Executive Editor: Peter Trafton

Authors: Rahul Banerjee, Peter Brink, Matej Cimerman, Tim Pohlemann, Matevz Tomazevic

Pelvic ring - A3.1

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Glossary

General considerations

Coccygeal dislocations usually recover with nonoperative care. If significant displacement, especially anterior angulation, is present, a trans-anal closed reduction may be beneficial. Occasionally, coccygectomy must be considered for late persistent pain or functionally significant deformity.

Nonoperative
Main indication Skill Equipment
Almost all coccygeal dislocations Basic surgical experience, no specialized skills Basic equipment only

Indications

  • Almost all coccygeal dislocations

Contraindication

  • Open injury (debridement required – consider coccygectomy)
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

2016-10-20