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 |
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Almost all coccygeal dislocations | ![]() |
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Indications
- Almost all coccygeal dislocations
Contraindication
- Open injury (debridement required – consider coccygectomy)
*Skill | |
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Basic surgical experience, no specialized skills |
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Some specialized surgical experience |
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Highly experienced and skilled surgeon |
*Equipment | |
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Basic equipment only |
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Simple surgical and imaging resources |
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Full specialized surgical and imaging resources |