IJCRR - Vol 05 Issue 16, August, 2013
COCCYGEAL FRACTURES IN ADULTS AS A RESULT OF FALL ON FROZEN SNOW DURING WINTER IN KASHMIR
Author: Bashir Ahmed Mir, Muzamil Ahmad Baba, M.A. Halwai, Adil Bashir Shikari, Maajid Shabeer, Naila Nazir
Background There is not much literature available on coccygeal fractures, only a few case reports. We present a first series of 15 cases of coccygeal fractures in adults as a result of similar mode of trauma due to fall on frozen snow during the winter months in the valley of Kashmir. Material and Methods: The study included patients with coccygeal fractures that occurred as a result of direct fall due to slip on ice during the winter months, December to February in the valley of Kashmir. Study was done over a period of 5 years (2007 to 2012) and included a total of 15 patients. Results: 15 cases of coccygeal fractures with an age group of 48 to 72 (average 65 years), 12 females and 3 males is presented. All patients were managed conservatively with uneventful recovery. Conclusion: Our study revealed coccygeal fractures mostly occur in elderly age group with underlying osteoporosis. Although most cases can be managed conservatively with uneventful recovery, measures should be taken to avoid fall related trauma in winters especially in older age group.
Keywords: Coccyx, Conservative management, snow fall, Kashmir.
Bashir Ahmed Mir, Muzamil Ahmad Baba, M.A. Halwai, Adil Bashir Shikari, Maajid Shabeer, Naila Nazir. COCCYGEAL FRACTURES IN ADULTS AS A RESULT OF FALL ON FROZEN SNOW DURING WINTER IN KASHMIR International Journal of Current Research and Review. Vol 05 Issue 16, August, 43-46
1. Broome DR, Hayman LA, Herrick RC, et al. Postnatal maturation of the sacrum and coccyx: MR imaging, helical CT, and conventional radiography. AJR Am J Roentgenol 1998;170(4):1061-1066.
2. Caldwell, G. A.: Minor injuries of the lumbar spine and coccyx. S. Clin. North America, October 1951, p. 1345.
3. Dean LM, Syed MI, Jan SA, Patel NA, Shaikh A, Morar K, Shah O. Coccygeoplasty: treatment for fractures of the coccyx. Journal of vascular and interventional radiology. 2006 May; 17(5): 909-12.
4. George H. Thiele. Coccygodynia: causes and treatment. Diseases of the colon and rectum. November-December, 1963, volume 6, issue 6, pp 422-436.
5. Grant Cooper MD, Mike S. Lee MD and Gregory E. Lutz MD. Fracture of coccyx during childbirth: a case report of an unusual cause of coccygodynia. Archives of Physical Medicine and Rehabilitation Volume 84, Issue 9 , September 2003, Page E15
6. GRAY. Anatomy of the Human Body. Ed. 21. Phila., Lea and Febiger, 1924.
7. John C. McCauley Jr. Fractures of coccyx and coccygodynia. The American Journal of Surgery1937, Volume 36, Issue 1, April, Pages 303-307.
8. Key, J. A.: Operative treatment of coccygodynia. J. Bone and Joint Surg. n.s.19: 759, 1937.
9. Kim WY, Han CW, Kim YH. Joystick reduction and percutaneous pinning for an acutely anteriorly dislocated coccyx: a case report Journal of Orthopaedic Trauma 2004 Jul; 18 (6): 388-9.
10. LEWIN, P. Coccyx, its derangements and their treatment. Surg. Cynec. and Obst., 45: 705 (Nov.) 1927.
11. Rockwood and Wilkins Fractures in Children. Fractures of the pelvis. 7th edition, Chapter 20/Page 759-760.
12. Spence, K. F., Jr.: Coccygectomy. Am. J. Surg.102: 850, 1961.