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- Lucy V Dennell and Soosai Nathan.
- Department of Orthopaedics, West Middlesex University Hospital, London, UK. wilsonxxx@btinternet.com
- Spine. 2004 Jun 15; 29 (12): E256-7.
Study DesignA retrospective review of a case of coccygodynia caused by a previously unreported coccygeal morphology.ObjectivesTo draw attention to a previously undiagnosed pathology.BackgroundThis case adds to the recently described variants of coccygeal anatomy.MethodsThe authors present the case of a 42-year-old woman with intractable coccygodynia and a retroverted coccyx.ResultsThe 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.)ConclusionA 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.
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