A retrospective review of a case of coccygodynia caused by a previously unreported coccygeal morphology.
To draw attention to a previously undiagnosed pathology.
This case adds to the recently described variants of coccygeal anatomy.
The authors present the case of a 42-year-old woman with intractable coccygodynia and a retroverted coccyx.
The histologic examination of the resected specimen after coccygectomy revealed a bony lesion covered with thick fibrous tissue and evidence of mature adipocytes within trabecular spaces. (The latter was described in a supplementary report as an intraosseous lipoma.)
A retroverted coccyx and adventitious bursa represent a pathoanatomy not formally reported on in the literature. This type of coccyx that is symptomatic may not respond to the traditional prolonged period of conservative management.
This is a case report outlining previously undescribed coccygeal anatomy.
From the Department of Orthopaedics, West Middlesex University Hospital, London, UK.
Acknowledgment date: July 15, 2003. Acceptance date: October 27, 2003.
The manuscript submitted does not contain information about medical device(s)/drug(s).
No funds were received in support of this work. No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript.
Address correspondence to Lucy V. Dennell, FRCS, 8 Goring Road, Bounds Green, London, N11 2BX, England; E-mail: email@example.com