scholarly journals Looking Below the Sacrococcygeal Joint in Patients with Coccydynia (Coccyx Pain)

2020 ◽  
Vol 54 (1) ◽  
pp. 104-104
Author(s):  
Patrick M. Foye ◽  
Christopher A. Varghese ◽  
Rustambir Singh
Keyword(s):  
Sacrococcygeal Joint

scholarly journals Traumatic posterior dislocation of sacrococcygeal joint: A case report and review of the literature

2020 ◽  
Vol 11 ◽  
pp. 197
Author(s):  
Vishnu Prasad Panigrahi ◽  
Nitin Adsul ◽  
R. S. Chahal ◽  
K. L. Kalra ◽  
Shankar Acharya
Keyword(s):  
Groin Pain ◽  
Sacral Fracture ◽  
Posterior Dislocation ◽  
Low Back ◽  
Review Of The Literature ◽  
Joint Dislocation ◽  
Unstable Pelvic Fracture ◽  
The Third ◽  
Joint Dislocations ◽  
Sacrococcygeal Joint

Background: Sacrococcygeal joint dislocation is very rare. There are seven cases of sacrococcygeal joint dislocation found in the literature; most are anterior, and only one prior case of posterior dislocation was reported involving the mid-coccygeal joint. Here, we report another case of posterior dislocation of the sacrococcygeal joint. Case Description: A 19 year-old female developed acute low-back and groin pain following a fall from the first floor. She was diagnosed with an unstable pelvic fracture along with posterior dislocation of the sacrococcygeal joint. The next day, after being hemodynamically stabilized, she underwent percutaneous fixation of the sacral fracture, while the sacrococcygeal joint dislocation was managed conservatively. Her pain decreased, and she was discharged on the third postoperative day and followed up to 6 weeks. Conclusion: Most sacrococcygeal joint dislocations can be managed conservatively.

scholarly journals Sacrococcygeal Morphologic and Morphometric Risk Factors for Idiopathic Coccydynia: A Magnetic Resonance Imaging Study

2021 ◽  
pp. 219256822199379
Author(s):  
Ahmed Shams ◽  
Osama Gamal ◽  
Mohamed Kamal Mesregah
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Case Control Study ◽  
Case Control ◽  
Type Ii ◽  
Resonance Imaging ◽  
Joint Fusion ◽  
Curvature Index ◽  
Sacrococcygeal Joint ◽  
Control Study

Study Design: Retrospective case-control study. Objectives: To evaluate the sacrococcygeal morphologic and morphometric features in idiopathic coccydynia using magnetic resonance imaging (MRI). Methods: MRI scans from 60 patients with idiopathic coccydynia were compared with scans of 60 controls. Assessment of coccygeal morphology included coccygeal segmentation, coccygeal types, bony spicules, sacrococcygeal joint fusion, and intercoccygeal joint fusion and subluxation. Morphometric parameters included coccygeal straight and curved lengths, coccygeal curvature index, sacrococcygeal and intercoccygeal joint angles, sacral straight and curved lengths, sacral curvature index, sacral angle, sacrococcygeal straight and curved lengths, sacrococcygeal curvature index, and sacrococcygeal angle. Results: The coccydynia group included 28 males and 32 females, with a mean age of 36.1 years. Type II coccyx and bony spicules were more common in coccydynia, P = 0.003 and 0.01, respectively. Sacrococcygeal joints were fused less commonly in coccydynia, P = 0.02. Intercoccygeal joint subluxation was more common in coccydynia, P = 0.007. The sacral angle was lower in coccydynia, P = 0.01. The sacrococcygeal curved length was higher in coccydynia, P < 0.001. The sacrococcygeal curvature index was lower coccydynia, P < 0.001. In females only, the coccygeal curvature index was lower in coccydynia patients, P = 0.04. In males only, the intercoccygeal angle was lower in coccydynia patients, P = 0.02. Conclusions: Type II coccyx, bony spicules, intercoccygeal joint subluxation were more common, and sacrococcygeal joint fusion was less common in coccydynia patients. Sacral angle and sacrococcygeal curvature index were lower, while sacrococcygeal curved length was higher in coccydynia patients. Level of Evidence: Level 3. Case-control study.

Ganglion Impar Block: Fluoroscopy and Ultrasound

2016 ◽  
Author(s):  
Chia Shiang (Sean) Lin
Keyword(s):  
Cancer Pain ◽  
Palliative Treatment ◽  
Sacrococcygeal Joint ◽  
Ganglion Impar Block ◽  
Ganglion Impar

Blockade of the ganglion impar (also known as ganglion of Walther or sacrococcygeal ganglion) is indicated for evaluating and managing visceral or sympathetic-maintained pain in the coccygeal and perineal area. Ganglion impar neurolysis has been reported in the palliative treatment for malignancies of the pelvis with cancer pain in the perineal area. Ultrasound can be successively used to locate the sacrococcygeal joint (SCJ) and facilitate the performance of ganglion impar block. However, ultrasound can also complement fluoroscopy, as lateral fluoroscopy is still needed to establish safe depth and monitor the spread of the injectate, especially with neurolytic injections.

Coccygectomy for Severe Refractory Sacrococcygeal Joint Pain

2003 ◽  
Vol 16 (1) ◽  
pp. 100-103 ◽  
Author(s):  
Richard Perkins ◽  
Jerome Schofferman ◽  
James Reynolds
Keyword(s):  
Joint Pain ◽  
Sacrococcygeal Joint

Correlation between the distance from the pubic symphysis to the sacrum with pelvic incidence

2019 ◽  
Vol 29 (5) ◽  
pp. 564-567
Author(s):  
Matthew V Abola ◽  
Derrick M Knapik ◽  
Daniel R Cooperman ◽  
Raymond W Liu
Keyword(s):  
Regression Analysis ◽  
African American ◽  
Pelvic Tilt ◽  
Pelvic Incidence ◽  
Pubic Symphysis ◽  
Pubic Tubercle ◽  
The Mean ◽  
Sacrococcygeal Joint ◽  
The Relationship ◽  
Age Of Death

Introduction: The distance between the pubic symphysis and sacrococcygeal joint has been noted as an important parameter in evaluating pelvic tilt in an anteroposterior (AP) radiograph. Similarly, pelvic incidence measures the sagittal balance of the pelvis and is influenced by pelvic rotation. The relationship between these 2 parameters is unknown and could affect interpretation of pelvic AP radiographs. Methods: We reconstructed 248 cadaveric pelvises. Pelvic incidence was measured using a previously validated method. Pubic symphysis-sacrococcygeal joint (PSS) height was measured from the superior pubic tubercle to the sacrococcygeal joint. The pelvises were positioned so that the anterior pelvis lay flush with the surface. A ruler was zeroed on the pubic tubercles and a transverse projecting laser was used to measure the height to the sacrococcygeal joint. Results: A total of 248 pelvises were reconstructed. Average age of death of the specimens was 33±6.0 years. 80% of the pelvises were male, 56% were Caucasian, and 44% African American. The mean PSS height was 2.2 ± 1.4 cm and mean PI was 44.3° ± 10.6°. Multiple regression analysis found PI and PSS height were not correlated ( p = 0.144). Females had a larger PSS height than males (beta = 1.17, p < 0.001) and African Americans a larger PSS height than Caucasians (beta = 0.63, p < 0.001). Conclusions: This study provides useful information for clinicians in evaluating AP radiographs of the pelvis in that it supports the use of PSS height to judge the adequacy of a radiograph even in the context of abnormal pelvic incidence.

scholarly journals Symptomatic sacrococcygeal joint dislocation treated using closed manual reduction: A case report with 36-month follow-up and review of literature

2017 ◽  
Vol 12 ◽  
pp. 11-15 ◽  
Author(s):  
Pratik Kanabur ◽  
Anirudh Gowd ◽  
Julia A. Bulkeley ◽  
Caleb J. Behrend ◽  
Jonathan J. Carmouche
Keyword(s):  
Case Report ◽  
Review Of Literature ◽  
Joint Dislocation ◽  
Manual Reduction ◽  
Sacrococcygeal Joint

scholarly journals Blockade of the Ganglion Impar (Walther), Using Ultrasound and a Loss of Resistance Technique

2012 ◽  
Vol 113 (1) ◽  
pp. 53-57 ◽  
Author(s):  
P. J. Johnston ◽  
Pavel Michálek
Keyword(s):  
Radiation Exposure ◽  
Local Anaesthetic ◽  
Ultrasound Guidance ◽  
Perineal Pain ◽  
Injection Technique ◽  
Presacral Space ◽  
Loss Of Resistance ◽  
Chronic Perineal Pain ◽  
Sacrococcygeal Joint ◽  
Ganglion Impar

The ganglion impar is an unpaired sympathetic structure located at the level of the sacrococcygeal joint. Blockade of this structure has been utilised to treat chronic perineal pain. Methods to achieve this block often involve the use of fluoroscopy which is associated with radiation exposure of staff involved in providing these procedures. We report a combined loss of resistance injection technique in association with ultrasound guidance to achieve the block. Ultrasound was used to identify the sacrococcygeal joint and a needle was shown to enter this region. Loss of resistance was then used to demonstrate that the needle tip lies in a presacral space. The implication being that any injectate would be located in an adequate position. The potential exception would be a neurodestructive procedure as radiographic control of needle tip in relation to the rectum should be performed and recorded. However when aiming for a diagnostic or local anaesthetic based treatment option we feel that this may become an accepted method.

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