorectal and perineal pain: new pathophysiological hypothesis. 2004. McCauley, JC. Fractures of coccyx and coccygodynia. 1937. McClenahan JE, Fisher B. Herniation of the rectum following coccygectomy.[coccyx.org]

Prevention

  • Prevention To help reduce your chance of a coccyx fracture: Do not put yourself at risk for trauma to the bone. Build strong muscles to prevent falls. Wear proper padding and safety equipment when participating in sports or activities.[winchesterhospital.org]
  • The main prevention is to avoid falls with the use of supporting devices and reduce falling hazards at home and in the work place.[pathologies.lexmedicus.com.au]
  • Prevention :- Coccyx fracture is an entirely preventable condition though. There are some precautionary ways that one may observe so as to veer away from this condition.[coccyxcushionreview.com]
  • It is a medical emergency that must be recognized and emergently treated to prevent morbidity and mortality. In contrast to adults, hypertension in children is usually secondary to an underlying disease process.[journals.lww.com]
  • Develop a thorough, clinically relevant understanding of interventions such as physical agents and therapeutic exercise in the prevention, diagnosis, treatment, and rehabilitation of disorders that produce pain, impairment, and disability.[books.google.com]

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