Pelvic Trauma
A 45-year-old female presents with severe tailbone pain 2 weeks after slipping on ice and landing directly on her buttocks in a sitting position. She reports excruciating pain with sitting (especially on hard surfaces), difficulty with bowel movements, and pain worsening when leaning back. Physical examination reveals point tenderness over the coccyx. Lateral pelvic radiograph shows a coccygeal fracture with anterior angulation. Dynamic sitting-vs-standing lateral films demonstrate 15 degrees of mobility at the fracture site. Regarding coccyx fractures and coccydynia:
Mark each as TRUE or FALSE
Coccyx fractures are 5 times more common in females than males due to anatomical differences includi...
The primary treatment for acute coccyx fractures is conservative management including donut cushions...
Dynamic lateral radiographs comparing sitting versus standing positions are useful for assessing coc...
Coccygectomy is the first-line treatment for acute coccyx fractures and should be performed within 2...
Bimanual examination (combined digital rectal and external palpation) is the most sensitive physical...
Answer the questions to see explanations
Click T (True) or F (False) for each option